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, 2003

[ ]    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 November 7, 2003 was 43,478,469.

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

Integrated Surgical Systems, Inc. and Subsidiaries Form 10-QSB For the quarter ended September 30, 2003 Table of Contents Page Part I. Financial Information Item 1. Financial Statements (unaudited) 3 Consolidated Balance Sheet at September 30, 2003 3 Consolidated Statements of Operations for the three months ended September 30, 2003 and 2002 4 Consolidated Statements of Operations for the nine months ended September 30, 2003 and 2002 5 Consolidated Statements of Cash Flows for the nine months ended September 30, 2003 and 2002 6 Notes to Consolidated Financial Statements 7 Item 2. Management's Discussion and Analysis 12 Item 3. Controls and Procedures 16 Part II. Other Information Item 2. Changes in Securities 17 Item 5. Other Information 17 Item 6. Exhibits and Reports on Form 8-K 17 Signature 18 Certifications 19

Part I. Financial Information Item 1. Financial Statements Integrated Surgical Systems, Inc. and Subsidiaries Consolidated Balance Sheet September 30, 2003 (Unaudited) Assets Current assets: Cash $ 75,778 Accounts receivable, less allowance for doubtful accounts of $67,404 666,677 Inventories 1,313,663 Other current assets 221,907 ------------ Total current assets 2,278,025 Property and equipment, net 94,952 Leased equipment, net 99,777 ------------ $ 2,472,754 ============ Liabilities and stockholders' deficit Current liabilities: Accounts payable $ 2,372,786 Accrued payroll and related expense 948,532 Accrued liabilities 391,734 Unearned income 2,814,710 Other current liabilities 432,042 ------------ Total current liabilities 6,959,804 Commitments and contingencies Convertible preferred stock, $0.01 par value, 1,000,000 shares authorized; 218 shares issued and outstanding ($218,496 aggregate liquidation value) 218,496 Stockholders' deficit: Common stock, $0.01 par value, 100,000,000 shares authorized; 43,478,469 shares issued and outstanding 434,785 Additional paid-in capital 61,866,581 Accumulated other comprehensive loss (1,284,769) Accumulated deficit (65,722,143) ------------ Total stockholders' deficit (4,705,546) ------------ $ 2,472,754 ============ See accompanying notes. -3-

Integrated Surgical Systems, Inc. and Subsidiaries Consolidated Statements of Operations (Unaudited) Three months ended September 30, ---------------------------- 2003 2002 ----------- ------------ Net revenue $ 539,406 $ 1,273,104 Cost of revenue 704,710 511,474 ------------ ------------ (165,304) 761,630 Operating expenses: Selling, general and administrative 571,132 730,813 Research and development 454,650 545,732 Amortization of intangibles -- 78,338 ------------ ------------ 1,025,782 1,354,883 ------------ ------------ Operating loss (1,191,086) (593,253) Other income (expense), net: 134,779 (4,071) ------------ ------------ Net loss $ (1,056,307) $ (597,324) ============ ============ Basic and diluted net loss per common share $ (0.02) $ (0.02) ============ ============ Shares used in computing basic and diluted net loss per share 43,478,469 38,719,316 ============ ============ See accompanying notes. -4-

Integrated Surgical Systems, Inc. and Subsidiaries Consolidated Statements of Operations (Unaudited) Nine months ended September 30, ---------------------------- 2003 2002 ------------ ------------ Net revenue $ 5,501,202 $ 2,973,663 Cost of revenue 3,840,847 1,237,324 ------------ ------------ 1,660,355 1,736,339 Operating expenses: Selling, general and administrative 1,942,115 2,406,231 Research and development 1,191,062 1,995,751 Amortization of intangibles -- 497,858 ------------ ------------ 3,133,177 4,899,840 ------------ ------------ Operating loss (1,472,822) (3,163,501) Other income, net: 231,669 155,504 ------------ ------------ Net loss $ (1,241,153) $ (3,007,997) ============ ============ Basic and diluted net loss per common share $ (0.03) $ (0.08) ============ ============ Shares used in computing basic and diluted net loss per share 42,681,766 38,448,332 ============ ============ See accompanying notes. -5-

