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<SEC-DOCUMENT>0001000096-04-000832.txt : 20041216
<SEC-HEADER>0001000096-04-000832.hdr.sgml : 20041216
<ACCEPTANCE-DATETIME>20041216162633
ACCESSION NUMBER:		0001000096-04-000832
CONFORMED SUBMISSION TYPE:	10QSB
PUBLIC DOCUMENT COUNT:		8
CONFORMED PERIOD OF REPORT:	20040930
FILED AS OF DATE:		20041216
DATE AS OF CHANGE:		20041216

FILER:

	COMPANY DATA:	
		COMPANY CONFORMED NAME:			INTEGRATED SURGICAL SYSTEMS INC
		CENTRAL INDEX KEY:			0000894871
		STANDARD INDUSTRIAL CLASSIFICATION:	SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841]
		IRS NUMBER:				680232575
		STATE OF INCORPORATION:			DE
		FISCAL YEAR END:			1231

	FILING VALUES:
		FORM TYPE:		10QSB
		SEC ACT:		1934 Act
		SEC FILE NUMBER:	001-12471
		FILM NUMBER:		041208596

	BUSINESS ADDRESS:	
		STREET 1:		1850 RESEARCH PARK DR
		CITY:			DAVIS
		STATE:			CA
		ZIP:			95616-4884
		BUSINESS PHONE:		5307922600

	MAIL ADDRESS:	
		STREET 1:		1850 RESEARCH PARK
		CITY:			DAVIS
		STATE:			CA
		ZIP:			95616-4884
</SEC-HEADER>
<DOCUMENT>
<TYPE>10QSB
<SEQUENCE>1
<FILENAME>iss9302004.txt
<DESCRIPTION>FORM 10-QSB  (9-30-2004)
<TEXT>



                                  UNITED STATES
                       SECURITIES AND EXCHANGE COMMISSION
                              Washington, DC 20549

                                   FORM 10-QSB

[X]     Quarterly Report Under Section 13 or 15(d) of the Securities Exchange
        Act of 1934

               For the quarterly period ended September 30, 2004

[ ]     Transition Report Under Section 13 or 15(d) of the Securities Exchange
        Act of 1934

               For the transition period from _______ to ________

                         Commission file number: 1-12471

                        INTEGRATED SURGICAL SYSTEMS, INC.
         ---------------------------------------------------------------
        (Exact name of small business issuer as specified in its charter)

             Delaware                                          68-0232575
             --------                                          ----------
  (State or other jurisdiction of                            (IRS Employer
   incorporation or organization)                           Identification No.)

             1850 Research Park Drive, Davis, California 95616-4884
             ------------------------------------------------------
                    (Address of principal executive offices)

                                 (530) 792-2600
                           (Issuer's telephone number)

                                       N/A
               --------------------------------------------------
              (Former name, former address and formal fiscal year,
                          if changed since last report)


Check whether the issuer (1) filed all reports required to be filed by Section
13 or 15(d) of the Securities Exchange Act of 1934 during the past 12 months (or
for such shorter period that the registrant was required to file such reports),
and (2) has been subject to such filing requirements for the past 90 days.
                                 Yes [X] No [ ]

State the number of shares outstanding of each of the issuer's classes of common
equity, as of the latest practicable date: The number of shares of the issuer's
common stock outstanding as of December 10, 2004 was 45,084,089.

Transitional Small Business Disclosure Format: Yes [ ] No [ X ]

<PAGE>


               Integrated Surgical Systems, Inc. and Subsidiaries
                                   Form 10-QSB
                    For the quarter ended September 30, 2004

                                Table of Contents


                                                                          Page
                                                                          ----
Part I.   Financial Information

          Item 1.  Financial Statements                                     3

                   Condensed Consolidated Balance Sheet (Unaudited)
                   at September 30, 2004                                    3

                   Condensed Consolidated Statements of Operations
                   (Unaudited) for the three months
                   ended September 30, 2004 and 2003                        4

                   Condensed Consolidated Statements of Operations
                   (Unaudited) for the nine months ended
                   September 30, 2004 and 2003                              5

                   Condensed Consolidated Statements of Cash Flows
                   (Unaudited) for the nine months ended
                   September 30, 2004 and 2003                              6

                   Notes to Condensed Consolidated Financial
                   Statements (Unaudited)                                   7

          Item 2.    Management's Discussion and Analysis                  11

          Item 3.    Controls and Procedures                               16

Part II.  Other Information

          Item 1.    Legal Proceedings                                     16

          Item 2.    Unregistered Sales of Equity Securities
                     and Use of Proceeds                                   16

          Item 3.    Default Upon Senior Securities                        17

          Item 4.    Submission of Matters to a Vote of Security Holders   17

          Item 5.    Other Information                                     17

          Item 6.    Exhibits                                              17

Signature                                                                  18


                                       2
<PAGE>


Part I.  Financial Information
         Item 1.  Financial Statements (unaudited)


               Integrated Surgical Systems, Inc. and Subsidiaries
                      Condensed Consolidated Balance Sheet
                               September 30, 2004
                                   (Unaudited)

Assets
Current assets:
     Cash                                                          $     24,661
     Accounts receivable                                                329,948
     Inventories                                                        608,591
     Other current assets                                                31,962
                                                                   ------------
Total current assets                                                    995,162

Property and equipment, net                                               7,528
                                                                   ------------
                                                                   $  1,002,690
                                                                   ============

Liabilities and stockholders' deficit
Current liabilities:
     Accounts payable                                              $  2,351,630
     Accrued payroll and related expense                              1,558,027
     Accrued liabilities                                                334,733
     Unearned income                                                  2,714,991
     Other current liabilities                                          276,636
                                                                   ------------
Total current liabilities                                             7,236,017

Commitments and contingencies

Convertible preferred stock, $0.01 par value,
     1,000,000 shares authorized;
     168 shares issued and outstanding
     ($168,496 aggregate liquidation value)                             168,496

Stockholders' deficit:
     Common stock, $0.01 par value,
         100,000,000 shares authorized;
         45,058,945 shares issued and outstanding                       450,589
     Additional paid-in capital                                      61,923,930
     Accumulated deficit                                            (68,776,342)
                                                                   ------------
Total stockholders' deficit                                          (6,401,823)
                                                                   ------------
                                                                   $  1,002,690
                                                                   ============

See accompanying notes.


                                        3
<PAGE>


               Integrated Surgical Systems, Inc. and Subsidiaries
                 Condensed Consolidated Statements of Operations
                                   (Unaudited)


                                                        Three months ended
                                                           September 30,
                                                   ----------------------------
                                                       2004            2003
                                                   ------------    ------------

Net revenue                                        $    139,140    $    539,406
Cost of revenue                                         135,501         704,710
                                                   ------------    ------------
                                                          3,639        (165,304)
Operating expenses:
     Selling, general and administrative                235,744         571,132
     Research and development                            92,741         454,650
                                                   ------------    ------------
                                                        328,485       1,025,782
                                                   ------------    ------------
Operating loss                                         (324,846)     (1,191,086)

Other income (expense), net:                             (8,015)        134,779
                                                   ------------    ------------
Net loss                                           $   (332,861)   $ (1,056,307)
                                                   ============    ============


Basic and diluted net loss per common share        $      (0.01)   $      (0.02)
                                                   ============    ============

Shares used in computing basic and
 diluted net loss per share                          44,955,408      43,478,469
                                                   ============    ============



See accompanying notes.

                                       4


<PAGE>


               Integrated Surgical Systems, Inc. and Subsidiaries
                 Condensed Consolidated Statements of Operations
                                   (Unaudited)


                                                         Nine months ended
                                                           September 30,
                                                   ----------------------------
                                                       2004            2003
                                                   ------------    ------------

Net revenue                                        $  1,389,013    $  5,501,202
Cost of revenue                                         693,931       3,840,847
                                                   ------------    ------------
                                                        695,082       1,660,355
Operating expenses:
     Selling, general and administrative                918,888       1,942,115
     Research and development                           811,224       1,191,062
                                                   ------------    ------------
                                                      1,730,112       3,133,177
                                                   ------------    ------------
Operating loss                                       (1,035,030)     (1,472,822)

Other income (expense), net:                            (10,103)        231,669
                                                   ------------    ------------
Net loss                                           $ (1,045,133)   $ (1,241,153)
                                                   ============    ============


Basic and diluted net loss per common share        $      (0.02)   $      (0.03)
                                                   ============    ============

Shares used in computing basic and
 diluted net loss per share                          44,924,130      42,681,766
                                                   ============    ============


See accompanying notes.

                                       5
<PAGE>

<TABLE>
<CAPTION>

                        Integrated Surgical Systems, Inc. and Subsidiaries
                          Condensed Consolidated Statements of Cash Flows
                                             (Unaudited)


                                                                                  Nine months ended
                                                                                    September 30,
                                                                          ---------------------------------
                                                                              2004                 2003
                                                                          -----------           -----------
<S>                                                                       <C>                    <C>
Cash flows from operating activities:
Net loss                                                                  $(1,045,133)          $(1,241,153)
Adjustments to reconcile net loss to net cash provided by (used in)
 Operating activities:
     Depreciation                                                              18,039               218,944
     Release of note payable related to loan                                     --                (109,262)
     Non-cash compensation charge                                              21,200                  --
     Loss on disposal of fixed assets                                           4,829                  --
     Changes in operating assets and liabilities:
        Accounts receivable                                                  (219,192)              912,800
        Inventories                                                          (121,636)              477,130
        Other current assets                                                   80,948                89,533
        Accounts payable                                                      388,781                20,520
        Accrued payroll and related expenses                                  676,580               244,309
        Accrued liabilities                                                   (20,181)              102,909
        Unearned income                                                      (129,182)             (820,690)
        Other current liabilities                                              99,546                31,414
                                                                          -----------           -----------
Net cash used in operating activities                                        (245,401)              (73,546)

Cash flows from investing activities:
Purchases of property and equipment                                              --                 (17,708)
Proceeds on disposals of property and equipment                                 4,600                  --
                                                                          -----------           -----------
Net cash provided by (used in) investing activities                             4,600               (17,708)

Cash flows from financing activities:
Proceeds from exercise of stock options                                         1,954                  --
Proceeds from officer advances and deferrals of salaries and
    unreimbursed travel expenses                                              180,799               483,825
Payments on officer advances, deferred salaries and
    unreimbursed travel expenses                                              (60,200)             (295,514)
                                                                          -----------           -----------
Net cash provided by financing activities                                     122,553               188,311

Effect of exchange rate changes on cash                                          --                (103,348)
                                                                          -----------           -----------
Net decrease in cash                                                         (118,248)               (6,291)
Cash at beginning of period                                                   142,909                82,069
                                                                          -----------           -----------
Cash at end of period                                                     $    24,661           $    75,778
                                                                          ===========           ===========

Supplemental disclosure of non-cash investing activity:
Conversion of preferred stock:                                            $      --             $    32,000


See accompanying notes.

                                                    6

</TABLE>

<PAGE>


               Integrated Surgical Systems, Inc. and Subsidiaries
        Notes to Condensed Consolidated Financial Statements (unaudited)
                               September 30, 2004

1. Basis of Presentation

The condensed consolidated financial statements have been prepared by Integrated
Surgical Systems, Inc. (the "Company") pursuant to the rules and regulations of
the Securities and Exchange Commission ("SEC"). Certain information and footnote
disclosures normally included in annual financial statements prepared in
accordance with accounting principles generally accepted in the United States of
America have been condensed or omitted as permitted by such rules and
regulations. While the interim financial information contained in this filing is
unaudited, such financial statements reflect all adjustments, consisting only of
normal recurring adjustments, which the Company considers necessary for a fair
presentation. The results for interim periods are not necessarily indicative of
the results to be expected for the entire fiscal year. These financial
statements should be read in conjunction with the consolidated financial
statements and notes thereto included in the Company's Annual Report on Form
10-KSB for the fiscal period ended December 31, 2003.

The preparation of financial statements in conformity with accounting principles
generally accepted in the United States of America requires management to make
estimates and assumptions that affect the reported amounts and related
disclosures. Actual results could differ from those estimates.

2. Results of Operations and Management's Plan

The accompanying condensed consolidated financial statements have been prepared
on a going concern basis, which contemplates the realization of assets and the
satisfaction of liabilities in the normal course of business. As shown in the
accompanying condensed consolidated financial statements for the nine-month
period ended September 30, 2004, the Company incurred a net loss for such
nine-month period of $1,045,133 and had an accumulated deficit as of September
30, 2004 of $68,776,342. For the year ended December 31, 2003, the Company
incurred a net loss of $3,250,219 and had an accumulated deficit at December 31,
2003 of $67,731,209. The report of independent auditors on the Company's
December 31, 2003 consolidated financial statements includes an explanatory
paragraph indicating there is substantial doubt about the Company's ability to
continue as a going concern. The Company believes that it has a plan to address
these issues and enable the Company to continue operating through September 30,
2005. This plan includes obtaining additional equity or debt financing,
increasing product sales in existing markets, increasing sales of system
upgrades, and further reductions in operating expenses as necessary (see notes 5
and 11). Although the Company believes that the plan will be realized, there is
no assurance that these events will occur. In the event that the Company is
unsuccessful in realizing the benefits of such plan, it is possible that the
Company will cease operations and/or seek bankruptcy protection. The September
30, 2004 condensed consolidated financial statements do not include any
adjustments to reflect the uncertainties related to the recoverability and
classification of assets or the amounts and classification of liabilities that
may result from an inability of the Company to continue as a going concern.

