−Removed: Diagnostics, Inc.
−Removed: (“Bluejay”) is a medical diagnostics company focused on improving patient outcomes in critical care
−Removed: We are working on developing rapid tests using whole blood on our Symphony technology platform (“Symphony”),
−Removed: which consists of an analyzer and single-use cartridges.
+Added: Bluejay Diagnostics, Inc.
+Added: is a medical diagnostics company focused on improving patient outcomes in critical care settings, with a focus on sepsis.
+Added: We are working
+Added: on developing rapid, near-patient tests using whole blood on our Symphony technology platform (“Symphony”), which consists
+Added: of an analyzer and single-use protein detection cartridges.
We do not yet have regulatory clearance for Symphony, and we will need to
receive regulatory authorization from the U.S.
−Removed: Food and Drug Administration (the “FDA”) to be marketed as a diagnostic
−Removed: product in the United States.
−Removed: We have completed the development of the Symphony analyzer.
−Removed: We are currently preparing to transfer
−Removed: the intellectual property underlying the production of the Symphony cartridges from the original developer and outside supplier,
−Removed: Toray Industries, to an in-house facility.
−Removed: We are also beginning the process of redeveloping aspects of the Symphony cartridges to
−Removed: address several technical challenges to bring Symphony to a level consistent with necessary performance and quality requirements.
−Removed: After redevelopment, we plan to transfer manufacturing of the Symphony cartridges to a Contract Manufacturing Organization
−Removed: (“CMO”) to manufacture the Symphony cartridges.
+Added: Food and Drug Administration (the “FDA”) before Symphony can be marketed as
+Added: a diagnostic product in the United States.
+Added: We have completed the pre-clinical development of the Symphony analyzer.
+Added: During 2026, we transferred
+Added: the knowledge, technology and process underlying the production of the Symphony cartridges from the original developer and outside supplier,
+Added: Toray Industries, to a contract manufacturing facility with FDA certification run by Sanyoseiko.
+Added: We are also working with Sanyoseiko to
+Added: modify the manufacturing process of the Symphony cartridges to address certain technical issues to bring Symphony to a level consistent
+Added: with necessary performance and quality requirements for regulatory submission.
To achieve our plan, we expect to need to raise at least
−Removed: million of capital between the second quarter of 2025 and the end of the 2027 fiscal year, which we hope to do in various tranches
−Removed: during this time period.
−Removed: Our current plan, subject to achieving necessary financing, is to begin testing of samples we are
−Removed: collecting as part of our ongoing SYMON-II clinical trial in mid-2027, with a goal of being in position to submit a 510(k)
−Removed: regulatory application to the FDA in the fourth quarter of 2027, with an objective of achieving FDA approval as early as the third
−Removed: quarter of 2028.
−Removed: Symphony platform is a combination of Bluejay’s intellectual property (“IP”) and exclusively licensed and patented
−Removed: IP on the Symphony technology that we believe, if cleared, authorized, or approved by the FDA, can provide a solution to a significant
−Removed: market need in the United States.
−Removed: The Symphony device is designed to produce laboratory-quality results in 20 minutes in critical care
−Removed: settings, including Intensive Care Units (“ICUs”) and Emergency Rooms (“ERs”), where rapid and reliable results
−Removed: are required.
−Removed: first product candidate, the Symphony IL-6 test, is an immunoassay for the measurement of interleukin-6 (IL-6) to be used for the monitoring
−Removed: of disease progression in critical care settings.
+Added: $20 million of further capital by the end of the 2027 fiscal year, which we hope to do in various tranches.
+Added: Our Symphony platform is a combination of Bluejay’s
+Added: intellectual property (“IP”) and exclusively licensed and patented IP on the Symphony technology that we believe, if cleared,
+Added: authorized, or approved by the FDA, could provide a solution to a significant market need in the United States.
+Added: The Symphony device candidate
+Added: is designed to produce laboratory-quality results in approximately 20 minutes in critical care settings, including Intensive Care Units
+Added: (“ICUs”) and Emergency Rooms (“ERs”), where rapid and reliable results are required.
+Added: Our first product candidate, the Symphony IL-6
+Added: test, is an immunoassay for the measurement of interleukin-6 (IL-6) to be used for the monitoring of disease progression in critical care
We are currently focused on pursuing the Symphony IL-6 test in the context of sepsis.
−Removed: IL-6 is a clinically established inflammatory biomarker, and is considered a ‘first-responder,’ for assessment of severity
−Removed: of infection and inflammation across many disease indications, including sepsis.
−Removed: A current challenge of healthcare professionals is the
−Removed: excessive time and cost associated determining a patient’s level of severity at triage and we believe that our Symphony IL-6 test,
−Removed: if ultimately successful and approved, could have the ability to consistently monitor this critical care biomarker with rapid results.
−Removed: we succeed with the foregoing plan, in the future we hope to develop additional tests for Symphony, including tests for myocardial infraction
−Removed: and congestive heart failure (cardiac biomarkers hsTNT and NT pro-BNP) as well as other tests using the Symphony platform.
−Removed: the future, we also hope to explore new products to support our biomarker detection program.
−Removed: Furthermore, we intend to explore strategic
−Removed: opportunities around our pending IP on clinical utilities of IL-6 and the specimen biobanks generated from our SYMON I and SYMON II clinical
−Removed: operations to date have been funded primarily through the proceeds of (i) our initial public offering (the “IPO”) on November
−Removed: 2021 (the “IPO Date”), (ii) the registered direct offering of common stock and concurrent private placement of warrants that
−Removed: we completed on August 28, 2023, (iii) the public offering of common stock and warrants that we completed on January 2, 2024, and (iv)
−Removed: the public offering of common stock and warrants that we completed on June 20, 2024.
−Removed: Since inception, our operations have resulted in
−Removed: accumulated deficit of approximately $34.7 million, and for the fiscal year ended December 31, 2024, we incurred operating losses of
−Removed: approximately $7.2 million.
−Removed: As described above and elsewhere herein, we expect to need a material amount of additional funding to finance
−Removed: our operations during the next several years and ultimately commercialize our products, and we do not currently expect to have any sources
−Removed: of revenue during this period.
−Removed: were incorporated under the laws of Delaware on March 20, 2015.
+Added: IL-6 is a clinically established inflammatory
+Added: biomarker, and is considered a ‘first-responder’ for assessment of severity of infection and inflammation across many disease
+Added: indications, including sepsis.
+Added: A current challenge of healthcare professionals is the excessive time and cost associated with determining
+Added: a patient’s level of severity at triage and we believe that our Symphony IL-6 test, if ultimately successful and approved, could
+Added: have the ability to consistently monitor this critical care biomarker with rapid results.
+Added: We are currently enrolling patients in our SYMON-II
+Added: pivotal clinical trial, which is designed to validate findings from our SYMON-I pilot study.
+Added: The trial aims to assess the predictive performance
+Added: of IL-6 levels in ICU patients for 28-day all-cause mortality.
+Added: As of the date of this filing, we have enrolled approximately 583 hospital
+Added: patients among a target of 750 patients, and we have collected, frozen and biobanked blood samples from the enrolled patients, while also
+Added: obtaining all related patient data regarding their disease progression and outcomes.
+Added: We expect to complete patient enrollment in the study
+Added: in the summer of 2026.
+Added: We are not yet testing the samples because we are simultaneously working with Sanyoseiko to manufacture the cartridges
+Added: that will be used in the test, and these cartridges are still being manufactured and verified to ensure that they meet FDA requirements
+Added: for submission and commercial production.
+Added: Our goal is to produce and verify these cartridges during 2026 and be in position to analyze
+Added: the blood samples using our Symphony IL-6 test in the third quarter of 2026, with a goal of being in position to submit a 510(k) regulatory
+Added: application to the FDA in 2027 and an objective of achieving FDA clearance thereafter.
+Added: If we succeed with the foregoing plan, in the
+Added: future we hope to develop additional tests for Symphony, including tests for myocardial infarction and congestive heart failure (cardiac
+Added: biomarkers hsTNT and NT pro-BNP) as well as other tests using the Symphony platform.
+Added: In the future, we also hope to explore new products
+Added: to support our biomarker detection program.
+Added: Furthermore, we intend to explore strategic opportunities around our pending IP on clinical
+Added: utilities of IL-6 and the specimen biobanks generated from our SYMON I and SYMON II clinical studies.
+Added: Our operations to date have been funded primarily
+Added: through the proceeds of (i) our initial public offering (the “IPO”) in November 2021, (ii) the registered direct offering
+Added: of common stock and concurrent private placement of warrants that we completed in August 2023, (iii) the public offering of common stock
+Added: and warrants that we completed in January 2024, (iv) the public offering of common stock and warrants that we completed in June 2024,
+Added: (v) the warrant inducement and private placement transaction of common stock and warrants that we completed in April 2025 and (vi) the
+Added: private placement of common stock and warrants that we completed in October 2025.
+Added: Since inception, our operations have resulted in accumulated
+Added: deficit of approximately $41.5 million, and for the fiscal year ended December 31, 2025, we incurred operating losses of approximately
+Added: $6.8 million.
+Added: As described above and elsewhere herein, we expect to need a material amount of additional funding to finance our operations
+Added: during the next several years and ultimately commercialize our products, and we do not currently expect to have any sources of revenue
+Added: during this period.
+Added: We were incorporated under the laws of Delaware
+Added: on March 20, 2015.
Our headquarters is located in Acton, Massachusetts.