Integrated Surgical Systems, Inc. and Subsidiaries Consolidated Statements Cash Flows (Unaudited) Nine months ended September 30, -------------------------------- 2003 2002 ----------- ---------- Cash flows from operating activities: Net loss $(1,241,153) $(3,007,997) Adjustments to reconcile net loss to net cash provided by (used in) Operating activities: Depreciation 218,944 231,445 Amortization of intangible assets -- 497,858 Stock compensation, non-employees -- 26,207 Release of note payable related to loan (109,262) -- Changes in operating assets and liabilities: Accounts receivable 912,800 (800,704) Inventories 477,130 30,557 Other current assets 89,533 (28,565) Accounts payable 20,520 52,879 Accrued payroll and related expenses 244,309 62,742 Accrued liabilities 102,909 (69,777) Unearned income (820,690) 2,122,844 Other current liabilities 31,414 (76,980) ----------- ----------- Net cash used in operating activities (73,546) (959,491) Cash flows from investing activities: Principal payments received on sales-type lease -- 44,628 Purchases of property and equipment (17,708) (20,527) Disposals of property and equipment -- 93,438 ----------- ----------- Net cash provided by (used in) investing activities (17,708) 117,539 Cash flows from financing activities: Proceeds from officer advances and deferrals of salaries and unreimbursed travel expenses 483,825 285,445 Payments on officer advances, deferred salaries and unreimbursed travel expenses (295,514) (146,539) ----------- ----------- Net cash provided by financing activities 188,311 138,906 Effect of exchange rate changes on cash (103,348) 30,593 ----------- ----------- Net decrease in cash (6,291) (672,453) Cash at beginning of period 82,069 800,374 ----------- ----------- Cash at end of period $ 75,778 $ 127,921 =========== =========== Supplemental disclosure of non-cash investing activity: Transfer of inventory to leased equipment: -- $ 76,700 Conversion of preferred stock: $ 32,000 -- See accompanying notes. -6-

Integrated Surgical Systems, Inc. and Subsidiaries Notes to Consolidated Financial Statements (unaudited) September 30, 2003 1. Basis of Presentation The accompanying unaudited consolidated financial statements have been prepared in accordance with accounting principles generally accepted in the United States for interim financial information and the instructions to Form 10-QSB. Accordingly, they do not include all of the information and footnotes required by accounting principles generally accepted in the United States for complete financial statements. In the opinion of management, all adjustments (consisting of normal recurring adjustments) considered necessary for a fair presentation have been included. The cash position of Integrated Surgical Systems, Inc. (the "Company") is inadequate and the Company has not yet identified sources of sufficient cash to assure continuing operations. At November 7, 2003, the Company was in violation of certain covenants contained in financing arrangements with vendors. The Company is working to address this shortfall by attempting to negotiate cash advances for undelivered systems, accelerate payment terms of other contracts and obtain new equity investment. However, the Company can offer no assurance that attempts to strengthen cash flows will be successful. Unless the Company can secure sufficient funds on a timely basis to satisfy short-term operating requirements, the Company may have to cease operations or seek bankruptcy protection. The report of the Company's independent auditors on the 2002 audited consolidated financial statements included an explanatory paragraph stating that there is substantial doubt with respect to the Company's ability to continue operating as a going concern. The Company's plan to address this issue - increasing sales of products in existing markets, increasing sales of system upgrades, obtaining new equity investments and reducing operating expenses - can only be realized to the extent that the Company generates sufficient cash flow to meet its obligations. In the event that the Company is unsuccessful, it is possible that the Company will cease operations or seek bankruptcy protection. The 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 on the Company's part to continue as a going concern. Operating results for the nine month period ending September 30, 2003 are not necessarily indicative of the results that may be expected for the year ending December 31, 2003. For further information, refer to the consolidated financial statements and footnotes thereto included in the Company's Annual Report on Form 10-KSB for the year ending December 31, 2002. 2. Contingent Matters On September 30, 2003, the Tribunal de Commerce in Lyon, France (the "Tribunal") placed Integrated Surgical Systems S.A., a wholly-owned subsidiary of the Company organized under the laws of France and operating in France and elsewhere in Europe (the "French subsidiary"), under administration by persons appointed by the Tribunal. The Tribunal acted after a hearing in which the Company and the French subsidiary discussed the ability of the French subsidiary to meet its obligations over the next four months and the Company's unwillingness to further fund the operations of the French subsidiary due to the fact that the French subsidiary has consistently failed to generate sufficient revenues so as to not require funding from the Company. The Tribunal authorized the appointees to manage the French subsidiary during the four month period, including authorization for the transfer of all funds held in the French subsidiary's bank accounts and all monies received by the French subsidiary during the four month -7-

