The Securities and Exchange Commission has not necessarily reviewed the information in this filing and has not determined if it is accurate and complete.
The reader should not assume that the information is accurate and complete.

UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 13F

FORM 13F INFORMATION TABLE
OMB APPROVAL
OMB Number: 3235-0006
Estimated average burden
hours per response: 23.8
COLUMN 1 COLUMN 2 COLUMN 3 COLUMN 4 COLUMN 5 COLUMN 6 COLUMN 7 COLUMN 8
VALUE SHRS OR SH/ PUT/ INVESTMENT OTHER VOTING AUTHORITY
NAME OF ISSUER TITLE OF CLASS CUSIP (x$1000) PRN AMT PRN CALL DISCRETION MANAGER SOLE SHARED NONE
ABBOTT LABS COM 002824100 207 1,000 SH Call SOLE   1,000 0 0
Accelerate Diagnostics Inc COM 00430H102 170 700 SH Call SOLE   700 0 0
Accuray Inc COM 004397105 34 1,500 SH Call SOLE   1,500 0 0
Accuray Inc COM 004397105 45 1,000 SH Call SOLE   1,000 0 0
AcelRx Pharmaceuticals Inc COM 00444T100 1 45 SH Put SOLE   45 0 0
Aceto Corp COM 004446100 478 211,624 SH   SOLE   211,624 0 0
ADMA BIOLOGICS INC COM 000899104 3,548 571,317 SH   SOLE   571,317 0 0
AERIE PHARMACEUTICALS INC COM 00771V108 47 750 SH Call SOLE   750 0 0
Aevi Genomic Medicine Inc COM 00835P105 24 954 SH Call SOLE   954 0 0
Alexion Pharmaceuticals Inc COM 015351109 2,102 15,124 SH   SOLE   15,124 0 0
Alkermes Plc SHS G01767105 46 500 SH Call SOLE   500 0 0
AMARIN CORP PLC SPONS ADR NEW 023111206 3,661 225,000 SH   SOLE   225,000 0 0
AMARIN CORP PLC SPONS ADR NEW 023111206 260 2,000 SH Put SOLE   2,000 0 0
Amgen Inc COM 031162100 6,296 30,373 SH   SOLE   30,373 0 0
Amgen Inc COM 031162100 174 300 SH Put SOLE   300 0 0
Amicus Therapeutics Inc COM 03152W109 551 45,560 SH   SOLE   45,560 0 0
ArQule Inc COM 04269E107 2 51 SH Put SOLE   51 0 0
ARVINAS INC COM 04335A105 1,265 75,000 SH   SOLE   75,000 0 0
AstraZeneca PLC SPONSORED ADR 046353108 63 1,000 SH Call SOLE   1,000 0 0
AtriCure Inc COM 04963C209 2,370 67,670 SH   SOLE   67,670 0 0
AVANOS MED INC COM 05350V106 2,778 40,560 SH   SOLE   40,560 0 0
Aveo Pharmaceuticals Inc COM 053588109 800 241,754 SH   SOLE   241,754 0 0
Aveo Pharmaceuticals Inc COM 053588109 6 1,240 SH Put SOLE   1,240 0 0
Aveo Pharmaceuticals Inc COM 053588109 48 2,770 SH Put SOLE   2,770 0 0
Aveo Pharmaceuticals Inc COM 053588109 13 500 SH Put SOLE   500 0 0
Aveo Pharmaceuticals Inc COM 053588109 40 3,999 SH Put SOLE   3,999 0 0
AZURRX BIOPHARMA INC COM 05502L105 21 8,340 SH   SOLE   8,340 0 0
BAXTER INTL INC COM 071813109 4,625 60,000 SH   SOLE   60,000 0 0
