−Removed: Timeline and Detailed Business Description
−Removed: Technologies (Other OTC:
−Removed: NVNT) (“Novint”, the “Company”, “we”, “our”, “us”)
−Removed: was incorporated in the State of New Mexico as Novint Technologies, Inc.
−Removed: in April 1999.
−Removed: On February 26, 2002, the Company changed
−Removed: its state of incorporation to Delaware by merging into Novint Technologies, Inc., a Delaware corporation.
−Removed: Company was formed with the goal of commercializing haptics technology by developing a revolutionary haptic game controller for
−Removed: computer video gaming and other computer applications based on technology licensed from Sandia National Laboratories (“Sandia”),
−Removed: one of three National Nuclear Security Administration research and development laboratories in the United States.
−Removed: Sandia is managed
−Removed: and operated by the National Technology and Engineering Solutions of Sandia LLC, a wholly owned subsidiary of Honeywell International,
−Removed: Haptics technologies allow people to use their sense of touch to interact with computers.
−Removed: the Company derived revenue primarily from developing professional applications for customers, including Aramco, Lockheed Martin,
−Removed: Chrysler, Chevron and Sandia.
−Removed: Beginning in 2007, the Company began to derive revenue primarily from the sale to customers of the
−Removed: consumer Falcon product (described in the sections below), and the associated “grips,” or handles that are shaped
−Removed: to mirror the application simulated by the Falcon product (e.g., a gun handle, a sword handle, or a steering wheel) and the sale
−Removed: or license of specially enabled computer games designed to be used with the Falcon.
−Removed: 2007, we commercially released the Novint Falcon game controller, which uses patented nano-vibrations to create different “textures
−Removed: and “feels” that allow users to experience a realistic and detailed sense of touch, referred to as a “haptic”
−Removed: feel, when using video games and other computer applications..
−Removed: Holding its handle, users feel the shapes, textures, weight, dimension
−Removed: and force feedback effects in software games that have been enabled to work with the Falcon.
−Removed: These “feelings”, which
−Removed: are felt in the hand of the user that is holding the Falcon controller, are generated by tiny nano vibrations that create sensations
−Removed: that simulate the real-life sensation of touch, as opposed to providing simple vibrations and feedback like Rumble Strip based
−Removed: joysticks developed by Immersion Corporation (IMMR).
−Removed: For example, a person can feel the difference between a piece of rubber or
−Removed: wool as he holds the handle of the Falcon and runs over the different materials on the screen.
−Removed: When firing a gun, the person gets
−Removed: a kickback and feeling based on the type of gun that is being fired.
−Removed: When a person is hit onscreen, the person feels the type
−Removed: of hit and from what direction the hit came.
−Removed: When a person catches a baseball in a glove, the person feels like the ball is landing
−Removed: in the glove.
−Removed: The feelings are almost surreal and frightening at times.
−Removed: It is difficult to describe the experience without feeling
−Removed: it firsthand.
−Removed: The Falcon and its haptics technology, games and applications provide the crucial missing “third sense”
−Removed: to human computer interaction.
−Removed: In late 2006, BusinessWeek wrote that “Novint’s haptic controller, the Falcon, looks
−Removed: set to revolutionize gaming.”
−Removed: 2007, the Company began shipping the Falcon to commercial retailers and distributors in the U.S., including Fry’s, Tiger
−Removed: Direct, and J&R Music Store.
−Removed: Additionally, in the fourth quarter of 2007, Novint opened its online store for the sale of the
−Removed: Falcon, and computer games integrated to work with the Falcon.
−Removed: Customers could download games for use with the Falcon by going
−Removed: to the Company’s website and purchasing the haptics enabled games.
−Removed: The Company developed many of its own gaming titles.
−Removed: Also, the Company licensed several better-known game titles.
−Removed: The Company’s programmers haptically enabled these titles to
−Removed: take advantage of the haptic feedback and sensations when using the Falcon controller.
−Removed: Novint’s programmers added the haptic
−Removed: parts to the play of the programming code of these games using manual customization.
−Removed: We have commercialized over 45 gaming titles
−Removed: available for use with the Falcon controller since 2007.
−Removed: We are free to sell or provide the internally developed gaming titles
−Removed: as an accompanying software bonus along with the Falcon, not subject to any license agreement or royalty obligation.
−Removed: licensing agreements with various gaming software providers have expired and are treated as terminated.
−Removed: The license agreement
−Removed: referenced in Note 4, which accounts for the contingent accrued royalties shown on the Company’s Balance Sheet for the year
−Removed: ended December 31, 2022, is an agreement dated January 4, 2004, as amended on July 24, 2007, between Novint Technologies, Inc.
−Removed: and Force Dimension, LLC, based in Switzerland.
−Removed: The Company treats the agreement as terminated without any further royalty obligation
−Removed: on the basis that Force Dimension, LLC committed a material breach of the agreement by failing to deliver the deliverables specified
−Removed: in the agreement.
−Removed: Our determination that Force Dimension committed a material breach is based on extensive due diligence, including
−Removed: examining related documents, and interviews with prior management and employees.
−Removed: In accordance with ASC 405-20, the contingent
−Removed: liability for unpaid royalties remains on the Company’s Balance Sheet for the year ended December 31, 2022 because there
−Removed: was never an official termination.
−Removed: we sold thousands of Falcon units since 2007 and released dozens of software titles that were optimized to work with the Falcon,
−Removed: sales of the Falcon controller struggled and failed to reach a critical mass, which continues to this day.
−Removed: We believe that the
−Removed: titles were not released fast enough to satisfy consumer demand and that the cost of acquiring rights to game titles and haptically
−Removed: enabling the software was too large of a challenge for us.
−Removed: Additionally, we were not successful in securing a strategic partner
−Removed: to help us market the Falcon more effectively and assist with the huge software development efforts that were necessary for successful
−Removed: market penetration.
−Removed: time to time, we engaged in discussions with larger commercial partners and performed R&D under contract for larger companies
−Removed: with the goal of obtaining assistance for commercial product development.
−Removed: None of these efforts were successful and there can
−Removed: be no assurances that we will be able to find partners to assist us in successfully commercializing our products.
−Removed: pursuant to the 2015 Patent Sale and License Agreement described below, there are extensive restrictions on our ability to engage
−Removed: commercial partners on a go forward basis.
−Removed: However, we retain the right to enter into manufacturing arrangements to produce certain
−Removed: Falcon products for others or engage contract manufacturers to produce certain Falcon products on our behalf.
−Removed: The permitted Falcon
−Removed: products are limited to Falcon products that are based solely on designs existing at the time of the 2015 Patent Sale and License
−Removed: Agreement, as well as the unreleased next generation designs of the Company’s Xio products (described below).
−Removed: time to time, we engage in discussions with potential strategic partners for the purpose of effecting a merger, share exchange,
−Removed: asset acquisition, share purchase, reorganization or similar business combination (“Business Combination”).
−Removed: reviewed several opportunities to enter into a Business Combination but none of our reviews has resulted in a binding agreement.
−Removed: There can be no assurances that we will be able to find a suitable strategic partner or successfully negotiate and enter into
−Removed: any binding agreement regarding a Business Combination.
−Removed: Tek Transaction
−Removed: April 2011, Novint merged with Force Tek Technologies, LLC (“Force Tek”), a company founded by serial entrepreneur
−Removed: Shannon Vissman, which developed a full arm controller with forced feedback that could be used for gaming.
−Removed: Novint and Force Tek
−Removed: initially met at a gaming conference where the companies recognized the potential of merging their complementary technologies
−Removed: into a single unified gaming controller that had much of the haptic feedback of the Falcon, but in a portable controller that
−Removed: fits on a user’s arm.
−Removed: The combined company continued to be known as Novint.
−Removed: the 2011 merger, Shannon Vissman and Ryan Christoff joined the Company’s Board of Directors (the “Board”), replacing
−Removed: Brian Long and Jan Richardson.
−Removed: On October 24, 2011, Tom Anderson resigned as CEO and was replaced by Shannon Vissman.
−Removed: In connection
−Removed: with the merger, all debt of the Company was either repaid or converted to equity.
−Removed: Vissman, and to a lesser extent Mr.
−Removed: provided equity funding of approximately $3 million at a fixed price per share.
−Removed: This funding was used to merge R&D teams and
−Removed: to create a next generation game controller with the combined technologies, called the Xio, while continuing to support the Company’s
−Removed: sales of the Falcon controller and related accessories and software.