period to a new bank account controlled by the appointees. The Tribunal directed the Company and the French subsidiary to develop plans concerning the future of the French subsidiary. On October 30, 2003, representatives of the Company met with the Tribunal de Commerce in Lyon, France in a scheduled meeting to review the status of the French subsidiary. At this meeting, the Tribunal determined that the French subsidiary is meeting the forecasted goals presented to the Tribunal on September 30, 2003, and scheduled the next review meeting for December 16, 2003. The Company is investigating various options for conducting its European operations in the future rather than having its European operations controlled by the French subsidiary. The Company presently can not determine the ultimate outcome of the proceedings before the Tribunal, the effect of any outcome on the business and financial condition of the Company nor the effect of any of the various options being formulated for conducting its European operations in the future, any of which could have a material adverse impact on the consolidated financial position, cash flows, and results of operations. 3. Stock Based Compensation The Company uses the intrinsic value method in accounting for its employee stock options because, as discussed below, the alternative fair value accounting requires the use of option valuation models that were not developed for use in valuing employee stock options. Under the intrinsic value method, when the exercise price of the Company's employee stock options equals or exceeds the market price of the underlying stock on the date of grant, no compensation expense is recognized. Option valuation models were developed for use in estimating the fair value of traded options that have no vesting restrictions and are fully transferable. In addition, option valuation models require the input of highly subjective assumptions, including the expected life of the option. Because the Company's employee stock options have characteristics significantly different from those of traded options and because changes in the subjective input assumptions can materially affect the fair value estimates, in management's opinion, the existing models do not necessarily provide a reliable single measure of the fair value of its employee stock options. For the three and nine months ending September 30, 2003 and 2002, respectively, the fair value of the Company's stock-based awards to employees was estimated using the following weighted-average assumptions: risk-free interest rates of 3.0% and 3.5%; dividend yield of 0%; volatility factors of the expected market price of the common stock of 0.945 and 0.955; and an expected life of the option of 4 years. The following table sets forth the pro forma net loss of the Company after considering the effect to stock-based employee compensation: Three Months Ended September 30, Nine Months Ended September 30, 2003 2002 2003 2002 ----------- ----------- ----------- ------------ Net loss, as reported $(1,056,307) $ (597,324) $(1,241,153) $(3,007,997) Add: stock-based employee compensation included in reported net loss -- -- -- -- Less: stock-based employee compensation expense, determined under fair value method for all awards (28,700) (9,432) (90,056) (53,513) ----------- ----------- ----------- ----------- Pro forma net loss $(1,085,007) $ (606,756) $(1,331,209) $(3,061,510) =========== =========== =========== =========== Net loss per share: Basic and diluted net loss per share, as reported $ (0.02) $ (0.02) $ (0.03) $ (0.08) =========== =========== =========== =========== Basic and diluted net loss per share, pro forma $ (0.02) $ (0.02) $ (0.03) $ (0.08) =========== =========== =========== =========== -8-

4. Inventories At September 30, 2003, the components of inventories were: Raw materials $ 457,697 Work-in-process 474,497 Finished goods 361,576 Deferred product development contract costs 19,893 ---------- $1,313,663 ========== 5. Note Payable As of June 30, 2003, the Company had an interest free loan from a grant organization for the development of a new neurological system with an outstanding balance of approximately $113,000. If the Company sells either a license for the related technology, the prototype developed, or articles manufactured specifically for the research project, 50% of the revenue must be paid to the grant organization in the subsequent year, up to the balance of the loan amount outstanding. No such sales were recorded during the nine months ending September 30, 2003. In the three months ending September 30, 2003, the Company recognized approximately $109,000 in other income related to the loan being forgiven by the French national agency who initially issued the loan to the Company 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. In August of 2003, the French Agency completed its review of the loan balance and determined that the remaining balance of $109,000 would be forgiven. 6. Warranty The Company offers a one-year warranty for parts and labor on all ROBODOC and NeuroMate systems commencing upon the completion of training and installation, except when the sales contract requires formal customer acceptance. The Company provides for the estimated cost of product warranties at the time revenue is recognized, based on historical results. 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 periodically assesses the adequacy of its recorded warranty liabilities and adjusts the amounts as necessary. Changes in the Company's product liability for warranties included in accrued liabilities during the period are as follows: December 31, 2002 balance $ 8,000 Warranties issued during the period 65,000 Settlements made during the period (19,000) Changes in liability for pre-existing warranties during period, including expirations -- ---------- September 30, 2003 balance $ 54,000 ========== 7. Stockholders' Equity During the three month period ended September 30, 2003, the Company issued no shares of common stock. During the nine month period ended September 30, 2003, 32 shares of convertible preferred stock were converted into 1,500,000 shares of common stock at an average conversion price of $0.021 per share. The issuance of these shares were exempt from the registration requirements of the Securities Act under Sections 3(a)(9) and 4 (2). -9-