BIOCRYST PHARMACEUTICALS COM 09058V103 773 101,245 SH   SOLE   101,245 0 0
BIOSPECIFICS TECHNOLOGIES CO COM 090931106 1,179 20,160 SH   SOLE   20,160 0 0
Boston Scientific Corp COM 101137107 9,738 252,925 SH   SOLE   252,925 0 0
Brooks Automation Inc COM 114340102 5,699 162,676 SH   SOLE   162,676 0 0
Catalyst Pharmaceuticals Inc COM 14888U101 765 202,489 SH   SOLE   202,489 0 0
CELLECTIS S A SPONSORED ADS 15117K103 1,000 35,437 SH   SOLE   35,437 0 0
CENTENE CORP DEL COM 15135B101 5,488 37,905 SH   SOLE   37,905 0 0
CLEARSIDE BIOMEDICAL INC COM 185063104 311 50,622 SH   SOLE   50,622 0 0
COOPER COS INC COM NEW 216648402 60 218 SH   SOLE   218 0 0
DexCom Inc COM 252131107 6,517 45,560 SH   SOLE   45,560 0 0
DexCom Inc COM 252131107 798 500 SH Call SOLE   500 0 0
DICERNA PHARMACEUTICALS INC COM 253031108 772 50,622 SH   SOLE   50,622 0 0
EIGER BIOPHARMACEUTICALS INC COM 28249U105 486 40,498 SH   SOLE   40,498 0 0
ELANCO ANIMAL HEALTH INC COM 28414H103 3,489 100,000 SH   SOLE   100,000 0 0
LILLY ELI & CO COM 532457108 8 250 SH Call SOLE   250 0 0
Encompass Health Corp COM 29261A100 81 500 SH Put SOLE   500 0 0
ESTABLISHMENT LABS HLDGS INC COM G31249108 5,010 207,882 SH   SOLE   207,882 0 0
Exelixis Inc COM 30161Q104 38 1,000 SH Call SOLE   1,000 0 0
Exelixis Inc COM 30161Q104 6 320 SH   SOLE   320 0 0
FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH 33734X143 11 500 SH Put SOLE   500 0 0
FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH 33734X143 14 500 SH Put SOLE   500 0 0
FLUIDIGM CORP DEL COM 34385P108 1,685 225,000 SH   SOLE   225,000 0 0
FLUIDIGM CORP DEL COM 34385P108 23 1,500 SH Call SOLE   1,500 0 0
Geron Corp COM 374163103 1 89 SH Put SOLE   89 0 0
GLOBUS MED INC CL A 379577208 3,264 57,500 SH   SOLE   57,500 0 0
Gritstone Oncology Inc COM 39868T105 1,068 75,000 SH   SOLE   75,000 0 0
GTX INC DEL COM NEW 40052B207 7 22 SH Put SOLE   22 0 0
Hanger Inc COM NEW 41043F208 61 2,950 SH   SOLE   2,950 0 0
SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 80 1,250 SH Put SOLE   1,250 0 0
Histogenics Corp COM 43358V109 33 60,000 SH   SOLE   60,000 0 0
ICU MED INC COM 44930G107 11,683 41,319 SH   SOLE   41,319 0 0
ICU MED INC COM 44930G107 166 320 SH Call SOLE   320 0 0
Immunogen Inc COM 45253H101 430 2,000 SH Call SOLE   2,000 0 0
Incyte Corp COM 45337C102 45 100 SH Call SOLE   100 0 0
INSPIRE MED SYS INC COM 457730109 10,246 243,493 SH   SOLE   243,493 0 0
Intersect ENT Inc COM 46071F103 2,401 83,527 SH   SOLE   83,527 0 0
Intersect ENT Inc COM 46071F103 1,030 2,000 SH Call SOLE   2,000 0 0