3. Inventories

At September 30, 2004, the components of inventories were:

Raw materials                                                           $123,031
Work-in-process                                                          218,731
Finished goods                                                           137,465
Deferred product development contract costs                              129,364
                                                                        --------
                                                                        $608,591
                                                                        ========


                                       7

<PAGE>


4. Warranty and Service Contracts

The Company offers a one-year warranty for parts and labor on all ROBODOC(R)
systems. These warranties generally commence upon the completion of training and
installation. In most cases, the Company's customers purchase a service
contract, which includes extended warranty coverage (parts and labor),
unspecified product maintenance updates, customer support services and various
consumables required during surgical procedures. Customers not covered by
warranties or service contracts are billed on a time and materials basis for
service, and on a per unit basis for products. At September 30, 2004, the
Company had no recorded warranty liability as all systems within the one-year
warranty period were covered by service contracts. Revenue related to
maintenance and service contracts is recognized ratably over the duration of the
contract.

5. Securities Purchase Agreement

To obtain funding for the Company's ongoing operations, the Company entered into
a securities purchase agreement (the "Agreement") with an accredited investor on
June 15, 2004 with respect to the sale by the Company for aggregate
consideration of $150,000 of (i) a convertible debenture in the principal amount
of $150,000 and (ii) warrants to purchase 1,500,000 shares of Company common
stock. The Agreement contemplates the sale of additional convertible debentures
and warrants upon the occurrence of specific events. The Company is obligated to
register under the Securities Act for resale by the investor the common stock
underlying the debenture and warrants issued pursuant to the Agreement.

In connection with the sale of the original $150,000 convertible debenture and
1.5 million warrants the investor provided the Company with funds as follows:

     o    $100,000 was disbursed to the Company on June 15, 2004;

     o    $50,000 was disbursed to the Company on October 19, 2004; and

     o    $50,000 has been retained by the investor for disbursement to various
          professionals in payment for services to be provided to the Company.

The convertible debenture bears interest at 6 3/4%, matures two years from the
date of issuance, and is convertible into Company common stock at the investor's
option. The convertible debenture is convertible into the number of shares of
Company common stock equal to the principal amount of the debenture being
converted multiplied by 11, less the product of the conversion factor multiplied
by ten times the dollar principal amount of the debenture being converted. The
conversion factor for the convertible debenture is the lesser of (i) $0.25 or
(ii) eighty percent of the average of the five lowest volume weighted average
prices during the twenty (20) trading days prior to the conversion. Accordingly,
there is no limit on the number of shares into which the debenture may be
converted. In addition, the investor is obligated to proportionately exercise,
concurrently with the submission of a conversion notice by the selling
stockholder, the warrants. The warrants are at an exercise price of $1.00 per
share.

The investor has contractually agreed to restrict its ability to convert
or exercise its warrants and receive shares of Company common stock such that
the number of shares of common stock held by it and its affiliates after such
conversion and exercise does not exceed 4.9% of the then issued and outstanding
shares of Company common stock.

The issuance of more than 51.5 million shares of common stock upon conversion of
the convertible debenture and exercise of the warrants issued pursuant to the
Agreement would require the Company to issue shares of common stock in excess of
the Company's currently authorized shares of its common stock. The Company
intends to seek stockholder approval to amend the Company's certificate of
incorporation to increase the Company's authorized common stock from 100,000,000
to 300,000,000 shares. Such solicitation will be made pursuant to a proxy
statement conforming to the rules and regulations of the Securities and Exchange
Commission. This Quarterly Report on Form 10-QSB should not be considered, in
any manner, a solicitation for voting in favor of such an increase in the
Company's authorized common stock.


                                       8
<PAGE>


The issuance of the convertible debenture and warrants to the investor is
contingent upon stockholder approval of the increase in the Company's authorized
common stock. If such approval is not received, the Agreement will terminate and
the Company will be obligated to repay the proceeds received to date and other
funds disbursed by the investor to professionals in payment of services rendered
on behalf of the Company. As a result, the Company recorded such proceeds in
other current liabilities.

6. Stockholders' Equity

During the nine-month period ended September 30, 2004, 61,587 shares of common
stock were issued as a result of employees exercising stock options at exercise
prices ranging from $0.025 to $0.06 per share. The Company also issued 40,000
and 90,000 shares of its common stock, at $ 0.095 and $0.06 per share,
respectively, as payment for services rendered.

7. Stock-Based Compensation

The Company uses the intrinsic value method in accounting for its employee stock
options in accordance with Accounting Principles Board Opinion No. 25,
"Accounting for Stock Issued to Employees." Under the intrinsic value method,
when the exercise price of employee stock option equals or exceeds the market
price of the underlying stock on the date of grant, no compensation expense is
recognized. Stock option awards which are granted at less than fair market value
result in the recognition of deferred compensation. Deferred compensation is
shown as a reduction of stockholders' equity and is amortized to operating
expenses over the vesting period of the stock award. The Company had no deferred
compensation at September 30, 2004.

Statement of Financial Accounting Standards No. 148, "Accounting for Stock-Based
Compensation-Transition and Disclosure of an Amendment of SFAS No. 123" and
Statement of Financial Accounting Standards No. 123 ("SFAS No. 123"),
"Accounting for Stock-Based Compensation," require the disclosure of certain
information as if the Company had adopted the fair value provisions of SFAS No.
123. The table below illustrates the effect on net loss and net loss per share
had the Company adopted the fair value provisions of SFAS No. 123 using the
following assumptions: risk-free interest rates of 3.4% for the three-months
and nine-month periods ended September 30, 2004 and 3.0% for the three-months
and nine-month periods ended September 30, 2003; volatility factors of the
expected market price of the common stock of 1.006 for the three-months and
nine-month periods ended September 30, 2004 and 1.004 for the three-months and
nine-month periods ended September 30, 2003 and an expected life of the option
of 4 years.
<TABLE>
<CAPTION>

                                               Three months ended September 30,       Nine months ended September 30,
                                               --------------------------------       -------------------------------
                                                    2004              2003               2004               2003
                                                ------------       -----------        -----------        -----------

<S>                                             <C>                <C>                <C>                <C>
Net loss                                        $  (320,861)       $(1,056,307)       $(1,033,133)       $(1,241,153)
Add:  stock-based employee compensation
         included in reported net loss                 --                 --                 --                 --


                                                          9
<PAGE>


Less: stock-based employee compensation expense,
   determined under fair value
   methods for all awards                            (1,307)          (28,700)           (9,156)            (90,056)
                                                -----------       -----------       -----------       -------------

   Pro forma net loss                           $  (322,168)      $(1,085,007)      $(1,042,289)      $  (1,331,209)
                                                ===========       ===========       ===========       =============

   Loss per share:
     Basic and diluted loss per share           $     (0.01)      $     (0.02)      $     (0.02)      $      (0.03)


8. Net Loss Per Share

Basic net loss per share is computed by dividing the net loss available to
common stockholders for the period by the weighted average number of common
shares outstanding during the period. Diluted net loss per share is computed by
dividing the net loss for the period by the weighted average number of common
and potential common shares outstanding during the period if their effect is
dilutive. Potential common shares are comprised of shares issuable upon exercise
or conversion of outstanding employee stock options, warrants and convertible
preferred stock. The potential common shares issuable under stock options,
warrants and preferred stock to purchase common shares have been excluded for
the three and nine-month periods ending September 30, 2004 and 2003 from the
diluted calculation because the effect of such shares would have been
anti-dilutive.

At September 30, 2004, the Company had outstanding options to purchase an
aggregate of 2,332,734 shares of common stock (with exercise prices ranging from
$0.025 to $8.50 per share), warrants to purchase an aggregate 2,606,479 shares
of common stock (with exercise prices from $0.01 to $0.0625 per share), and of
Series G convertible preferred stock convertible into 3,150,333 shares of common
stock. The exercise price and the ultimate number of shares of common stock
issuable upon exercise of outstanding options and warrants and conversion of the
Series G convertible preferred stock are subject to adjustments based upon the
occurrence of certain future events.

9. Accumulated Other Comprehensive Loss

                                               Three months ended September 30,         Nine months ended September 30,
                                                -------------------------------         -------------------------------
                                                   2004                2003                2004                2003
                                                ------------        -----------         -----------         -----------

Net loss                                        $  (332,861)        $(1,056,307)        $(1,045,133         $(1,241,153)

Other comprehensive income (loss):

    Foreign currency translation                       --                (8,587)               --               (66,862)
                                                -----------         -----------         -----------         -----------

Comprehensive loss                              $  (332,861)        $(1,064,894)        $(1,045,133)        $(1,308,015)
                                                ===========         ===========         ===========         ===========
</TABLE>


10. Contingencies

The Company is subject to legal proceedings and claims that arise in the normal
course of business. The Company cannot assure that it would prevail in such
matters nor can it assure that the Company would have sufficient funds available
to satisfy any adverse judgement. Due to the inherent uncertainties of
litigation, were there any such matters, the Company may not be in the position
at any specific time to accurately predict a litigation's ultimate outcome. As
of September 30, 2004, there were no current proceedings or litigation involving
the Company that the Company believes, if judgement were rendered against the
Company, would have a material adverse impact on its financial position, results
of operations or cash flows

11. Subsequent Events

On December 14, 2004 the Company entered into a $2.5 million agreement with
Fujifilm Medical Systems, USA ("Fuji") under which Fuji will license the
Company's orthopedic surgical planning technology for its use solely in the
Picture Archiving and Communications Systems ("PACS") market. Under the terms of
the license agreement the Company received $0.5 million in conjunction with the


                                       10

<PAGE>


signing of the agreement. Additional milestone payments totaling $2.0 million
will be paid to the Company over a two year period, assuming all such milestones
are met.

     Item 2. Management's Discussion and Analysis or Plan of Operation

Overview

The Company designs, manufactures, sells and services image-directed,
computer-controlled robotic software and hardware products for use in orthopedic
and neurosurgical procedures.

In 1997, the Company acquired a 100% interest in a French company, Innovative
Medical Machines International. S. A. ("ISS-SA"), involved in the manufacturing
and servicing of neurosurgical products. In the fourth quarter of 2003, the
Company recorded a loss of $1,516,519 in connection with the liquidation of the
Company's investment in ISS-SA and closure of the Company's European operation.

The Company's revenue consists of product revenue, product development revenue,
parts and consumables and service revenue.

Product revenue consists of the Company's principal orthopaedic product, the
ROBODOC(R) Surgical Assistant System ("ROBODOC"), which integrates the
ORTHODOC(R) Presurgical Planner ("ORTHODOC") with a computer-controlled robot
for use in joint replacement surgeries. Also included in product revenue for the
first and second quarters of 2003 are sales of the NeuroMate(TM) System
("NeuroMate"), which consists of a computer-controlled robotic arm, head
stabilizer, presurgical planning workstation and proprietary software used to
position and precisely hold critical tools during stereotactic brain surgery.
The Company continues to market NeuroMate, although no sales have occurred since
the end of the second quarter of 2003. The Company develops specialized
operating software for several implant manufacturing companies. These implant
manufacturers contract with the Company for the development of particular lines
of new prosthesis software to be used with the ROBODOC system. Fees for these
services are recorded as product development revenue as earned.

The Company offers a one-year warranty for parts and labor on all ROBODOC
systems. These warranties generally commence upon the completion of training and
installation. In most cases, the Company's customers purchase a service
contract, which includes extended warranty coverage (parts and labor),
unspecified product maintenance updates, customer support services and various
consumables required during surgical procedures. Customers not covered by
warranties or service contracts are billed on a time and materials basis for
service, and on a per unit basis for products. Revenue related to maintenance
and service contracts is recognized ratably over the duration of the contract.

Results of Operations

For the three-month period ending September 30, 2004, net revenue decreased
approximately 74% or $0.4 million when compared to the three-month period ended
September 30, 2003. Cost of revenue for the same three-month comparative periods
decreased 81% or $0.6 million which resulted in an increase in the gross margin
of 102% or $0.2 million. Operating expenses decreased during the three-month
period ending September 30, 2004 compared to the same three-month period of 2003
by 61% or $0.3 million, with an operating loss of approximately $325,000 and net
loss of approximately $332,000 for the three-month period ended September 30,
2004 as compared to an operating loss of $1,191,000 and net loss of $1,056,000,
respectively, for the same three-month comparative period in 2003. For the
nine-month period ending September 30, 2004, net revenue decreased 75% or $4.1
million when compared to the nine-month period ended September 30, 2003. Cost of
revenue decreased 82% or $3.2 million between the nine-month periods ended
September 30, 2004 and 2003, which resulted in a decrease in the gross margin of
58% or $1.0 million between the comparison periods. Operating expenses decreased
during the nine-month period ending September 30, 2004 compared to the same
nine-month period of 2003 by 53% or $1.0 million, with an operating loss of
approximately $1,035,000 and net loss of approximately $1,045,000 in the current
nine-month period as compared to an operating loss of approximately $1,473,000
and net loss of approximately $1,241,000 for the 2003 nine-month comparative
period.


                                       11

<PAGE>


Net Revenue

Net revenue of $0.5 million for the third quarter of 2003 decreased to $0.1
million for the third quarter of 2004. This 74% decrease for comparative
quarters is due to the loss of almost $0.4 million in net revenue generated by
the Company's European operations, that were liquidated during the fourth
quarter of 2003. The Company recorded no systems sales in the third quarter of
2003 or the third quarter of 2004. The only revenue derived during the third
quarter of 2003 and the third quarter of 2004 was from development projects and
servicing contracts. The revenues generated by service contracts, for the
Company's non-European operations, for the third quarters of 2004 and 2003 was
relatively flat.