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. Employee stock options, warrants and preferred stock to purchase approximately 8,213,000 shares of the Company's common stock for the three months ended September 30, 2003 and 9,219,000 shares of the Company's common stock for the nine months ended September 30, 2003 were outstanding, but were not included in the computation of diluted loss per share because the effect would be anti-dilutive. At September 30, 2003, the Company had outstanding options to purchase 2,541,367 shares of common stock (with exercise prices ranging from $0.025 to $8.50 per share), outstanding warrants to purchase 7,834,159 shares of common stock (with exercise prices from $0.01 to $8.34 per share), and 6,069,333 shares of common stock issuable upon conversion of Series G convertible preferred stock. The exercise price and the ultimate number of shares of common stock issuable upon conversion of the warrants 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, ------------------------------- ------------------------------- 2003 2002 2003 2002 ----------- ----------- ----------- ----------- Net loss $(1,056,307) $ (597,324) $(1,241,153) $(3,007,997) Other comprehensive income (loss): Foreign currency translation (8,587) 19,318 (66,862) 139,964 ----------- ----------- ----------- ----------- Comprehensive loss $(1,064,894) $ (578,006) $(1,308,015) $(2,868,033) =========== =========== =========== =========== 10. Income Taxes The Company recorded no income tax expense during the three and nine month periods ending September 30, 2003 and September 30, 2002. The Company had, at December 31, 2002, a net operating loss carry-forward of approximately $40,544,000 for federal income tax purposes which expires between 2005 and 2022, a net operating loss carryforward of approximately $8,150,000 for state income tax purposes which expires between 2004 and 2012, and a net operating loss carryforward of approximately $1,541,000, for foreign income tax purposes of which approximately $347,000 expires between 2003 and 2007. The Company had, at December 31, 2002, research and development credit carry-forwards of approximately $1,256,000 and $1,017,000 for federal and state income tax purposes, respectively. Under certain provisions of the Internal Revenue Code of 1986, as amended, a portion of the federal net operating loss carry-forward may be subject to an annual utilization limitation as a result of a change in ownership of the Company. 11. Recent Accounting Pronouncements In June 2001, the Financial Accounting Standards Board ("FASB") issued SFAS No. 143, "Accounting for Asset Retirement Obligations," which addresses financial accounting and reporting for obligations associated with the retirement of tangible long-lived assets and associated asset retirement costs. The new rules apply to legal obligations associated with the retirement of long-lived assets -10-

that result from the acquisition, construction, development and (or) normal operation of a long-lived asset. The Company adopted SFAS No. 143 on January 1, 2003, and the adoption did not have an impact on the consolidated financial position, cash flows or results of operations. In May 2003, FASB issued Statement of Financial Accounting Standards No. (SFAS 150), "Accounting for Certain Financial Instruments with Characteristics of Both Liabilities and Equity." SFAS 150 requires certain financial instruments that embody obligations of the issuer and have characteristics of both liabilities and equity to be classified as liabilities. Many of these instruments previously were classified as equity or temporary equity and, as such, SFAS 150 represents a significant change in practice in the accounting for a number of mandatorily redeemable equity instruments and certain equity derivatives that frequently are used in connection with share repurchase programs. SFAS 150 is effective for all financial instruments created or modified after May 31, 2003, and to other instruments at the beginning of the first interim period beginning after June 15, 2003. The adoption of SFAS 150 did not have a material impact on the Company's consolidated financial position, cash flows or results of operations. In January 2003, FASB issued Interpretation Number 46, "Consolidation of Variable Interest Entities" ("FIN 46"). FIN 46 requires that unconsolidated variable interest entities be consolidated by their primary beneficiaries. A primary beneficiary is the party that absorbs a majority of the entity's expected losses or residual benefits. The effective date for FIN 46 was deferred until December 31, 2003. The Company is continuing to assess the impact of FIN 46. In November 2002, the EITF reached a consensus on Issue 00-21, "Multiple-Deliverable Revenue Arrangements" ("EITF 00-21"). EITF 00-21 addresses how to account for arrangements that may involve the delivery or performance of multiple products, services, and/or rights to use assets. The consensus mandates how to identify whether goods or services or both that are to be delivered separately in a bundled sales arrangement should be accounted for separately because they are "separate units of accounting." The guidance can affect the timing of revenue recognition for such arrangements, even though it does not change rules governing the timing or pattern of revenue recognition of individual items accounted for separately. The final consensus will be applicable to agreements entered into in fiscal years beginning after June 15, 2003, with early adoption permitted. Additionally, companies will be permitted to apply the consensus guidance to all existing arrangements as the cumulative effect of a change in accounting principle in accordance with APB Opinion No. 20, "Accounting Changes." The adoption of EITF 00-21 did not have a material impact on the Company's consolidated financial position, cash flows or results of operations. -11-