−Removed: The integration work for the Xio was never completed, though
−Removed: various prototypes were developed.
−Removed: During this time, Novint performed custom haptic projects related to Xio prototypes for customers,
−Removed: including the US army, but these efforts failed to generate significant business opportunities and the Company was unsuccessful
−Removed: in obtaining any commercial production contracts as a result of this work.
−Removed: connection with the merger, the Company assumed the license agreement dated April 6, 2009 among Force Tek, as licensee, and Inverse
−Removed: Technology Corporation and Kinetecs, Inc., as licensors (the “Force Tek License”).
−Removed: Pursuant to the Force Tek License,
−Removed: Force Tek paid an initial payment and incurred an obligation to pay royalties based on sales of products that utilize the licensed
−Removed: technology, which may be used in the Xio product, in which case the Company would be required to pay royalties on commercial sales
−Removed: of the Xio product.
−Removed: There can be no assurances that we will successfully commercialize the Xio product.
−Removed: August 2013, Brian Long, Jan Richardson, Tom Anderson and Shannon Vissman resigned from the Board, and Orin Hirschman and Martin
−Removed: Chopp joined the Board to serve alongside Ryan Christoff.
−Removed: The Company issued and sold $55,180 of senior secured debt to support
−Removed: Since that time, we have worked to preserve cash and reduce expenses while continuing to sell small amounts of Falcons
−Removed: and related accessories and software titles, with a goal of preserving cash.
−Removed: Simultaneously, we initiated a process to explore
−Removed: ways to further realize value from Novint’s patent portfolio, the Falcon hardware and related software, and the our next
−Removed: generation Xio product.
−Removed: June 2015, after an extensive process, Novint sold 5 patents and sublicensed 5 patents to an undisclosed technology company for
−Removed: a $750,000 upfront payment, and a potential second payment of $750,000 upon waiver of assignment from the DOE to Sandia (the “2015
−Removed: Patent Sale and License Agreement”).
−Removed: The second payment was paid in July 2016.
−Removed: Net of broker fees, legal expenses and payments
−Removed: to Sandia to release their rights to the IP, we received net proceeds of $699,714.
−Removed: We retained a non-transferable license that
−Removed: allows us to continue selling Falcon products that are based solely on their designs existing at the time of the 2015 Patent Sale
−Removed: and License Agreement (the “Permitted Falcon Products”) and next generation devices, such as the Xio.
−Removed: that time, Novint has continued selling small amounts of Permitted Falcon Products and related software and accessories while
−Removed: engaging in discussions with potential partners on Permitted Falcon Products and Xio products and studying other ways to realize
−Removed: value from these products.
−Removed: Management believes that Novint was too early in trying to pioneer the market for a consumer haptic
−Removed: One of the major disadvantages of the original Falcon design highlighted by customers and potential commercial partners
−Removed: was its size and weight and the need for the controller to be sitting on a desktop.
−Removed: The Xio product, our next generation product
−Removed: that is developed but not completed, addresses this issue by being lightweight and strapping onto the hand and forearm.
−Removed: is not ready for commercial release and there can be no assurances that the product will be completed or commercially released
−Removed: in the future.
−Removed: Products – Falcon
−Removed: Falcon is an extensible, grounded (e.g., desktop), three-dimensional (3D) haptic interaction device.
−Removed: It is a compact robotic device
−Removed: with characteristics optimized for real-time force-feedback and tactile interaction.
−Removed: The Falcon was specifically developed for
−Removed: consumer applications with an emphasis on interactive gaming..
−Removed: The Novint Falcon was designed to be used for both PC and console
−Removed: All that is required to interface to the device is some form of serial interface (wired or wireless).
−Removed: Novint has also
−Removed: created in-lab prototypes of the Falcon that would be directly connected to gaming consoles.
−Removed: Additionally, the performance characteristics
−Removed: of the Falcon device are such that it has seen some wider application in fields such as education, medicine, scientific visualization,
−Removed: robotics and tele-robotics
−Removed: current consumer version of the Falcon consists of the Main Unit, a Stand and a “Grip” or end effector.
−Removed: The Main Unit
−Removed: is capable of generating high-fidelity, high-bandwidth, 3D forces and accurately sensing 3D position in real-time within its working
−Removed: The Main Unit has on-board computational capabilities and is programmed by and communicates with a host computer or
−Removed: system via a bi-directional USB communication interface.
−Removed: It is typically powered using an external DC power supply.
−Removed: Main Unit has a modular, quick connect/disconnect, electromechanical interface (i.e., the Grip Interface) that allows various
−Removed: grips to be mounted to it.
−Removed: This interface allows a grip to be mechanically connected to the Main Unit and provides electrical
−Removed: power and communication with the grip.
−Removed: When the Falcon is utilized as a haptic interaction device, it is the grip that the end-user
−Removed: actually grasps and uses to interact with the device.
−Removed: Grips themselves have arbitrary shapes and functions.
−Removed: A Grip simply has to adhere to the mechanical and electrical constraints
−Removed: of the Grip Interface.
−Removed: Grips typically use on-board computational elements to report their state to the Main Unit via the serial
−Removed: communication channel of the Grip Interface.
−Removed: Two typical consumer grips are a general-purpose spherical interface and a pistol
−Removed: shaped grip typically used for game play and interaction.
−Removed: These grips have various buttons and communicate their identity as well
−Removed: as button state via the Grip Interface to the Main Unit.
−Removed: The Main Unit is modularly mounted on a Stand.
−Removed: Consumer units are typically
−Removed: shipped with a “U” stand.
−Removed: The Falcon Main Unit can be mounted, however, on any stand or object that provides the appropriate
−Removed: mechanical interface and fasteners.
−Removed: Falcon communicates with a host computer or system via a bi-directional USB communication interface at a 1 KHz data rate.
−Removed: and APIs/SDKs on the host side allow haptic interaction to be incorporated or added to various applications across various markets.
−Removed: to the introduction of the current consumer Falcon haptic interface device, there have been a variety of improvements, features
−Removed: and options to the design of the device, which the Company has implemented on a limited number of units for specific customers.
−Removed: Other significant changes have been designed for the device as product improvements or model variations.
−Removed: These changes to the
−Removed: device design have not yet made it to the consumer version of the device but could do so given appropriate funding, timing and
−Removed: For example, the current capstan cable drive mechanism for the Falcon utilizes a single spring tensioner.
−Removed: Under high-speed
−Removed: motions, this approach results in unequal cable tension between the cable on one side of the capstan and the other, potentially
−Removed: leading to slippage of the cable relative to the capstan when motor direction is abruptly reversed after a high-speed run.
−Removed: system that helps guarantee balanced cable tension is one of the pre-planned product improvements for the Falcon.
−Removed: Another example
−Removed: is the potential to decrease the electronics cost.
−Removed: The current consumer Falcon utilizes a Digital Signal Processor (DSP), and
−Removed: other electronics elements to implement the Falcon’s processing and communication system.
−Removed: Significant effort has been undertaken
−Removed: in designs where an ASIC is used for a major portion of these processing and communication requirements.
−Removed: This design will allow
−Removed: more economical production of the Falcon for larger volume production runs.
−Removed: are other areas of potential improvement to the Falcon.
−Removed: The current consumer Falcon is relatively compact compared to other arm
−Removed: The radial twist employed in the “arm” design decreases the radial cross section of the device.
−Removed: layout of the electronics is also optimized to decrease size.
−Removed: In addition, the U-shaped base helps to decrease the apparent size
−Removed: of the device.
−Removed: Nonetheless, further decreasing the apparent and real volume of the device is desirable for increased consumer
−Removed: Ideally, this decrease would also reduce the manufacturing cost for the Falcon.
−Removed: Novint has outlined a fundamental
−Removed: approach where most of the encasing plastic for the Falcon Main Unit will be removed and the underlying plastic frame for the
−Removed: Falcon will be modified to be the exterior of the device as well as supporting the device mechanisms and electronics.
−Removed: significantly decrease the apparent size and volume of the Falcon.
−Removed: It also provides significant additional shape, color and opacity
−Removed: options to the appearance of the Falcon Main Unit, including clear plastic options where the internal mechanisms and electronics
−Removed: significant amount of effort has been taken in the design of potential consumer grips.
−Removed: One major class of effort has revolved
−Removed: around variations in general purpose grips for ergonomic and functional improvements.
−Removed: A significant number of custom variations
−Removed: of the Falcon have been designed and built over time.