Net revenue decreased 75% from $5.5 million during the first nine-months of 2003
to $1.4 million during the first nine months of 2004. The decrease in net
revenue was primarily due to the elimination of $3.0 million in net revenue
generated by the Company's European operations, which were liquidated in
December 2003. The remaining reduction of $1.1 million in revenue in the first
nine months of 2004, when compared to the first nine months of 2003, was
primarily due to a decrease in product development revenue as a result of
decreases in the number of projects and development activity that the Company's
non-European operations were involved in. During the nine-month period ended
September 30, 2003, the Company had recognized revenue on four ROBODOC systems
and four NeuroMate systems while only two ROBODOC systems were sold for the same
nine-month period of 2004. Both of the ROBODOC systems in 2004 were previously
returned units, which were recorded in inventory at a zero dollar value, and
have a lower average selling price when resold.

Cost of revenue

Cost of revenue decreased 81% from $0.7 million during the third quarter of 2003
to $0.1 million during the third quarter of 2004. The decrease in cost of
revenue was primarily due to the elimination of $0.3 million in cost of revenue
generated by the Company's European operations, which were liquidated during the
fourth quarter of 2003. The remaining reduction of $0.3 million in the cost of
revenue in the third quarter of 2004, when compared to the third quarter of
2003, primarily was the result of decreases in headcount and lease facility
expenses allocated to manufacturing.

Cost of revenue for the nine-month period ended September 30, 2004 decreased 82%
to $0.7 million from $3.8 million for the nine-month period ended September 30,
2003. The decrease in the cost of revenue was primarily due to the elimination
of $2.2 million in cost of revenue attributable to the Company's European
operations. The remaining reduction in cost of revenue during the nine-month
period ending September 30, 2004, when compared to the cost of revenue for the
same period of the prior year, primarily was due to the decreases in the number
of units shipped and cost reduction measures initiated during fiscal 2004 which
included reductions in headcount and related expenses.

Gross margin, as a percentage of net revenue, increased from an approximate
negative 31% for the three-month period ending September 30, 2003 to a positive
3% for the three-month period ending September 30, 2004 and increased from a
positive 30% for the nine-month period ending September 30, 2003 to a positive
50% for the nine-month period ending September 30, 2004. The increase for the
three and nine-month periods in 2004 was primarily due to the higher margins the
Company enjoyed on the sale of refurbished units as well as cost reductions
related to reduced headcount and manufacturing overhead costs.

Operating expenses

Total operating expenses have continued to decline as a result of the Company's
cost reduction program and the liquidation of its European operations. Selling
and general administrative expenses are comprised of salaries, commissions,
travel expenses and costs associated with trade shows as well as the finance,
legal and human resources departments and professional support fees for these
functions. Selling and general administrative expenses for the three-month
period ending September 30, 2004 decreased approximately 61% to $0.2 million
from $0.6 million for the three-month period ending September 30, 2003. Selling
and general administrative expenses for the nine-month period ending September
30, 2004 decreased 53% to $1.0 million from $1.9 million for the nine-month
period ending September 30, 2003. The primary factor causing such decreases in


                                       12
<PAGE>


selling, general and administrative expense is the liquidation of the Company's
European operation, which accounted for $0.2 million and $0.6 million of the
decrease for the three and nine-month periods ended September 30, 2003,
respectively. The remaining decrease in selling and general administrative
expense for the three-month period ending September 30, 2004 is due to a
reduction in staffing expense and rent expense. During the third quarter of
2004, the Company renegotiated the lease on its corporate headquarters and
manufacturing facilities to reduce the size of the leased premises and the
leased facilities expense by approximately 50%. In addition to the reduction of
occupancy expense, selling and general administrative expense decreased in the
nine-month period as a result of reduced headcount and commission expense
resulting from lower sales volume.

Research and development expenses are comprised of the engineering and related
costs associated with the development of innovative image-directed
computer-controlled robotic products for surgical applications, along with
specialized operating software and hardware systems to support these products,
quality assurance and testing. Research and development expenses decreased
approximately 80% from $0.5 million to $0.1 million for the three-month periods
ending September 30, 2003 and 2004 respectively. The primary reason for this
decrease was the reduction of the Company's direct and allocated research and
development expenses through downsizing, and an increase in development projects
performed for third-parties whose costs are deferred until the corresponding
revenue is recognized.

Research and development expenses for the nine-month period ended September 30,
2004 decreased approximately 31% from the expenses for the 2003 nine-month
period, after giving effect to $125,000 in grant funding recorded by the Company
as a reduction of research and development expense. The $125,000, which was
received in April 2003, was the final payment under a grant from the National
Institute for Standards and Technology of the United States Department of
Commerce ("NIST"). Under the terms of the NIST grant, the Company was entitled
to reimbursement for certain of the expenses incurred in connection with the
development of its revision hip surgery product. As of December 31, 2003, the
Company had received a cumulative total of approximately $1,221,000 in funding
from NIST since 1995. The Company has recorded the proceeds from the NIST grant
as a reduction of its research and development expenses.

During the three month period ended September 30, 2003, the Company recorded
$135,000 of other income (expense), net, of which $109,000 resulted from a loan
by the French national agency being forgiven. The French agency initially
granted the loan in 1997. Under the terms of the loan, which was established for
the development of a new neurological system, the balance could be forgiven upon
review by the French agency. The remaining income for the three-month period
ended September 30, 2003 resulted from favorable foreign currency exchange
rates. For the nine-month period ending September 30, 2003, other income
(expense), net was approximately $232,000 as compared to ($10,000) for the
nine-month period ending September 30, 2004. The income for the first nine
months of 2003 resulted from the loan forgiven by the French national agency and
favorable currency exchange rate for the Euro related to the Company's business
in Europe. The company was not effected by foreign currency exchange rates
during the three-month and nine-month periods ending September 30, 2004.

Critical Accounting Policies and Estimates

The preparation of the Company's unaudited condensed consolidated financial
statements requires the Company to make estimates and judgments that affect the
reported amounts of assets, liabilities, revenue and expenses, and related
disclosure of contingent assets and liabilities. On an on-going basis, the
Company evaluates the estimates, including those related to bad debts,
inventories, impairment of assets, warranties, contingencies and litigation. The
Company bases these estimates on historical experience and on other assumptions
believed to be reasonable under the circumstances, the results of which form the
basis for making judgments about the carrying values of assets and liabilities
that are not readily apparent from other sources. The Company's management has
discussed these critical accounting policies with the audit committee of the
Company. Actual results may differ from these estimates under different
assumptions or conditions.


                                       13

<PAGE>


The Company believes the following critical accounting policies affect the
Company's more significant judgments and estimates used in the preparation of
the condensed consolidated financial statements:

     The Company recognizes revenue from sales of its products upon the
     completion of equipment installation and training at the end-user's site,
     except when the sales contract requires formal customer acceptance.
     Equipment sales with contractual customer acceptance provisions are
     recognized as revenue upon written notification of customer acceptance,
     which generally occurs after the completion of installation and training.
     Furthermore, due to business customs in Japan and the interpretation of
     Japanese law, all equipment sales to Japanese customers are recognized
     after customer acceptance, which generally occurs after the completion of
     installation and training. Revenue related to maintenance and service
     contracts is recognized ratably over the duration of the contracts.

     The Company periodically evaluates the need for allowances for doubtful
     accounts for estimated losses resulting from the inability of the Company's
     customers to make required payments. If the financial condition of its
     customers were to deteriorate, resulting in an impairment of their ability
     to make payments, additional allowances may be required.

     Where the Company's products are not covered by separate service
     agreements, the Company reserves against the estimated cost of product
     warranties at the time revenue is recognized. The warranty obligation is
     affected by product failure rates, material usage and service delivery
     costs incurred in correcting a product failure. Should actual product
     failure rates, material usage or service delivery costs differ from these
     estimates, revisions to the estimated warranty liability would be required.

     The Company writes down inventory for estimated obsolescence or
     unmarketable inventory equal to the difference between the cost of
     inventory and the estimated market value based upon assumptions about
     future demand and market conditions. If actual market conditions are less
     favorable than those the Company projected additional inventory write-downs
     may be required.

     Property, plant and equipment are amortized over their useful lives. Useful
     lives are based on estimates of the period that the assets will generate
     revenue. Property and equipment are reviewed for impairment whenever events
     or changes in circumstances indicate that the carrying amount of an asset
     may not be recoverable.

Liquidity and Capital Resources

The cash position of the Company is inadequate, and although the Company has
identified potential sources of cash for future operations, there cannot be any
assurance given that the Company will receive these cash amounts, or that these
cash amounts will be sufficient to assure continuing operations. The report of
independent auditors on the Company's December 31, 2003 consolidated financial
statements includes an explanatory paragraph indicating there is substantial
doubt about the Company's ability to continue as a going concern. The Company
believes that it has a plan to address these issues and enable the Company to
continue operating through September 30, 2005. This plan includes obtaining
additional equity or debt financing, increasing product sales in existing
markets, increasing sales of system upgrades, and further reductions in
operating expenses as necessary (see notes 5 and 11). Although the Company
believes that the plan will be realized, there is no assurance that these events
will occur. In the event that the Company is unsuccessful in realizing the
benefits of such plan, it is possible that the Company will cease operations
and/or seek bankruptcy protection. The September 30, 2004 condensed consolidated
financial statements do not include any adjustments to reflect the uncertainties
related to the recoverability and classification of assets or the amounts and
classification of liabilities that may result from an inability of the Company
to continue as a going concern.

At September 30, 2004 the Company's "quick ratio" (cash and accounts receivable
divided by current liabilities), a conservative liquidity measure designed to
predict the Company's ability to pay bills, was only 5%. It has been difficult
for the Company to meet obligations, including payroll, as they come due, and
the Company expects this situation to continue through September 30, 2005. Net


                                       14

<PAGE>


cash used in operating activities was approximately $245,000 for the nine-month
period ended September 30, 2004. This primarily resulted from a net loss of
$1,045,000, an increase in accounts receivable of $219,000, an increase in
inventory of $122,000, and a decrease in unearned income of $129,000 which were
partially offset by increases in accounts payable of $389,000 and an increase in
accrued payroll and related expenses of $677,000 and $100,000 of other current
liabilities and $81,000 decrease in other current assets. The $100,000 in
increase in other current liabilities is directly related to a financing
agreement entered into by the Company on June 15, 2004. (See Note 5 of "Notes to
Condensed Consolidated Financial Statements (unaudited)").

At September 30, 2004, the Company had amounts due to the executive officers of
the Company of approximately $1,146,000, in the aggregate, in the forms of,
deferred salaries, unreimbursed travel expenses and noninterest bearing advance.
Of the $1,146,000, $437,000, $279,000 and $94,000 are included in accrued
payroll and related expense and accounts payable and accrued liabilities,
respectively, due to Ramesh C. Trivedi, president and chief executive officer of
the Company; $132,000, $25,000 and $53,000 are included in accrued payroll and
related expense and accounts payable and accrued liabilities, respectively, due
to Leland Witherspoon, vice president of engineering of the Company; $98,000 and
$28,000 are included in accrued payroll and related expense and accrued
liabilities, respectively, due to Charles J. Novak, chief financial officer of
the Company.

To obtain funding for the Company's ongoing operations, the Company entered into
a securities purchase agreement (the "Agreement") with an accredited investor on
June 15, 2004 with respect to the sale by the Company for aggregate
consideration of $150,000 of (i) a convertible debenture in the principal amount
of $150,000 and (ii) warrants to purchase 1,500,000 shares of Company common
stock. The Agreement contemplates the sale of additional convertible debentures
and warrants upon the occurrence of specific events. The Company is obligated to
register under the Securities Act for resale by the investor the common stock
underlying the debenture and warrants issued pursuant to the Agreement.
In connection with the sale of the original $150,000 convertible debenture and
1.5 million warrants the investor provided the Company with funds as follows:

     o    $100,000 was disbursed to the Company on June 15, 2004;

     o    $50,000 was disbursed to the Company on October 19, 2004; and

     o    $50,000 has been retained by the investor for disbursement to various
          professionals in payment for services to be provided to the Company.


The convertible debenture bears interest at 6 3/4%, matures two years from the
date of issuance, and is convertible into Company common stock at the investor's
option. The convertible debenture is convertible into the number of shares of
Company common stock equal to the principal amount of the debenture being
converted multiplied by 11, less the product of the conversion factor multiplied
by ten times the dollar principal amount of the debenture being converted. The
conversion factor for the convertible debenture is the lesser of (i) $0.25 or
(ii) eighty percent of the average of the five lowest volume weighted average
prices during the twenty (20) trading days prior to the conversion. Accordingly,
there is no limit on the number of shares into which the debenture may be
converted. In addition, the investor is obligated to proportionately exercise,
concurrently with the submission of a conversion notice by the selling
stockholder, the warrants. The warrants are at an exercise price of $1.00 per
share.

The investor has contractually agreed to restrict its ability to convert or
exercise its warrants and receive shares of Company common stock such that the
number of shares of common stock held by it and its affiliates after such
conversion and exercise does not exceed 4.9% of the then issued and outstanding
shares of Company common stock.

The issuance of more than 51.5 million shares of common stock upon conversion of
the convertible debenture and exercise of the warrants issued pursuant to the
Agreement would require the Company to issue shares of common stock in excess of
the Company's currently authorized shares of its common stock. The Company
intends to seek stockholder approval to amend the Company's certificate of


                                       15

<PAGE>


incorporation to increase the Company's authorized common stock from 100,000,000
to 300,000,000 shares. Such solicitation will be made pursuant to a proxy
statement conforming to the rules and regulations of the Securities and Exchange
Commission. This Quarterly Report on Form 10-QSB should not be considered, in
any manner, a solicitation for voting in favor of such an increase in the
Company's authorized common stock.

The issuance of the convertible debenture and warrants to the investor is
contingent upon stockholder approval of the increase in the Company's authorized
common stock. If such approval is not received, the Agreement will terminate and
the Company will be obligated to repay the proceeds received to date and other
funds disbursed by the investor to professionals in payment of services rendered
on behalf of the Company. As a result, the Company recorded such proceeds in
other current liabilities.