Item 2. Management's Discussion and Analysis or Plan of Operation Overview The following discussion and analysis relates to the consolidated operations of the Company and should be read in conjunction with the unaudited consolidated financial statements of the Company, including the notes thereto, appearing elsewhere in this report and the Company's audited consolidated financial statement for the year ended December 31, 2002, including notes thereto, contained in the Company Annual Report on Form 10-KSB. The Company designs, manufactures, sells and services image-directed, computer-controlled robotic software and hardware products for use in orthopaedic and neurosurgical procedures. The Company's revenue consists of product revenue, specialized product development revenue and parts and service revenue. Product revenue consists of revenues generated from sales 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 is revenues generated from 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 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. The Company's customers purchase warranty coverage (parts and labor) as well as surgical disposables through annual service and maintenance agreements. The Company's technical staff trains medical professionals in the use of the products and provides field service. Results of Operations For the three months ending September 30, 2003, the Company maintained its fiscal 2003 trend of reduced operating expenses when compared to the three months ending September 30, 2002. Net revenue for the three months ending September 30, 2003 decreased when compared to the three months ending September 30, 2002, resulting in an operating loss of approximately $1,191,000 and net loss of $1,056,000 as compared to an operating loss of $593,000 and net loss of $597,000, respectively, for the prior year's comparable period. In the nine months ending September 30, 2003, net revenue increased and operating expenses were reduced when compared to the nine months ending September 30, 2002, with an operating loss of $1,473,000 and net loss of $1,241,000 as compared to an operating loss of $3,164,000 and net loss of $3,008,000, respectively, for the prior year's comparable period. Net revenue of $539,000 for the three months ending September 30, 2003, decreased approximately 58% or $734,000 when compared to $1,273,000 for the three months ending September 30, 2002. Net revenue of $5,501,000 for the nine months ending September 30, 2003 increased 85% or $2,528,000 when compared to $2,974,000 for the nine months ending September 30, 2002. There can be no assurance that the Company will be able to maintain such revenue levels in future periods. Net revenue for the three month period ending September 30, 2003 includes a product development project completed in the period as compared to one ROBODOC system recognized (in Korea) for the three month period ending September 30, 2002. Net revenue for the nine month period ending September 30, 2003 includes four ROBODOC systems, three NeuroMate systems and two product development -12-

projects recognized as compared to one ROBODOC system and one NeuroMate system recognized for the nine month period ending September 30, 2002. As of September 30, 2003, the Company's unearned income is comprised of one ROBODOC system, undelivered system modules, product development projects and ongoing installed base service contracts. Gross margin decreased from approximately 60% for the three months ending September 30, 2002 to negative 31% for the three months ending September 30, 2003. The decrease was due to the product mix favoring the stronger margins of system parts and service revenue for the three month period ending September 30, 2002 compared to lower margins realized for the three month period ending September 30, 2003 as a result of idle facility costs. Gross margin decreased from 58% for the nine months ending September 30, 2002 to 30% for the nine months ending September 30, 2003 due to the change in product mix favoring the stronger margins of system parts and service revenue for the nine month period ending September 30, 2002 over the lower margins realized in system sales and idle facility costs for the nine month period ending September 30, 2003. Total operating expenses have continued to decline as a result of the Company's cost reduction program. 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, 2003 decreased approximately 22% to $571,000 compared to $731,000 for the three month period ending September 30, 2002. Selling and general administrative expenses for the nine month period ending September 30, 2003 decreased 19% to $1,942,000 from $2,406,000 for the nine month period ending September 30, 2002. The decrease in selling and general administrative expenses was primarily due to decreased staffing and staffing related expenses in the three month period ending September 30, 2003. 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 17% to $455,000 during the three month period ending September 30, 2003 as compared to $546,000 for the three month period ending September 30, 2002. Research and development expenses decreased 40% to $1,191,000 during the nine month period ending September 30, 2003 as compared to $1,996,000 for the nine month period ending September 30, 2002. The decrease in the three month period ending September 30, 2003 is due to decreased staffing and staffing related expenses. The decrease in the nine month period ending September 30, 2003 is due to decreased staffing and staffing related expenses and approximately $125,000 final grant payment received in April 2003 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 September 30, 2003, the Company had received a cumulative total of approximately $1,221,000 in funding from NIST since 1995. All expenses related to the grant have been submitted and paid, thereby closing the grant. Other income, net of approximately $135,000 for the three months ending September 30, 2003 when compared to other loss, net of approximately $4,000 for the three months ending September 30, 2002, changed primarily due to approximately $109,000 recognized in 2003 in other income related to a loan being forgiven by the French national agency who initially issued the loan to the Company 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. Other income, net of approximately $232,000 when compared to other income, net of approximately $156,000 for the nine months ending September 30, 2003 and 2002, respectively, changed due to the loan being forgiven and a favorable currency exchange rate of the Euro related to the Company's business in Europe and one month of sublease rent income related to the Company's Davis, California facility in 2003 compared to a slightly more favorable rate and six months sublease rent income related to the Company's Davis, California facility in 2002. -13-