−Removed: June 4, 2021, Bluejay formed Bluejay Spinco, LLC, a wholly owned subsidiary, for purposes of further development of our ALLEREYE diagnostic
−Removed: ALLEREYE is a point-of-care device offering healthcare providers a solution for diagnosing Allergic Conjunctivitis.
−Removed: Symphony platform is designed to address a subset of the global in vitro diagnostics devices (“IVDs”) market, with
−Removed: a focus on targeting critical care markets where physicians must quickly determine patient acuity to identify optimal treatment regimens.
−Removed: We are currently focused on our initial biomarker test, Symphony IL-6 test, in the context of the evaluation of the risk of mortality
−Removed: due to sepsis.
−Removed: We hope in the future to also explore the potential for adding new biomarker tests to the Symphony platform to also be
−Removed: used in the context of cardio-metabolic diseases, cancer and other diseases that require rapid tests.
−Removed: Business Model
−Removed: do not currently have any revenue-generating operations.
−Removed: Our goal is to become the first provider of rapid tests for critical care settings,
−Removed: including infectious, inflammatory and metabolic diseases, by leveraging the strengths of our Symphony platform.
−Removed: We intend to target
−Removed: our sales and marketing of Symphony to the largest critical care facilities in the United States.
−Removed: Our planned business model, which is
−Removed: contingent on us ultimately obtaining market approval and commercializing our Symphony platform, includes the following:
−Removed: We intend to offer various financing options for the device itself.
−Removed: As such, our planned business model would not require
−Removed: customers to incur a significant capital outlay, assuming we are able to successfully offer such financial options.
−Removed: We intend to sell single-use diagnostic test cartridges, thereby seeking to create a growing and recurring revenue stream,
−Removed: as adoption and utilization increase, and as we develop tests for additional indications.
−Removed: We intend that the sale of test cartridges
−Removed: would generate the majority of our revenue and gross profit.
−Removed: our Menu of Diagnostic Products .
−Removed: Our goal would be for the average customer use of the Symphony platform to increase as overall adoption
−Removed: of the product occurs.
−Removed: If we are able to achieve market approval in the context of sepsis and then expand our test menu to other diseases
−Removed: and/or conditions, we hope to be able to increase our annual revenue per customer through the resulting increase in utilization.
−Removed: Symphony Platform
−Removed: Symphony platform is a proprietary technology platform that is designed to provide rapid and accurate measurements of key diagnostic
−Removed: biomarkers found in blood in a manner that we believe is innovative in the market.
−Removed: Symphony is compact and is designed for the potential
−Removed: of it to be deployed in a manner that is more mobile than current laboratory diagnostic platforms on the market.
−Removed: Symphony incorporates
−Removed: a user-friendly interface where all sample preparation and reagents are integrated into the disposable Symphony cartridges.
−Removed: only requires a few drops of blood to provide a measurement in approximately 20 minutes.
−Removed: Symphony analyzer is developed and is designed to orchestrate sample processing (e.g.
−Removed: whole blood, plasma, serum, etc.), biomarker isolation,
−Removed: and immunoassay preparation using non-contact centrifugal force.
−Removed: All necessary reagents and components are integrated into the Symphony
−Removed: Utilizing precision microchannel technology and high specificity antibodies, liquid samples are processed, and the biomarker
−Removed: is isolated within the Symphony cartridge.
−Removed: Intermitted centrifugation cycles enable complex fluid movements, allowing sequential reagent
−Removed: additions and independent reaction steps inside the Symphony cartridge.
−Removed: At the conclusion of the test, the Symphony analyzer measures
−Removed: the fluorescence signature correlating to a highly sensitive quantitation of the biomarker.
−Removed: perform a Symphony test, the test operator adds the sample (e.g.
+Added: The Symphony platform is designed to address a
+Added: subset of the global in vitro diagnostics devices (“IVDs”) market, with a focus on targeting critical care markets
+Added: where physicians must quickly determine patient acuity to identify optimal treatment regimens.
+Added: We are currently focused on our initial
+Added: biomarker test, Symphony IL-6 test, in the context of the evaluation of the risk of mortality due to sepsis.
+Added: We hope in the future to
+Added: also explore the potential for adding new biomarker tests to the Symphony platform to also be used in the context of cardio-metabolic
+Added: diseases, cancer and other diseases that require rapid tests.
+Added: Our Business Model
+Added: We do not currently have any revenue-generating
+Added: Our goal is to become the first provider of rapid tests for critical care settings, including infectious, inflammatory and
+Added: metabolic diseases, by leveraging the strengths of our Symphony platform.
+Added: We intend to target our sales and marketing of Symphony to the
+Added: largest critical care facilities in the United States.
+Added: Our planned business model, which is contingent on us ultimately obtaining market
+Added: clearance and commercializing our Symphony platform, includes the following:
+Added: ● Financing Model .
+Added: intend to offer various financing options for the device itself.
+Added: As such, our planned business model would not require customers to incur
+Added: a significant capital outlay, assuming we are able to successfully offer such financial options.
+Added: ● Recurring Revenue .
+Added: intend to sell single-use diagnostic test cartridges, thereby seeking to create a growing and recurring revenue stream, as adoption and
+Added: utilization increase, and as we develop tests for additional indications.
+Added: We intend that the sale of test cartridges would generate the
+Added: majority of our revenue and gross profit.
+Added: ● Expand our Menu of Diagnostic
+Added: Our goal would be for the average customer use of the Symphony platform to increase as overall adoption of the product
+Added: If we are able to achieve market clearance in the context of sepsis and then expand our test menu to other diseases and/or conditions,
+Added: we hope to be able to increase our annual revenue per customer through the resulting increase in utilization.
+Added: The Symphony Platform
+Added: The Symphony platform is a proprietary technology
+Added: platform that is designed to provide rapid and accurate measurements of key diagnostic biomarkers found in blood in a manner that we believe
+Added: is innovative in the market.
+Added: Symphony is compact and is designed for the potential of it to be deployed in a manner that is more mobile
+Added: than current laboratory diagnostic platforms on the market.
+Added: Symphony incorporates a user-friendly interface where all sample preparation
+Added: and reagents are integrated into the disposable Symphony cartridges.
+Added: Symphony only requires a few drops of blood to provide a measurement
+Added: in approximately 20 minutes.
+Added: The Symphony analyzer is developed and is designed
+Added: to orchestrate sample processing (e.g.
+Added: whole blood, plasma, serum, etc.), biomarker isolation, and immunoassay preparation using non-contact
+Added: centrifugal force.
+Added: All necessary reagents and components are integrated into the Symphony cartridges.
+Added: Utilizing precision microchannel
+Added: technology and high specificity antibodies, liquid samples are processed, and the biomarker is isolated within the Symphony cartridge.
+Added: Intermitted centrifugation cycles enable complex fluid movements, allowing sequential reagent additions and independent reaction steps
+Added: inside the Symphony cartridge.
+Added: At the conclusion of the test, the Symphony analyzer measures the fluorescence signature correlating to
+Added: a highly sensitive quantitation of the biomarker.
+Added: To perform a Symphony test, the test operator
+Added: adds the sample (e.g.
whole blood, plasma, serum, etc.) to the Symphony cartridge.
−Removed: After scanning
−Removed: the patient ID, the Symphony cartridge is inserted into the Symphony analyzer and the operator initiates the fully automated test.
−Removed: analyzer can run up to six cartridges simultaneously, either with six different patient samples or six different tests, providing quantitative
−Removed: measurements used for improved patient management and clinical decision-making.
−Removed: current supply agreement of Symphony cartridges from Toray Industries is valid through October 2025, at which point we expect the
−Removed: agreement to expire.
−Removed: To date, Bluejay has relied on Toray’s development and manufacturing of the Symphony cartridges.
−Removed: encountered several technical challenges in the performance and quality of the Symphony cartridges.
−Removed: We are currently preparing to
−Removed: transfer the intellectual property underlying production of the cartridges from Toray to an in-house facility for redevelopment.
−Removed: We are also beginning the process of redeveloping aspects of the cartridges to address several technical challenges to bring our
−Removed: product to a level consistent with the necessary performance and quality requirements.
−Removed: To address the technical challenges related
−Removed: to the Symphony cartridges, we expect the redevelopment work will occur over at least the next year.
−Removed: In particular, several
−Removed: individual components in the cartridges need to be replaced and/or validated due to limited supply or discontinuation (including the
−Removed: antibody used in the cartridge).
−Removed: In addition, we are working to correct several reliability and stability issues with the cartridge
−Removed: the cartridge redevelopment is completed, we plan to transfer the manufacturing process to an FDA-registered CMO.
−Removed: We expect that production
−Removed: lots for validation testing to support the FDA submission will be available once the transfer to an FDA registered CMO is completed.
−Removed: At this time, we do not anticipate being able to perform analytical performance validation testing until mid-2027.
+Added: After scanning the patient ID, the Symphony cartridge
+Added: is inserted into the Symphony analyzer and the operator initiates the fully automated test.
+Added: Each analyzer can run up to six cartridges
+Added: simultaneously, either with six different patient samples or six different tests, providing quantitative measurements used for improved
+Added: patient management and clinical decision-making.
Manufacturing
−Removed: plan to manufacture our analyzers through Sanyoseiko Co.
−Removed: (“Sanyoseiko”), as a contract manufacturing organizations (“CMO”),
−Removed: and we have a contract with Sanyoseiko for this purpose.
−Removed: redeveloped, we plan to transfer manufacturing of our cartridges to Sanyoseiko, or other suitable CMO.
−Removed: We currently do not have a contract
−Removed: for the manufacture of the redeveloped cartridges.
