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
10X GENOMICS INC CL A COM 88025U109 4,536 90,000 SH   SOLE   90,000 0 0
ACHILLION PHARMACEUTICALS IN COM 00448Q201 2,040 566,600 SH   SOLE   566,600 0 0
ADVERUM BIOTECHNOLOGIES INC COM 00773U108 545 100,000 SH   SOLE   100,000 0 0
AILERON THERAPEUTICS INC COM 00887A105 91 135,548 SH   SOLE   135,548 0 0
ALEXION PHARMACEUTICALS INC COM 015351109 5,142 52,500 SH   SOLE   52,500 0 0
ALLERGAN PLC SHS G0177J108 11,294 67,109 SH   SOLE   67,109 0 0
ALNYLAM PHARMACEUTICALS INC COM 02043Q107 34 420 SH   SOLE   420 0 0
AMGEN INC COM 031162100 593 1,000 SH Call SOLE   1,000 0 0
APYX MED CORP COM 03837C106 2,883 425,872 SH   SOLE   425,872 0 0
ARDELYX INC COM 039697107 658 140,085 SH   SOLE   140,085 0 0
ARVINAS INC COM 04335A105 1,384 64,209 SH   SOLE   64,209 0 0
AVADEL PHARMACEUTICALS PLC SPONSORED ADR 05337M104 505 121,435 SH   SOLE   121,435 0 0
AXSOME THERAPEUTICS INC COM 05464T104 1,184 58,519 SH   SOLE   58,519 0 0
BAXTER INTL INC COM 071813109 5,248 60,000 SH   SOLE   60,000 0 0
BEYOND MEAT INC COM 08862E109 163 100 SH Put SOLE   100 0 0
BEYOND MEAT INC COM 08862E109 114 75 SH Put SOLE   75 0 0
BIODELIVERY SCIENCES INTL IN COM 09060J106 2,169 515,111 SH   SOLE   515,111 0 0
BIOHAVEN PHARMACTL HLDG CO L COM G11196105 1,669 40,000 SH   SOLE   40,000 0 0
BIOHAVEN PHARMACTL HLDG CO L COM G11196105 1,380 3,000 SH Call SOLE   3,000 0 0
SPINNAKER ETF SERIES CANNABIS ETF 84858T400 33 1,000 SH Put SOLE   1,000 0 0
CANOPY GROWTH CORP COM 138035100 289 2,750 SH Put SOLE   2,750 0 0
CANTEL MEDICAL CORP COM 138098108 101 250 SH Put SOLE   250 0 0
CASTLE BIOSCIENCES INC COM 14843C105 2,383 131,718 SH   SOLE   131,718 0 0
CLOVIS ONCOLOGY INC COM 189464100 0 99 SH   SOLE   99 0 0
COHERUS BIOSCIENCES INC COM 19249H103 1,013 50,000 SH   SOLE   50,000 0 0
COHERUS BIOSCIENCES INC COM 19249H103 290 4,000 SH Call SOLE   4,000 0 0
CONMED CORP COM 207410101 4,567 47,500 SH   SOLE   47,500 0 0
CYMABAY THERAPEUTICS INC COM 23257D103 165 3,000 SH Call SOLE   3,000 0 0
CYTOKINETICS INC COM NEW 23282W605 2,141 188,096 SH   SOLE   188,096 0 0
DECIPHERA PHARMACEUTICALS IN COM 24344T101 1,392 41,000 SH   SOLE   41,000 0 0
DEXCOM INC COM 252131107 6,716 45,000 SH   SOLE   45,000 0 0
ENDO INTL PLC SHS G30401106 30 2,000 SH Call SOLE   2,000 0 0
ESTABLISHMENT LABS HLDGS INC COM G31249108 14,091 745,163 SH   SOLE   745,163 0 0
ETF MANAGERS TR ETFMG ALTR HRVST 26924G508 1,250 5,000 SH Put SOLE   5,000 0 0
ETF MANAGERS TR ETFMG ALTR HRVST 26924G508 200 2,000 SH Put SOLE   2,000 0 0
FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH 33734X143 388 2,500 SH Put SOLE   2,500 0 0
FLUIDIGM CORP DEL COM 34385P108 2,315 500,000 SH   SOLE   500,000 0 0
FLUIDIGM CORP DEL COM 34385P108 28 1,500 SH Call SOLE   1,500 0 0
FLUIDIGM CORP DEL COM 34385P108 41 750 SH Call SOLE   750 0 0
FLUIDIGM CORP DEL COM 34385P108 25 750 SH Call SOLE   750 0 0