Critical Accounting Policies and Estimates The Company's discussion and analysis of the financial condition and results of operations are based upon the Company's consolidated financial statements, which have been prepared in accordance with accounting principles generally accepted in the United States. The preparation of these 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 estimates, including those related to bad debts, inventories, warranties, contingencies and litigation. Estimates are based on historical experience and on other assumptions that the Company believes 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. Actual results may differ from these estimates under different assumptions or conditions. The Company believes the following critical accounting policies affect the more significant judgments and estimates used in the preparation of consolidated financial statements: The Company recognizes revenue from sales of systems 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 Company's interpretation of Japanese law, all equipment sales to Japan are recognized after customer acceptance, which generally occurs after the completion of installation and training. Revenue arrangements with multiple elements are divided into separate units of accounting if certain criteria are met, including whether the delivered item has value to the customer on a stand-alone basis and whether there is objective and reliable evidence of the fair value of the undelivered items. The Company uses the residual method to allocate the arrangement consideration. Under the residual method, the amount of consideration allocated to the delivered item equals the total arrangement consideration less the aggregate fair value of the undelivered item. The Company maintains allowances for doubtful accounts for estimated losses resulting from the inability of customers to make required payments. If the financial condition of customers were to deteriorate, resulting in an impairment of their ability to make payments, additional allowances may be required. The Company offers a one-year warranty for parts and labor on all ROBODOC and NeuroMate systems commencing upon the completion of training and installation, except when the sales contract requires formal customer acceptance. The Company provides for the estimated cost of product warranties at the time revenue is recognized, based on historical results. 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 periodically assesses the adequacy of its recorded warranty liabilities and adjusts the amounts as necessary. It is Company policy to write 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 projected, additional inventory write-downs may be required. Property, plant and equipment and intangible assets are amortized over their useful lives. Useful lives are based on estimates of the period that the assets will generate revenue. Property and equipment and intangible assets are reviewed for impairment whenever events or changes in circumstances indicate that the carrying amount of an asset may not be recoverable. -14-

Liquidity and Capital Resources The cash position of the Company is inadequate and the Company has not yet identified sources of sufficient cash to assure continuing operations. At September 30, 2003, the Company had a working capital deficit of $4,681,779. At November 7, 2003, the Company was in violation of certain covenants contained in financing arrangements with vendors. The Company is working to address this shortfall by attempting to negotiate cash advances for undelivered systems, accelerate payment terms of other contracts and obtain new equity investment. However, the Company can offer no assurance that attempts to strengthen cash flows will be successful. Unless the Company can secure sufficient funds on a timely basis to satisfy short-term operating requirements, the Company may have to cease operations or seek bankruptcy protection. The report of the Company's independent auditors on the Company's 2002 audited consolidated financial statements included an explanatory paragraph stating that there is substantial doubt with respect to the Company's ability to continue operating as a going concern. The Company's plan to address this issue - increasing sales of the Company's products in existing markets, increasing sales of system upgrades and reducing operating expenses - can only be realized to the extent that the Company can generate sufficient cash to meet obligations. In the event that the Company is unsuccessful, it is possible that the Company will cease operations or seek bankruptcy protection. The 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 on the Company's part to continue as a going concern. At September 30, 2003 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 .11. 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 2003. Net cash used in operating activities was approximately $74,000 for the nine months ended September 30, 2003. This primarily resulted from a decrease in accounts receivable of $913,000, a decrease in inventory of $477,000, an increase of $265,000 in accounts payable and accrued payroll and related expenses, offset primarily by the net loss for this period and a decrease in unearned income of $821,000. The increase in accounts payable and accrued payroll is directly related to delayed vendor payments and deferred payments to employees. The Company expects to derive most of the cash required to support operations through continued sales of the ROBODOC and NeuroMate Systems. Continued conversion of the inventory balance into cash, as well as collection of the account receivables, is critical to the Company's survival in 2003. At September 30, 2003, the Company had amounts due to the executive officers of the Company of approximately $571,000, in the aggregate, in the form of an interest bearing advance, deferred salaries and unreimbursed travel expenses. Of such amounts, $160,000, $263,000 and $60,000 are included in accrued payroll and related expense, accounts payable and accrued liabilities, respectively, due to Ramesh C. Trivedi, president and chief executive officer of the Company; $35,000, $19,000 and $4,000 are included in accrued payroll and related expense, accounts payable and accrued liabilities, respectively, due to Leland Witherspoon, vice president of engineering of the Company; $20,000, $6,000 and $4,000 are included in accrued payroll and related expense, accounts payable and accrued liabilities, respectively, due to Charles J. Novak, chief financial officer of the Company. -15-