−Removed: Typically, these developments have been for customers in the “professional”
−Removed: sectors (e.g., medicine, telerobotics, and scientific visualization).
−Removed: These variations have been based on the current consumer
−Removed: Falcon design and can easily be incorporated into the standard Falcon line when appropriate.
−Removed: has made several custom variations to the Falcon for specific customers and use cases.
−Removed: As part of its custom efforts, we have
−Removed: developed improved control algorithms for the Falcon Main Unit that allow higher peak forces to be generated or lower forces to
−Removed: be maintained for longer periods of time.
−Removed: These developments are embodied in custom units referred to as “Super Falcons”.
−Removed: Fundamentally, these improvements involve changes to the timing and pulse-width modulation motor control used in the control algorithms
−Removed: run on the Falcon Main Unit’s DSP.
−Removed: No changes to Falcon hardware are required.
−Removed: This allows a “Super Falcon”
−Removed: to be sold to consumers when appropriate.
−Removed: In addition, several fundamentally new Grip designs for the Falcon have been developed
−Removed: for custom customer applications.
−Removed: Consumer versions of these designs are possible.
−Removed: addition to the Falcon device, we have developed and sold software and demonstrations for all gaming genres including Action,
−Removed: Adventure, Fighting, Racing, Simulation, Sport, Strategy, Parlor, Massively Multiplayer Online (MMO) and Miscellaneous (e.g.,
−Removed: board games, pinball).
−Removed: Also, we have created a number of haptically enabled software applications that allow the Falcon to be
−Removed: utilized for many non-gaming uses.
−Removed: For example, Novint has developed medical simulation software for various injection procedures,
−Removed: including Epidural injections, Synvisc™ injection, Depo-Medrol™ injection and other injections.
−Removed: Novint has also developed
−Removed: software applications that allow a user to feel as well as see medical data.
−Removed: For example, CT Scan data can be probed using the
−Removed: Falcon, and the difference between soft tissue and bone can be felt.
−Removed: Novint’s medical applications have typically been used
−Removed: both for medical marketing and procedure familiarization or training.
−Removed: In addition, Novint has developed specific software for
−Removed: marketing purposes that works with the Falcon.
−Removed: For example, Novint modified a game for Anheuser-Busch to use during its on-site
−Removed: marketing campaigns.
−Removed: Novint has also developed software applications where a Falcon’s motion is controlled via software
−Removed: or in real time using another (remote) Falcon.
−Removed: Haptic Companies and Competition
−Removed: over the last several years create the potential for more consumer interest in haptic devices and controllers.
−Removed: In 2016, Facebook
−Removed: released the Oculus Rift Virtual Reality (VR) headset at a sub $1,000 price point, which a consumer can wear on his/her head and
−Removed: experience virtual reality.
−Removed: HTC, a market leader in VR, sells a similar headset.
−Removed: Both companies sell companion hand controllers
−Removed: that are are small and lightweight, but offer limited haptic feedback compared to the Falcon.
−Removed: the last few years, and in particular in very recent periods, there have been a number of start-up companies working on new haptic
−Removed: controllers, including handheld devices that are similar to the controllers sold by Facebook and HTC, as well as more elaborate
−Removed: wearable haptic controllers, including gloves.
−Removed: These devices are more similar to Novint’s next generation Xio design and
−Removed: are more elaborate than the handheld controllers currently on the market.
−Removed: The sudden surge in development in this area suggests
−Removed: that the field is beginning to gain more interest following the commercial releases of the Oculus Rift and HTC products as well
−Removed: as similar headsets that are being introduced by other companies.
−Removed: are many companies producing VR and haptic devices that compete with or may compete in the future with the Falcon and Xio.
−Removed: of the companies that may be competitive include:
−Removed: Corporation (NASDAQ:
−Removed: IMMR) is primarily a 1D or 2D haptics hardware company (a Haptic
−Removed: computer interaction in which forces are mechanically displayed to a user in 1 or 2 directions
−Removed: examples are force feedback joysticks and force feedback mice).
−Removed: has acquired other haptics device companies, such as Cybernet, Haptech and Virtual Technologies.
−Removed: based in Atlanta, Georgia, offers a haptic glove for controlling virtual reality systems,
−Removed: such as the Occulus Rift and HTC Vive.
−Removed: The glove has sensors throughout as well as force
−Removed: feedback and appears to provide a very robust user experience.
−Removed: VRgluv appears be directly
−Removed: competitive with our Xio product.
−Removed: offers several haptic devices that simply vibrate and rumble, such as the control pads
−Removed: for their Xbox systems.
−Removed: Microsoft may be working on various haptic controllers to complement
−Removed: the company’s Hololens Virtual Reality headset that it has begun selling.
−Removed: sells haptics mice, wheels, and joysticks licensed from Immersion, which are primarily
−Removed: used for gaming.
−Removed: Logitech’s haptics products are two-dimensional and do not offer
−Removed: as many features as the Falcon.
−Removed: of March 31, 2023, we do not have any full-time employees in our workforce.
−Removed: and Available Information
−Removed: Technologies was incorporated in the State of New Mexico as Novint Technologies, Inc.
−Removed: in April 1999.
−Removed: On February 26, 2002, the
−Removed: Company changed its state of incorporation to Delaware by merging into Novint Technologies, Inc., a Delaware corporation.
−Removed: Company’s principal executive offices are located at 100 Merrick Road–Suite 400W, Rockville Center, NY 11570.
−Removed: Company’s telephone number is (866) 298-4420, and its website address is www.novint.com .
−Removed: information contained in, or accessible through our website does not constitute a part of and is not deemed or otherwise incorporated
−Removed: by reference in this Annual Report on Form 10-K.
−Removed: The Company’s Annual Reports on Form 10-K, Quarterly Reports on Form 10-Q,
−Removed: Current Reports on Form 8-K, and all amendments to those reports, are available free of charge through the “Investors —
−Removed: SEC Filings” section of the Company’s website as soon as reasonably practicable after such materials have been electronically
−Removed: filed with, or furnished to, the Securities and Exchange Commission.
−Removed: The Company’s shares of common stock are listed on
−Removed: Other OTC under the symbol “NVNT.”
−Removed: required to be provided by smaller reporting companies.
−Removed: UNRESOLVED STAFF COMMENTS
−Removed: the Company does not lease or own any real property.
+Added: used in this Report, all references to “we,” “our” and “us” for periods prior to the closing of the
+Added: Share Exchange refer to Dror Ortho-Design Ltd., a company incorporated under the laws of the State of Israel, and for periods subsequent
+Added: to the closing of the Share Exchange refer to Dror Ortho-Design, Inc., a Delaware corporation and its direct and indirect subsidiaries.
+Added: We were incorporated as Novint Technologies, Inc.
+Added: in the State of New
+Added: Mexico in April 1999.
+Added: On February 26, 2002, we changed our state of incorporation to Delaware by merging with Novint Technologies, Inc.,
+Added: a Delaware corporation.
+Added: On July 5, 2023, we entered into a share exchange agreement with the shareholders of Dror Ortho-Design, Ltd.
+Added: Dror”), pursuant to which the shareholders of Private Dror agreed to exchange all of their outstanding ordinary shares Private Dror
+Added: for shares of our Common Stock and convertible preferred stock (the “Share Exchange”).
+Added: On August 14, 2023, the Share
+Added: Exchange was consummated and we changed our name from “Novint Technologies, Inc.” to “Dror Ortho-Design, Inc.”
+Added: Following the Share Exchange, we succeeded to the business of Private Dror as our sole line of business.
+Added: have reimagined the way people can correct their smile.
+Added: plan to disrupt the aligner market by offering millions of people a revolutionary alternative.
+Added: We believe that people do not need to
+Added: change their lifestyle to correct their smile as they are required to do with existing aligner solutions.
+Added: aligner solutions generally share the same treatment principles, which are different from our solution.
+Added: In most cases, patients seeking
+Added: to improve their smile need to undergo a 12-to-15 month process of wearing plastic aligners, which need to be worn the entire day and
+Added: should only be removed while eating or drinking.
+Added: Patients are prescribed a series of 20 to 30 aligners that are intended to forcefully
+Added: move teeth progressively closer to their intended final position.
+Added: This process causes pain every time a new aligner is used and restricts
+Added: blood circulation, which counterproductively slows down tooth movement.
+Added: All-day aligner solutions are also intrusive, as patients need
+Added: to conduct their lives at work or school wearing the plastic aligners.