−Removed: had been selected as our CMO due to their core competencies in manufacturing and quality system recognized by the FDA.
−Removed: facilities are located in Japan.
+Added: We plan to manufacture our analyzers through Sanyoseiko
+Added: as a contract manufacturing organizations (“CMO”), and we have entered into a master supply and service agreement governing
+Added: these matters with Sanyoseiko.
+Added: Pursuant to statements of work that have begun providing to Sanyoseiko under these agreements, Sanyoseiko
+Added: will provide end-to-end support for the Symphony platform, including supporting the manufacturing redevelopment process for analyzers
+Added: and cartridges (with hardware, software, and design updates), managing raw material sourcing and vendor compliance, and serving as the
+Added: Company’s contract manufacturing organization for analyzers, cartridges, and related components.
+Added: In this capacity, Sanyoseiko will
+Added: oversee fulfillment, kit assembly, labeling, packaging, shipping, and quality control of manufactured products, while also providing regulatory
+Added: and quality management support, and equipment storage and maintenance.
+Added: Sanyoseiko had been selected as our CMO due to
+Added: their core competencies in manufacturing and quality system recognized by the FDA.
+Added: Sanyoseiko’s facilities are located in Japan.
We currently license the technology for the Symphony cartridges from Toray.
−Removed: Our license grants us exclusive
−Removed: global marketing rights, with the exception of Japan.
+Added: Our license grants us exclusive global marketing, sales and
+Added: manufacturing rights, with the exception of Japan.
Bluejay holds the rights to manufacture the analyzers.
−Removed: Regulatory Strategy
−Removed: current regulatory strategy is designed to support commercialization of Symphony in the United States once we receive marketing authorization
−Removed: from the FDA.
−Removed: In May 2023, we submitted a pre-submission application to the FDA presenting study designs to validate Symphony IL-6 for
−Removed: use with hospitalized sepsis patients.
−Removed: We participated in a pre-submission meeting with the FDA on August 11, 2023, and at the meeting
−Removed: the FDA provided feedback on the study design, determined that the submission of a 510(k) is the appropriate premarket submission pathway,
−Removed: and requested that certain data be provided in the 510(k).
−Removed: Based on this feedback, we determined to proceed on this basis, which considers
−Removed: the FDA’s feedback.
−Removed: the second quarter of 2024, we completed a multicenter SYmphony IL-6 MONitoring Sepsis (“SYMON”) clinical study investigating
−Removed: the role of interleukin-6 (IL-6) in patients diagnosed with sepsis and septic shock.
−Removed: This prospective study assessed the performance
−Removed: of IL-6 upon initial presentation to the intensive care unit (ICU).
−Removed: A primary analysis of the SYMON-I pilot clinical study (registered
−Removed: clinical trial number NCT06181604) highlighted that IL-6 levels within 24 hours of sepsis or septic shock diagnosis and admission to
−Removed: the ICU may predict patient mortality out to 28 days.
−Removed: Furthermore, a secondary outcome of the SYMON-I study showed that IL-6 levels within
−Removed: 24 hours of sepsis or septic shock diagnosis and admission to the ICU is a predictor of patient mortality during their hospitalization.
−Removed: Other secondary outcomes showed that lactate and Sequential Organ Failure Assessment (SOFA), standard clinical tests used for sepsis
−Removed: and septic shock patients, were not predictors of patient mortality out to 28 days.
−Removed: We believe that the findings underscore the potential
−Removed: importance of IL-6 as a predictor and provide new insights into the potential pathways for improving sepsis outcomes.
−Removed: the data analysis from the SYMON-I pilot clinical study, we initiated the SYMON-II pivotal clinical study in the third quarter of 2024.
+Added: FDA Regulatory Strategy
+Added: The design, development, manufacture, testing
+Added: and sale of our products in the U.S.
+Added: are subject to regulation by numerous governmental authorities, principally the FDA, and corresponding
+Added: state and local regulatory agencies.
+Added: Generally, the products we develop must be cleared by the FDA before they are marketed in the United
+Added: Before and after approval, authorization, or clearance in the United States, our products are subject to extensive regulation
+Added: by the FDA, as well as by other regulatory bodies.
+Added: FDA regulations govern, among other things, the development, testing, manufacturing,
+Added: labeling, safety, storage, recordkeeping, market clearance, authorization or approval, labeling and promotion, import and export, marketing
+Added: and sales, and distribution of medical devices.
+Added: Our current regulatory strategy is designed to
+Added: support commercialization of Symphony in the United States if and when we receive marketing authorization from the FDA.
+Added: In May 2023, we
+Added: submitted a pre-submission application to the FDA presenting study designs to validate Symphony IL-6 for use with hospitalized sepsis
+Added: We participated in a pre-submission meeting with the FDA in August 2023, and at the meeting the FDA provided feedback on the
+Added: study design, determined that the submission of a 510(k) is the appropriate premarket submission pathway, and requested that certain data
+Added: be provided in the 510(k).
+Added: Based on this feedback, we determined to proceed on this basis, which considers the FDA’s feedback.
+Added: In the second quarter of 2024, we completed a
+Added: multicenter SYmphony IL-6 MONitoring Sepsis (“SYMON”) clinical study investigating the role of interleukin-6 (IL-6) in patients
+Added: diagnosed with sepsis and septic shock.
+Added: This prospective study assessed the performance of IL-6 upon initial presentation to the intensive
+Added: care unit (ICU).
+Added: A primary endpoint of the SYMON-I pilot clinical study (registered clinical trial number NCT06181604) suggested that
+Added: IL-6 levels within 24 hours of sepsis or septic shock diagnosis and admission to the ICU may predict patient mortality out to 28 days.
+Added: Furthermore, a secondary endpoint of the SYMON-I study suggested that IL-6 levels within 24 hours of sepsis or septic shock diagnosis
+Added: and admission to the ICU is a predictor of patient mortality during their hospitalization.
+Added: Other secondary endpoints suggested that lactate
+Added: and Sequential Organ Failure Assessment (SOFA), standard clinical tests used for sepsis and septic shock patients, were not predictors
+Added: of patient mortality out to 28 days.
+Added: We believe that the findings underscore the potential importance of IL-6 as a predictor and provide
+Added: new insights into the potential pathways for improving sepsis outcomes.
+Added: Using the data analysis from the SYMON-I pilot
+Added: clinical study, we initiated the SYMON-II pivotal clinical study in the third quarter of 2024.
The SYMON II clinical study has three components:
−Removed: (1) collection, freezing, and biobanking of patient samples, (2) measuring IL-6 concentrations
−Removed: in the biobanked samples near the end of patient enrollment or after the patient enrollment has completed, and (3) analysis of the IL-6
−Removed: data with the patient outcomes to see if the established IL-6 cutoff value has been validated for 28-day all-cause mortality.
−Removed: enrollment started during the fourth quarter of 2024.
−Removed: Our goal is to use the Symphony IL-6 test to complete the testing in the SYMON-II
−Removed: clinical trial.
−Removed: we are able to complete the SYMON-II clinical study and the results are positive, we intend to use the data generated from SYMON-II to
−Removed: support a 510(k) application to the FDA.
−Removed: This application is currently expected to be based on the following intended use:
−Removed: IL-6 is intended for use to determine the IL-6 concentration as an aid in assessing the cumulative 28-day risk of all-cause mortality
−Removed: in conjunction with other laboratory findings and clinical assessments for patients diagnosed with sepsis or septic shock in the ICU.”
−Removed: We also plan to present the SYMON-I and SYMON-II results at future national scientific meetings and publish them in peer-reviewed journals.
−Removed: Subject to achieving needed funding and successfully addressing the technical challenges that our described above, our goal is to be
−Removed: in position to submit a 510(k) regulatory application to the FDA in the fourth quarter of 2027, with an objective of achieving FDA approval
−Removed: as early as the third quarter of 2028.
−Removed: ability to engage in and complete the activities needed for an FDA submission will be contingent upon us addressing these and other challenges,
−Removed: including possessing and/or raising sufficient capital, remaining a going concern, and producing product capable of supporting our product
−Removed: requirements and meeting analytical validation and clinical validation.
−Removed: and Marketing
−Removed: such time as Symphony products may be authorized by the FDA, our sales and marketing efforts are intended to focus on brand awareness
−Removed: and market education to potential customers, emphasizing the value of monitoring a critical care patient’s IL-6 levels to improve
−Removed: decision making and patient outcomes.
−Removed: If the device is cleared by the FDA, we intend to target sales to ERs and ICUs at United States
−Removed: hospitals, as well as to long-term acute care facilities.
−Removed: We hope to establish a market presence by selling Symphony devices and tests
−Removed: both directly and through various distribution channels to maximize sales volume and market penetration.
−Removed: In addition to our hope to sell
−Removed: Symphony for eventual use in the patient care market, we are also evaluating sales of Symphony devices for “research use only”
−Removed: depend on Toray’s intellectual property to develop the Symphony cartridges upon which the Symphony platform relies.
−Removed: 6, 2020, we entered into a License and Supply Agreement, as amended (the “License Agreement”), with Toray, providing us with
−Removed: an exclusive global license with Toray, excluding Japan, to use their patents and know-how related to the Symphony detection cartridges
−Removed: for the manufacturing, marketing and sale of the products (as defined in the License Agreement).
−Removed: October 23, 2023, we entered into an Amended and Restated License Agreement (the “New Toray License Agreement”) and a Master
−Removed: Supply Agreement (the “New Toray Supply Agreement” and, together, the “Toray Agreements”) with Toray.