On September 30, 2003, the Tribunal de Commerce in Lyon, France (the "Tribunal") placed Integrated Surgical Systems S.A., a wholly-owned subsidiary of the Company organized under the laws of France and operating in France and elsewhere in Europe (the "French subsidiary"), under administration by persons appointed by the Tribunal. The Tribunal acted after a hearing in which the Company and the French subsidiary discussed the ability of the French subsidiary to meet its obligations over the next four months and the Company's unwillingness to further fund the operations of the French subsidiary due to the fact that the French subsidiary has consistently failed to generate sufficient revenues so as to not require funding from the Company. The Tribunal authorized the appointees to manage the French subsidiary during the four month period, including authorization for the transfer of all funds held in the French subsidiary's bank accounts and all monies received by the French subsidiary during the four month period to a new bank account controlled by the appointees. The Tribunal directed the Company and the French subsidiary to develop plans concerning the future of the French subsidiary. On October 30, 2003, representatives of the Company met with the Tribunal de Commerce in Lyon, France in a scheduled meeting to review the status of the French subsidiary. At this meeting, the Tribunal determined that the French subsidiary is meeting the forecasted goals presented to the Tribunal on September 30, 2003, and scheduled the next review meeting for December 16, 2003. The Company is investigating various options for conducting its European operations in the future rather than having its European operations controlled by the French subsidiary. The Company presently can not determine the ultimate outcome of the proceedings before the Tribunal, the effect of any outcome on the business and financial condition of the Company nor the effect of any of the various options being formulated for conducting its European operations in the future. Although the consequences are unknown at this time, if a liquidation of the subsidiary is required, it could have a material adverse impact on the Company's financial position, results of operations, or cash flows. On November 7, 2003 there were 43.5 million shares of common stock outstanding, trading in the over-the-counter market at $0.060 per share, giving the Company a market capitalization of $2.6 million. It is not likely, therefore, that the Company will be able to raise significant funds in the equity markets. The Company has the following contractual obligations and commercial commitments at September 30, 2003: Total < 1 year 1-3 years ----- -------- --------- Facility operating leases $ 757,000 $509,000 $248,000 Equipment operating leases $ 16,000 $ 16,000 $ -- For further information, readers are referred to the Management's Discussion and Analysis section included in the Company's Annual Report on Form 10-KSB for the year ending December 31, 2002. Item 3. Controls and Procedures The Company's management, including the Company's Chief Executive Officer and Chief Financial Officer, evaluated the effectiveness of the design of the Company's disclosure controls and procedures, as defined in Exchange Act Rules 13a-15(e) and 15d-15(e), as of the end of the period covered by this report. Based on that evaluation, the Chief Executive Officer and the Chief Financial Officer concluded that the Company's disclosure controls and procedures were effective, in all material respects, to ensure that the information required to be disclosed in the reports the Company files and submits under the Exchange Act is recorded, processed, summarized and reported as and when required. There have been no significant changes (including corrective actions with regards to significant deficiencies and material weaknesses) in the Company's internal controls or in other factors subsequent to the date the Company carried out its evaluation that could significantly affect these controls. -16-