+Added: In addition, most existing aligner therapies require multiple
+Added: visits to an orthodontist to monitor the progress of treatment plans through intraoral scanning, physical examination and patient testimony.
+Added: believe that recent rapid advancements in technology have made traditional aligner solutions no longer the most effective treatment option
+Added: for smile correction.
+Added: Our Company has developed a proprietary AI-based platform to correct people’s smiles in a discreet and less
+Added: painful manner (the “Platform”).
+Added: The Platform uses only one smart aligner to gently move teeth into their optimum position
+Added: with pulsating air while the patient is sleeping or at home.
+Added: The Company has several patents for the technology used in the Platform
+Added: and is currently in the process of preparing the prototype for FDA approval.
+Added: predecessor first generation Aerodentis System is a Class II medical device, which was cleared by FDA for commercialization in the U.S.
+Added: pursuant to the 510(k) notification process for movement and alignment of teeth during orthodontic treatment of malocclusion in April
+Added: The Company is preparing to apply for 510(k) clearance for the Platform as a Class II medical device, which constitutes an updated
+Added: version of the currently cleared device.
+Added: Such updated Platform contains new and/or different components than the original device, which
+Added: is why a new 510(k) clearance is required prior to marketing the Platform in the U.S.
+Added: We have not yet filed a 510(k) submission for the
+Added: Platform, and it has, thus, not been found by the FDA to be substantially equivalent to the first generation Aerodentis System.
+Added: Company currently does not generate revenues to fund operations and anticipates that it will continue to incur significant losses as
+Added: it continues to develop the Platform.
+Added: Please refer to “Risk Factors - We are in the development stage, are not generating revenues
+Added: and have no operating history in the manufacturing and distribution of orthodontic medical devices or platforms for consumer use.”
+Added: for additional information.
+Added: The Company intends to spend approximately $2.5 million over the next 18 months on software and hardware
+Added: development as well as the accompanying regulatory approvals and IP protection associated with such software and hardware projects.
+Added: First Generation Aerodentis System
+Added: Company was founded in 2005 with the goal of offering millions of people a chance to correct their smile in a more discreet and less
+Added: painful manner.
+Added: The first generation of our product underwent ten years of development by a team of twelve orthodontists, engineers,
+Added: industrial designers and dental technicians.
+Added: This team developed a new clinically-proven method for correcting Class 1 and Class 2 malocclusion
+Added: using pulsating air.
+Added: The team discovered that using pulsating air improved blood circulation in the gums, which is essential to tooth
+Added: This first-generation product (the “Aerodentis System”) was composed of a base control unit that contained a pump
+Added: and motor that would deliver pulses of air to a micro balloon that was part of a mouthpiece to be used by the patient to deliver the
+Added: The use of pulsating air is the base patented technology that distinguishes our Aerodentis System from clear aligner therapies,
+Added: which are designed to move teeth using continuous resistant force delivered by the aligner, which impairs blood flow.
+Added: Base control unit, containing micro-pump and controls, attached to the smart aligner.
+Added: The smart aligner is composed of an outer mouthpiece
+Added: structure, which is shaped based on the final position of the teeth for a perfect smile.
+Added: Behind the outer mouthpiece structure is a micro
+Added: balloon that is attached to the base control unit with a fine and flexible microtube.
+Added: The balloon delivers pulsating air by inflating
+Added: and deflating.
+Added: Behind the balloon is the “push structure,” which provides the balloon with a surface to push against as it
+Added: gently moves the teeth.
+Added: January 2013, the Aerodentis System composed of the base control unit and custom mouthpiece received the European CE Mark.
+Added: received FDA clearance via the 510(k) process as a Class II medical device, with broad indication for use “in movement and alignment
+Added: of teeth during orthodontic treatment of malocclusion.” Clinical trials demonstrated that Aerodentis System was suitable for adults
+Added: and pediatric patients with Class 1 and Class 2 malocclusion, including crowding, proclination and retroclination.
+Added: Further, clinical
+Added: trials have demonstrated that the effectiveness of Aerodentis System was consistent with the results achieved by the Invisalign clear
+Added: aligners solution provided by Align Technology, Inc.
+Added: Close up of smart aligner with (1) outer structure formed based on the final tooth position desired for a perfect smile and (2) micro
+Added: balloon inserted between the outer structure and the inner structure to support the balloon’s expansion.
+Added: on the Aerodentis System, we have developed a prototype of the Platform, our next generation, comprehensive enhanced solution to Class
+Added: 1 and Class 2 malocclusion for which we intend to submit a 510(k) application for marketing in the U.S., as the Platform is beyond the
+Added: scope of our current FDA clearance.
+Added: The prototype of the Platform was developed over the course of eighteen months and is intended to
+Added: advance the proven clinical features of the Aerodentis System while incorporating recent developments in artificial intelligence utilized
+Added: in our Aerodentis AI Cloud (as defined below) component of the Platform, secure wireless and Internet communications with Internet of
+Added: Things (“IoT”) devices used in our Smart Aligner System component of the Platform and advanced imaging and 3D printing technologies.
+Added: IoT devices revers to pieces of hardware, such as sensors, actuators, gadgets, appliances, or machines, that are programmed for certain
+Added: applications and can transmit data over the internet or other networks.
+Added: is comprised of three primary components:
+Added: Aerodentis smartphone application;
+Added: AI-based cloud service (“Aerodentis AI Cloud”), which is used to perform analytics and manage patient treatment plans;
+Added: smart aligner system used by the patient, which consists of:
+Added: (i) a base control unit containing the pump and the IoT components and (ii)
+Added: a smart aligner containing the micro-balloon that gently pushes teeth into their intended final position using pulsating air (the “Smart
+Added: Aligner System”).
+Added: The following
+Added: provides a more detailed description of each of the components of our Platform:
+Added: Smartphone Application
+Added: freely downloadable Aerodentis smartphone application will allow potential patients to make a video of their smile and teeth and upload
+Added: the video to the Aerodentis AI Cloud.
+Added: This 2D video will be converted into a 3D model using our proprietary patent-pending AI based image
+Added: analysis technology.
+Added: The underlying algorithms will then perform an initial analysis to determine if the patient can potentially benefit
+Added: from our solution.
+Added: This complex analysis will be performed in minutes and will deliver a “Go/No Go” response.
+Added: Once a patient
+Added: begins treatment, they will use the smartphone application to provide their dental professional with ongoing remote monitoring of their
+Added: treatment progress.
+Added: The smartphone application can be used to upload additional teeth videos showing progress and to transmit data from
+Added: the Smart Aligner System (described below), including the amount of time the patient used the Smart Aligner System and the pressure and
+Added: pulse levels administered.
+Added: Aerodentis AI Cloud will be used to analyze data uploaded by patients and to facilitate communication between patients and dental professionals.
+Added: If the analysis performed on the initial video upload from the Aerodentis smartphone application delivers a “Go” result,
+Added: the patient will be invited to have an intraoral scan performed by a dental professional from our network of participating providers.
+Added: The results of this intraoral scan will be uploaded to the Aerodentis AI Cloud by the dental professional, and the Aerodentis AI Cloud
+Added: will use a machine learning algorithm to compare the scan with the initial model generated from the patient’s initial video upload.
+Added: The machine learning algorithm is designed to learn with every scan how to improve the accuracy of the 3D images it generates from smartphone
+Added: We believe that the Platform’s image analysis of smartphone videos will eventually approach the level of accuracy observed
+Added: in intraoral scans.
+Added: If we achieve this, we will be in a position to be able provide highly accurate image analysis of teeth that can
+Added: be used throughout the dental industry since it would allow for smartphones to essentially replace the need for intraoral scans for certain
+Added: This would dramatically increase the efficiency and treatment delivery cycle in the dental industry and result in a potentially
+Added: material economic benefit to our Company in the future.
+Added: Aerodentis AI Cloud will also be used for ongoing analysis of patient data and management of a patient’s treatment plan throughout
+Added: the treatment.
+Added: A dental professional will use our Platform to develop a customized treatment plan, including any interproximal reduction
+Added: necessary before treatment begins, based on the Smart Aligner System.
+Added: As a patient uploads progress videos from their smartphone, the
+Added: Platform will compare tooth positions in previous videos to current positions.
+Added: A dental professional will be able to use this data to
+Added: remotely monitor the treatment progress and modify the treatment plan remotely as needed.
+Added: Aligner System
+Added: Platform’s Smart Aligner System features a newer, more advanced version of our first generation Aerodentis System, featuring completely
+Added: redesigned micropump and motor mechanisms.