−Removed: New Toray License Agreement, we continue to license from Toray intellectual property rights needed to manufacture single-use test cartridges,
−Removed: and we have received the right to sublicense certain Toray intellectual property to Sanyoseiko in connection with our ongoing agreement
−Removed: with Sanyoseiko to manufacture our Symphony analyzers and cartridges.
−Removed: In addition, the New Toray License Agreement provides for the transfer
−Removed: of certain technology related to the cartridges to Sanyoseiko.
−Removed: The royalty payments we are required to pay Toray have been reduced under
−Removed: the New Toray License Agreement from 15% to 7.5% (or less in certain circumstances) of net sales of certain cartridges for a term of
−Removed: A 50% reduction in the royalty rate applies upon expiry of applicable Toray patents on a product-by-product and country-by-country
−Removed: The New Toray License Agreement contemplates that applicable royalty payment obligations from us to Toray for other products will
−Removed: be determined separately in the future.
−Removed: are currently preparing to transfer the intellectual property and know-how related to the cartridges to an in-house facility for
−Removed: redevelopment.
−Removed: After the cartridge redevelopment is completed, we plan to transfer the manufacturing process to an FDA-registered
−Removed: CMO for validation testing and commercial manufacturing.
−Removed: We do not currently expect to be able to complete this transfer prior to
−Removed: the end of 2026, at the earliest.
−Removed: If Toray were to assert that we have not established a facility to manufacture our cartridges
−Removed: prior to the expiration of the supply agreement (which is currently expected to occur in October 2025), Toray could assert that we
−Removed: are in material breach of the license agreement and seek to terminate it as early as November 2025.
−Removed: If Toray sought to terminate the
−Removed: license, and was successful in doing so, we would lose access to certain technology required to produce the cartridges that our
−Removed: Symphony system relies on to function, which would likely result in a material adverse effect on our commercialization
−Removed: We are in the process of negotiating an agreement with Toray to, among other things, clarify that Toray will not seek to terminate the
−Removed: license agreement in connection with the expiration of the supply agreement.
−Removed: Property, Proprietary Technology
−Removed: the fourth quarter of 2024, we submitted a provisional patent to the U.S.
−Removed: Patent Office.
−Removed: The provisional patent is to establish a priority
−Removed: date to protect certain utilizations of IL-6 with sepsis patients.
−Removed: We plan to file a Patent Cooperation Treaty (PCT) application in the
−Removed: fourth quarter of 2025 for the inventions.
−Removed: do not currently directly hold any granted patents.
−Removed: We rely on a combination either directly or through the License Agreement with Toray
−Removed: of patent, copyright, trade secret, trademark, confidentiality agreements, and contractual protection to establish and protect our proprietary
−Removed: Of these patents we rely on, the protections expire internationally in 2027 and 2028, while Toray patents in the U.S.
−Removed: on March 18, 2029 and February 22, 2030.
−Removed: As described above, we are currently working toward a goal of achieving FDA approval of the
−Removed: Symphony product as early as the third quarter of 2028, which means that even if meet our timeline, the period of time we will have to
−Removed: commercialize our product under the protection of these patents is expected to be very narrow.
+Added: (1) collection, freezing, and biobanking of patient samples, (2) measuring IL-6 concentrations in the biobanked samples near the end of
+Added: patient enrollment or after the patient enrollment has completed, and (3) analysis of the IL-6 data with the patient outcomes to see if
+Added: the established IL-6 cutoff value has been validated for 28-day all-cause mortality.
+Added: Patient enrollment started during the fourth quarter
+Added: As of the date of this filing, we have enrolled approximately 583 hospital patients among a target of 750 patients, and we have
+Added: collected, frozen and biobanked blood samples from the enrolled patients, while also obtaining all related patient data regarding their
+Added: disease progression and outcomes.
+Added: We expect to complete patient enrollment in the study in the summer of 2026.
+Added: Our goal is to use the
+Added: Symphony IL-6 test to complete the testing in the SYMON-II clinical trial.
+Added: We are not yet testing the samples because we are simultaneously
+Added: working with Sanyoseiko to manufacture the cartridges that will be used in the test, and these cartridges are still being manufactured
+Added: and verified to ensure that they meet FDA requirements for submission and commercial production.
+Added: Our goal is to produce and verify these
+Added: cartridges during 2026.
+Added: If we are able to complete the SYMON-II clinical
+Added: study and the results are positive, we intend to use the data generated from SYMON-II to support a 510(k) application to the FDA.
+Added: application is currently expected to be based on the following intended use:
+Added: “Symphony IL-6 is intended for use to determine the
+Added: IL-6 concentration as an aid in assessing the cumulative 28-day risk of all-cause mortality in conjunction with other laboratory findings
+Added: and clinical assessments for patients diagnosed with sepsis or septic shock in the ICU.” We also plan to present the SYMON-I and
+Added: SYMON-II results at future national scientific meetings and publish them in peer-reviewed journals, subject to future completion of the
+Added: SYMON-II study and the results being positive.
+Added: Subject to achieving needed funding and successfully addressing the manufacturing process
+Added: challenges with our cartridges that are described above, our plan is to begin testing of samples we are collecting as part of our SYMON-II
+Added: clinical trial by the end of 2026, with a goal of being in position to submit a 510(k) regulatory application to the FDA in 2027, and
+Added: an objective of achieving FDA clearance thereafter.
+Added: Our ability to engage in and complete the activities
+Added: needed for an FDA submission will be contingent upon us addressing the various challenges described herein, including possessing and/or
+Added: raising sufficient capital, remaining a going concern, and producing product capable of supporting our product requirements and meeting
+Added: analytical validation and clinical validation.
+Added: Sales and Marketing
+Added: Until such time as Symphony products may be authorized
+Added: by the FDA, our sales and marketing efforts are intended to focus on brand awareness and market education to potential customers, emphasizing
+Added: the value of monitoring a critical care patient’s IL-6 levels to improve decision making and patient outcomes.
+Added: If the device is
+Added: cleared by the FDA, we intend to target sales to ERs and ICUs at United States hospitals, as well as to long-term acute care facilities.
+Added: We hope to establish a market presence by selling Symphony devices and tests both directly and through various distribution channels to
+Added: maximize sales volume and market penetration.
+Added: In addition to our hope to sell Symphony for eventual use in the patient care market, we
+Added: are also evaluating sales of Symphony devices for “research use only” purposes.
+Added: License Agreement
+Added: We depend on Toray’s intellectual property
+Added: to develop the Symphony cartridges upon which the Symphony platform relies.
+Added: On October 6, 2020, we entered into a License and Supply Agreement,
+Added: as amended (the “License Agreement”), with Toray, providing us with an exclusive global license with Toray, excluding Japan,
+Added: to use their patents and know-how related to the Symphony detection cartridges for the manufacturing, marketing and sale of the products
+Added: (as defined in the License Agreement).
+Added: On October 23, 2023, we entered into an Amended
+Added: and Restated License Agreement (the “New Toray License Agreement”) and a Master Supply Agreement (the “New Toray Supply
+Added: Agreement”) with Toray.
+Added: Under the New Toray License Agreement, we continue to license from Toray intellectual property rights needed
+Added: to manufacture single-use test cartridges, and we have received the right to sublicense certain Toray intellectual property to Sanyoseiko
+Added: in connection with our ongoing agreement with Sanyoseiko to manufacture our Symphony analyzers and cartridges (including in connection
+Added: with the Company’s clinical trials).
+Added: In addition, the New Toray License Agreement provided for the transfer of certain technology
+Added: related to the cartridges to Sanyoseiko.
+Added: The royalty payments we are required to pay Toray were reduced under the New Toray License Agreement
+Added: from 15% to 7.5% (or less in certain circumstances) of net sales of certain cartridges for a term of 10 years.
+Added: A 50% reduction in the
+Added: royalty rate applies upon expiry of applicable Toray patents on a product-by-product and country-by-country basis.
+Added: A 50% reduction in
+Added: the royalty rate applies upon expiry of applicable Toray patents on a product-by-product and country-by-country basis.
+Added: The New Toray License
+Added: Agreement contemplates that applicable royalty payment obligations from us to Toray for other products will be determined separately in
+Added: On July 23, 2025, we entered into an amendment
+Added: (the “Amendment”) to the New Toray License Agreement and the New Toray Supply Agreement with Toray.
+Added: The Amendment provided
+Added: that the deadline under the New Toray License Agreement for us to establish an alternative manufacturing site for our Symphony cartridges
+Added: would be extended from October 23, 2025 to October 23, 2026, and we have agreed to use our best efforts to establish the site by such
+Added: The Amendment confirms that Toray has provided to us all applicable know-how required under the New Toray License Agreement and
+Added: is not under any further obligation to provide know-how or technical assistance to us.
+Added: Pursuant to the Amendment, we paid $71,212 to Toray
+Added: for a final supply of certain chip components prior to the expiration of the New Toray Supply Agreement, which occurred on October 23,
+Added: We have begun cartridge manufacturing process
+Added: through Sanyoseiko, a third-party contractor who is managing such process modifications.
+Added: Such modifications are intended to address several
+Added: manufacturing challenges to bring Symphony to a level consistent with necessary performance and quality requirements for regulatory submission
+Added: and commercialization.
+Added: After the cartridge manufacturing process modification is completed, we plan to have the manufacturing process
+Added: occur at Sanyoseiko, a FDA-registered CMO, including verification and validation testing and commercial manufacturing.
+Added: The manufacturing
+Added: site will be established by us without Toray’s technical assistance.