Part II. Other Information Item 2. Changes in Securities During the second quarter of 2003, the Company issued a total of 1,500,000 shares of common stock to an accredited investor upon conversion of preferred stock. The issuance and sale of these shares were exempt from the registration requirements of the Securities Act under Sections 3(a)(9) and 4 (2). Item 5. Other Information On September 30, 2003, the Tribunal de Commerce in Lyon, France (the "Tribunal") placed Integrated Surgical Systems S.A., a wholly-owned subsidiary of the Company organized under the laws of France and operating in France and elsewhere in Europe (the "French subsidiary"), under administration by persons appointed by the Tribunal. The Tribunal acted after a hearing in which the Company and the French subsidiary discussed the ability of the French subsidiary to meet its obligations over the next four months and the Company's unwillingness to further fund the operations of the French subsidiary due to the fact that the French subsidiary has consistently failed to generate sufficient revenues so as to not require funding from the Company. The Tribunal authorized the appointees to manage the French subsidiary during the four month period, including authorization for the transfer of all funds held in the French subsidiary's bank accounts and all monies received by the French subsidiary during the four month period to a new bank account controlled by the appointees. The Tribunal directed the Company and the French subsidiary to develop plans concerning the future of the French subsidiary. On October 30, 2003, representatives of the Company met with the Tribunal de Commerce in Lyon, France in a scheduled meeting to review the status of the French subsidiary. At this meeting, the Tribunal determined that the French subsidiary is meeting the forecasted goals presented to the Tribunal on September 30, 2003, and scheduled the next review meeting for December 16, 2003. The Company is investigating various options for conducting its European operations in the future rather than having its European operations controlled by the French subsidiary. The Company presently can not determine the ultimate outcome of the proceedings before the Tribunal, the effect of any outcome on the business and financial condition of the Company nor the effect of any of the various options being formulated for conducting its European operations in the future. Item 6. Exhibits and Reports on Form 8-K (a)Exhibits 31.1 Certification of Ramesh C. Trivedi, pursuant to Exchange Act Rule 13(a)-14(a). 31.2 Certification of Charles J. Novak, pursuant to Exchange Act Rule 13(a)-14(a). 32.1 Certification of Ramesh C. Trivedi, pursuant to Exchange Act Rule 13(a)-14(b). 32.2 Certification of Charles J. Novak, pursuant to Exchange Act Rule 13(a)-14(b). (b)Reports on Form 8-K On October 10, 2003, the Company filed a Current Report Form 8-K (Date of Report: September 30, 2003) concerning the placement of its wholly-owned subsidiary in France, ISS S.A., under administration of the Tribunal de Commerce in Lyon, France. -17-

SIGNATURE In accordance with Section 13 or 15(d) of the Securities Exchange Act of 1934, 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: November 12, 2003 (Duly Authorized Officer) -18-


                                                                    EXHIBIT 31.1


     I, Ramesh C. Trivedi, certify that:

     1. I have reviewed this Quarterly Report on Form 10-QSB of Integrated
Surgical Systems, Inc. for the quarter ended September 30, 2003;

     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 registrant as
of, and for, the periods presented in this report;

     4. The small business issuer's other certifying officer 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 issuer 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 conclusions
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 the 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 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 small business issuer's board of directors (or persons performing
the equivalent functions):

          (a) All significant deficiencies and material weaknesses 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 small business issuer's
internal control over financial reporting.



         Date: November 12, 2003                    /s/  RAMESH C. TRIVEDI
                                                    ----------------------------
                                                    Ramesh C. Trivedi
                                                    Principal Executive Officer








                                                                    EXHIBIT 31.2


     I, Charles J. Novak, certify that:

     1. I have reviewed this Quarterly Report on Form 10-QSB of Integrated
Surgical Systems, Inc. for the quarter ended September 30, 2003;

     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 registrant as
of, and for, the periods presented in this report;

     4. The small business issuer's other certifying officer 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 issuer 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 conclusions
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 the 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 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 small business issuer's board of directors (or persons performing
the equivalent functions):

          (a) All significant deficiencies and material weaknesses 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 small business issuer's
internal control over financial reporting.



         Date: November 12, 2003      /s/  CHARLES J. NOVAK
                                      ------------------------------------------
                                      Charles J. Novak
                                      Principal Financial and Accounting Officer









                                                                    EXHIBIT 32.1

                  STATEMENT PURSUANT TO 18 U.S.C. SECTION 1350,


                             AS ADOPTED PURSUANT TO


                  SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002


     I, Ramesh C. Trivedi, Chief Executive Officer and President of Integrated
Surgical Systems, Inc. (the "Company"), 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 Company's Quarterly Report on Form 10-QSB for the quarterly period
ended June 30, 2003 (the "Report"), which this statement accompanies, fully
complies with the requirements of Section 13(a) or 15(d) of the Securities
Exchange Act of 1934; and

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


Dated: August 8, 2003                    /s/ Ramesh C. Trivedi
                                         ---------------------------------------
                                         Ramesh C. Trivedi
                                         Chief Executive Officer and President



                                      -20-

                                                                    EXHIBIT 32.2


                  STATEMENT PURSUANT TO 18 U.S.C. SECTION 1350,


                             AS ADOPTED PURSUANT TO


                  SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002


     I, Charles J. Novak, Chief Financial Officer of Integrated Surgical
Systems, Inc. (the "Company"), 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 Company's Quarterly Report on Form 10-QSB for the quarterly period
ended September 30, 2003 (the "Report"), which this statement accompanies, fully
complies with the requirements of Section 13(a) or 15(d) of the Securities
Exchange Act of 1934; and

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


Dated: November 12, 2003                 /s/ Charles J. Novak
                                        ----------------------------------------
                                             Charles J. Novak
                                             Chief Financial Officer