Item 1A. Risk Factors
ITEM
1A. RISK FACTORS.
Our
business involves certain risks and uncertainties. The following is a description of significant risks that might cause our future financial
condition or results of operations to differ materially from those expected. In addition to the risks and uncertainties described below,
we may face other risks and uncertainties, some of which may be unknown to us and some of which we may deem immaterial. If one or more
of these risks or uncertainties occur, our business, financial condition or results of operations may be materially and adversely affected.
A summary of our risk factors is as follows:
Summary
of Risk Factors
The
summary below provides a non-exhaustive overview of the risks that if realized could materially harm our business, prospects, operating
results and financial condition. This summary is qualified by reference to the full set of risk factors set forth in this Item.
●
We
may need to raise additional capital to fund our operations in the future. If we are unsuccessful in attracting new capital, we may
not be able to continue operations or may be forced to sell assets to do so. Alternatively, capital may not be available to us on
favorable terms, or at all. If available, financing terms may lead to significant dilution of our stockholders’ equity.
●
Our
independent registered public accounting firm has included an explanatory paragraph relating to our ability to continue as a going
concern in its report on our audited financial statements included in our Annual Report on Form 10-K for the Fiscal year ended June
30, 2024.
●
Neither
we nor the Licensor have yet launched the BPT and the ability to do so will depend on the acceptance of the BPT in the global healthcare
market.
●
We
have incurred significant losses since inception and continue to incur losses, and we may not be able to achieve significant revenues
or profitability.
●
We rely on third parties to perform certain confirmatory tests for our IFP Drug Screening System.
●
We
depend on a limited number of single-source suppliers to manufacture certain components of IFP Drug Screening System, which makes
us vulnerable to supply shortages and price fluctuations that could negatively affect our business, financial condition and results
of operations.
●
Our
results may be impacted by changes in foreign currency exchange rates.
●
If we fail to retain marketing and sales personnel, or if we fail to increase our marketing and sales capabilities as we grow, or if we
fail to develop broad awareness of our product in a cost-effective manner, we may not be able to generate revenue growth.
●
The license agreement with the Licensor, which covers the license of the core
technology used in our Biosensor Platform products, contains significant risks that may have a material adverse effect on us and our business,
assets and prospects
●
If the BPT fails to satisfy current or future customer requirements, we may be required to make significant expenditures to redesign the
product candidate, and we may have insufficient resources to do so.
●
We
are yet to finalize the manufacturing plan for the production of the BPT on a mass market commercial scale, and may be dependent
upon third-party manufacturers and suppliers, making us vulnerable to contractual relationships and market forces, supply problems
and price fluctuations, which could harm our business.
●
We
expect to rely in part on third-party distributors to effectively distribute our products, if our distributors fail to effectively
market and sell the BPT and IFP products in full compliance with applicable laws, our operating results and business may suffer.
●
As
we intend to conduct business internationally, we are susceptible to risks associated with international relationships, which could
adversely impact our results of operations and financial condition.
●
If third-party payors do not provide coverage and reimbursement for the use of the BPT and IFP products, our business and prospects may
be negatively impacted.
●
Non-United States governments often impose price controls, which may adversely affect our profitability.
●
The BPT and IFP Drug Screening System may contain undetected errors, which could limit our ability
to provide our products and services and diminish the attractiveness of our service offerings.
●
We
will rely on the proper function, security and availability of our information technology systems and data to operate our business,
and a breach, cyber-attack or other disruption to these systems or data could materially and adversely affect our business, results
of operations, financial condition, cash flows, reputation or competitive position.
●
If
we are not able to attract and retain highly skilled managerial, scientific and technical personnel, we may not be able to implement
our business model successfully.
●
If
we or our manufacturers fail to comply with applicable regulations, our proposed operations could be interrupted, and our operating
results may be negatively impacted.
●
We may be subject to healthcare laws and regulations which, if violated, could subject us to substantial penalties.
●
Product liability suits, whether or not meritorious, could be brought against us due to an alleged defective product
or for the misuse of the BPT and IFP Drug Screening System.
19
●
If
we are found to have violated laws protecting the confidentiality of patient health information, we could be subject to penalties,
which could increase our liabilities and harm our reputation or our business.
●
The
regulatory clearance/approval process which we may be required to navigate may be expensive, time-consuming, and uncertain and may
prevent us from obtaining clearance for any product launch by the Company of the BPT and IFP products in certain jurisdiction or our
any future product.
●
Clinical
data obtained subsequent to the implementation of the clinical evidence module may not meet the required objectives, which could
delay, limit or prevent additional regulatory clearance or approval.
●
We
may be unable to complete required clinical evaluations, or we may experience significant delays in completing such clinical evaluations,
which could prevent or significantly delay our targeted product launch timeframe and impair our business plan.
●
We
are subject to the risk of reliance on third parties to conduct our clinical evaluation work, their inability to comply with good
clinical practice and relevant regulation could adversely affect the clinical development of our product candidates and harm our
business.
●
Our
success will depend on our ability to obtain, maintain and protect our intellectual property rights.