INTRA CELLULAR THERAPIES INC COM 46116X101 143 250 SH Call SOLE   250 0 0
INTRA CELLULAR THERAPIES INC COM 46116X101 155 1,681 SH Put SOLE   1,681 0 0
Invacare Corp COM 461203101 1,455 100,000 SH   SOLE   100,000 0 0
ISHARES TR RUSSELL 2000 ETF 464287655 180 1,500 SH Put SOLE   1,500 0 0
ISHARES TR RUSSELL 2000 ETF 464287655 29 300 SH Put SOLE   300 0 0
ISHARES TR RUSSELL 2000 ETF 464287655 82 450 SH Put SOLE   450 0 0
LivaNova PLC SHS G5509L101 8,786 70,871 SH   SOLE   70,871 0 0
LivaNova PLC SHS G5509L101 230 250 SH Call SOLE   250 0 0
LivaNova PLC SHS G5509L101 753 350 SH Call SOLE   350 0 0
LivaNova PLC SHS G5509L101 1,410 1,000 SH Call SOLE   1,000 0 0
LivaNova PLC SHS G5509L101 910 500 SH Call SOLE   500 0 0
Madrigal Pharmaceuticals Inc COM 558868105 793 3,702 SH   SOLE   3,702 0 0
Medtronic PLC SHS G5960L103 7,971 81,027 SH   SOLE   81,027 0 0
Medtronic PLC SHS G5960L103 129 500 SH Call SOLE   500 0 0
Medtronic PLC SHS G5960L103 196 500 SH Call SOLE   500 0 0
MIRATI THERAPEUTICS INC COM 60468T105 280 500 SH Put SOLE   500 0 0
Molecular Templates Inc COM 608550109 522 96,908 SH   SOLE   96,908 0 0
MYLAN N V SHS EURO N59465109 7 500 SH Call SOLE   500 0 0
NanoString Technologies Inc COM 63009R109 6,356 356,494 SH   SOLE   356,494 0 0
NanoString Technologies Inc COM 63009R109 94 750 SH Call SOLE   750 0 0
Natera Inc COM 632307104 1,697 70,871 SH   SOLE   70,871 0 0
Nevro Corp COM 64157F103 780 600 SH Put SOLE   600 0 0
NewLink Genetics Corp COM 651511107 63 26,341 SH   SOLE   26,341 0 0
Novavax Inc COM 670002104 852 453,112 SH   SOLE   453,112 0 0
Novavax Inc COM 670002104 294 2,500 SH Call SOLE   2,500 0 0
Novavax Inc COM 670002104 22 200 SH Call SOLE   200 0 0
NOVO-NORDISK A S ADR 670100205 40 2,000 SH Call SOLE   2,000 0 0
NUVECTRA CORP COM 67075N108 2,519 114,616 SH   SOLE   114,616 0 0
NUVECTRA CORP COM 67075N108 645 1,500 SH Call SOLE   1,500 0 0
Obseva SA COM H5861P103 913 50,622 SH   SOLE   50,622 0 0
Ocular Therapeutix Inc COM 67576A100 592 86,058 SH   SOLE   86,058 0 0
Omnicell Inc COM 68213N109 139 500 SH Put SOLE   500 0 0
ORTHOFIX INTL N V COM N6748L102 5,264 91,058 SH   SOLE   91,058 0 0
Orthopediatrics Corp COM 68752L100 3,695 100,834 SH   SOLE   100,834 0 0
OTONOMY INC COM 68906L105 791 287,657 SH   SOLE   287,657 0 0
PACIFIC BIOSCIENCES CALIF IN COM 69404D108 1,643 303,734 SH   SOLE   303,734 0 0
Portola Pharmaceuticals Inc COM 737010108 17 622 SH   SOLE   622 0 0
PRESTIGE CONSMR HEALTHCARE I COM 74112D101 59 500 SH Put SOLE   500 0 0
PROQR THRAPEUTICS N V SHS EURO N71542109 1,099 56,803 SH   SOLE   56,803 0 0