On December 14, 2004 the Company entered into a $2.5 million agreement with
Fujifilm Medical Systems, USA ("Fuji") under which Fuji will license the
Company's orthopedic surgical planning technology for its use solely in the
Picture Archiving and Communications Systems ("PACS") market. Under the terms of
the license agreement the Company received $0.5 million in conjunction with the
signing of the agreement. Additional milestone payments totaling $2.0 million
will be paid to the Company over a two-year period, assuming all such milestones
are met.

     Item 3. Controls and Procedures

(a) Under the supervision and with the participation of management, including
the Company's President and Chief Executive Officer and Chief Financial Officer,
an evaluation was made of the effectiveness of the Company's disclosure controls
and procedures, as such term is defined under Rule 13a-15(e) promulgated under
the Securities Exchange Act of 1934, as amended. Based upon that evaluation, the
President and Chief Executive Officer and the Chief Financial Officer concluded
that the Company's disclosure controls and procedures were effective as of the
end of the period covered by this quarterly report.

(b) There has been no change in the Company's internal control over financial
reporting during the quarter ended September 30, 2004 that has materially
affected, or is reasonably likely to materially affect, the Company's internal
control over financial reporting. Part II. Other Information

     Item 1. Legal Proceedings

The Company is subject to legal proceedings and claims that arise in the normal
course of business. The Company cannot assure that it would prevail in such
matters nor can it assure that the Company would have sufficient funds available
to satisfy any adverse judgement. Due to the inherent uncertainties of
litigation, were there any such matters, the Company may not be in the position
at any specific time to accurately predict a litigation's ultimate outcome. As
of September 30, 2004, there were no current proceedings or litigation involving
the Company that the Company believes, if judgement were rendered against the
Company, would have a material adverse impact on its financial position, results
of operations or cash flows.

     Item 2. Unregistered Sales of Equity Securities and Use of Proceeds

During the three-month period ended September 30, 2004, the Company issued
300,000 warrants, which have been valued at $12,000, to outside legal counsel
for such firm foregoing demand for immediate payment to said firm. The Company
believes that the issuance of such warrants was exempt from the registration
requirements of the Securities Act pursuant to the provisions of Section 4(2) of
the Securities Act.


                                       16

<PAGE>


     Item 3. Default Upon Senior Securities

     None

     Item 4. Submission of Matters to a Vote of Security Holders

     None.

     Item 5. Other Information

     None.



     Item 6. Exhibits

(a)Exhibits

10.1   Software Development Agreement dated November 17, 2003 between the
       Registrant and Fujifilm Medical Systems, USA

10.2   Software License Agreement dated July 29, 2004 between the Registrant
       and Fujifilm Medical Systems, USA

10.3   Amendment #1 to Software License Agreement dated December 14, 2004
       between the Registrant and Fujifilm Medical Systems, USA

31.1   Certification Pursuant to Exchange Act Rule 13a-14(a) of Ramesh Trivedi

31.2   Certification Pursuant to Exchange Act Rule 13a-14(a) of Charles Novak

32.1   Certification Pursuant to 18 U.S.C. 1350 of Ramesh Trivedi

32.2   Certification Pursuant to 18 U.S.C. 1350 of Charles Novak



                                       17

<PAGE>


                                   SIGNATURE


In accordance with Section 13 or 15(d) of the Exchange Act, the registrant has
caused this report to be signed on its behalf by the undersigned, thereunto duly
authorized.


                                          INTEGRATED SURGICAL SYSTEMS, INC.


                                          By: /s/ CHARLES J. NOVAK
                                              --------------------------
                                                  Charles J. Novak
                                                  (Principal Financial and
                                                  Accounting Officer)
Dated: December 16, 2004                          (Duly Authorized Officer)



                                       18



</TEXT>
</DOCUMENT>
<DOCUMENT>
<TYPE>EX-10.1
<SEQUENCE>2
<FILENAME>issexhibit101-121604.txt
<DESCRIPTION>SOFTWARE AGREEMENT DATED NOVEMBER 17, 2003
<TEXT>
FUJI FILM
I & I Imaging & Information

                                                                    EXHIBIT 10.1

                         Software Development Agreement
                         ------------------------------
                              Revised Nov 12, 2003
                              --------------------

FUJIFILM Medical Systems USA (Fuji), and Integrated Surgical Systems (ISS) agree
to work together on developing an integrated 2D and 3D Orthopedic pre-Surgical
planning software which will be integrated in Fuji's Synapse(TM) product. The
proposed approach is to base the software development on the existing
Orthodoc(TM) technology and derivatives from ISS.

Since the Orthodoc(TM) product is currently based on CT scans (3D planning), it
is agreed that Fuji and ISS will work together to add traditional X-ray based 2D
and the required additional 3D planning features. At the end of this development
both 2D and 3D Orthopedic planning features shall be available in Synapse.

The essential software development process proposed is as follows:

     o    ISS shall reuse its core software libraries currently developed for
          Linux operating system and validate the functionality on windows
          platform.

     o    ISS and Fuji shall work together to develop software directly for
          Fuji's Synapse product. This software shall provide the application
          level layer and will run directly in the Synapse environment. The
          software shall use the functionality from the core software libraries.

Since current Orthodoc technology supports driving the Robodoc(TM) system, it is
agreed that all capability to control or drive the Robodoc system shall not be
available in the integrated product as part of this agreement. Ability to
integrate the Robodoc, if desired, shall be considered a separate project.

To accomplish this task, the following approach is proposed:

     1.   Clarify customer requirements for traditional 2D X-ray based planning
          features as well as requirements for additional 3D planning and
          develop requirements for the software. Included in this task is the
          following:

               a.   Fuji to identify customers who will be interviewed

               b.   ISS will supply two Orthodoc systems to help demonstrate the
                    current features as well as receive comments from the
                    customers.

               c.   ISS and Fuji will dedicate resources to accomplish this task

               d.   This activity may involve travel to Fuji's customers as well
                    as to agreed upon tradeshows (such as RSNA and AAOS) where a
                    larger group of Fuji's customers may be interviewed

               e.   Costs associated with trade show support shall be considered
                    separately.

               f.   This activity is contingent upon receiving initial positive
                    comments from Fuji customers traveling to Sacramento and
                    meeting with Dr. Bargar.

Confidential                         Page 1

<PAGE>


     2.   Develop a technical architecture and plan (Interface Control Document)

               a.   Fuji and ISS engineering will work together to develop an
                    architecture and a development plan for the total product
                    which not only includes the software features for surgical
                    planning but also an integration strategy with Fuji's
                    Synapse product. b. This activity is contingent upon
                    receiving positive comments from Fuji customers.

     3.   Develop alpha prototype using agreed upon development process

               a.   Initial software design and testing

               b.   Initial integration with Synapse

               c.   Review software with key customers

               d.   Determine finalization plan

     4.   Complete beta development

               a.   Beta release for final customer review and final testing

               b.   Data collection for submission

     5.   USA Regulatory Submission

               a.   Parallel to development, determine USA regulatory submission
                    requirements

               b.   If submission is required then proceed with submission

     6.   International Regulatory submission

               a.   Parallel to develop, determine international requirements

               b.   Prepare submission

               c.   Submission to each country is to be determined separately

     7.   Complete Product development

               a.   Final release of system based on beta prototype for clinical
                    use

               b.   Final product with documentation

     8.   Localization

               a.   Fuji's Synapse product is a global product sold in
                    international markets. The software architecture shall allow
                    for language translation of the user interfaces such as
                    menus, dialog boxes etc. Initial releases shall be in the
                    following languages:

                    i.   English
                    ii.  Japanese
                    iii. French
                    iv.  Italian
                    v.   German
                    vi.  Chinese

               b.   ISS and Fuji shall agree upon the proper technical approach
                    for localization (local language requirements) of the
                    jointly developed software

Confidential                         Page 2

<PAGE>


               c.   ISS and Fuji shall agree upon the proper process to localize
                    ISS developed software if a version for the requested
                    language does not exist.

               d.   Local implant manufacturer support shall be considered in
                    the overall design.

                    i.   ISS may negotiate separately to develop implant support
                         for manufacturers not currently supported

                    ii.  Fuji may request (as a separate project) that ISS
                         develop implants for a specific manufacturer. Costs to
                         be negotiated separately.

     9.   Software maintenance and updates

               a.   Develop a process to allow Fuji to request changes to the
                    software based on customer feedback b. Develop a process
                    where ISS continues to release new capabilities c. Cost of
                    maintenance and updates to be discussed at a later time.
                    Fuji and ISS agree to work in good faith to keep maintaining
                    the products to state of the art features and technology.

     10.  Licensing fees

               a.   Licensing fees shall include all the features of the
                    software. No segregation of 2D and 3D is being considered.

               b.   Fuji and ISS shall work in good faith to determine
                    appropriate licensing fees paid to ISS for the core
                    libraries.

     11.  Cost structure

               a.   ISS and Fuji shall develop a mutually acceptable cost
                    structure and cost schedule for this project

               b.   Runtime licensing and maintenance costs shall also be agreed
                    upon.

               c.   Execution of this agreement is dependent upon acceptable
                    development costs as stated in Appendix A.

     12.  Exclusivity

               a.   ISS agrees to offer the 2D and 3D integrated software
                    developed for Synapse in conjunction with Fuji exclusively
                    to Fuji to Market to Fuji's existing and future customers.

               b.   ISS has the right to continue to offer its Orthodoc product
                    to any customer.

               c.   ISS shall not engage in a similar development with a
                    competitor of Fuji during the development period.

               d.   ISS shall not offer the windows port of core technology to a
                    Fuji competitor for a minimum of 18 months.

               e.   Exclusivity begins from the date of this agreement

Confidential                         Page 3

<PAGE>


     13.  Cancellation

               a.   Fuji reserves the right to cancel this agreement with a 30
                    day written notice at any time during the development.

               b.   ISS reserves the right to cancel this agreement with a 30
                    day written notice at any time during the development.

               c.   If either side cancels the agreement, the items stated in
                    Intellectual Property shall still apply.

               d.   If Fuji chooses to cancel the agreement, Fuji shall
                    reimburse ISS for the work that is completed and not any
                    work that is not completed

               e.   If ISS chooses to cancel the agreement, Fuji shall not
                    reimburse ISS for any completed and uncompleted work as Fuji
                    will also incur a loss of time and resources spent.

     14.  Disclosure and confidentiality

               a.   ISS agrees to disclose to Fuji if it is engaged in any
                    relationship with Fuji's competitors during this agreement
                    period.

               b.   Fuji agrees to disclose to ISS if it is engaged in any
                    relationship with ISS's competitors during this agreement
                    period.

               c.   If ISS engages in a relationship with Fuji's competitors,
                    Fuji may decide to exercise its right to cancel this
                    agreement

               d.   If Fuji engages in a relationship with ISS's competitors,
                    ISS may decide to exercise its right to cancel this
                    agreement.

               e.   This agreement and its contents shall be considered
                    confidential by ISS and Fuji and not be disclosed to any
                    other third party without consent from Fuji and ISS.

               f.   In addition to this agreement, Fuji and ISS agree to sign a
                    Non-Disclosure Agreement. Upon signing the non disclosure
                    agreement shall be automatically extended to Fuji and ISS
                    personnel who will be exposed to the confidential
                    information.

     15.  Intellectual Property

               a.   Any knowledge gained by ISS about Fuji's Synapse system
                    shall be considered confidential and proprietary
                    information. ISS shall not disclose such information to any
                    organization except a direct healthcare organization without
                    Fuji's permission.

               b.   Conversely, any knowledge gained by Fuji about ISS's
                    Orthodoc product shall be considered proprietary and shall
                    be shared only with Fuji's customers

               c.   Any current ISS software that is ported shall be the
                    intellectual property of ISS.

               d.   Software developed specifically for the Synapse application
                    shall be the property of Fuji and ISS agrees to not disclose
                    the details of the software to anyone without Fuji's
                    permission.

Confidential                         Page 4

<PAGE>


               e.   Any algorithms or high-level design performed jointly by ISS
                    and Fuji shall be the intellectual property of both Fuji and
                    ISS.

               f.   Any algorithms or high-level design performed by ISS shall
                    be the intellectual property of ISS

               g.   Any algorithms or high-level design performed by Fuji shall
                    be the intellectual property of Fuji.

     16.  Third party agreements

               a.   If Fuji has prior agreements of confidentiality with
                    suppliers of technology to Fuji, those agreements shall be
                    agreed to by ISS. Fuji may require ISS to sign
                    confidentiality agreements on behalf of the suppliers.

               b.   If ISS has prior agreements of confidentiality with
                    suppliers of technology (e.g with implant manufacturers) of
                    confidentiality, those agreements shall be agreed to by
                    Fuji. ISS may require Fuji to sign confidentiality
                    agreements on behalf of the suppliers.

     17.  Escrow

               a.   ISS agrees to allow Fuji to place the windows port of ISS
                    software into Escrow if for whatever reason ISS decides to
                    exit the business, or no longer supports the software, or
                    another company purchases ISS and that company decides not
                    to support this software.

     18.  Agreement period

               a.   The period of this agreement is currently stated in Appendix
                    A. It is to be considered as an estimate.

               b.   Changes to the agreement shall be agreed to by Fuji and ISS
                    whenever estimated schedules are delayed.

     19.  Payment terms

               a.   Work mentioned in the agreement shall begin after the first
                    payment is received by ISS.

               b.   Standard payment terms are net 30 days after receipt of
                    invoice.