+Added: If Toray were to assert that we have not used our best efforts
+Added: to establish the cartridge manufacturing site by October 2026, they could seek to terminate the license agreement as early as November
+Added: If Toray were to be successful in terminating the license agreement, we would lose access to certain technology required to produce
+Added: the cartridges that the Symphony system relies on to function, which would likely result in a material adverse effect on our commercialization
+Added: Intellectual Property, Proprietary Technology
+Added: In the fourth quarter of 2024, the Company filed
+Added: a provisional patent application with the U.S.
+Added: Patent and Trademark Office to establish a priority date related to certain utilizations
+Added: of interleukin-6 (IL-6) in sepsis patients.
+Added: After further evaluation of the scope, patentability, and potential commercial relevance of
+Added: the subject matter, the Company determined that the provisional application was unlikely to result in patent protection that would be
+Added: material to its business.
+Added: As a result, the Company has elected not to pursue conversion of the provisional application or to file a corresponding
+Added: Patent Cooperation Treaty (PCT) application.
+Added: This decision reflects the Company’s disciplined approach to capital allocation and
+Added: its focus on deploying resources toward intellectual property and development activities that are expected to provide meaningful strategic
+Added: and commercial value.
+Added: We do not currently directly hold any granted
+Added: We rely on a combination either directly or through the License Agreement with Toray of patent, copyright, trade secret, trademark,
+Added: confidentiality agreements, and contractual protection to establish and protect our proprietary rights.
+Added: Of these patents we rely on, the
+Added: protections expire internationally in 2027 and 2028, while Toray patents in the U.S.
+Added: expire on March 18, 2029 and February 22, 2030.
+Added: described above, we are currently working toward a goal of being in position to submit a 510(k) regulatory application to the FDA in 2027
+Added: with an objective of achieving FDA clearance sometime thereafter, which means that even if meet our timeline, the period of time we will
+Added: have to commercialize our product under the protection of these patents is expected to be very narrow.
See Part I, Item 1A.
−Removed: Risk Factors –
−Removed: “ We and Toray may be unable to protect or enforce the intellectual property rights licensed to us, which could impair our competitive
−Removed: connection with prior development work performed by Bluejay, we plan to apply for patent protections related to certain design improvements
−Removed: made to the Symphony technology platform.
−Removed: are currently no FDA cleared or approved IL-6 tests on the market.
−Removed: There are IL-6 tests granted FDA Emergency Use Authorization (EUA)
−Removed: for use with only COVID-19 patients, including the Roche Cobas ® , Siemens ADVIA Centaur ® and Beckman Coulter
−Removed: Access 2 ® , which are laboratory size equipment and require pre-processing of whole blood prior to performing their test.
−Removed: We believe that Symphony, which is designed for many liquid sample types including whole blood, provides us with a substantial competitive
−Removed: advantage over our existing competition that will sustain through commercialization, despite the major life science companies and consistent
−Removed: entry of innovative start-ups that define our competitive landscape.
−Removed: design, development, manufacture, testing and sale of our products in the U.S.
−Removed: are subject to regulation by numerous governmental authorities,
−Removed: principally the FDA, and corresponding state and local regulatory agencies.
−Removed: the products we develop must be cleared by the FDA before they are marketed in the United States.
−Removed: Before and after approval, authorization,
−Removed: or clearance in the United States, our products are subject to extensive regulation by the FDA, as well as by other regulatory bodies.
−Removed: FDA regulations govern, among other things, the development, testing, manufacturing, labeling, safety, storage, recordkeeping, market
−Removed: clearance, authorization or approval, advertising and promotion, import and export, marketing and sales, and distribution of medical
−Removed: devices, including IVDs.
−Removed: IVDs are a type of medical device and include reagents and instruments used in the diagnosis or detection of
−Removed: diseases, conditions or infections, including, without limitation, the presence of certain chemicals or other biomarkers.
−Removed: prognostic and screening tests can also be IVDs.
−Removed: the United States, medical devices are subject to varying degrees of regulatory control and are classified in one of three classes depending
−Removed: on the extent of controls the FDA determines are necessary to reasonably ensure their safety and effectiveness:
−Removed: general controls, such as labeling and adherence to quality system regulations;
−Removed: special controls, premarket notification (often referred to as a 510(k)), specific controls such as performance standards, patient
−Removed: registries, post-market surveillance, additional controls such as labeling and adherence to quality system regulations;
−Removed: special controls and requires a premarket approval (“PMA”).
−Removed: Premarket Clearance and Approval Requirements
−Removed: an exemption applies, each medical device commercially distributed in the United States requires either FDA clearance of a 510(k) premarket
−Removed: notification, approval of a de novo application, or approval of a premarket approval (PMA).
−Removed: most Class I devices are exempt from the 510(k) premarket notification requirement, manufacturers of most Class II devices
−Removed: are required to submit to the FDA a premarket notification under Section 510(k) of the FDCA requesting permission to commercially
−Removed: distribute the device.
−Removed: The FDA’s permission to commercially distribute a device subject to a 510(k) premarket notification is generally
−Removed: known as 510(k) clearance.
−Removed: Devices deemed by the FDA to pose the greatest risks, such as life sustaining, life supporting or some implantable
−Removed: devices, or devices that have a new intended use, or use advanced technology that is not substantially equivalent to that of a legally
−Removed: marketed device, are placed in Class III, requiring approval of a PMA.
−Removed: Some pre-amendment devices are unclassified, but are subject
−Removed: to FDA’s premarket notification and clearance process in order to be commercially distributed.
−Removed: Our initial product is a Class II
−Removed: device subject to 510(k) clearance.
−Removed: Clearance Marketing Pathway
−Removed: obtain 510(k) clearance, a company must submit to the FDA a premarket notification submission demonstrating that the proposed device
−Removed: is “substantially equivalent” to a predicate device already on the market.
−Removed: A predicate device is a legally marketed device
−Removed: that is not subject to PMA, i.e., a device that was legally marketed prior to May 28, 1976 (pre-amendments device) and for which
−Removed: a PMA is not required, a device that has been reclassified from Class III to Class II or I, or a device that was found substantially
−Removed: equivalent through the 510(k) process.
−Removed: The FDA’s 510(k) clearance process usually takes from three to twelve months, but often
−Removed: takes longer.
−Removed: The FDA may require additional information, including clinical data, to make a determination regarding substantial equivalence.
−Removed: In addition, the FDA collects user fees for certain medical device submissions and annual fees for medical device establishments.
−Removed: a device receives 510(k) marketing clearance, any modification that could significantly affect its safety or effectiveness, or that would
−Removed: constitute a major change or modification in its intended use, will require a new 510(k) clearance or, depending on the modification,
−Removed: PMA approval.
−Removed: The FDA requires each manufacturer to determine whether the proposed change requires submission of a 510(k) or a PMA in
−Removed: the first instance, but the FDA can review any such decision and disagree with a manufacturer’s determination.
−Removed: If the FDA disagrees
−Removed: with a manufacturer’s determination, the FDA can require the manufacturer to cease marketing and/or request the recall of the modified
−Removed: device until 510(k) marketing clearance or PMA approval is obtained.
−Removed: Also, in these circumstances, the manufacturer may be subject to
−Removed: significant regulatory fines or penalties.
−Removed: Novo Classification
−Removed: of a new type that FDA has not previously classified based on risk are automatically classified into Class III by operation of section
−Removed: 513(f)(1) of the FDCA, regardless of the level of risk they pose.
−Removed: To avoid requiring PMA review of low- to moderate-risk devices classified
−Removed: in Class III by operation of law, Congress enacted section 513(f)(2) of the FDCA.
−Removed: This provision allows FDA to classify a low- to moderate-risk
−Removed: device not previously classified into Class I or II.
−Removed: After de novo authorization, an authorized device may be used as a predicate for
−Removed: future devices going through the 510(k) process.
−Removed: FDA has classified Symphony as de novo, a device of a new type that the FDA has not previously classified.
−Removed: Once obtained, a de novo authorization
−Removed: may lead to Symphony’s use as a predicate for future devices going through the 510(k) process.
−Removed: trials are often required for a de novo authorization.
−Removed: All clinical investigations of devices to determine safety and effectiveness must
−Removed: be conducted in accordance with the FDA’s IDE regulations which govern investigational device labeling, prohibit promotion of the
−Removed: investigational device, and specify an array of recordkeeping, reporting and monitoring responsibilities of study sponsors and study
−Removed: investigators.
−Removed: If the device presents a “significant risk,” to human health, as defined by the FDA, the FDA requires the
−Removed: device sponsor to submit an IDE application to the FDA, which must become effective prior to commencing human clinical trials.
−Removed: A significant
−Removed: risk device is one that presents a potential for serious risk to the health, safety or welfare of a patient and either is implanted,
−Removed: used in supporting or sustaining human life, substantially important in diagnosing, curing, mitigating or treating disease or otherwise
−Removed: preventing impairment of human health, or otherwise presents a potential for serious risk to a subject.
−Removed: An IDE application must be supported
−Removed: by appropriate data, such as animal and laboratory test results, showing that it is safe to test the device in humans and that the testing
−Removed: protocol is scientifically sound.
−Removed: The IDE will automatically become effective 30 days after receipt by the FDA unless the FDA notifies
−Removed: the company that the investigation may not begin.
−Removed: If the FDA determines that there are deficiencies or other concerns with an IDE for
−Removed: which it requires modification, the FDA may permit a clinical trial to proceed under a conditional approval.
