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 625 2,000 SH Call SOLE   2,000 0 0
ACASTI PHARMA INC CL A NEW 00430K402 157 188,260 SH   SOLE   188,260 0 0
Aceto Corp COM 004446100 2 439 SH Call SOLE   439 0 0
Aceto Corp COM 004446100 591 704,034 SH   SOLE   704,034 0 0
ADMA BIOLOGICS INC COM 000899104 89 37,170 SH   SOLE   37,170 0 0
Alexion Pharmaceuticals Inc COM 015351109 3,333 34,237 SH   SOLE   34,237 0 0
Allergan Plc SHS G0177J108 2,673 20,000 SH   SOLE   20,000 0 0
AMARIN CORP PLC SPONS ADR NEW 023111206 5,301 389,480 SH   SOLE   389,480 0 0
Amgen Inc COM 031162100 3,893 20,000 SH   SOLE   20,000 0 0
Amgen Inc COM 031162100 265 332 SH Put SOLE   332 0 0
ArQule Inc COM 04269E107 1 56 SH Put SOLE   56 0 0
ArQule Inc COM 04269E107 199 71,968 SH   SOLE   71,968 0 0
AtriCure Inc COM 04963C209 2,755 90,030 SH   SOLE   90,030 0 0
AVANOS MED INC COM 05350V106 1,464 32,675 SH   SOLE   32,675 0 0
Aveo Pharmaceuticals Inc COM 053588109 33 4,426 SH Put SOLE   4,426 0 0
Aveo Pharmaceuticals Inc COM 053588109 6 553 SH Put SOLE   553 0 0
Aveo Pharmaceuticals Inc COM 053588109 3 1,377 SH Put SOLE   1,377 0 0
Aveo Pharmaceuticals Inc COM 053588109 38 3,066 SH Put SOLE   3,066 0 0
Axsome Therapeutics Inc COM 05464T104 13 740 SH Call SOLE   740 0 0
BAXTER INTL INC COM 071813109 4,212 64,000 SH   SOLE   64,000 0 0
BIODELIVERY SCIENCES INTL IN COM 09060J106 2,305 622,922 SH   SOLE   622,922 0 0
Boston Scientific Corp COM 101137107 814 23,035 SH   SOLE   23,035 0 0
CARDIOVASCULAR SYS INC DEL COM 141619106 227 7,952 SH   SOLE   7,952 0 0
Catalyst Pharmaceuticals Inc COM 14888U101 346 180,198 SH   SOLE   180,198 0 0
Coherus BioSciences Inc COM 19249H103 1,910 211,071 SH   SOLE   211,071 0 0
DexCom Inc COM 252131107 8,686 72,500 SH   SOLE   72,500 0 0
Quest Diagnostics Inc COM 74834L100 119 500 SH Put SOLE   500 0 0
ESTABLISHMENT LABS HLDGS INC COM G31249108 7,880 287,399 SH   SOLE   287,399 0 0
Exelixis Inc COM 30161Q104 55 1,107 SH Call SOLE   1,107 0 0
Exelixis Inc COM 30161Q104 1,693 86,055 SH   SOLE   86,055 0 0
FLUIDIGM CORP DEL COM 34385P108 5,850 678,596 SH   SOLE   678,596 0 0
FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH 33734X143 332 2,250 SH Put SOLE   2,250 0 0
FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH 33734X143 720 2,250 SH Put SOLE   2,250 0 0
GLOBAL BLOOD THERAPEUTICS IN COM 37890U108 148 500 SH Call SOLE   500 0 0
Aevi Genomic Medicine Inc COM 00835P105 11 1,516 SH Call SOLE   1,516 0 0
Guardant Health Inc COM 40131M109 4,149 110,363 SH   SOLE   110,363 0 0
ICU MED INC COM 44930G107 14,953 65,119 SH   SOLE   65,119 0 0
Immunogen Inc COM 45253H101 4 162 SH Call SOLE   162 0 0
Immunogen Inc COM 45253H101 18 279 SH Call SOLE   279 0 0
Immunogen Inc COM 45253H101 133 2,213 SH Call SOLE   2,213 0 0
Immunogen Inc COM 45253H101 92 1,942 SH Call SOLE   1,942 0 0
Immunogen Inc COM 45253H101 27 338 SH Call SOLE   338 0 0
Incyte Corp COM 45337C102 26 2,100 SH Call SOLE   2,100 0 0
Incyte Corp COM 45337C102 3,511 55,207 SH   SOLE   55,207 0 0
Inogen Inc COM 45780L104 22 400 SH Call SOLE   400 0 0
Inogen Inc COM 45780L104 580 4,669 SH   SOLE   4,669 0 0
INSPIRE MED SYS INC COM 457730109 319 750 SH Call SOLE   750 0 0
INSPIRE MED SYS INC COM 457730109 15,323 362,673 SH   SOLE   362,673 0 0
Intersect ENT Inc COM 46071F103 5,364 190,335 SH   SOLE   190,335 0 0
INTRA CELLULAR THERAPIES INC COM 46116X101 5 277 SH Call SOLE   277 0 0