Agreed by,


By:  /s/  Clay Larsen         11/17/03      By:  /s/  Ramesh Trivedi    11/17/03
   ------------------------   --------         -----------------------  --------
          Clay Larsen          Date                   Ramesh Trivedi      Date
          Vice President of                           CEO
          Marketing and                               Integrated Surgical
          Development                                 Systems
          FUJIFILM Medical
          Systems USA

Confidential                         Page 5

<PAGE>
<TABLE>
<CAPTION>


                                   APPENDIX A

Payment process:

Project costs are categorized as follows:

     o    Verification of Linux libraries on Windows platform. Costs include
          software engineering and testing resources

     o    Joint development of application functionality. Costs include software
          engineering and testing resources.

     o    Costs incurred for Market specification development

     o    Assistance to Fuji for any regulatory documentation

The payments are made before the next activity starts provided that previous
activity has been completed to Fuji's satisfaction. ISS shall invoice against a
Fuji purchase order for each item in the purchase order as listed below.


- -------------- ----------------- -------------------------------------------------- ---------------------------------
Payment        Amount            Activity                                           Estimated  Duration
- -------------- ----------------- -------------------------------------------------- ---------------------------------
<C>            <C>               <C>                                                <C>
1              $200K             Get started with windows verification of           1 Month from start for market
                                 libraries and market specification                 spec.
                                                                                    2 months from start for
                                 Complete market specification, develop a           technical architecture
                                 technical architecture,
- -------------- ----------------- -------------------------------------------------- ---------------------------------
2              $200K             complete library verification effort and           4 months from start for
                                 prototype                                          verification
                                                                                    5 months from start for
                                                                                    prototype
- -------------- ----------------- -------------------------------------------------- ---------------------------------
3              $240K             Complete beta software                             9 months from start
- -------------- ----------------- -------------------------------------------------- ---------------------------------
4              $150K             Deliver commercial software, necessary             13 months from start
                                 regulatory documentation
- -------------- ----------------- -------------------------------------------------- ---------------------------------
- -------------- ----------------- -------------------------------------------------- ---------------------------------
Total          $790K
- -------------- ----------------- -------------------------------------------------- ---------------------------------

ISS prefers a wire transfer form of payment method.

Bank of America
555 Capitol Mall
Sacramento, CA 95814
Swift Code: BofAUS6S
ABA Routing Number: 121000358
Account Number: 14990-08126

Confidential                         Page 6

</TABLE>


</TEXT>
</DOCUMENT>
<DOCUMENT>
<TYPE>EX-10.2
<SEQUENCE>3
<FILENAME>issexhibit102-121604.txt
<DESCRIPTION>SOFTWARE AGREEMENT DATED JULY 29, 2004
<TEXT>
                                                                    EXHIBIT 10.2


                           SOFTWARE LICENSE AGREEMENT

     This Software License Agreement ("Agreement") dated July 29, 2004, is by
and between FUJIFILM Medical Systems U.S.A., Inc., a New York corporation
("Fuji") and Integrated Surgical Systems, Inc. a Delaware corporation ("ISS").

                                    RECITALS

     WHEREAS, ISS has developed pre-surgical planning software, using its
proprietary technology, for use in surgeries involving the replacement of a knee
or hip joint with a manmade metal joint and markets such software under the name
OrthodocTM ("Orthodoc");

     WHEREAS, under valid licenses issued to ISS, Orthodoc incorporates data
from multi-vendor prosthetic libraries for orthopedic implants (the "Third Party
Content"), which ISS has converted, in order to render 3D templates for such
orthopedic implants;

     WHEREAS, Fuji has developed and markets a software product, Synapse(TM),
which, among other things, enables the input and conversion of x-ray images into
2D digital images;

     WHEREAS, Fuji and ISS, entered into a Software Development Agreement dated
November 17, 2003 (the "Development Agreement"), whereby (a) ISS agreed to port
Orthodoc, its existing 3D planning software technology, and all Third Party
Content and core software libraries to function on a Windows(TM) platform (the
"ISS Software") and (b) Fuji and ISS agreed, among other things, to work
together, using the ISS Software, to develop user interfaces and features for an
integrated 2D x-ray and 3D orthopedic implant pre-surgical planning system (the
"Integrated Software"), to be owned and marketed by Fuji; and

     WHEREAS, Fuji and ISS desire to enter into a license for the ISS Software,
subject to and in accordance with the terms and conditions of this Agreement.

     NOW, THEREFORE, in consideration of the premises and the mutual promises
and covenants contained herein, the parties agree as follows:


                                    AGREEMENT

1.   DEFINITIONS

     In addition to any terms defined in the preamble and herein, the following
is a list of defined terms used in this Agreement:

     1.1 "Affiliate" means any entity that directly or indirectly, through one
or more intermediaries, controls, or is controlled by or is under common control
with Fuji or ISS (as the case may be).

<PAGE>


     1.2 "Documentation" means the ISS Software user guides, reference manuals,
job aides, installation materials and other written or computer-generated
materials.

     1.3 "End User" means any entity, not an Affiliate of Fuji, that licenses
the Fuji Product for internal use and not for resale.

     1.4 "Fuji Product" means Synapse(TM) integrated with the Integrated
Software and any other product developed by Fuji that contains, or is bundled or
combined with the Integrated Software.

     1.5 "Integrated Software" has the meaning set forth in the preamble hereof.

     1.6 "ISS Software" has the meaning set forth in the preamble hereof and
shall include all New Versions, Updates and Upgrades, in each case, all current
and future foreign language versions thereof.

     1.7 "License Fees" means the fees due to ISS for the ISS Software, pursuant
to Section 4.1 hereof.

     1.8 "Maintenance and Support Fee" means the fees due to ISS for the
Maintenance, Upgrades, Updates New Versions or Third Party Content Update,
pursuant to Section 4.2 hereof.

     1.9 "Net Revenue" means that certain portion of the total license fee
received by Fuji from an End User for a Fuji Product which Fuji, in its sole
discretion, attributes to the license of the Integrated Software included
therein or sold or licensed therewith.

     1.10 "New Version" means any new version of the ISS Software, Orthodoc or
the Third Party Content, for which the number to the left of the decimal point
is increased. For example, Orthodoc 5.0 would be a New Version to Orthodoc 4.0.
For purposes hereof, any release of ISS Software, Orthodoc or Third Party
Content in an additional language shall be considered a New Version whether or
not released under a new number.

     1.11 "Source Code" means those statements in a computer language, which,
when processed by a compiler, assembler or interpreter, become executable by a
computer and includes Source Code for the ISS Software, the Third Party Content
and any and all software necessary for the integration and interface of the
Third Party Content with and into the ISS Software.

     1.12 "Third Party Content" has the meaning set forth in the preamble hereof
and all other data regarding prosthetics and orthopedic implants that is now or
hereafter used in or with the ISS Software and/or Orthodoc.

                                       2

<PAGE>


     1.13 "Update" means a new release of the ISS Software, Orthodoc or the
Third Party Content, which, for reason of additional functionality, the number
to the right of the first decimal point is increased and includes Third Party
Content Updates. For example, Orthodoc 4.1 would be an Update to Orthodoc 4.0.

     1.14 "Upgrade" means a bug fix, workaround, or patch to correct any
reproducible error in the ISS Software, Orthodoc or the Third Party Content.

2.   LICENSE GRANT AND RIGHT OF USE

     2.1 (a) License Grant. Subject to the terms and conditions of this
Agreement, ISS grants to Fuji a perpetual, nontransferable (other than as set
forth in Section 13.6 hereof) sublicensable license to use, reproduce, and/or
modify the ISS Software to develop, create, manufacture, test, distribute, sell,
maintain and support Fuji Products. Such license shall be exclusive to Fuji
until May 16, 2005, and thereafter shall be nonexclusive. The license includes,
but is not limited to, a license under any and all patents and any and all
applications therefore, that have been filed or may be filed in the future with
respect to the ISS Software and/or Orthodoc. ISS shall seek, obtain, and during
the term hereof, maintain and enforce in its own name and at its own expense,
appropriate patent, trademark and/or copyright protection for the ISS Software.

     2.2 End User Licensing. Fuji agrees that each copy of a Fuji Product
distributed by Fuji hereunder shall be accompanied by a copy of Fuji's standard
end user software license; provided, however, that the terms of such license
shall be drafted so as to apply to the ISS Software and shall be at least as
protective of the ISS Software as the terms and conditions for the Fuji Product
and the terms and conditions governing this Agreement.

     2.3 Proprietary Notices. Fuji shall reproduce all copyright or other
proprietary notices contained in the ISS Software code, as provided by ISS and
ISS hereby conveys to Fuji a perpetual, nonexclusive, nontransferable license to
use and reproduce such copyrights or other proprietary notices for the purposes
of this Section 2.3. These notices may appear in conjunction with Fuji's
notices.

     2.4 Cooperation. Fuji may submit applications and information to the U.S.
Food and Drug Administration and/or other governmental authorities for approvals
or clearance of a Fuji Product containing, or combined or bundled with the ISS
Software. At the request of Fuji, ISS shall cooperate with Fuji in submitting
such applications and information, including providing such documentation as
shall be necessary to obtain approval for the sale of such Fuji Product.

3.   TERM

     The term of this Agreement shall be five (5) years from the date hereof,
unless terminated earlier as provided in this Agreement.

                                       3

<PAGE>


4.   PAYMENT

     4.1 License Fee. In consideration of the licenses granted in Section 2.1
hereof, Fuji shall pay ISS a License Fee equal to ten (10%) percent of the Net
Revenue received by Fuji during the term of this Agreement. Notwithstanding the
foregoing, ISS hereby grants to Fuji the right to distribute or sell fifteen
(15) concurrent use licenses for the ISS Software without paying a License Fee.

     4.2 Maintenance and Support Fee. In consideration of the Maintenance,
Updates, Upgrades or New Versions to be provided to Fuji in accordance with
Sections 5.1 and 5.2 hereof, Fuji shall pay ISS, in respect of each license of a
Fuji Product, an annual Maintenance and Support Fee equal to fifteen (15%)
percent of the License Fee payable hereunder for each year, other than the first
year, during the term of such license.

     4.3 Payment Terms. All fees due hereunder shall be paid quarterly on the
last business day of each calendar quarter. Each such payment shall be
accompanied by a written report from Fuji setting forth the nature and amount of
each such payment.

5.   MAINTENANCE, UPDATES, UPGRADES AND NEW VERSIONS

     5.1 Maintenance. During the term of this Agreement, ISS shall correct or
replace the ISS Software or provide an Upgrade necessary to remedy any
programming error which is attributed to ISS. Such correction, replacement or
services shall be promptly provided after Fuji has identified and notified ISS
of any such error. All such corrections and replacements to be provided in
accordance with this Section 5.1 shall function on a Windows(TM) platform. ISS
shall assist Fuji in integrating all corrections and replacements into the
Integrated Software.

     5.2 Updates, Upgrades and New Versions. ISS shall promptly deliver to Fuji
all Updates, Upgrades and New Versions, whichever is applicable. In no event
will ISS deliver to Fuji an Update, Upgrade or New Version more than thirty (30)
days following ISS's beta release and/or production release of the same. All
Updates, Upgrades and New Versions shall function on a Windows(TM) platform. ISS
shall assist Fuji in integrating all Updates, Upgrades and New Versions into the
Integrated Software.

     5.3 License of Updates, Upgrades and New Versions. Upon delivery of the
foregoing items to Fuji, the licenses granted to Fuji pursuant to Section 2.1
hereof shall be deemed to include such items. Fuji acknowledges that during the
term of this Agreement, in addition to delivering to Fuji the Updates, Upgrades
and New Versions, ISS expects to release additional components and separate
modules not described in Section 5.2 hereof for the ISS Software for which ISS
may elect to require that licensees pay separate consideration and enter into
separate agreements or amendments in order to have any rights to such modules or
components.

                                       4

<PAGE>


6.   OWNERSHIP

     6.1 By ISS. Subject to the licenses granted herein, ISS retains all right,
title and interest in and to the ISS Software. Fuji acknowledges that the
licenses granted herein do not provide Fuji with title to or ownership of the
ISS Software, but only the rights expressly set forth herein. No rights are
granted other than the rights expressly set forth herein.

     6.2 By Fuji. Fuji retains all right, title and interest in and to the Fuji
Products. To the extent the Fuji Products contains any ISS Software, ISS retains
all right, title and interest to such ISS Software as set forth in Section 6.1
hereof.

     6.3 Source Code. ISS agrees to maintain the Source Code in both human and
machine-readable form in escrow for the benefit of Fuji, at Fuji's sole expense,
pursuant to a third-party escrow agreement in substantially the form annexed
hereto as Exhibit A. To the extent that Fuji receives access to source code as
set forth herein, ISS grants Fuji a non-exclusive license with the right to
install and use, execute, display and modify the source code for the purposes of
maintaining, operating, upgrading and enhancing the Fuji Products for use by
Fuji pursuant to the license granted in Section 2.1 hereof.

7.   WARRANTIES

     7.1. ISS Warranties.

          (a) Ownership. ISS represents and warrants to Fuji that: (i) it has
the full power to enter into this Agreement, to carry out its obligations herein
contained, and to grant the rights herein granted to Fuji and (ii) it is the
owner of the ISS Software or otherwise has the right to grant to Fuji the
license to use the same (including, without limitation all Third Party Content)
as set forth in this Agreement without violating any rights of any third party,
and there is currently no actual or threatened suit by any such third party
based on an alleged violation of such right by ISS.

          (b) Function. Subject to the limitations set forth in this Agreement,
ISS warrants to Fuji that the ISS Software does not contain any virus, time bomb
mechanism or other software or code that can disable or adversely affect any and
all of the Integrated Software or destroy any data or other software and shall
perform in conformance with the functional requirements set forth in the
Documentation, in all material respects.