−Removed: addition, the study must be approved by, and conducted under the oversight of, an Institutional Review Board (IRB) for each clinical
−Removed: The IRB is responsible for the initial and continuing review of the IDE study and may pose additional requirements for the conduct
−Removed: of the study.
−Removed: If an IDE application is approved by the FDA and one or more IRBs, human clinical trials may begin at a specific number
−Removed: of investigational sites with a specific number of patients, as approved by the FDA.
−Removed: If the device presents a non-significant risk to
−Removed: the patient, a sponsor may begin the clinical trial after obtaining approval for the trial by one or more IRBs without separate approval
−Removed: from the FDA, but must still follow abbreviated IDE requirements, such as monitoring the investigation, ensuring that the investigators
−Removed: obtain informed consent, and labeling and record-keeping requirements.
−Removed: Acceptance of an IDE application for review does not guarantee
−Removed: that the FDA will allow the IDE to become effective and, if it does become effective, the FDA may or may not determine that the data
−Removed: derived from the trials support the safety and effectiveness of the device or warrant the continuation of clinical trials.
−Removed: An IDE supplement
−Removed: must be submitted to, and approved by, the FDA before a sponsor or investigator may make a change to the investigational plan that may
−Removed: affect its scientific soundness, study plan or the rights, safety or welfare of human subjects.
−Removed: a study, the sponsor is required to comply with the applicable FDA requirements, including, for example, trial monitoring, selecting
−Removed: clinical investigators and providing them with the investigational plan, ensuring IRB review, adverse event reporting, record keeping
−Removed: and prohibitions on the promotion of investigational devices or on making safety or effectiveness claims for them.
−Removed: The clinical investigators
−Removed: in the clinical study are also subject to FDA regulations and must obtain patient informed consent, rigorously follow the investigational
−Removed: plan and study protocol, control the disposition of the investigational device, and comply with all reporting and recordkeeping requirements.
−Removed: Additionally, after a trial begins, we, the FDA or the IRB could suspend or terminate a clinical trial at any time for various reasons,
−Removed: including a belief that the risks to study subjects outweigh the anticipated benefits.
−Removed: of applicable clinical trials of devices also are required to register with www.clinicaltrials.gov, a public database of clinical
−Removed: trial information.
−Removed: Information related to the device, patient population, phase of investigation, study sites and investigators and other
−Removed: aspects of the clinical trial is made public as part of the registration.
−Removed: Although the FDA’s Quality System Regulation (QSR) does
−Removed: not fully apply to investigational devices, the requirement for controls on design and development does apply.
−Removed: a device is cleared or approved for marketing, numerous and pervasive regulatory requirements continue to apply.
+Added: – “ We and Toray may be unable to protect or enforce the intellectual property rights licensed to us, which could impair
+Added: our competitive position.
+Added: In connection with prior development work performed
+Added: by Bluejay, we plan to apply for patent protections related to certain design improvements made to the Symphony technology platform.
+Added: There are currently no FDA cleared or approved
+Added: IL-6 tests on the market.
+Added: There are IL-6 tests granted under FDA Emergency Use Authorization (EUA) for use with only COVID-19 patients,
+Added: including the Roche Cobas ® , Siemens ADVIA Centaur ® and Beckman Coulter Access 2 ® , which are
+Added: central laboratory size equipment and require pre-processing of whole blood prior to performing their test.
+Added: We believe that Symphony,
+Added: which is designed for many liquid sample types including whole blood, provides us with a substantial competitive advantage over the existing
+Added: competition that will sustain through commercialization, despite the major life science companies and consistent entry of innovative start-ups
+Added: that define our competitive landscape.
+Added: Government Regulation
+Added: The design, development, manufacture, testing
+Added: and sale of our products in the U.S.
+Added: are subject to regulation by numerous governmental authorities, principally the FDA, and corresponding
+Added: state and local regulatory agencies.
+Added: FDA Regulation
+Added: Medical Devices
+Added: Generally, the products we develop must be cleared
+Added: by the FDA before they are marketed in the United States.
+Added: Before and after approval, authorization, or clearance in the United States,
+Added: our products are subject to extensive regulation by the FDA, as well as by other regulatory bodies.
+Added: FDA regulations govern, among other
+Added: things, the development, testing, manufacturing, labeling, safety, storage, recordkeeping, market clearance, authorization or approval,
+Added: advertising and promotion, import and export, marketing and sales, and distribution of medical devices, including IVDs.
+Added: IVDs are a type
+Added: of medical device and include reagents and instruments used in the diagnosis or detection of diseases, conditions or infections, including,
+Added: without limitation, the presence of certain chemicals or other biomarkers.
+Added: Predictive, prognostic and screening tests can also be IVDs.
+Added: In the United States, medical devices are subject
+Added: to varying degrees of regulatory control and are classified in one of three classes depending on the extent of controls the FDA determines
+Added: are necessary to reasonably ensure their safety and effectiveness:
+Added: general controls,
+Added: such as labeling and adherence to quality system regulations;
+Added: special controls,
+Added: premarket notification (often referred to as a 510(k)), specific controls such as performance standards, patient registries, post-market
+Added: surveillance, additional controls such as labeling and adherence to quality system regulations;
+Added: special controls
+Added: and requires a premarket approval (“PMA”).
+Added: FDA Premarket Clearance and Approval Requirements
+Added: Unless an exemption applies, each medical device
+Added: commercially distributed in the United States requires either FDA clearance of a 510(k) premarket notification, approval of a de novo
+Added: application, or approval of a premarket approval (PMA).
+Added: While most Class I devices are exempt from
+Added: the 510(k) premarket notification requirement, manufacturers of most Class II devices are required to submit to the FDA a premarket
+Added: notification under Section 510(k) of the FDCA requesting permission to commercially distribute the device.
+Added: The FDA’s permission
+Added: to commercially distribute a device subject to a 510(k) premarket notification is generally known as 510(k) clearance.
+Added: Devices deemed
+Added: by the FDA to pose the greatest risks, such as life sustaining, life supporting or some implantable devices, or devices that have a new
+Added: intended use, or use advanced technology that is not substantially equivalent to that of a legally marketed device, are placed in Class III,
+Added: requiring approval of a PMA.
+Added: Some pre-amendment devices are unclassified, but are subject to FDA’s premarket notification and clearance
+Added: process in order to be commercially distributed.
+Added: Our initial product is a Class II device subject to 510(k) clearance.
+Added: 510(k) Clearance Marketing Pathway
+Added: To obtain 510(k) clearance, a company must submit
+Added: to the FDA a premarket notification submission demonstrating that the proposed device is “substantially equivalent” to a predicate
+Added: device already on the market.
+Added: A predicate device is a legally marketed device that is not subject to PMA, i.e., a device that was legally
+Added: marketed prior to May 28, 1976 (pre-amendments device) and for which a PMA is not required, a device that has been reclassified from
+Added: Class III to Class II or I, or a device that was found substantially equivalent through the 510(k) process.
+Added: 510(k) clearance process usually takes from three to twelve months, but often takes longer.
+Added: The FDA may require additional information,
+Added: including clinical data, to make a determination regarding substantial equivalence.
+Added: In addition, the FDA collects user fees for certain
+Added: medical device submissions and annual fees for medical device establishments.
+Added: After a device receives 510(k) marketing clearance,
+Added: any modification that could significantly affect its safety or effectiveness, or that would constitute a major change or modification
+Added: in its intended use, will require a new 510(k) clearance or, depending on the modification, PMA approval.
+Added: The FDA requires each manufacturer
+Added: to determine whether the proposed change requires submission of a 510(k) or a PMA in the first instance, but the FDA can review any such
+Added: decision and disagree with a manufacturer’s determination.
+Added: If the FDA disagrees with a manufacturer’s determination, the FDA
+Added: can require the manufacturer to cease marketing and/or request the recall of the modified device until 510(k) marketing clearance or PMA
+Added: approval is obtained.
+Added: Also, in these circumstances, the manufacturer may be subject to significant regulatory fines or penalties.
+Added: De Novo Classification
+Added: Devices of a new type that FDA has not previously
+Added: classified based on risk are automatically classified into Class III by operation of section 513(f)(1) of the FDCA, regardless of the
+Added: level of risk they pose.
+Added: To avoid requiring PMA review of low- to moderate-risk devices classified in Class III by operation of law, Congress
+Added: enacted section 513(f)(2) of the FDCA.
+Added: This provision allows FDA to classify a low- to moderate-risk device not previously classified
+Added: into Class I or II.
+Added: After de novo authorization, an authorized device may be used as a predicate for future devices going through the
+Added: 510(k) process.
+Added: The FDA has classified Symphony as de novo, a
+Added: device of a new type that the FDA has not previously classified.
+Added: Once obtained, a de novo authorization may lead to Symphony’s use
+Added: as a predicate for future devices going through the 510(k) process.
+Added: Clinical Trials
+Added: Clinical trials are often required for a de novo
+Added: authorization.
+Added: All clinical investigations of devices to determine safety and effectiveness must be conducted in accordance with the FDA’s
+Added: IDE regulations which govern investigational device labeling, prohibit promotion of the investigational device, and specify an array of
+Added: recordkeeping, reporting and monitoring responsibilities of study sponsors and study investigators.
+Added: If the device presents a “significant
+Added: risk,” to human health, as defined by the FDA, the FDA requires the device sponsor to submit an IDE application to the FDA, which
+Added: must become effective prior to commencing human clinical trials.