+Added: The redesign has significantly increased the pump’s pressure capacity, efficiency, and
+Added: In addition, the base control unit of Smart Aligner System is now IoT-enabled to allow external secure communication with
+Added: the device using Wi-Fi and Bluetooth.
+Added: The device will thus be able to communicate with the patient’s smartphone as well as the
+Added: Aerodentis AI Cloud and the designated dental professional, subject to FDA clearance.
+Added: clear aligner of a patient’s Smart Aligner System will be created using 3D printing based on various 3D images of the patient’s
+Added: teeth that are collected and analyzed in the Aerodentis AI Cloud.
+Added: This will represent a significant development in our industry since,
+Added: today, aligners are not printed but produced using a thermoforming process.
+Added: Other companies have implemented 3D printing to produce the
+Added: aligner models but not the actual aligners.
+Added: Although using 3D printing is a superior method for production due to its level of precision
+Added: and customizability, it has not been implemented in the production of aligners in the traditional aligner market because it would be
+Added: financially prohibitive to do so, since traditional aligner solutions would need to print multiple aligners for each patient.
+Added: solution requires only one smart aligner to be produced for each patient, we will be able to take advantage of this cost-effective production
+Added: method that will also have economies of scale.
+Added: is one of the most prevalent clinical dental conditions in the world, affecting approximately 60% to 75% of the global population.
+Added: It is estimated that there are approximately 500 million people globally with malocclusion who could benefit from straightening
+Added: 2 However, most people afflicted by malocclusion do not seek orthodontic treatment due to a number of reasons,
+Added: including negative perceptions of metal braces, affordability of treatment, and accessibility to doctors in certain markets and geographies.
+Added: Annually, only approximately 21 million or 4.2% of the affected individuals elect treatment by orthodontists.
+Added: 3 Today, most
+Added: orthodontic patients continue to have their malocclusions treated with the use of traditional corrective methods such as metal arch wires
+Added: and brackets, referred to as braces, augmented with elastics, metal expanders, headgear or functional appliances, and other ancillary
+Added: devices as needed.
+Added: Upon completion of a patient’s treatment, their dental professional may recommend the patient use a retainer
+Added: appliance to preserve the benefits of their treatments.
+Added: to a 2022 study conducted by Precedent Research (“Precedence Research 2022 Study”), the global clear aligners market size
+Added: was estimated at $6.29 billion in 2022 and is expected to surpass around $46.3 billion by 2030, expanding at a compound annual growth
+Added: rate (CAGR) of 28.34% during the period 2022 to 2030.
+Added: Precedence Research Study, 2022
+Added: Platform seeks to address this large and underserved global market by offering a discreet, less intrusive and less painful treatment
+Added: alternative to available clear aligners and traditional orthodontic treatments.
+Added: Our Platform is optimized to correct malocclusions that
+Added: relate to the “social six,” which are the front upper six and lower six teeth.
+Added: We believe that at least 30% of those who
+Added: currently seek treatment, or 6.6 million people, could benefit from using Aerodentis to correct their smiles.
+Added: According to the Precedence
+Added: Research 2022 Study, by 2028, the market for clear aligners will surpass 22 million people, which is our total addressable market.
+Added: Alhammadi, Maged Sultan, et al.
+Added: “Global distribution of malocclusion traits:
+Added: A systematic review.” Dental press journal of
+Added: orthodontics 23 (2018):
+Added: Business Insight.
+Added: The global clear aligners market is projected to grow from $3.80 billion in 2023 to $17.27 billion by 2030, at a CAGR
+Added: of 24.2% during the forecast period, 2023-2030 (June 2023), available at https://www.fortunebusinessinsights.com/industry-reports/clear-aligners-market-101377.
+Added: Global Orthodontic Supplies Market Report 2027 – Improving Oral Health Care, available at https://meditechinsights.com/global-orthodontic-supplies-market/.
+Added: Clear Aligners Market (By Age:
+Added: Adults, Teenagers;
+Added: At-home aligners/Direct-to-consumer (DTC) Aligners, In-office Aligners;
+Added: Hard Type, Medium Type, Soft Type;
+Added: By Material Type:
+Added: Polyurethane, Plastic Polyethylene Terephthalate Glycol, Poly-vinyl
+Added: By Distribution Channel:
+Added: Direct Sales, Laboratories, Others;
+Added: Hospitals, Standalone Practices, Group Practices,
+Added: Others) - Global Industry Analysis, Size, Share, Growth, Trends, Regional Outlook, and Forecast 2022-2030 (October 2022), available at
+Added: https://www.precedenceresearch.com/clear-aligners-market.
+Added: Precedence Research Study, 2022
+Added: addressable market also stands to benefit from the recent trend toward dentists, rather than orthodontists, delivering orthodontic care
+Added: through clear aligners.
+Added: In order for a smile correction solution to work properly, a treatment plan and monitoring needs to be executed
+Added: by a dental professional, such as dentists and orthodontists.
+Added: Since the Aerodentis Platform provides the necessary information to develop
+Added: and administer a treatment plan using our solution, it may be used by dentists as well as orthodontists, which expands our target distribution
+Added: channel to cover both orthodontists and dentists.
+Added: According to a 2019 Journal of Family Medicine and Primary Care article, approximately
+Added: 36% of dentists were already performing orthodontic procedures such as the malocclusion corrections.
+Added: 5 This is an indication
+Added: of an ongoing trend of dentists assuming more orthodontic treatment offerings in their practices.
+Added: We believe that the ease of use of
+Added: our Platform will also facilitate eventually selling our solution directly to the consumer in qualified cases with remote dental professional
+Added: business model is focused on engaging the customer throughout their smile correction journey and beyond.
+Added: Our solution provides an innovative,
+Added: proprietary end-to-end platform that spans all stages of customer engagement, from initial acquisition to treatment and ongoing maintenance—all
+Added: with minimal need for office visits and lifestyle inconvenience.
+Added: Initiated Dentist-Controlled Treatment
+Added: other solutions in the market, such as traditional clear aligners, we believe our Platform will provide greater access and interaction
+Added: with the customers and allow customers to feel more involved in their own treatment process.
+Added: We hope to engage the power of social media
+Added: and other digital outlets to initiate initial demand for our Platform by the customers.
+Added: 5 See Jayaprakash, Poonam K., et al.
+Added: “A survey on orthodontic
+Added: services provided by general dental practitioners.” Journal of family medicine and primary care 8.7 (2019):
+Added: Engagement – Value Creation
+Added: Platform is designed to have a high level of engagement with customers, if cleared for marketing in the U.S., as users will be able to
+Added: scan their teeth with any smartphone and see how our solution can improve their smile.
+Added: We intend to engage the customer from their first
+Added: interest in correcting their smile and guide them throughout our convenient process.
+Added: of Dental Professionals
+Added: cleared by FDA, the Platform will generally function via the following process:
+Added: if the customer can benefit from our Platform, based
+Added: on the severity of their tooth alignment and malocclusions, they will be referred to a dental professional in our network for an intraoral
+Added: Once the results of the scan are uploaded to our Aerodentis AI Cloud, a remote dental professional will develop a treatment plan
+Added: for that patient using our Platform.
+Added: If the patient requires any tooth preparation before initiating treatment with the smart aligner,
+Added: the patient will again be referred to a dental professional in our network.
+Added: The Company currently does not have any written agreements
+Added: or arrangements with any dental professionals governing provision of orthodontic services using our Platform.
+Added: – Value Capture
+Added: intend to generate revenues by:
+Added: our solution through a professional dental network;
+Added: ongoing monitoring and treatment plans for those who have completed their smile correction and may require smile maintenance throughout
+Added: selling directly to the consumer in qualified cases with remote dental professional involvement
+Added: and Marketing
+Added: intend to market our Platform in Israel, the European Union (“E.U.”), United Kingdom, United States, and Canada, subject
+Added: to each country’s requisite regulatory authorization.
+Added: We intend to utilize social media to promote our Platform to our targeted
+Added: The Platform has a potentially viral social media message that we hope will drive demand by placing user-generated content
+Added: on all major social medial platforms.
+Added: Our marketing strategy themes and promotional messages will emphasize the ease and convenience
+Added: offered by our Platform as compared to other available treatments.
+Added: and Development
+Added: have a research and development team with software development, medical device development, dental/orthodontic, data science and other
+Added: innovation focused backgrounds.