     7.2 Fuji Warranty. Fuji represents and warrants to ISS that it has the full
power to enter into this Agreement and to carry out its obligations herein
contained.

8.   WARRANTY DISCLAIMER

     EXCEPT AS STATED IN SECTION 7 ABOVE, ISS PROVIDES NO WARRANTY, EXPRESS,
     IMPLIED, STATUTORY, OR OTHERWISE, AND SPECIFICALLY DISCLAIMS ANY WARRANTY
     OR CONDITION OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE, WITH
     RESPECT TO THIS AGREEMENT, INCLUDING WITHOUT LIMITATION WITH RESPECT TO THE
     ISS SOFTWARE, WHICH IS PROVIDED "AS IS".

                                       5

<PAGE>


9.   LIMITATION OF LIABILITY

     EXCEPT FOR LIABILITY UNDER SECTIONS 10 AND 12 HEREOF, IN NO EVENT SHALL
     ISS'S LIABILITY ARISING OUT OF THIS AGREEMENT EXCEED THE AMOUNTS RECEIVED
     BY ISS FROM FUJI HEREUNDER. IN NO EVENT SHALL EITHER PARTY BE LIABLE FOR
     LOST PROFITS OR ANY CONSEQUENTIAL, SPECIAL, INCIDENTAL, OR INDIRECT
     DAMAGES, HOWEVER CAUSED OR INCURRED BY EITHER PARTY OR ANY THIRD PARTY AND
     ON ANY THEORY OF LIABILITY, ARISING OUT OF THIS AGREEMENT. EACH PARTY
     ACKNOWLEDGES AND AGREES THAT THE PRICE SET FORTH HEREIN IS BASED IN PART
     UPON THESE LIMITATIONS, AND FURTHER AGREES THAT THESE LIMITATIONS SHALL
     APPLY NOTWITHSTANDING ANY FAILURE OF ESSENTIAL PURPOSE OF ANY LIMITED
     REMEDY.

10.  INDEMNIFICATIONS

     10.1 ISS will indemnify, defend and hold harmless Fuji for any and all
losses, claims, suits, proceedings, liabilities, causes of action, damages
costs, expenses (including reasonable attorneys' fees and expenses) arising out
of any claim, suit or proceeding brought against Fuji resulting, directly or
indirectly, from a claim that the ISS Software supplied by ISS and when used as
provided for by this Agreement, infringes any copyright, trade secret, trademark
or patent of any third party. ISS will pay any award against Fuji, or settlement
entered into on Fuji's behalf, based on such infringement only if Fuji notified
ISS promptly in writing of the claim and provided reasonable assistance in
connection with the defense and/or settlement thereof and permitted ISS to
control the defense and/or settlement thereof; provided, however, that ISS shall
not (a) have the right to control the defense if (i) Fuji shall have been
advised by counsel that there are one or more legal or equitable defenses
available to it which are different from or in addition to those available to
ISS, and in the reasonable opinion of Fuji, ISS's counsel could not adequately
represent the interests of Fuji because such interests could be in conflict with
those of Fuji, (ii) such action or proceeding involves, or could have a material
effect on, any material matter beyond the scope of the indemnification
obligation of ISS, or (iii) ISS shall not have assumed the defense of any claim
in a timely fashion, and (b) settle any claim without the prior written consent
of Fuji, which consent shall not be unreasonably withheld or delayed. ISS shall
have no liability to the extent the alleged infringement is caused by any
unauthorized modifications or combination of the ISS Software with Fuji Products
or other non-ISS equipment, programs or data, where the ISS Software alone would
not have given rise to the claim.

     10.2 ISS Options. In the event of an infringement action against Fuji with
respect to the ISS Software, or in the event ISS believes such a claim is
likely, ISS shall be entitled, at its option but without obligation to:

                                       6

<PAGE>


          (a) appropriately modify the ISS Software, or substitute other ISS
software product which, in ISS's good faith opinion, does not infringe any third
party intellectual property rights;

          (b) obtain a licensee with respect to the applicable third party
intellectual property rights; or

          (c) if neither (a) nor (b) is commercially practicable, terminate this
Agreement and Fuji's licenses hereunder. In such case, the ISS shall refund to
Fuji the entire amounts paid to ISS over the last year. This refund shall be in
addition to the indemnification provided to Fuji in Section 10.1 above.

     10.3 Entire Liability. Notwithstanding anything to the contrary, this
Article 12 states ISS's entire liability for actual or alleged infringement of
intellectual property rights.

     10.4 Indemnification of ISS. Except for intellectual property infringement
claims with respect to the ISS Software, Fuji agrees to indemnify and hold ISS
harmless against any liability, or any litigation cost or expense (including
reasonable attorneys fees), arising out of third party claims against ISS as a
result of Fuji's use or distribution of the ISS Software. Fuji will pay any
award against ISS, or settlement entered into on ISS's behalf, based on such
infringement only if ISS notified Fuji promptly in writing of the claim and
provided reasonable assistance in connection with the defense and/or settlement
thereof and permitted Fuji to control the defense and/or settlement thereof;
provided, however, that Fuji shall not (a) have the right to control the defense
if (i) ISS shall have been advised by counsel that there are one or more legal
or equitable defenses available to it which are different from or in addition to
those available to Fuji, and in the reasonable opinion of ISS, Fuji's counsel
could not adequately represent the interests of ISS because such interests could
be in conflict with those of ISS, (ii) such action or proceeding involves, or
could have a material effect on, any material matter beyond the scope of the
indemnification obligation of Fuji, or (iii) Fuji shall not have assumed the
defense of any claim in a timely fashion, and (b) settle any claim without the
prior written consent of ISS, which consent shall not be unreasonably withheld
or delayed. Fuji shall have no liability to the extent the alleged infringement
is caused by any unauthorized modifications or combination of the ISS Software
with the Fuji Product or other non-Fuji equipment, programs or data, where the
Fuji Product alone would not have given rise to the claim.

     10.5 Survival of Indemnification. The rights to indemnification provided in
this Article 12 shall survive the termination of this Agreement.

11.  TERMINATION

     11.1 Termination for Cause. Either party may terminate this Agreement for
the breach by the other party. The terminating party will first give the other
party written notice of the breach and the alleged breaching party shall have
fifteen (15) days in which to cure the alleged breach. If a cure is not achieved
during the cure period, then the non-breaching party may terminate the Agreement
upon written notice. Notwithstanding the foregoing, if, as a result of any event

                                       7

<PAGE>


regarding ISS, Fuji is unable to continue distributing, licensing or selling the
ISS Software, Fuji may terminate this Agreement and ISS shall have no right to
cure such breach.

     11.2 Insolvency, Assignment, Bankruptcy or Nonavailability. Either party
may terminate this Agreement upon written notice to the other party if the other
party:

          (a) becomes unable to pay debts in the ordinary course of business or
as they become due, or is insolvent within the meaning of the federal bankruptcy
laws;

          (b) files or has filed against it a petition (or other document) under
any bankruptcy law or similar law, which is unresolved within sixty days of the
filing of such petition (or document);

          (c) proposes any dissolution, liquidation, composition, financial
reorganization of recapitalization with creditors;

          (d) makes a general assignment or trust mortgage for the benefit of
creditors;

          (e) if a receiver, trustee, custodian or similar agent is appointed or
takes possession of any of Fuji's or ISS's property or business; or

          (f) is unable to perform its obligations hereunder.

     11.3 Effect of Termination of Obligations. Termination of this Agreement
will not affect any pre-termination obligation of either party under this
Agreement, and any termination is without prejudice to the enforcement of any
undischarged obligations existing at the time of termination. Regardless of any
other provisions of this Agreement, neither party will by reason of the
termination of this Agreement be liable for compensation, reimbursement, or
damages on account of the loss of prospective profits on anticipated sales, or
on account of expenditures, investments, leases or commitments in connection
with either party's business or goodwill, or otherwise.

     11.4 Effect of Termination of Licenses. Upon the termination or expiration
of this Agreement, all of Fuji's rights and licenses with respect to the ISS
Software shall survive. Notwithstanding the foregoing, unless this Agreement is
terminated by ISS for Fuji's actual default by reason of non-payment of the
License Fees and/or the Maintenance and Support Fees, Fuji shall be entitled to
continue to distribute the ISS Software in accordance with Section 2.1 hereof,
so long as Fuji continues to pay the applicable License Fees. Each End User
license agreement in existence as of the effective date of termination shall
survive in accordance with its terms.

12.  CONFIDENTIALITY

     12.1. Confidential Information. As used in this Agreement, the term
"Confidential Information" shall mean any information disclosed by one party to
the other pursuant to this Agreement which is in written, graphic, machine

                                       8

<PAGE>


readable or other tangible form and is contains current and future product
information, research, development, trade secrets, financial and other business
and/or proprietary information. Confidential Information may also include oral
information disclosed by one party to the other.

     12.2. Duty of Confidentiality. Each party shall treat as confidential all
Confidential Information of the other party, shall not use such Confidential
Information except as set forth herein, and shall use reasonable efforts not to
disclose such Confidential Information to any third party. Without limiting the
foregoing, each of the parties shall use at least the same degree of care that
it uses to prevent the disclosure of its own Confidential Information of like
importance to prevent the disclosure of Confidential Information disclosed to it
by the other party under this Agreement. Each party shall promptly notify the
other party of any actual or suspected misuse or unauthorized disclosure of the
other party's Confidential Information.

     12.3 Exceptions. Notwithstanding the above, neither party shall have
liability to the other with regard to any Confidential Information of the other
which the receiving party can prove:

          (a) was in the public domain at the time it was disclosed or has
become in the public domain through no fault of the receiving party;

          (b) was known to the receiving party without restriction at the time
of disclosure, as demonstrated by files in existence at the time of disclosure;

          (c) is disclosed with the prior written approval of the disclosing
party;

          (d) was independently developed by the receiving party without any use
of the Confidential Information;

          (e) becomes known to the receiving party, without restriction, from a
source other than the disclosing party without breach of this Agreement by the
receiving party and otherwise not in violation of the disclosing party's rights;

          (f) is disclosed generally to third parties by the disclosing party
without restrictions similar to those contained in this Agreement; or

          (g) such disclosure is required by order or requirement of a court,
administrative agency, or other governmental body.

     12.4 Confidentiality of Agreement. Each party shall be entitled to disclose
the existence of this Agreement, but agrees that the terms and conditions of
this Agreement shall be treated as Confidential Information and shall not be
disclosed to any third party; provided, however, that each party may disclose
the terms and conditions of this Agreement:

          (a) as required by any court or other governmental body;

                                       9

<PAGE>


          (b)       as otherwise required by law;

          (c) to legal counsel of the parties;

          (d) in confidence, to accountants, banks, and financing sources and
their advisors;

          (e) in connection with the enforcement of this Agreement or rights
under this Agreement; or

          (f) in confidence, in connection with an actual or proposed merger,
acquisition, or similar transaction.

     12.5 Survival. Article 14 of this Agreement shall survive for one (1) year
after the termination date of this Agreement.

13.  GENERAL PROVISIONS

     13.1 Governing Law. This Agreement shall be governed by and interpreted in
accordance with the laws of the State of New York, applicable to agreements
entered into and to be performed wholly within such jurisdiction. All disputes
arising out of this Agreement shall be subject to the exclusive jurisdiction of
the courts of the State of New York and the parties agree and submit to the
personal and exclusive jurisdiction and venue of these courts.

     13.2 Partial Invalidity. If any provision in this Agreement shall be found
or held to be invalid or unenforceable in any jurisdiction in which this
Agreement is being performed, then the meaning of said provision shall be
construed, to the extent feasible, so as to render the provision enforceable,
and if no feasible interpretation would save such provision, it shall be severed
from the remainder of this Agreement, which shall remain in full force and
effect. In such event, the parties shall negotiate, in good faith, a substitute,
valid and enforceable provision that most nearly effects the parties' intent in
entering into this Agreement.

     13.3 Independent Contractors. The parties hereto are independent
contractors. Nothing contained herein or done in pursuance of this Agreement
shall constitute either party becoming an agent of the other, for any purpose or
in any sense whatsoever, or constitute the parties as partners or joint
venturers. Fuji shall make no representations or warranties on behalf of ISS
with respect to the ISS software products.

     13.4 Modification. No alteration, amendment, waiver, cancellation or any
other change in any term or condition of this Agreement shall be valid or
binding on either party unless the same shall have been mutually assented to in
writing by both parties.

     13.5 Waiver. The failure of either party to enforce at any time any of the
provisions of this Agreement, or the failure to require at any time performance
by the other party of any of the provisions of this Agreement, shall in no way

                                       10

<PAGE>


be construed to be a present or future waiver of such provisions, nor in any
affect the right of either party to enforce each and every such provision
thereafter. The express waiver by either party of any provision, condition or
requirement of this Agreement shall not constitute a waiver of any future
obligation to comply with such provision, condition or requirement.

     13.6 Assignment. This Agreement shall be binding upon and inure to the
benefit of the parties hereto and their respective successors and assigns;
provided, however, that neither party shall assign any of its rights,
obligations, or privileges (by operation of law or otherwise) hereunder without
the prior written consent of the other party; provided, further, that no such
prior written consent shall be needed if Fuji assigns this Agreement to one of
its Affiliates. Notwithstanding the foregoing, either party may assign this
Agreement to a successor in interest (or its equivalent) of all or substantially
all of its relevant assets, whether by sale, merger, or otherwise. Any attempted
assignment in violation of this Section 13.6 shall be null and void.

     13.7 Notices. Any notice required or permitted to be given by either party
under this Agreement shall be in writing and shall be personally delivered or
sent by commercial courier or by first class mail/air mail (certified or
registered if available), or by telecopy confirmed by first class mail/air mail
(registered or certified if available), to the other party at its address set
forth below or such new address as may from time to time be supplied hereunder
by the parties hereto.