Qiagen NV SHS NEW N72482123 10 400 SH Call SOLE   400 0 0
R1 RCM Inc COM 749397105 2,307 227,109 SH   SOLE   227,109 0 0
RA MED SYS INC COM 74933X104 1,820 100,000 SH   SOLE   100,000 0 0
REGENERON PHARMACEUTICALS COM 75886F107 201 100 SH Call SOLE   100 0 0
Rigel Pharmaceuticals Inc COM NEW 766559603 971 302,489 SH   SOLE   302,489 0 0
Selecta Biosciences Inc COM 816212104 905 58,205 SH   SOLE   58,205 0 0
SPDR S&P 500 ETF TR TR UNIT 78462F103 14 200 SH Put SOLE   200 0 0
SPDR S&P 500 ETF TR TR UNIT 78462F103 157 650 SH Put SOLE   650 0 0
SPDR S&P 500 ETF TR TR UNIT 78462F103 146 1,300 SH Put SOLE   1,300 0 0
SPDR SERIES TRUST S&P BIOTECH 78464A870 220 500 SH Put SOLE   500 0 0
Spectrum Pharmaceuticals Inc COM 84763A108 840 50,000 SH   SOLE   50,000 0 0
Spectrum Pharmaceuticals Inc COM 84763A108 155 1,000 SH Put SOLE   1,000 0 0
STAAR Surgical Co COM PAR $0.01 852312305 5,835 121,556 SH   SOLE   121,556 0 0
Syndax Pharmaceuticals Inc COM 87164F105 808 100,000 SH   SOLE   100,000 0 0
Syndax Pharmaceuticals Inc COM 87164F105 215 1,000 SH Call SOLE   1,000 0 0
Syneos Health Inc CL A 87166B102 4,697 91,120 SH   SOLE   91,120 0 0
Tandem Diabetes Care Inc COM NEW 875372203 3,253 75,933 SH   SOLE   75,933 0 0
Teleflex Inc COM 879369106 39 100 SH Put SOLE   100 0 0
TESARO Inc COM 881569107 1,980 50,747 SH   SOLE   50,747 0 0
Thermo Fisher Scientific Inc COM 883556102 60 125 SH Put SOLE   125 0 0
Urovant Sciences Ltd SHS G9381B108 120 10,000 SH   SOLE   10,000 0 0
VANECK VECTORS ETF TR SEMICONDUCTOR ET 92189F676 73 450 SH Put SOLE   450 0 0
VARIAN MED SYS INC COM 92220P105 78 250 SH Put SOLE   250 0 0
VERRICA PHARMACEUTICALS INC COM 92511W108 325 20,000 SH   SOLE   20,000 0 0
ViewRay Inc COM 92672L107 5,811 620,839 SH   SOLE   620,839 0 0
ViewRay Inc COM 92672L107 19 750 SH Call SOLE   750 0 0
ViewRay Inc COM 92672L107 83 1,000 SH Call SOLE   1,000 0 0
VITAL THERAPIES INC COM 92847R104 4 14,100 SH   SOLE   14,100 0 0
VIVEVE MED INC COM NEW 92852W204 197 73,527 SH   SOLE   73,527 0 0
Vocera Communications Inc COM 92857F107 1,852 50,622 SH   SOLE   50,622 0 0
WRIGHT MED GROUP N V ORD SHS 0.03 PAR N96617118 5,142 177,178 SH   SOLE   177,178 0 0
Y MABS THERAPEUTICS INC COM 984241109 594 22,350 SH   SOLE   22,350 0 0
ZIMMER BIOMET HLDGS INC COM 98956P102 5,259 40,000 SH   SOLE   40,000 0 0
ZIMMER BIOMET HLDGS INC COM 98956P102 273 500 SH Call SOLE   500 0 0
Zogenix Inc COM NEW 98978L204 2,218 44,718 SH   SOLE   44,718 0 0
Zogenix Inc COM NEW 98978L204 38 500 SH Call SOLE   500 0 0