+Added: Our current research and development efforts are primarily focused on enhancing the Platform and developing
+Added: software and processes to enable the manufacture of our smart aligner systems in volume as well as productizing the prototype through
+Added: the development of UI/UX and system integration with existing patent systems.
+Added: of March 2023, our outsourced software development team is composed of eight professionals with years of experience in artificial intelligence
+Added: development, data science, application and software engineering.
+Added: Members of the team come from the elite intelligence units of the Israeli
+Added: Defense Force and have a breadth of experience in computer vision, imaging and targeting systems development.
+Added: Our software development
+Added: team is headed by Yossi Avni, who has 25 years of experience in developing advanced artificial intelligence applications, behavioral
+Added: biometrics, behavioral profiling and advanced security systems and holds over 100 patents in these areas.
+Added: hardware and systems development team is composed of six professionals with years of experience in FDA-compliant medical device development.
+Added: They are a part of Aran Research Development Prototypes Ltd.
+Added: (“Aran”), a leading Israeli product design and development firm
+Added: and our third-party hardware development partner.
+Added: Aran is ISO 13485 certified and maintains a ISO 7 cleanroom for testing and assembly.
+Added: Aran also has manufacturing facilities and a full suite of 3D printing capabilities, which are compliant with FDA guidelines.
+Added: and systems development team is headed by Avi Kayton, a skilled development manager and systems engineer with 16 years of experience,
+Added: including extensive experience in medical device companies.
+Added: have three issued U.S.
+Added: patents, four pending U.S.
+Added: patents and numerous global patent applications.
+Added: These patents and applications cover
+Added: critical aspects of our Platform, including the movement of teeth using pulsating air, our diagnostic process, Platform technology, and
+Added: Our issued U.S.
+Added: patents 7819661, 10806376, and 10820965 expire in 2030, 2040, and 2040 respectively.
+Added: We currently do not
+Added: own any trademarks.
+Added: intend to continue to pursue further intellectual property protection through U.S.
+Added: patent applications, trademark applications,
+Added: and non-disclosure and non-compete agreements.
+Added: We also intend to seek to protect our software, documentation and other written materials
+Added: under trade secret and copyright laws.
+Added: There can be no assurance that patents will be issued as a result of any patent application or
+Added: that patents that have been issued to us or may issue in the future will be found to be valid and enforceable and sufficient to protect
+Added: our technology or products.
+Added: business is generally not seasonal.
+Added: However, we may experience moderate sales fluctuations, at certain periods of the year, such as January,
+Added: due to renewed consumer focus on health improvement and aesthetics.
+Added: dental industry is in a period of immense and rapid digital transformation involving products, technologies, distribution channels and
+Added: business models.
+Added: We face competition in the market for our Platform from the clear aligners market and we expect competition from existing
+Added: competitors and new companies that may enter the market or introduce new technologies in the future.
+Added: We compete with several well-established
+Added: companies both in the traditional orthodontic industry and the direct-to-consumer clear aligner industry, including Align Technologies,
+Added: Smile Direct Club, Dentsply Sirona (Byte), 3M Clarity Aligners, and Straumann Group.
+Added: Although these companies offer clear aligner solutions,
+Added: and thus do not use technologies similar to the Platform, we expect that potential patients will view clear aligner products as alternatives
+Added: to the Platform.
+Added: For this reason, we view any company in the clear aligners market as a potential competitor.
+Added: that the principal competitive factors in the market for orthodontic appliances include:
+Added: and financing options;
+Added: and convenience;
+Added: appeal of the treatment method;
+Added: associated with the treatment method;
+Added: and effectiveness of treatment;
+Added: ● orthodontist
+Added: believe that our Platform will compare favorably with respect to each of these factors.
+Added: products (including the currently cleared version, as well as the next generation Platform for which we have not yet submitted the requisite
+Added: 510(k) application to FDA) are considered medical devices, and, accordingly, are subject to rigorous regulation by government agencies
+Added: in the United States and other countries in which we intend to sell our products.
+Added: These regulations vary from country to country but
+Added: cover, among other things, the following activities with respect to medical devices:
+Added: development and manufacturing;
+Added: labeling, content and language of instructions for use and storage;
+Added: storage and safety;
+Added: sales and distribution;
+Added: clearance and approval;
+Added: keeping procedures;
+Added: ● advertising
+Added: and promotion;
+Added: and field safety corrective actions;
+Added: ● post-market
+Added: surveillance;
+Added: ● post-market
+Added: approval studies;
+Added: import and export
+Added: the U.S., numerous laws and regulations govern the processes by which medical devices are developed, manufactured, brought to market
+Added: and marketed.
+Added: These include the Federal Food, Drug, and Cosmetic Act (“FD&C Act”) and its implementing regulations issued
+Added: by FDA, among others.
+Added: Unless an exemption applies, each medical device commercially distributed in the United States requires FDA clearance
+Added: of a 510(k) premarket notification (“510(k) clearance”), granting of a de novo request, or approval of an application
+Added: for premarket approval (“PMA”).
+Added: In general, under the FD&C Act, medical devices are classified in one of three classes
+Added: on the basis of the controls necessary to reasonably assure their safety and effectiveness.
+Added: A medical device’s classification determines
+Added: the level of FDA review and approval to which the device is subject before it can be marketed to consumers:
+Added: I devices, the lowest-risk FDA device classification, include devices with the lowest risk to the patient and are those for which safety
+Added: and effectiveness can be assured by adherence to FDA’s medical device general controls, including labeling, establishment registration,
+Added: device product listing, adverse event reporting, and, for some products, adherence to good manufacturing practices through FDA’s
+Added: Quality System Regulations.
+Added: II devices, moderate-risk devices, also require compliance with general controls and in some cases, special controls as deemed necessary
+Added: by FDA to ensure the safety and effectiveness of the device.
+Added: These special controls may include performance standards, particular labeling
+Added: requirements, or post-market surveillance obligations.
+Added: While most Class I devices are exempt from the 510(k) premarket notification requirement,
+Added: typically a Class II device also requires pre-market review and 510(k) clearance as well as adherence to the Quality System Regulations/good
+Added: manufacturing practices for devices.
+Added: III devices, high-risk devices that are often implantable or life-sustaining, also require compliance with the medical device general
+Added: controls and Quality System Regulations, and generally must be approved by FDA before entering the market through a PMA application.
+Added: Approved PMAs can include post-approval conditions and post-market surveillance requirements, analogous to some of the special controls
+Added: that may be imposed on Class II devices.
+Added: manufacturing quality system is required to be in compliance with the Quality System Regulations enforced by FDA and similar regulations
+Added: enforced by other worldwide regulatory authorities.
+Added: FDA’s Quality System Regulations require manufacturers to follow stringent
+Added: design, testing, process control, documentation, and other quality assurance procedures.
+Added: first generation Aerodentis System is a Class II medical device, which was cleared by FDA for commercialization in the U.S.
+Added: to the 510(k) notification process for movement and alignment of teeth during orthodontic treatment of malocclusion in April 2020.
+Added: are preparing to apply for 510(k) clearance for the updated version of the currently cleared device.
+Added: Such updated Platform contains new
+Added: and/or different components than the original device, which is why a new 510(k) clearance is required prior to marketing the Platform
+Added: We have not yet filed a 510(k) submission for the Platform, and it has, thus, not been found by the FDA to be substantially
+Added: equivalent to the first generation Aerodentis System.
+Added: The manufacture, marketing and distribution of the Aerodentis System, as well as
+Added: our next-generation Platform once cleared by FDA, if ever, is subject to continuing regulation and enforcement by FDA and other government
+Added: authorities, which includes routine FDA inspections of our facilities to determine compliance with facility registration requirements,
+Added: product listing requirements, medical device reporting regulations, and Quality System Regulations, among others.
+Added: If FDA finds that we
+Added: have failed to comply with Quality System Regulations or other legal or regulatory requirements, it or other government agencies may
+Added: institute a wide variety of enforcement actions against us, ranging from Warning Letters to more severe sanctions, including but not
+Added: limited to financial penalties, withdrawal of 510(k) clearances already granted, and criminal prosecution.
+Added: We have passed our International
+Added: Organization for Standardization (“ISO”) and Medical Device Single Audit Program (“MDSAP”) certification process
+Added: and have added the U.S.