If to Fuji:

FUJIFILM Medical Systems U.S.A., Inc.
419 West Avenue
Stamford, CT 06902
Attn:    Clayton Larsen
         Vice President, Marketing and Network Development
Tel: (203) 602-3678
Fax: (203) 353-0926

With a copy to:

Fuji Photo Film U.S.A., Inc.
200 Summit Lake
Valhalla, NY 10595
Attn:    Jonathan File
         General Counsel
Tel: (914) 789-8105
Fax: (914) 789-8514

                                       11

<PAGE>


If to ISS:

Integrated Surgical Systems, Inc.
1850 Research Park Drive
Davis, CA 95616
Attn:    Ramesh Trivedi
         Chief Executive Officer
Tel: (530) 792-2600
Fax: (530) 792-2690


     13.8 Force Majeure. Notwithstanding anything else in this Agreement, and
except for the obligation to pay money, no default, delay or failure to perform
on the part of either party shall be considered a breach of this Agreement if
such default, delay or failure to perform is shown to be due to causes beyond
the reasonable control of the party charged with a default, including, but not
limited to, strikes, lockouts or other labour disputes, riots, civil
disturbances, actions or in actions of governmental authorities or suppliers,
epidemics, war, embargoes, severe weather, fire, earthquakes, acts of God or the
public enemy, nuclear disasters, or default of a common carrier.

     13.9 No Third Party Beneficiaries. Unless otherwise expressly provided, no
provisions of this Agreement shall be construed to confer upon or give to any
person or entity other than ISS and Fuji any rights, remedies or other benefits
under or by reason of this Agreement.

     13.10 Entire Agreement. The terms and conditions herein contained,
including all exhibits hereto, constitute the entire agreement between the
parties and supersede all previous agreements and understandings, other than the
Software Development Agreement, whether oral or written, between the parties
hereto with respect to the subject-matter hereof. The terms and conditions of
the Agreement shall automatically apply to each transaction between the parties
contemplated by this Agreement notwithstanding any additional or different terms
and conditions of the Software Development Agreement or other document.

     13.11 Headings. The headings provided in this Agreement are for the
convenience only and will not be used in interpreting or construing this
Agreement.

                           [Signature page to follow]

                                       12

<PAGE>


     IN WITNESS WHEREOF the parties hereto have caused this Agreement to be
signed by duly authorized officers of representatives.


FUJIFILM MEDICAL SYSTEMS U.S.A., INC.


By:  /s/  Clayton Larsen
   -------------------------------
Name:     Clayton Larsen
Title:    Vice President, Marketing and Network Development



INTERGRATED SURGICAL SYSTEMS, INC.


By:  /s/  Ramesh Trivedi
   -------------------------------
Name:     Ramesh Trivedi
Title:    Chief Executive Officer

                                       13

<PAGE>


                                    Exhibit A
                                    ---------

                                ESCROW AGREEMENT


                                       14


</TEXT>
</DOCUMENT>
<DOCUMENT>
<TYPE>EX-10.3
<SEQUENCE>4
<FILENAME>iss93020204exh103.txt
<DESCRIPTION>AMENDMENT NO. 1 TO SOFTWARE AGREEMENT
<TEXT>


                                                                    EXHIBIT 10.3


                               AMENDMENT NO. 1 TO
                           SOFTWARE LICENSE AGREEMENT


     AMENDMENT NO. 1, dated as of December 14, 2004 (this "First Amendment"), by
and among FUJIFILM Medical Systems U.S.A., Inc., a New York corporation ("Fuji")
and Integrated Surgical Systems, Inc. a Delaware corporation ("ISS").

     WHEREAS, Fuji and ISS entered into that certain Software License Agreement
dated July 29, 2004 ( the "Software License Agreement"), pursuant to which ISS
granted a license to Fuji for the ISS Software (as defined in the Software
License Agreement) and the parties made agreements with respect to the relative
rights each had with respect to the ISS Software and ISS agreed to provide
certain maintenance and support for the ISS Software, Orthodoc and the Third
Party Content (each as defined in the Software License Agreement);

     WHEREAS, pursuant to the Software License Agreement, ISS and Fuji entered
into a Preferred Escrow Agreement dated July 29, 2004 (the "Escrow Agreement"),
whereby Fuji and ISS agreed that upon the occurrence of certain events, the
source code for the ISS Software would be released to Fuji;

     WHEREAS, Fuji desires to purchase from ISS, and ISS has agreed to sell to
Fuji, a copy of the Source Code (as defined in the Software License Agreement,
as amended by this First Amendment) including the Third Party Content, along
with tangible and intangible assets and rights with respect to the Source Code,
on the terms and conditions set forth herein; and

     WHEREAS, Fuji desires to purchase from ISS, and ISS has agreed to sell to
Fuji, a copy of the Third Party Content Development Process (as defined in
herein), including any software development tools that are used to convert data
from multi-vendor prosthetic libraries for orthopedic implants for integration
into the ISS Software, along with tangible and intangible assets and rights with
respect to the Third Party Content Development Process, on the terms and
conditions set forth herein.

     NOW, THEREFORE, in consideration of the premises and the mutual covenants
contained herein and other good and valuable consideration, the receipt and
sufficiency of which are hereby acknowledged, the parties agree as follows:

     1. Article 1 of the Software License Agreement is hereby amended as
follows:

     (a) Section 1.6 of the Software License Agreement is hereby amended by
deleting such section and replacing such section with the following:

<PAGE>


          "1.6 "ISS Software" means Orthodoc, its existing 3D planning software
technology and all Third Party Content and core software libraries ported to
function on a Windows(TM) platform, and includes the Source Code for the ISS
Software and the Third Party Content, as well as all New Versions, Updates and
Upgrades thereto, respectively, and, in each case, all current and future
foreign language versions thereof."

     (b) Section 1.11 of the Software License Agreement is hereby amended by
deleting such section and replacing such section with the following:

          "1.11 "Source Code" means those statements in a computer language,
which, when processed by a compiler, assembler or interpreter, become executable
by a computer and includes Source Code for the ISS Software, the Third Party
Content, as well as all New Versions, Updates and Upgrades thereto,
respectively, and any and all Design Documents."

     (c) Inserting after Section 1.14 the following:

          "1.15 "Acceptance" means Fuji's verification that the delivered Source
Code and/or Third Party Content Development Process on CD media represent the
entire contents of Source Code and/or Third Party Content Development Process,
respectively, that ISS possesses and, with respect to the Third Party Content
Development Process, ISS uses in order to incorporate Third Party Content into
the ISS Software, as of the date of the First Amendment."

          "1.16 "Acceptance Notice" has the meaning set forth in Section 2.7(c)
hereof."

          "1.17 "Closing" has the meaning set forth in Section 2.7 hereof."

          "1.18 "Design Documents" means all documentation (including all
application programmer interface documentation in printed electronic format),
manuals, tools, working papers and other documentation or methodologies reduced
to writing and information related to the forgoing that has been reduced to
writing and used by ISS to develop, enhance, modify and support the Source
Code."

          "1.19 "Development Agreement Completion Date" has the meaning set
forth in Section 2.6(c) hereof."

          "1.20 "First Amendment" means the First Amendment to this Agreement
dated as of December ___, 2004, by and between Fuji and ISS."

          "1.21 "License Exclusivity Period" has the meaning set forth in
Section 2.1 hereof."

                                       2

<PAGE>


          "1.22 "Purchase Price" has the meaning set forth in Section 2.6(b)
hereof."

          "1.23 "Source Code Purchase Price" has the meaning set forth in
Section 2.6(b)(i) hereof."

          "1.24 "Third Party Content Development Process" means the process used
to develop and incorporate the Third Party Content into the ISS Software and
Design Documents that relate to such process. This includes the Source Code for
the Third Party Content Development Process, executable copies of the Third
Party Content Development Process, and any and all software development tools
that are used to convert data from multi-vendor prosthetic libraries for
orthopedic implants for integration into the ISS Software, as well as all New
Versions, Updates and Upgrades thereto."

          "1.25 "Third Party Content Development Process Purchase Price" has the
meaning set forth in Section 2.6(b)(ii) hereof.

     2. Article 2 of the Software License Agreement is hereby amended as
follows:

     (a) Section 2.1 of the Software License Agreement is hereby amended by
deleting such section in its entirety and replacing such section with the
following:

          "2.1 License Grant. Subject to the terms and conditions of this
Agreement, ISS grants to Fuji a worldwide perpetual, irrevocable, fully-paid,
royalty free, nontransferable (other than as set forth in Section 13.6 hereof)
sublicensable license to use, reproduce, and/or modify the ISS Software to
develop, create, manufacture, test, distribute, sell, maintain and support Fuji
Products. Such license shall be exclusive to Fuji until December 31, 2005 (the
"License Exclusivity Period"), and thereafter shall be nonexclusive. ISS also
grants to Fuji a non-exclusive license to use, reproduce and/or modify the Third
Party Content Development Process to develop, create, manufacture, test,
distribute, sell, maintain and support Fuji Products. The license includes, but
is not limited to, a license under any and all patents and any and all
applications therefore, that have been filed or may be filed in the future with
respect to the ISS Software, Orthodoc and/or Third Party Content Development
Process. ISS shall seek, obtain, and during the term hereof, maintain and
enforce in its own name and at its own expense, appropriate patent, trademark
and/or copyright protection for the ISS Software and the Third Party Content
Development Process."

     (b) Inserting after Section 2.4 the following:

          "2.5 Purchase of the Source Code and the Third Party Content
Development Process. Subject to the terms and conditions of this Agreement, at
the Closing (as defined in Section 2.7 hereof), ISS shall sell, transfer, convey
and deliver to Fuji, and Fuji shall purchase, acquire and accept from ISS, a
copy of the Source Code and the Third Party Content Development Process. "

                                       3

<PAGE>


          "2.6 Purchase Price and Additional Payments. (a) Upon the execution of
the First Amendment, Fuji shall pay $500,000 to ISS. Notwithstanding any failure
to pay the Purchase Price as set forth in Section 2.6(b) hereof, all of Fuji's
rights and licenses as set forth in Section 2.1 hereof shall survive.

     (b) As the purchase price for a copy of the Source Code and the Third Party
Content Development Process, Fuji shall pay ISS the aggregate sum of $1,600,000
(the "Purchase Price"), subject to Section 2.7 hereof, as follows:

               (i) $800,000 upon Fuji's receipt and acceptance of the Source
Code in CD media at the Closing (the "Source Code Purchase Price"); and

               (ii) $800,000 upon Fuji's receipt and acceptance of the Third
Party Content Development Process in CD media at the Closing (the "Third Party
Content Development Process Purchase Price").

     (c) ISS shall be entitled to an additional payment of $400,000 from Fuji
within five (5) business days after the completion of the Development Agreement
(the "Development Agreement Completion Date"), as determined in the sole
discretion of Fuji, and after ISS delivers to Fuji a copy of the Source Code as
of the Development Agreement Completion Date.

          "2.7 Closing. The closing (the "Closing") of the transaction whereby
Fuji shall purchase the Source Code and the Third Party Content Development
Process from ISS shall occur as follows:

     (a) within ten (10) business days after the execution of the First
Amendment, ISS shall deliver to Fuji a copy of the Source Code and the Third
Party Content Development Process on CD media;

     (b) Fuji shall have three (3) business days from the date of its receipt of
the Source Code and the Third Party Content Development Process to verify the
contents of the delivery; and

     (c) upon Fuji's Acceptance of the Source Code and/or the Third Party
Content Development Process, Fuji shall notify ISS in writing of its Acceptance
(the "Acceptance Notice") of the Source Code and/or the Third Party Content
Development Process, whichever is applicable, and shall, within three (3)
business days of its delivery of the Acceptance Notice, deliver to ISS the
Source Code Purchase Price and/or the Third Party Content Development Process
Purchase Price, whichever is applicable, via wire transfer pursuant to
instructions previously provided by ISS to Fuji."

                                       4

<PAGE>


          "2.8 Acknowledgement of Development Agreement obligations. ISS hereby
acknowledges and agrees to the following:

     (a) within five (5) business days after the one year anniversary of the
Development Agreement Completion Date, ISS shall deliver to Fuji all Updates,
Upgrades and New Versions, if any, of the Source Code and Third Party Content
Development Process;

     (b) within five (5) business days after the second anniversary of the
Development Agreement Completion Date, ISS shall deliver to Fuji all Updates,
Upgrades and New Versions, if any, of the Source Code and the Third Party
Content Development Process; and

     (c) notwithstanding the foregoing, ISS shall also provide Maintenance,
Update, Upgrades and New Versions to Fuji pursuant to Article 5 hereof and such
obligations shall also apply to the Third Party Content Development Process."

          "2.9 Bankruptcy. ISS acknowledges that if ISS as a
debtor-in-possession or if a trustee in bankruptcy in a case under Title 11 of
the United States Code, ss.ss.101 et. seq. (the "Bankruptcy Code"), as the case
may be, rejects this Agreement, Fuji may elect to retain its rights under this
Agreement as provided in Section 365(n) of the Bankruptcy Code. Upon written
request of Fuji to ISS or the bankruptcy trustee, whichever is applicable, ISS
or the bankruptcy trustee shall not interfere with the rights of Fuji as
provided in this Agreement."