+Added: A significant risk device is one that presents a potential for serious
+Added: risk to the health, safety or welfare of a patient and either is implanted, used in supporting or sustaining human life, substantially
+Added: important in diagnosing, curing, mitigating or treating disease or otherwise preventing impairment of human health, or otherwise presents
+Added: a potential for serious risk to a subject.
+Added: An IDE application must be supported by appropriate data, such as animal and laboratory test
+Added: results, showing that it is safe to test the device in humans and that the testing protocol is scientifically sound.
+Added: The IDE will automatically
+Added: become effective 30 days after receipt by the FDA unless the FDA notifies the company that the investigation may not begin.
+Added: determines that there are deficiencies or other concerns with an IDE for which it requires modification, the FDA may permit a clinical
+Added: trial to proceed under a conditional approval.
+Added: In addition, the study must be approved by, and
+Added: conducted under the oversight of, an Institutional Review Board (IRB) for each clinical site.
+Added: The IRB is responsible for the initial and
+Added: continuing review of the IDE study and may pose additional requirements for the conduct of the study.
+Added: If an IDE application is approved
+Added: by the FDA and one or more IRBs, human clinical trials may begin at a specific number of investigational sites with a specific number
+Added: of patients, as approved by the FDA.
+Added: If the device presents a non-significant risk to the patient, a sponsor may begin the clinical trial
+Added: after obtaining approval for the trial by one or more IRBs without separate approval from the FDA, but must still follow abbreviated IDE
+Added: requirements, such as monitoring the investigation, ensuring that the investigators obtain informed consent, and labeling and record-keeping
+Added: requirements.
+Added: Acceptance of an IDE application for review does not guarantee that the FDA will allow the IDE to become effective and,
+Added: if it does become effective, the FDA may or may not determine that the data derived from the trials support the safety and effectiveness
+Added: of the device or warrant the continuation of clinical trials.
+Added: An IDE supplement must be submitted to, and approved by, the FDA before
+Added: a sponsor or investigator may make a change to the investigational plan that may affect its scientific soundness, study plan or the rights,
+Added: safety or welfare of human subjects.
+Added: During a study, the sponsor is required to comply
+Added: with the applicable FDA requirements, including, for example, trial monitoring, selecting clinical investigators and providing them with
+Added: the investigational plan, ensuring IRB review, adverse event reporting, record keeping and prohibitions on the promotion of investigational
+Added: devices or on making safety or effectiveness claims for them.
+Added: The clinical investigators in the clinical study are also subject to FDA
+Added: regulations and must obtain patient informed consent, rigorously follow the investigational plan and study protocol, control the disposition
+Added: of the investigational device, and comply with all reporting and recordkeeping requirements.
+Added: Additionally, after a trial begins, we, the
+Added: FDA or the IRB could suspend or terminate a clinical trial at any time for various reasons, including a belief that the risks to study
+Added: subjects outweigh the anticipated benefits.
+Added: Sponsors of applicable clinical trials of devices
+Added: also are required to register with www.clinicaltrials.gov, a public database of clinical trial information.
+Added: Information related to
+Added: the device, patient population, phase of investigation, study sites and investigators and other aspects of the clinical trial is made
+Added: public as part of the registration.
+Added: Although the FDA’s Quality System Regulation (QSR) does not fully apply to investigational devices,
+Added: the requirement for controls on design and development does apply.
+Added: Post-market Regulation
+Added: After a device is cleared or approved for marketing,
+Added: numerous and pervasive regulatory requirements continue to apply.
These include:
−Removed: ● establishment
−Removed: registration and device listing with the FDA;
−Removed: requirements, which require manufacturers, including third-party manufacturers, to follow stringent design, testing, control, documentation
−Removed: and other quality assurance procedures during all aspects of the design and manufacturing process;
−Removed: regulations and FDA prohibitions against the promotion of investigational products, or the promotion of “off-label”
−Removed: uses of cleared or approved products;
−Removed: related to promotional activities;
−Removed: or approval of product modifications to 510(k)-cleared devices that could significantly affect safety or effectiveness or that would
−Removed: constitute a major change in intended use of one of our cleared devices, or approval of certain modifications to PMA-approved devices;
−Removed: device reporting regulations, which require that a manufacturer report to the FDA if a device it markets may have caused or contributed
−Removed: to a death or serious injury, or has malfunctioned and the device or a similar device that it markets would be likely to cause or
−Removed: contribute to a death or serious injury, if the malfunction were to recur;
−Removed: removal and recall reporting regulations, which require that manufacturers report to the FDA field corrections and product recalls
−Removed: or removals if undertaken to reduce a risk to health posed by the device or to remedy a violation of the FDCA that may present a
−Removed: risk to health;
−Removed: FDA’s recall authority, whereby the agency can order device manufacturers to recall from the market a product that is in violation
−Removed: of governing laws and regulations;
−Removed: surveillance activities and regulations, which apply when deemed by the FDA to be necessary to protect the public health or to provide
−Removed: additional safety and effectiveness data for the device.
−Removed: we have a commercialized product, our manufacturing processes will be required to comply with the applicable portions of the QSR, which
−Removed: cover the methods and the facilities and controls for the design, manufacture, testing, production, processes, controls, quality assurance,
−Removed: labeling, packaging, distribution, installation and servicing of finished devices intended for human use.
−Removed: The QSR also requires, among
−Removed: other things, maintenance of a device master file, device history file, and complaint files.
−Removed: As a manufacturer, we are subject to periodic
−Removed: scheduled or unscheduled inspections by the FDA.
−Removed: Our failure to maintain compliance with the QSR requirements could result in the shut-down
−Removed: of, or restrictions on, our manufacturing operations and the recall or seizure of our products, which would have a material adverse effect
−Removed: on our business.
−Removed: The discovery of previously unknown problems with any of our products, including unanticipated adverse events or adverse
−Removed: events of increasing severity or frequency, whether resulting from the use of the device within the scope of its clearance or off-label
−Removed: by a physician in the practice of medicine, could result in restrictions on the device, including the removal of the product from the
−Removed: market or voluntary or mandatory device recalls.
−Removed: FDA has broad regulatory compliance and enforcement powers.
−Removed: If the FDA determines that we failed to comply with applicable regulatory
−Removed: requirements, it can take a variety of compliance or enforcement actions, which may result in any of the following sanctions:
−Removed: letters, warning letters, fines, injunctions, consent decrees and civil penalties;
−Removed: unanticipated
−Removed: expenditures to address or defend such actions;
−Removed: notifications or repair, replacement, refunds, recall, detention or seizure of our products;
−Removed: restrictions, partial suspension or total shutdown of production;
−Removed: or delaying our requests for regulatory approvals or clearances of new products or modified products;
−Removed: to grant export approval for our products;
−Removed: of March 21, 2025, we have 7 full-time employees, which includes two executive officers.
−Removed: We also contract with several consultants
−Removed: and contractors performing finance, accounting, regulatory advisory, investor relations and manufacturing scale-up support.
−Removed: costs, our President and Chief Executive Officer serves as our principal financial and accounting officer, in addition to being our principal
−Removed: executive officer.
−Removed: In addition, we do not employ any internal legal personnel.
−Removed: None of our employees are represented by labor unions
−Removed: or covered by collective bargaining agreements.
−Removed: Stock Splits and Increase to Authorized Capital
−Removed: July 24, 2023, we effected the first reverse stock split of our shares of common stock at a ratio of 1-for-20 (the “July 2023 Reverse
−Removed: Stock Split”).
−Removed: On June 20, 2024, we effected a second reverse stock split of our shares of common stock at a ratio of 1-for-8 (the
−Removed: “June 2024 Reverse Stock Split”).
−Removed: On November 18, 2024, we effected a third reverse stock split of our shares of common stock
−Removed: at a ratio of 1-for-50 (the “November 2024 Reverse Stock Split” and together with the July 2023 Reverse Stock Split and the
−Removed: June 2024 Reverse Stock Split, the “Reverse Stock Splits”).
−Removed: As such, collectively, the Company’s common stock has undergone
−Removed: reverse stock splits that have combined the shares on a 1-for-8,000 aggregate basis since July 2023.
−Removed: The Reverse Stock Splits became
−Removed: effective on the dates noted above, when the Company’s common stock opened for trading on Nasdaq on a post-split basis under the
−Removed: Company’s existing trading symbol, “BJDX.” All historical share and per share amounts reflected throughout this Form
−Removed: 10-K have been adjusted to reflect the Reverse Stock Splits.
−Removed: However, our periodic and current reports, and all other documents incorporated
−Removed: by reference into this Form 10-K that were filed prior to the dates noted above, do not give effect to the applicable Reverse Stock Splits.
−Removed: October 23, 2024, the stockholders of the Company approved and adopted an amendment to the Company’s amended and restated certificate
−Removed: of incorporation, to increase the number of authorized shares of the Company’s Common Stock to 250,000,000.
−Removed: principal executive offices are located at 360 Massachusetts Avenue, Suite 203, Acton, MA 01720 and our telephone number is (844) 327-7078.