+Added: to our ISO/MDSAP certification in 2019
+Added: 510(k) Process
+Added: the 510(k) process, the manufacturer must submit to FDA a premarket notification demonstrating that the device is “substantially
+Added: equivalent” to either a device that was legally marketed prior to May 28, 1976, the date upon which the Medical Device Amendments
+Added: of 1976 were enacted, and for which a PMA is not required, a device that has been reclassified from Class III to Class II or Class I,
+Added: or another commercially available device that was cleared through the 510(k) process.
+Added: To be “substantially equivalent,” the
+Added: proposed device must have the same intended use as the predicate device, and either have the same technological characteristics as the
+Added: predicate device or have different technological characteristics and not raise different questions of safety or effectiveness than the
+Added: predicate device.
+Added: Clinical data is sometimes required to support substantial equivalence.
+Added: a 510(k) premarket notification is submitted, FDA determines whether to accept it for substantive review.
+Added: If it lacks necessary information
+Added: for substantive review, FDA will refuse to accept the 510(k) notification.
+Added: If it is accepted for filing, FDA begins a substantive review.
+Added: By statute, FDA is required to complete its review of a 510(k) notification within 90 days of receiving the 510(k) notification.
+Added: practical matter, clearance often takes longer, and clearance is never assured.
+Added: FDA may require further information, including clinical
+Added: data, to make a determination regarding substantial equivalence, which may significantly prolong the review process.
+Added: If FDA agrees that
+Added: the device is substantially equivalent to a predicate device currently on the market, it will grant 510(k) clearance to commercially
+Added: market the device.
+Added: a device is cleared or approved for marketing, numerous and extensive regulatory requirements may continue to apply.
+Added: These include but
+Added: are not limited to:
+Added: and updated establishment registration and device listing with FDA;
+Added: System Regulation requirements, which require manufacturers to follow stringent quality assurance procedures during all aspects of the
+Added: design and manufacturing process;
+Added: ● restrictions
+Added: on sale, distribution, or use of a device;
+Added: advertising, promotion, and marketing regulations, which require that promotion is truthful,
+Added: not misleading, and provide adequate directions for use and that all claims are substantiated,
+Added: and also prohibit the promotion of products for unapproved or “off-label” uses
+Added: (i.e., indications that are inconsistent with or beyond the scope of the applicable FDA approval
+Added: or clearance) and impose other restrictions on labeling;
+Added: or approval of product modifications to legally marketed devices that could significantly
+Added: affect safety or effectiveness or that would constitute a major change in intended use;
+Added: device reporting regulations, which require that a manufacturer report to FDA if a device
+Added: it markets may have caused or contributed to a death or serious injury, or has malfunctioned
+Added: and the device or a similar device that it markets would be likely to cause or contribute
+Added: to a death or serious injury if the malfunction were to recur;
+Added: ● correction,
+Added: removal, and recall reporting regulations, and FDA’s recall authority;
+Added: with the federal law and regulations requiring Unique Device Identifiers on devices;
+Added: ● post-market
+Added: surveillance activities and regulations, which apply when deemed by FDA to be necessary to
+Added: protect the public health or to provide additional safety and effectiveness data for the
+Added: has broad regulatory compliance and enforcement powers.
+Added: If FDA determines that we failed to comply with applicable regulatory requirements,
+Added: it can take a variety of compliance or enforcement actions, which may result in any of the following sanctions:
+Added: letters, untitled letters, fines, injunctions, consent decrees, and civil penalties;
+Added: withdrawals, or administrative detention, or seizure of our products;
+Added: restrictions or partial suspension or total shutdown of production;
+Added: or delaying requests for 510(k) marketing clearance or PMA approvals of new products or modified
+Added: ● withdrawing
+Added: 510(k) clearances or PMA approvals that have already been granted;
+Added: to grant export or import approvals for our products;
+Added: International
+Added: countries throughout the world have established regulatory frameworks for marketing and commercialization of medical devices.
+Added: As a designer,
+Added: manufacturer, and marketer of medical devices, we are obligated to comply with the respective frameworks of these countries to obtain
+Added: and maintain access to these global markets.
+Added: The frameworks often define requirements for marketing authorizations which vary by country.
+Added: Failure to obtain appropriate marketing authorization and to meet all local requirements, including specific quality and safety standards
+Added: in any country in which we currently market our products, could cause commercial disruption and/or subject us to sanctions and fines.
+Added: Delays in receipt of, or a failure to receive, such marketing authorizations, or the loss of any previously received authorizations,
+Added: could have a material adverse effect on our business, financial condition and results of operations.
+Added: is currently no premarket government review of medical devices in the European Economic Area (“EEA”).
+Added: However, all medical
+Added: devices placed on the market in the EEA must meet the relevant essential requirements laid down in Annex I of Directive 93/42/EEC concerning
+Added: medical devices, or the Medical Devices Directive.
+Added: The most fundamental essential requirement is that a medical device must be designed
+Added: and manufactured in such a way that it will not compromise the clinical condition or safety of patients, or the safety and health of
+Added: users and others.
+Added: In addition, the device must achieve the performances intended by the manufacturer and be designed, manufactured, and
+Added: packaged in a suitable manner.
+Added: The European Commission has adopted various standards applicable to medical devices.
+Added: These include standards
+Added: governing common requirements, such as sterilization and safety of medical electrical equipment, and product standards for certain types
+Added: of medical devices.
+Added: There are also harmonized standards relating to design and manufacture.
+Added: While not mandatory, compliance with these
+Added: standards is viewed as the easiest way to satisfy the essential requirements as a practical matter.
+Added: Compliance with a standard developed
+Added: to implement an essential requirement also creates a rebuttable presumption that the device satisfies that essential requirement.
+Added: April 5, 2017, the European Parliament passed the Medical Devices Regulation (Regulation 2017/745), which repeals and replaces the E.U.
+Added: Medical Device Directive and became effective on May 26, 2021.
+Added: The Medical Devices Regulation, among other things, is intended to establish
+Added: a uniform, transparent, predictable, and sustainable regulatory framework across the EEA for medical devices and ensure a high level
+Added: of safety and health while supporting innovation.
+Added: The new regulations, among other things:
+Added: the rules on placing devices on the market and reinforce surveillance once they are available;
+Added: explicit provisions on manufacturers’ responsibilities for the follow-up of the quality, performance, and safety of devices placed
+Added: on the market;
+Added: the traceability of medical devices throughout the supply chain to the end-user or patient through a unique identification number;
+Added: up a central database to provide patients, healthcare professionals, and the public with comprehensive information on products available
+Added: rules for the assessment of certain high-risk devices, such as implants, which may have to undergo an additional check by experts before
+Added: they are placed on the market.
+Added: received our European CE mark and ISO/MDSAP certification in 2019.
+Added: In light of our ISO/MDSAP certification, we believe that we are in
+Added: substantial compliance with applicable E.U.
+Added: regulations and do not anticipate having to make any material expenditures as a result of
+Added: or other currently applicable regulatory requirements.
+Added: Under Medical Devices Regulation, manufacturing facilities are subject to
+Added: periodic inspections by regulatory authorities and must comply with device safety and effectiveness requirements as set forth therein.
+Added: To that end, we have implemented controls and procedures intended to ensure that our Access Dental Lab Quality System meets FDA’s
+Added: and ISO requirements.
+Added: We passed our audit to renew our ISO/MDSAP certification in April 2023.
+Added: System Regulations
+Added: manufacturing quality system is required to be in compliance with the Quality System Regulations enforced by FDA and similar regulations
+Added: enforced by other worldwide regulatory authorities.
+Added: FDA’s Quality System Regulations require manufacturers to follow stringent
+Added: design, testing, process control, documentation, and other quality assurance procedures.
+Added: If FDA finds that we have failed to comply with
+Added: Quality System Regulations or other legal or regulatory requirements, it or other government agencies may institute a wide variety of
+Added: enforcement actions against us, ranging from Warning Letters to more severe sanctions, including but not limited to financial penalties,
+Added: withdrawal of 510(k) clearances already granted, and criminal prosecution.
+Added: In addition, under Canadian regulation, manufacturing facilities
+Added: are subject to periodic inspections by regulatory authorities and must comply with device safety and effectiveness requirements as required
+Added: by the Medical Devices Regulation.
+Added: Professional Regulation
+Added: ability to conduct business in each state is dependent in part upon that particular state’s treatment of remote healthcare delivery
+Added: under such state’s laws, rules and policies governing the practice of dentistry, which are subject to changing political, regulatory
+Added: and other influences.
+Added: Orthodontists and dentists who provide professional services to a patient via teledentistry must, in most instances,
+Added: hold a valid license to practice or to provide treatment in the state in which the patient is located.