     3. Article 4 of the Software License Agreement is hereby amended by
deleting such section in its entirety and replacing such section with the
following:

     "4. FURTHER COVENANTS"

          "4.1 Non-Competition; Non-Interference. (a) ISS hereby covenants with
Fuji that, until the expiration of the License Exclusivity Period, ISS shall
not, either directly or indirectly, develop or assist in the development of any
products that have similar functionality or are competitive with the products
developed pursuant to the Development Agreement. In the event that ISS desires
to create develop, co-develop or license any software for orthopedic templating
or surgical planning purposes for non-PACS-related products with a company that
may have PACS products that are competitive with Fuji Products, ISS shall submit
an inquiry to Fuji regarding whether such company produces, distributes or
markets any PACS-related product. Fuji shall, within five (5) business days,
provide ISS with a written opinion regarding whether ISS's potential arrangement
with such company would be in violation of this Section 4.1.

     (b) Fuji hereby covenants with ISS that, until the expiration of the
License Exclusivity Period, Fuji shall not, either directly or indirectly,
develop or assist in the development of any products, including Third Party

                                       5

<PAGE>


Content, that have similar functionality or are competitive with the products
developed pursuant to the Development Agreement, other than Fuji Products.

     (c) Fuji hereby covenants with ISS that, after the expiration of the
License Exclusivity Period and provided that the Development Agreement
Completion Date has occurred, Fuji shall not, either directly or indirectly,
create, develop or co-develop Third Party Content. In the event that Fuji
desires to create, develop or co-develop any Third Party Content for orthopedic
templating or surgical planning purposes, Fuji shall submit a notice to ISS
requesting that ISS perform the tasks related to the Third Party Content at its
then normal development rates and schedules. ISS shall thereafter have sixty
(60) days from the date of such notice to negotiate and enter into a definitive
agreement with Fuji and/or a third-party that provides Third Party Content, on
terms reasonably agreeable to Fuji, to conduct such Third Party Content tasks
for Fuji. In the event ISS, Fuji and/or such third-party are unable to reach a
definitive agreement, then Fuji shall be free to enter an agreement with any
third-party to perform such Third Party Content tasks or perform such Third
Party Content tasks itself.

     (d) ISS recognizes that these non-competition/non-interference restrictions
are necessary to protect legitimate business interests, including trade secrets,
confidential information, relationships with prospective and existing customers,
and is provided by ISS to Fuji as further inducement for Fuji to license the ISS
Software and purchase the Source Code."

          "4.2 Right of First Negotiation for Co-Development Projects. (a) In
the event that ISS desires to produce any new PACS-related product through a
co-development project with any third-party, the following provisions shall
apply. ISS shall notify Fuji in writing of its desire to produce a new
PACS-related product. Fuji shall thereafter have thirty (30) days from the date
of such notice to negotiate and enter into a definitive agreement to conduct the
co-development project with ISS. Any such definitive agreement shall provide
that ISS shall grant Fuji an exclusive license for such resulting products for a
period of not less than three (3) years and contain such other terms as mutually
agreed to by ISS and Fuji.

     (b) If Fuji and ISS fail to enter into a definitive agreement with respect
to such co-development project during the thirty-day period, then ISS shall be
free to negotiate with and conclude an agreement with any third-party to conduct
such co-development project on terms that are no less favorable than those last
proposed by ISS to Fuji."

          "4.3 Products Developed Independently By ISS. (a) In the event that
ISS independently develops any new PACS-related product, ISS shall notify Fuji
in writing. Fuji shall thereafter have thirty (30) days (the "License
Negotiation Period") to negotiate and enter into a license with ISS with respect
to such PACS-related product. Any such license with Fuji shall provide that ISS
shall grant Fuji an exclusive license for a period to be mutually agreed to by
Fuji and ISS and contain such other terms as mutually agreed to by ISS and Fuji.

                                       6

<PAGE>


     (b) If, upon expiration of the License Negotiation Period, Fuji and ISS
fail to enter into an exclusive license agreement for such PACS-related product,
ISS may offer an exclusive license to any third-party on terms no more favorable
that those last proposed to Fuji."

     4. Officer's Certificate. In connection herewith and in order to induce
Fuji to enter into this First Amendment, simultaneously with the execution of
this First Amendment, ISS will deliver to Fuji a certificate of an officer of
ISS certifying that all of ISS's representations and warranties contained in the
Software License Agreement are true and correct and will be true and correct as
of the date of this First Amendment.

     5. No Other Modifications. Except as modified hereby, the Software License
Agreement shall in all other respects remain in full force and effect. From and
after the date first set forth above, all references in the Software License
Agreement shall be deemed to be references to the Software License Agreement and
this First Amendment.

     6. Entire Agreement. This First Amendment, the Software License Agreement,
the Development Agreement and the Escrow Agreement contain the entire agreement
between the parties hereto and supersedes any and all prior agreements and
understandings between the parties relating to the same subject matter.

     7. Governing Law. This First Amendment shall be governed by and construed
and enforced in accordance with the laws of the State of New York applicable to
agreements to be performed wholly within said state.

     8. Successor and Assigns. This First Amendment shall be binding upon and
shall inure to the benefit of the successors or assigns of the parties.

     9. No Third Party Rights. This First Amendment is made solely for the
benefit of the parties to this First Amendment, as well as Fuji Photo Film Co.
Ltd., and their respective permitted successors and assigns, and no other person
or entity shall have or acquire the right by virtue of this First Amendment
unless otherwise agreed to, in writing, by the parties hereto.

     10. For convenience of the parties, this First Amendment may be executed in
one or more counterparts, each of which shall be deemed an original, but all of
which together shall constitute one and the same instrument.

                            [Signature page follows]

                                       7
<PAGE>


     IN WITNESS WHEREOF, Fuji and ISS have caused this First Amendment to be
executed as of the date first written above by their respective officers
thereunto duly authorized.



                                       FUJIFILM MEDICAL SYSTEMS U.S.A., INC.


                                       By:    /s/  Takushi Nasu
                                              -----------------------------
                                                Name:    Takushi Nasu
                                                Title:   President



                                       INTEGRATED SURGICAL SYSTEMS, INC.


                                       By:    /s/  Ramesh Trivrdi
                                              -----------------------------
                                                Name:    Ramesh Trivedi
                                                Title:   Chief Executive Officer


                                       8

</TEXT>
</DOCUMENT>
<DOCUMENT>
<TYPE>EX-31.1
<SEQUENCE>5
<FILENAME>iss9302004exh311.txt
<DESCRIPTION>CERTIFICATIONS REQUIRED UNDER SECTION 302
<TEXT>


Exhibit 31.1

                                  CERTIFICATION


I, Ramesh C. Trivedi, Chief Executive Officer of Integrated Surgical Systems,
Inc., certify that:

1.   I have reviewed this Quarterly Report on Form 10-QSB for the quarter ended
     September 30, 2004 of Integrated Surgical Systems, Inc.;

2.   Based on my knowledge, this report does not contain any untrue statement of
     a material fact or omit to state a material fact necessary to make the
     statements made, in light of the circumstances under which such statements
     were made, not misleading with respect to the period covered by this
     report;

3.   Based on my knowledge, the financial statements, and other financial
     information included in this report, fairly present in all material
     respects the financial condition, results of operations and cash flows of
     the small business issuer as of, and for, the periods presented in this
     report;

4.   The small business issuer's other certifying officers and I are responsible
     for establishing and maintaining disclosure controls and procedures (as
     defined in Exchange Act Rules 13a-15(e) and 15d-15(e) for the small
     business issue and have:

     (a)  Designed such disclosure controls and procedures, or caused such
          disclosure controls and procedures to be designed under our
          supervision, to ensure that material information relating to the small
          business issuer, including its consolidated subsidiaries, is made
          known to us by others within those entities, particularly during the
          period in which this report is being prepared;

     (b)  Evaluated the effectiveness of the small business issuer's disclosure
          controls and procedures and presented in this report our conclusion
          about the effectiveness of the disclosure controls and procedures, as
          of the end of the period covered by this report based on such
          evaluation; and

     (c)  Disclosed in this report any change in the small business issuer's
          internal control over financial reporting that occurred during the
          small business issuer's most recent fiscal quarter (the small business
          issuer's fourth quarter in the case of an annual report) that has
          materially affected, or is reasonably likely to materially affect, the
          small business issuer's internal control over financial reporting; and

5.   The small business issuer's other certifying officer(s) and I have
     disclosed, based on our most recent evaluation of internal control over
     financial reporting, to the small business issuer's auditors and the audit
     committee of the small business issuer's board of directors (or persons
     performing the equivalent functions):

     (a)  All significant deficiencies and material weakness in the design or
          operation of internal control over financial reporting which are
          reasonably likely to adversely affect the small business issuer's
          ability to record, process, summarize and report financial
          information; and

     (b)  Any fraud, whether or not material, that involves management or other
          employees who have a significant role in the registrant's internal
          control over financial reporting.






Date: December 16, 2004                     By: /s/   RAMESH C. TRIVEDI
                                                --------------------------------
                                                      Ramesh C. Trivedi
                                                      Chief Executive Officer


</TEXT>
</DOCUMENT>
<DOCUMENT>
<TYPE>EX-31.2
<SEQUENCE>6
<FILENAME>iss9302994exg312.txt
<DESCRIPTION>CERTIFICATIONS REQUIRED UNDER SECTION 302
<TEXT>


 Exhibit 31.2


                                  CERTIFICATION


I, Charles J. Novak, Chief Financial Officer of Integrated Surgical Systems,
Inc., certify that:

1.   I have reviewed this Quarterly Report on Form 10-QSB for the year quarter
     ended September 30, 2004 of Integrated Surgical Systems, Inc.;

2.   Based on my knowledge, this report does not contain any untrue statement of
     a material fact or omit to state a material fact necessary to make the
     statements made, in light of the circumstances under which such statements
     were made, not misleading with respect to the period covered by this
     report;

3.   Based on my knowledge, the financial statements, and other financial
     information included in this report, fairly present in all material
     respects the financial condition, results of operations and cash flows of
     the small business issuer as of, and for, the periods presented in this
     report;

4.   The small business issuer's other certifying officers and I are responsible
     for establishing and maintaining disclosure controls and procedures (as
     defined in Exchange Act Rules 13a-15(e) and 15d-15(e) for the small
     business issue and have:

     (a)  Designed such disclosure controls and procedures, or caused such
          disclosure controls and procedures to be designed under our
          supervision, to ensure that material information relating to the small
          business issuer, including its consolidated subsidiaries, is made
          known to us by others within those entities, particularly during the
          period in which this report is being prepared;

     (b)  Evaluated the effectiveness of the small business issuer's disclosure
          controls and procedures and presented in this report our conclusion
          about the effectiveness of the disclosure controls and procedures, as
          of the end of the period covered by this report based on such
          evaluation; and

     (c)  Disclosed in this report any change in the small business issuer's
          internal control over financial reporting that occurred during the
          small business issuer's most recent fiscal quarter (the small business
          issuer's fourth quarter in the case of an annual report) that has
          materially affected, or is reasonably likely to materially affect, the
          small business issuer's internal control over financial reporting; and

5.   The small business issuer's other certifying officer(s) and I have
     disclosed, based on our most recent evaluation of internal control over
     financial reporting, to the small business issuer's auditors and the audit
     committee of the small business issuer's board of directors (or persons
     performing the equivalent functions):

     (a)  All significant deficiencies and material weakness in the design or
          operation of internal control over financial reporting which are
          reasonably likely to adversely affect the small business issuer's
          ability to record, process, summarize and report financial
          information; and

     (b)  Any fraud, whether or not material, that involves management or other
          employees who have a significant role in the registrant's internal
          control over financial reporting.





Date: December 16, 2004                     By: /s/   CHARLES J. NOVAK
                                                --------------------------------
                                                      Charles J. Novak
                                                      Chief Financial Officer


</TEXT>
</DOCUMENT>
<DOCUMENT>
<TYPE>EX-32.1
<SEQUENCE>7
<FILENAME>iss9301003exh321.txt
<DESCRIPTION>CERTIFICATIONS REQUIRED UNDER SECTION 906
<TEXT>


Exhibit 32.1

                                  CERTIFICATION





I , Ramesh C. Trivedi, Chief Executive Officer of Integrated Surgical Systems,
Inc. (the "Company"), hereby certify, pursuant to 18 U.S.C. Section 1350, as
adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, that:

     1.   The Quarterly Report on Form 10-QSB of the Company for the quarter
          ended September 30, 2004, which this certification accompanies (the
          "Periodic Report"), fully complies with the requirements of Section
          13(a) of the Securities Exchange Act of 1934; and

     2.   The information contained in the Periodic Report fairly presents, in
          all material respects, the financial condition and results of
          operations of the Company.




 Dated: December 16, 2004                          /s/ Ramesh C. Trivedi
                                                   ----------------------------
                                                       Ramesh C. Trivedi
                                                       Chief Executive Officer

</TEXT>
</DOCUMENT>
<DOCUMENT>
<TYPE>EX-32.2
<SEQUENCE>8
<FILENAME>iss9302004exh322.txt
<DESCRIPTION>CERTIFICATIONS REQUIRED UNDER SECTION 906
<TEXT>

Exhibit 32.2

                                  CERTIFICATION





I, Charles J. Novak, Chief Financial Officer of Integrated Surgical Systems,
Inc. (the "Company"), hereby certify, pursuant to 18 U.S.C. Section 1350, as
adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, that:

     1.   The Quarterly Report on Form 10-QSB of the Company for the quarter
          ended September 30, 2004, which this certification accompanies (the
          "Periodic Report"), fully complies with the requirements of Section
          13(a) of the Securities Exchange Act of 1934; and

     2.   The information contained in the Periodic Report fairly presents, in
          all material respects, the financial condition and results of
          operations of the Company.




 Dated: December 16, 2004                          /s/ Charles J. Novak
                                                   -----------------------------
                                                       Charles J. Novak
                                                       Chief Financial Officer

</TEXT>
</DOCUMENT>
</SEC-DOCUMENT>
-----END PRIVACY-ENHANCED MESSAGE-----