ISHARES TR RUSSELL 2000 ETF 464287655 176 1,000 SH Put SOLE   1,000 0 0
ISHARES TR RUSSELL 2000 ETF 464287655 337 1,650 SH Put SOLE   1,650 0 0
ISHARES TR RUSSELL 2000 ETF 464287655 436 1,600 SH Put SOLE   1,600 0 0
Kala Pharmaceuticals Inc COM 483119103 1,056 215,870 SH   SOLE   215,870 0 0
KODIAK SCIENCES INC COM 50015M109 173 24,319 SH   SOLE   24,319 0 0
LivaNova PLC SHS G5509L101 3,659 40,000 SH   SOLE   40,000 0 0
Masimo Corp COM 574795100 836 7,783 SH   SOLE   7,783 0 0
ALLSCRIPTS HEALTHCARE SOLUTN COM 01988P108 39 1,944 SH Put SOLE   1,944 0 0
Medtronic PLC SHS G5960L103 584 4,000 SH Call SOLE   4,000 0 0
ETF MANAGERS TR ETFMG ALTR HRVST 26924G508 484 5,230 SH Put SOLE   5,230 0 0
NanoString Technologies Inc COM 63009R109 8,844 596,392 SH   SOLE   596,392 0 0
Novavax Inc COM 670002104 1,192 647,783 SH   SOLE   647,783 0 0
NanoString Technologies Inc COM 63009R109 33 3,288 SH Call SOLE   3,288 0 0
Novavax Inc COM 670002104 318 2,767 SH Call SOLE   2,767 0 0
Novavax Inc COM 670002104 23 222 SH Call SOLE   222 0 0
Nevro Corp COM 64157F103 74 900 SH Put SOLE   900 0 0
ORTHOFIX MED INC COM 68752M108 120 500 SH Call SOLE   500 0 0
ORTHOFIX MED INC COM 68752M108 669 12,738 SH   SOLE   12,738 0 0
Orthopediatrics Corp COM 68752L100 4,075 116,831 SH   SOLE   116,831 0 0
OTONOMY INC COM 68906L105 1,658 896,387 SH   SOLE   896,387 0 0
Puma Biotechnology Inc COM 74587V107 1 88 SH Call SOLE   88 0 0
Portola Pharmaceuticals Inc COM 737010108 976 50,000 SH   SOLE   50,000 0 0
PROQR THRAPEUTICS N V SHS EURO N71542109 1,212 76,827 SH   SOLE   76,827 0 0
Portola Pharmaceuticals Inc COM 737010108 31 62 SH Call SOLE   62 0 0
Portola Pharmaceuticals Inc COM 737010108 9 438 SH Put SOLE   438 0 0
R1 RCM Inc COM 749397105 281 35,283 SH   SOLE   35,283 0 0
RADIUS HEALTH INC COM NEW 750469207 942 57,131 SH   SOLE   57,131 0 0
Rigel Pharmaceuticals Inc COM NEW 766559603 764 332,056 SH   SOLE   332,056 0 0
Sesen Bio Inc COM 817763105 284 200,000 SH   SOLE   200,000 0 0
SYNERGY PHARMACEUTICALS DEL COM NEW 871639308 0 23 SH Call SOLE   23 0 0
SI BONE INC COM 825704109 4,485 214,684 SH   SOLE   214,684 0 0
SIENTRA INC COM 82621J105 145 2,000 SH Put SOLE   2,000 0 0
SIENTRA INC COM 82621J105 78 1,000 SH Put SOLE   1,000 0 0
SIENTRA INC COM 82621J105 180 1,500 SH Put SOLE   1,500 0 0
SIENTRA INC COM 82621J105 390 1,000 SH Put SOLE   1,000 0 0
Syndax Pharmaceuticals Inc COM 87164F105 6 1,107 SH Call SOLE   1,107 0 0
SPDR S&P 500 ETF TR TR UNIT 78462F103 1,105 3,270 SH Put SOLE   3,270 0 0
SPDR S&P 500 ETF TR TR UNIT 78462F103 845 1,650 SH Put SOLE   1,650 0 0
STAAR Surgical Co COM PAR $0.01 852312305 6,326 198,256 SH   SOLE   198,256 0 0
Tandem Diabetes Care Inc COM NEW 875372203 3,680 96,914 SH   SOLE   96,914 0 0
VAPOTHERM INC COM 922107107 2,984 149,554 SH   SOLE   149,554 0 0
VERRICA PHARMACEUTICALS INC COM 92511W108 521 63,916 SH   SOLE   63,916 0 0
ViewRay Inc COM 92672L107 1,680 276,805 SH   SOLE   276,805 0 0
VITAL THERAPIES INC COM 92847R104 3 14,100 SH   SOLE   14,100 0 0
VIVEVE MED INC COM NEW 92852W204 77 73,527 SH   SOLE   73,527 0 0
Vanda Pharmaceuticals Inc COM 921659108 22 344 SH Put SOLE   344 0 0
ViewRay Inc COM 92672L107 8 1,500 SH Call SOLE   1,500 0 0
WRIGHT MED GROUP N V ORD SHS 0.03 PAR N96617118 5,749 211,200 SH   SOLE   211,200 0 0
SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 188 1,500 SH Put SOLE   1,500 0 0
Zogenix Inc COM NEW 98978L204 1,782 48,887 SH   SOLE   48,887 0 0