GILEAD SCIENCES INC COM 375558103 9,507 150,000 SH   SOLE   150,000 0 0
GREENLANE HLDGS INC CL A 395330103 4,129 1,217,890 SH   SOLE   1,217,890 0 0
GRIFOLS S A SP ADR REP B NVT 398438408 9,944 496,201 SH   SOLE   496,201 0 0
GW PHARMACEUTICALS PLC ADS 36197T103 3,451 30,000 SH   SOLE   30,000 0 0
SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 215 1,500 SH Put SOLE   1,500 0 0
SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 166 1,000 SH Put SOLE   1,000 0 0
HEALTH SCIENCES ACQUSTN CORP UNIT 04/01/2024 42227C201 1,610 150,000 SH   SOLE   150,000 0 0
ICU MED INC COM 44930G107 14,763 92,500 SH   SOLE   92,500 0 0
ICU MED INC COM 44930G107 45 75 SH Call SOLE   75 0 0
ICU MED INC COM 44930G107 255 200 SH Call SOLE   200 0 0
ILLUMINA INC COM 452327109 146 100 SH Call SOLE   100 0 0
ILLUMINA INC COM 452327109 372 200 SH Call SOLE   200 0 0
INOVALON HLDGS INC COM CL A 45781D101 1,229 75,000 SH   SOLE   75,000 0 0
INOVALON HLDGS INC COM CL A 45781D101 60 2,000 SH Call SOLE   2,000 0 0
INOVALON HLDGS INC COM CL A 45781D101 83 1,000 SH Call SOLE   1,000 0 0
INSPIRE MED SYS INC COM 457730109 21,827 357,700 SH   SOLE   357,700 0 0
INSPIRE MED SYS INC COM 457730109 293 750 SH Call SOLE   750 0 0
INSPIRE MED SYS INC COM 457730109 425 2,000 SH Call SOLE   2,000 0 0
INTERSECT ENT INC COM 46071F103 11,397 670,000 SH   SOLE   670,000 0 0
INTERSECT ENT INC COM 46071F103 128 1,000 SH Call SOLE   1,000 0 0
INTERSECT ENT INC COM 46071F103 31 500 SH Call SOLE   500 0 0
INTERSECT ENT INC COM 46071F103 3 500 SH Call SOLE   500 0 0
INTERSECT ENT INC COM 46071F103 293 1,500 SH Call SOLE   1,500 0 0
INTERSECT ENT INC COM 46071F103 478 4,250 SH Call SOLE   4,250 0 0
INTRA CELLULAR THERAPIES INC COM 46116X101 815 109,130 SH   SOLE   109,130 0 0
INVACARE CORP COM 461203101 6,149 819,874 SH   SOLE   819,874 0 0
INVACARE CORP COM 461203101 55 1,000 SH Call SOLE   1,000 0 0
INVACARE CORP COM 461203101 330 3,000 SH Call SOLE   3,000 0 0
ISHARES TR NASDAQ BIOTECH 464287556 5 1,092 SH Call SOLE   1,092 0 0
ISHARES TR RUSSELL 2000 ETF 464287655 438 1,250 SH Put SOLE   1,250 0 0
KALA PHARMACEUTICALS INC COM 483119103 1,266 332,831 SH   SOLE   332,831 0 0
KALA PHARMACEUTICALS INC COM 483119103 8 137 SH Put SOLE   137 0 0
MASIMO CORP COM 574795100 2,991 20,099 SH   SOLE   20,099 0 0
MIRATI THERAPEUTICS INC COM 60468T105 48 500 SH Call SOLE   500 0 0
MISONIX INC COM 604871103 1,882 93,645 SH   SOLE   93,645 0 0
NANOSTRING TECHNOLOGIES INC COM 63009R109 18,865 873,800 SH   SOLE   873,800 0 0
NANOSTRING TECHNOLOGIES INC COM 63009R109 188 1,000 SH Call SOLE   1,000 0 0
NANOSTRING TECHNOLOGIES INC COM 63009R109 322 2,100 SH Call SOLE   2,100 0 0
NANOSTRING TECHNOLOGIES INC COM 63009R109 315 3,500 SH Call SOLE   3,500 0 0
NANOSTRING TECHNOLOGIES INC COM 63009R109 37 500 SH Call SOLE   500 0 0
NATERA INC COM 632307104 984 30,000 SH   SOLE   30,000 0 0
NOVAVAX INC COM NEW 670002401 8 3,034 SH Call SOLE   3,034 0 0