●
We
are subject to risk related to the possibility of modifications to our rights to, or the Company’s ability to use, the
Licensed Products in relation to the Biosensor Platform due to liquidation of the Licensor, which could materially and adversely
affect the Company’s planned business, financial condition, and operating results.
●
We
depend on intellectual property licensed from the Licensor for our BPT related products, and any absence of legal effect of the
license or dispute over the license would significantly harm our BPT related business.
●
We
will depend primarily on the Licensor to file, prosecute, maintain, defend and enforce intellectual property that we license from
it and that is material to our business.
●
We
and the Licensor may be unable to protect or enforce the intellectual property rights licensed to us, which could impair our competitive
position.
●
We
and where applicable, the Licensor of our products have limited foreign intellectual property rights and may not be able to
protect those intellectual property rights, which means that we and/or Licensor may not be able to prevent third parties from
practicing our inventions or from selling or importing products made using those inventions.
●
We
and the Licensor may be subject to claims challenging the invention of the intellectual property we license.
●
Our
products and operations are subject to extensive government regulation. If we fail to obtain and maintain necessary regulatory approvals
current IFP products, or if approvals for future products and indications are delayed or not issued, it will negatively affect our
business, financial condition and results of operations.
●
Compliance with environmental laws and regulations could be expensive, and the failure to comply with these laws and regulations could
subject us to significant liability.
●
If we or our suppliers fail to comply The United Kingdom
Accreditation Services (UKAS), FDA’s Quality System Regulation (QSR) and CE (European Conformity) markings and other relevant
regulations regulation, our manufacturing or distribution operations could be delayed or shut down and our revenue could
suffer.
●
If
we or the Licensor fail to respond quickly to technological or other developments, our products may become uncompetitive
and obsolete.
●
Changes
in the economic, political or social conditions or government policies in our target markets could
have a material adverse effect on our business and operations.
●
We
may not be able to satisfy the continued listing requirements of the Nasdaq Capital Market in order to maintain the listing of our
common stock.
●
We
have identified material weaknesses in our internal control over financial reporting. If our remediation of the material weaknesses
is not effective, or if we experience additional material weaknesses in the future or otherwise fail to maintain an effective system
of internal controls in the future, we may not be able to accurately or timely report our financial condition or results of operations,
which may adversely affect investor confidence in us and, as a result, the value of our common stock.
●
We
are obligated to maintain a system of effective internal control over financial reporting. We may not complete our analysis of our
internal control over financial reporting in a timely manner, or these internal controls may not be determined to be effective, which
may harm investor confidence in our company and the value of our common stock.
●
We
are an emerging growth company and currently have limited accounting personnel and other supervisory resources.
●
Raising
additional capital may cause dilution to our stockholders, restrict our operations or require us to relinquish rights to our technologies
or products.
●
The
sale of a substantial number of shares of our common stock and other securities convertible into or exercisable for our common stock,
such as those securities sold in the October 2023 Offering, the Warrant Inducement Transaction and March 2024 Offerings, could depress
the market price of our shares of common stock and impair our ability to raise capital through the sale of additional equity securities.
●
If
we are unable to achieve certain agreed milestones for the government grant we received, we may become liable to refund the grant
we received.
●
We
may have difficulties integrating acquired businesses and as a result, our business, results of operations and/or financial
condition may be materially adversely affected.
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Risks
Related to Our Business
We
may need to raise additional capital to fund our operations in the future. If we are unsuccessful in attracting new capital, we may not
be able to continue operations or may be forced to sell assets to do so. Alternatively, capital may not be available to us on favorable
terms, or at all. If available, financing terms may lead to significant dilution of our stockholders’ equity.
We
are not profitable and have had negative cash flow from operations since our inception. To fund our operations and to develop and
commercialize our products (including the BPT and planned applications of IFP Drug Screening System), we have relied primarily on
equity and some debt financing and government support income. The Company believes there is material risk that its cash and cash
equivalents as of June 30, 2024, of $6,304,098 may be insufficient to allow the Company to fund its current operating plan through
at least the next twelve months from the issuance of its audited financial statements for the year ended June 30, 2024. These
conditions raise substantial doubt about the Company’s ability to continue as a going concern for a period of at least one
year from the date these financial statements were issued. Accordingly, the Company may be required to raise additional funds during
the next 12 months. However, there can be no assurance that when the Company requires additional financing, such financing will be
available on terms which are favorable to the Company, or at all. If the Company is unable to raise additional funding to meet its
working capital needs in the future, it will be forced to delay or reduce the scope of its research programs and/or limit or cease
its operations. In addition, the Company may be unable to realize its assets and discharge its liabilities in the normal course of
business.
To
obtain the additional capital necessary to fund our operations, we expect to finance our cash needs through public or private equity
offerings, debt financing and/or other capital sources. Even if capital is available, it might be available only on unfavorable terms.