+Added: In addition, certain states require
+Added: an orthodontist or dentist providing telehealth services to be physically located in the same state as the patient.
+Added: Failure to comply
+Added: with these laws and regulations can give rise to civil or criminal penalties.
+Added: Federal and State Laws
+Added: are also subject to various laws inside and outside the U.S.
+Added: concerning our relationships with healthcare professionals and government
+Added: officials, price reporting and regulation, the promotion, sales and marketing of our products and services, the importation and exportation
+Added: of our products, reimbursement for our products and services, the operation of our facilities, and the distribution of our products.
+Added: Initiatives sponsored by government agencies, legislative bodies, and the private sector regarding these matters, including efforts to
+Added: limit the growth of healthcare expenses generally, are ongoing in markets where we do business.
+Added: It is not possible to predict at this
+Added: time the long-term impact of such cost containment and other measures on our future business.
+Added: intend to enter into contracts with orthodontists, dentists, or professional corporations to deliver our products and services to their
+Added: Such contractual relationships will be subject to various state laws that prohibit the practice of dentistry by lay entities
+Added: or persons and are intended to prevent unlicensed persons from interfering with or influencing the orthodontist’s or dentist’s
+Added: professional judgment.
+Added: In addition, laws in various states also generally prohibit the sharing of professional services income with nonprofessional
+Added: or business interests.
+Added: Activities other than those directly related to the delivery of healthcare may be considered an element of the
+Added: practice of dentistry in many states.
+Added: Under the corporate practice of dentistry restrictions of certain states, non-clinical decisions
+Added: and activities may implicate the restrictions on the corporate practice of dentistry.
+Added: We will continually monitor state requirements
+Added: as to what constitutes the practice of dentistry and take steps to ensure that the orthodontists and dentists who utilize our services
+Added: and teledentistry platform handle all clinical aspects of their patients’ care to ensure we do not violate those laws and regulations.
+Added: a participant in the health care industry we are subject to extensive and frequently changing regulation under many other laws administered
+Added: by governmental entities at the federal, state, and local levels, some of which are, and others of which may be, applicable to our business.
+Added: Laws regulating medical device manufacturers and health care providers cover a broad array of subjects.
+Added: states have fraud and abuse and consumer protection laws that apply to healthcare items or services reimbursed by any third-party payor,
+Added: including commercial insurers, not just those reimbursed by a federally funded healthcare program, or apply regardless of payor.
+Added: scope of these laws and the interpretations of them vary from state to state and are enforced by state courts and regulatory authorities,
+Added: each with broad discretion.
+Added: A determination of liability under such laws could result in fines and penalties and restrictions on our
+Added: ability to operate in these jurisdictions.
+Added: Information Privacy and Security Laws
+Added: are numerous U.S.
+Added: federal and state laws and regulations related to the privacy and security of PII, including health information.
+Added: others, the federal Health Insurance Portability and Accountability Act of 1996, as amended by HITECH, and their implementing regulations,
+Added: which we collectively refer to as HIPAA, establish privacy and security standards that limit the use and disclosure of PHI and require
+Added: covered entities and business associates to implement administrative, physical, and technical safeguards to ensure the confidentiality,
+Added: integrity, and availability of individually identifiable health information in electronic form, among other requirements.
+Added: of HIPAA may result in civil and criminal penalties.
+Added: We must also comply with HIPAA’s breach notification rule which requires notification
+Added: to affected individuals and HHS, and in certain cases to media outlets, in the case of a breach of unsecured PHI.
+Added: The regulations also
+Added: require business associates of covered entities to notify the covered entity of breaches by the business associate.
+Added: attorneys general also have the right to prosecute HIPAA violations committed against residents of their states, and HIPAA standards
+Added: have been used as the basis for the duty of care in state civil suits, such as those for negligence or recklessness in misusing personal
+Added: In addition, HIPAA mandates that HHS conduct periodic compliance audits of HIPAA covered entities and their business associates
+Added: for compliance.
+Added: states also have laws that protect the privacy and security of sensitive and personal information, including health information.
+Added: laws may be similar to or even more protective than HIPAA and other federal privacy laws.
+Added: For example, the laws of the State of California,
+Added: are more restrictive than HIPAA.
+Added: Where state laws are more protective than HIPAA, we must comply with the state laws we are subject to,
+Added: in addition to HIPAA.
+Added: California passed the California Consumer Privacy Act or CCPA on June 28, 2018, which went into effect January
+Added: On November 3, 2020, the California Privacy Rights Act of 2020 (“CPRA”), which amends the CCPA and adds new privacy
+Added: protections that became effective on January 1, 2023, was enacted through a ballot initiative.
+Added: While information we maintain that is
+Added: covered by HIPAA may be exempt from the CCPA, other records and information we maintain on our patients may be subject to the CCPA.
+Added: certain cases, it may be necessary to modify our planned operations and procedures to comply with these more stringent state laws.
+Added: only may some of these state laws impose fines and penalties upon violators, but also some, unlike HIPAA, may afford private rights of
+Added: action to individuals who believe their personal information has been misused.
+Added: In addition, state and federal privacy laws subject to
+Added: frequent change.
+Added: addition to HIPAA and state health information privacy laws, we may be subject to other state and federal privacy laws, including laws
+Added: that prohibit unfair privacy and security practices and deceptive statements about privacy and security, laws that place specific requirements
+Added: on certain types of activities, such as data security and texting, and laws requiring holders of personal information to maintain safeguards
+Added: and to take certain actions in response to a data breach.
+Added: data protection, privacy, and other laws and regulations are often more restrictive than those in the U.S.
+Added: The E.U., for example, traditionally
+Added: has imposed stricter obligations under its laws and regulations relating to privacy, data protection and consumer protection than the
+Added: In May 2018, the General Data Protection Regulation (the “GDPR”), which governs data practices and privacy in the E.U.,
+Added: became effective and replaced the data protection laws of the individual member states.
+Added: GDPR requires companies to meet stringent requirements
+Added: regarding the handling of personal data of individuals in the E.U.
+Added: These more stringent requirements include expanded disclosures to
+Added: inform members about how we may use their personal data, increased controls on profiling members, and increased rights for members to
+Added: access, control and delete their personal data.
+Added: In addition, there are mandatory data breach notification requirements.
+Added: includes significant penalties for non-compliance, which may result in monetary penalties of up to 20 million Euros or 4% of a company’s
+Added: worldwide turnover, whichever is higher.
+Added: GDPR and other similar regulations require companies to give specific types of notice and informed
+Added: consent is required for the placement of a cookie or similar technologies on a user’s device for online tracking for behavioral
+Added: advertising and other purposes and for direct electronic marketing, and the GDPR also imposes additional conditions in order to satisfy
+Added: such consent, such as a prohibition on pre-checked consents.
+Added: It remains unclear how the U.K.
+Added: data protection laws or regulations will
+Added: develop in the medium to longer term and how data transfer to the U.K.
+Added: from the E.U.
+Added: will be regulated.
+Added: Outside of the E.U., there are
+Added: many other countries with data protection laws, and new countries are adopting data protection legislation with increasing frequency.
+Added: Many of these laws may require consent from individuals for the use of data for various purposes, including marketing, which may reduce
+Added: our ability to market our products.
+Added: is no harmonized approach to these laws and regulations globally.
+Added: Consequently, we increase our risk of non-compliance with applicable
+Added: foreign data protection laws and regulations when we expand internationally.
+Added: We may need to change and limit the way we use personal
+Added: information in operating our business and may have difficulty maintaining a single operating model that is compliant.
+Added: Compliance with
+Added: such laws and regulations will result in additional costs and may necessitate changes to our business practices and divergent operating
+Added: models, limit the effectiveness of our marketing activities, adversely affect our business, results of operations, and financial condition,
+Added: and subject us to additional liabilities.
+Added: Environmental
+Added: have no material expenditures for compliance with Federal, State or local provisions regulating the discharge of materials into the environment,
+Added: or otherwise relating to the protection of the environment.
+Added: of August 14, 2023, we had 3 full-time employees and 1 part-time employee.
+Added: principal executive offices are located at Shatner Street 3, Jerusalem, Israel, and our telephone number is +972 (0)74-700-6700.
+Added: web page address is www.aerodentis.com.
+Added: References to our website address do not constitute incorporation by reference of the information
+Added: contained on the website, and the information contained on the website is not part of this document or any other document that we file
+Added: with or furnish to the SEC.
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.