NOVAVAX INC COM NEW 670002401 1 244 SH Call SOLE   244 0 0
OCUGEN INC COM 67577C105 11 3,703 SH   SOLE   3,703 0 0
ORTHOPEDIATRICS CORP COM 68752L100 6,082 172,500 SH   SOLE   172,500 0 0
OTONOMY INC COM 68906L105 2,374 993,463 SH   SOLE   993,463 0 0
PROTALIX BIOTHERAPEUTICS INC COM 74365A101 333 1,624,456 SH   SOLE   1,624,456 0 0
QUOTIENT LTD SHS G73268107 4,391 565,094 SH   SOLE   565,094 0 0
R1 RCM INC COM 749397105 6,761 757,139 SH   SOLE   757,139 0 0
R1 RCM INC COM 749397105 35 3,500 SH Call SOLE   3,500 0 0
RA MED SYS INC COM 74933X104 6 4,259 SH   SOLE   4,259 0 0
REGENERON PHARMACEUTICALS COM 75886F107 11,096 40,000 SH   SOLE   40,000 0 0
REGENERON PHARMACEUTICALS COM 75886F107 50 300 SH Call SOLE   300 0 0
REGENERON PHARMACEUTICALS COM 75886F107 70 200 SH Call SOLE   200 0 0
SAGE THERAPEUTICS INC COM 78667J108 60 100 SH Call SOLE   100 0 0
SAREPTA THERAPEUTICS INC COM 803607100 4,415 1,000 SH Put SOLE   1,000 0 0
SMITH & NEPHEW PLC SPDN ADR NEW 83175M205 8,663 180,000 SH   SOLE   180,000 0 0
SMITH & NEPHEW PLC SPDN ADR NEW 83175M205 250 650 SH Call SOLE   650 0 0
SMITH & NEPHEW PLC SPDN ADR NEW 83175M205 435 2,000 SH Call SOLE   2,000 0 0
SPDR SERIES TRUST S&P BIOTECH 78464A870 278 1,500 SH Put SOLE   1,500 0 0
SPECTRUM PHARMACEUTICALS INC COM 84763A108 675 5,000 SH Put SOLE   5,000 0 0
STAAR SURGICAL CO COM PAR $0.01 852312305 12,993 504,012 SH   SOLE   504,012 0 0
STAAR SURGICAL CO COM PAR $0.01 852312305 245 1,000 SH Call SOLE   1,000 0 0
STAAR SURGICAL CO COM PAR $0.01 852312305 16 250 SH Call SOLE   250 0 0
STAAR SURGICAL CO COM PAR $0.01 852312305 53 1,062 SH Call SOLE   1,062 0 0
STEMLINE THERAPEUTICS INC COM 85858C107 1,379 132,422 SH   SOLE   132,422 0 0
SUNESIS PHARMACEUTICALS INC COM 867328700 21 915 SH Call SOLE   915 0 0
SUPERNUS PHARMACEUTICALS INC COM 868459108 288 1,000 SH Put SOLE   1,000 0 0
TANDEM DIABETES CARE INC COM NEW 875372203 2,359 40,000 SH   SOLE   40,000 0 0
TG THERAPEUTICS INC COM 88322Q108 1,992 354,719 SH   SOLE   354,719 0 0
MEDICINES CO COM 584688105 670 1,000 SH Call SOLE   1,000 0 0
UNIQURE NV SHS N90064101 590 15,000 SH   SOLE   15,000 0 0
UNITED THERAPEUTICS CORP DEL COM 91307C102 3,110 39,000 SH   SOLE   39,000 0 0
UNITEDHEALTH GROUP INC COM 91324P102 26 300 SH Put SOLE   300 0 0
UROVANT SCIENCES LTD SHS G9381B108 71 7,505 SH   SOLE   7,505 0 0
VIEWRAY INC COM 92672L107 2,131 734,994 SH   SOLE   734,994 0 0
VIEWRAY INC COM 92672L107 1,054 21,000 SH Call SOLE   21,000 0 0
VIEWRAY INC COM 92672L107 41 1,500 SH Call SOLE   1,500 0 0
VIVEVE MED INC COM 92852W303 3 735 SH   SOLE   735 0 0
WATERS CORP COM 941848103 13 500 SH Call SOLE   500 0 0
WRIGHT MED GROUP N V ORD SHS N96617118 188 1,500 SH Call SOLE   1,500 0 0
ZIMMER BIOMET HLDGS INC COM 98956P102 16,121 117,442 SH   SOLE   117,442 0 0
ZIMMER BIOMET HLDGS INC COM 98956P102 145 1,000 SH Call SOLE   1,000 0 0
ZYMEWORKS INC COM 98985W102 1,240 50,000 SH   SOLE   50,000 0 0