+Added: ● establishment registration
+Added: and device listing with the FDA;
+Added: ● QSR requirements, which require
+Added: manufacturers, including third-party manufacturers, to follow stringent design, testing, control, documentation and other quality assurance
+Added: procedures during all aspects of the design and manufacturing process;
+Added: ● labeling regulations and FDA
+Added: prohibitions against the promotion of investigational products, or the promotion of “off-label” uses of cleared or approved
+Added: ● requirements related to promotional
+Added: ● clearance or approval of product
+Added: modifications to 510(k)-cleared devices that could significantly affect safety or effectiveness or that would constitute a major change
+Added: in intended use of one of our cleared devices, or approval of certain modifications to PMA-approved devices;
+Added: ● medical device reporting regulations,
+Added: which require that a manufacturer report to the FDA if a device it markets may have caused or contributed to a death or serious injury,
+Added: or has malfunctioned and the device or a similar device that it markets would be likely to cause or contribute to a death or serious
+Added: injury, if the malfunction were to recur;
+Added: ● correction, removal and recall
+Added: reporting regulations, which require that manufacturers report to the FDA field corrections and product recalls or removals if undertaken
+Added: to reduce a risk to health posed by the device or to remedy a violation of the FDCA that may present a risk to health;
+Added: ● the FDA’s recall authority,
+Added: whereby the agency can order device manufacturers to recall from the market a product that is in violation of governing laws and regulations;
+Added: ● post-market surveillance activities
+Added: and regulations, which apply when deemed by the FDA to be necessary to protect the public health or to provide additional safety and
+Added: effectiveness data for the device.
+Added: Once we have a commercialized product, our manufacturing
+Added: processes will be required to comply with the applicable portions of the QSR, which cover the methods and the facilities and controls
+Added: for the design, manufacture, testing, production, processes, controls, quality assurance, labeling, packaging, distribution, installation
+Added: and servicing of finished devices intended for human use.
+Added: The QSR also requires, among other things, maintenance of a device master file,
+Added: device history file, and complaint files.
+Added: As a manufacturer, we are subject to periodic scheduled or unscheduled inspections by the FDA.
+Added: Our failure to maintain compliance with the QSR requirements could result in the shut-down of, or restrictions on, our manufacturing operations
+Added: and the recall or seizure of our products, which would have a material adverse effect on our business.
+Added: The discovery of previously unknown
+Added: problems with any of our products, including unanticipated adverse events or adverse events of increasing severity or frequency, whether
+Added: resulting from the use of the device within the scope of its clearance or off-label by a physician in the practice of medicine, could
+Added: result in restrictions on the device, including the removal of the product from the market or voluntary or mandatory device recalls.
+Added: The FDA has broad regulatory compliance and enforcement
+Added: If the FDA determines that we failed to comply with applicable regulatory requirements, it can take a variety of compliance or
+Added: enforcement actions, which may result in any of the following sanctions:
+Added: ● untitled letters, warning letters,
+Added: fines, injunctions, consent decrees and civil penalties;
+Added: ● unanticipated expenditures
+Added: to address or defend such actions;
+Added: ● customer notifications or repair,
+Added: replacement, refunds, recall, detention or seizure of our products;
+Added: ● operating restrictions, partial
+Added: suspension or total shutdown of production;
+Added: ● refusing or delaying our requests
+Added: for regulatory approvals or clearances of new products or modified products;
+Added: ● refusal to grant export approval
+Added: for our products;
+Added: ● criminal prosecution.
+Added: Exploratory Artificial Intelligence Integration Initiative
+Added: The Company is pursuing an exploratory strategic initiative to evaluate
+Added: the potential integration of artificial intelligence (“AI”) capabilities into its Symphony™ platform.
+Added: This initiative
+Added: is intended to assess whether advanced analytics may enhance the clinical interpretation of biomarker data, including IL-6 measurements,
+Added: and support the development of models related to sepsis risk stratification and patient outcomes.
+Added: This initiative remains in the evaluation
+Added: stage, and the Company has not entered into any definitive agreements related to AI integration.
+Added: Any development activities are expected
+Added: to be conducted in a phased and disciplined manner, with attention to data integrity, clinical validation, regulatory considerations,
+Added: and capital allocation priorities.
+Added: There can be no assurance that this exploratory initiative will result in a commercial product, regulatory
+Added: authorization, revenue generation, or strategic collaboration.
+Added: As of March 2, 2026, we have 6 full-time
+Added: employees, which includes one executive officer.
+Added: We also contract with several consultants and contractors performing finance, accounting,
+Added: regulatory advisory, investor relations and manufacturing scale-up support.
+Added: To conserve costs, our President and Chief Executive Officer
+Added: serves as our principal financial and accounting officer, in addition to being our principal executive officer.
+Added: In addition, we do not
+Added: employ any internal legal personnel.
+Added: None of our employees are represented by labor unions or covered by collective bargaining agreements.
+Added: Reverse Stock Splits and Increase to Authorized
+Added: On July 24, 2023, we effected the first reverse
+Added: stock split of our shares of common stock at a ratio of 1-for-20 (the “July 2023 Reverse Stock Split”).
+Added: On June 20, 2024,
+Added: we effected a second reverse stock split of our shares of common stock at a ratio of 1-for-8 (the “June 2024 Reverse Stock Split”).
+Added: On November 18, 2024, we effected a third reverse stock split of our shares of common stock at a ratio of 1-for-50 (the “November
+Added: 2024 Reverse Stock Split”).
+Added: On January 29, 2026, we effected a fourth reverse stock split of our shares of common stock at a ratio
+Added: of 1-for-4 (the “January 2026 Reverse Stock Split” and together with the July 2023 Reverse Stock Split, the June 2024 Reverse
+Added: Stock Split and the November 2024 Reverse Stock Split, the “Reverse Stock Splits”).
+Added: As such, collectively, the Company’s
+Added: common stock has undergone reverse stock splits that have combined the shares on a 1-for-32,000 aggregate basis since July 2023.
+Added: of the Reverse Stock Splits were undertaken because the trading price of our common stock had fallen below the $1.00 per share minimum
+Added: price that is required to maintain listing on Nasdaq, and the Company desired to maintain the common stock’s Nasdaq listing.
+Added: Reverse Stock Splits became effective in the months noted above, when the Company’s common stock opened for trading on Nasdaq on
+Added: a post-split basis under the Company’s existing trading symbol, “BJDX.” All historical share and per share amounts reflected
+Added: throughout this Form 10-K have been adjusted to reflect the Reverse Stock Splits.
+Added: However, our periodic and current reports, and all other
+Added: documents incorporated by reference into this Form 10-K that were filed prior to the dates noted above, do not give effect to the applicable
+Added: Reverse Stock Splits.
+Added: On October 23, 2024, the stockholders of the Company
+Added: approved and adopted an amendment to the Company’s amended and restated certificate of incorporation, to increase the number of
+Added: authorized shares of the Company’s Common Stock to 250,000,000.
+Added: At the Company’s annual meeting of stockholders
+Added: on June 18, 2025, the Company’s stockholders provided the Company’s board of directors with authority to implement the January
+Added: 2026 Reverse Stock Split, as well as an additional reverse stock split at a ratio of up to 1-for-20 (the “Additional Reverse Stock
+Added: The Additional Reverse Stock Split may not be implemented if it would reduce the number of publicly held shares of the
+Added: Company’s common stock to less than 500,000.
+Added: The Board’s authority to implement the Additional Reverse Stock expires on June
+Added: Available Information
+Added: Our principal executive offices are located at
+Added: 360 Massachusetts Avenue, Suite 203, Acton, MA 01720 and our telephone number is (844) 327-7078.
Our website address is www.bluejaydx.com.
−Removed: Our Annual Reports on Form 10-K, Quarterly Reports on Form 10-Q, Current Reports on Form 8-K
−Removed: and all amendments to those reports, proxy statements and other information about us are made available, free of charge, through the
−Removed: Securities and Exchange Commission (“SEC”) Filings section of our website at www.ir.bluejaydx.com/financial-information/sec-filings
−Removed: and at the SEC’s website at www.sec.gov as soon as reasonably practicable after such material is electronically filed with or furnished
−Removed: We include our website address in this report only as an inactive textual reference and do not intend it to be an active
−Removed: link to our website.
−Removed: The contents of our website are not incorporated into this report.
−Removed: addition, our Board of Directors has adopted a written Code of Business Conduct and Ethics applicable to all officers, directors and
−Removed: employees, which is available through the “Governance Overview” section of our website at www.ir.bluejaydx.com/corporate-governance/governance-overview.
−Removed: We intend to satisfy the disclosure requirement under Item 5.05 of Form 8-K regarding amendment to, or waiver from, a provision of the
−Removed: Code of Business Conduct and Ethics and by posting such information on the website address and location specified above.
+Added: Our Annual Reports on Form 10-K, Quarterly Reports on Form 10-Q, Current Reports on Form 8-K and all amendments to those reports, proxy
+Added: statements and other information about us are made available, free of charge, through the Securities and Exchange Commission (“SEC”)
+Added: Filings section of our website at www.ir.bluejaydx.com/financial-information/sec-filings and at the SEC’s website at www.sec.gov
+Added: as soon as reasonably practicable after such material is electronically filed with or furnished to the SEC.
+Added: We include our website address
+Added: in this report only as an inactive textual reference and do not intend it to be an active link to our website.
+Added: The contents of our website
+Added: are not incorporated into this report.
+Added: In addition, our Board of Directors has adopted
+Added: a written Code of Business Conduct and Ethics applicable to all officers, directors and employees, which is available through the “Governance
+Added: Overview” section of our website at www.ir.bluejaydx.com/corporate-governance/governance-overview.
+Added: We intend to satisfy the disclosure
+Added: requirement under Item 5.05 of Form 8-K regarding amendment to, or waiver from, a provision of the Code of Business Conduct and Ethics
+Added: and by posting such information on the website address and location specified above.
Compared sentence by sentence after normalising whitespace, quotation marks, case and digits, so re-formatting and restated figures do not read as changed language. Wording changes appear as one removal and one addition. The current filing and the prior one are authoritative.