Any additional equity or convertible debt financing into which we enter could be dilutive to our existing stockholders. Any future debt
financing into which we enter may impose covenants upon us that restrict our operations, including limitations on our ability to incur
liens or additional debt, pay dividends, repurchase our stock, make certain investments and engage in certain merger, consolidation or
asset sale transactions. Any debt financing or additional equity that we raise may contain terms that are not favorable to us or our
stockholders. If we raise additional funds through collaboration and licensing arrangements with third parties, we may need to relinquish
rights to our technologies or our products or grant licenses on terms that are not favorable to us. If access to sufficient capital is
not available as and when needed, our business will be materially impaired and we may be required to cease operations, curtail one or
more product development or commercialization programs, scale back or eliminate the development of business opportunities, or significantly
reduce expenses, sell assets, seek a merger or joint venture partner, file for protection from creditors or liquidate all of our assets.
Any of these factors could harm our operating results.
Our
independent registered public accounting firm has included an explanatory paragraph relating to our ability to continue as a going concern
in its report on our audited financial statements included in our Annual Report on Form 10-K for the Fiscal year ended June 30, 2024.
The
report from our independent registered public accounting firm for the year ended June 30, 2024, includes an explanatory paragraph stating
that our losses from operations and required additional funding to finance our operations raise substantial doubt about our ability to
continue as a going concern for a period of one year after the date the financial statements are issued. If we are unable to obtain sufficient
funding, our business, prospects, financial condition and results of operations will be materially and adversely affected, and we may
be unable to continue as a going concern. If we are unable to continue as a going concern, we may have to liquidate our assets and may
receive less than the value at which those assets are carried on our audited financial statements, and it is likely that investors will
lose all or a part of their investment. If we seek additional financing to fund our business activities in the future and there remains
substantial doubt about our ability to continue as a going concern, investors or other financing sources may be unwilling to provide
additional funding to us on commercially reasonable terms or at all. There can be no assurance that the current operating plan will be
achieved in the time frame anticipated by us, or that our cash resources will fund our operating plan for the period anticipated by the
Company or that additional funding will be available on terms acceptable to us, or at all.
Neither
we nor the Licensor have yet launched the BPT and the ability to do so will depend on the acceptance of the BPT in the global healthcare
market.
Neither we nor the Licensor have yet launched the BPT or finalized its specific application, nor has it received regulatory approvals in any country or territory. We are faced
with the risk that the BPT will not be accepted in their respective jurisdictions over competing products and that we will be unable
to enter the marketplace or compete effectively. Factors that could affect our ability to establish the BPT include:
●
sales
of the BPT products across their respective jurisdictions may be limited due to the complex nature of the healthcare system in each
country and territory in the region, low average personal income, lack of patient cost reimbursement and pricing
controls;
●
the
development of products or devices which could result in a shift of customer preferences away from our device and services and significantly
decrease revenue;
●
the
increased use of improved diabetes drugs that could encourage certain diabetics to test less often, resulting in less usage of self-monitoring
(saliva-based, blood-based or otherwise) test device for certain types of diabetics;
21
●
the
challenges of developing (or acquiring externally developed) technology solutions that are adequate and competitive in meeting the
requirements of next-generation design challenges;
●
the
significant number of current competitors in the glucose monitoring market who have significantly greater brand recognition and more
recognizable trademarks and who have established relationships with diabetes healthcare providers and payors; and
●
intense
competition to attract acquisition targets, which may make it more difficult for us to acquire companies or technologies at an acceptable
price or at all.
We
cannot assure you that the BPT will gain market acceptance. If the market
for the BPT or any future test fails to develop, or develops more slowly than expected, or if any of the technology and standards supported
by us do not achieve or sustain market acceptance, our business and operating results would be materially and adversely affected.
We
are subject to the risks associated with new businesses generally.
We
were formed in December 2016 as a new business with a plan to commercialize our licensed technology. Our limited operating history
may not be adequate to enable you to fully assess our ability to develop and market the BPT and tests based on the Biosensor
Platform, achieve market acceptance of the BPT and such other tests and respond to competition. Our efforts to date have related to
the organization and formation of our company, strategic planning, product research and development and preparation for commencing
regulatory trials. We acquired IFP in October 2022, which generates minimal revenue. Prior to the acquisition of IFP, the
Company’s operations generated no revenue other than income classified as governmental support income received in connection
with grants from the Australian Government. As at the date of this filing, the revenue generated from the sales of IFP products is
not enough to cover our operational costs. Therefore, we are, and expect for the foreseeable future to be, subject to all the risks
and uncertainties inherent in a new business focused on the development and sale of new medical devices and related software
applications. As a result, we may be unable to further develop, obtain regulatory approval for, manufacture, market, sell and derive
revenues from the BPT and the other products in our pipeline based on the Biosensor Platform, and our inability to do so would
materially and adversely impact our business. In addition, we still must optimize many functions necessary to operate a business,
including expanding our managerial, personnel and administrative structure, continuing product research and development, and
assessing and commencing our marketing activities.
In
addition, in connection with our recent acquisition of IFP, there are risks relating to the integration of IFP with the Company, including
with regard to integrating technology, processes, information systems and other matters that can lead to challenges in economies of scale
and leadership.
Accordingly,
you should consider our prospects in light of the costs, uncertainties, delays and difficulties frequently encountered by companies that
have not yet commercialized their products or services, particularly those in the medical device and digital health fields. In particular,
potential investors should consider that there is a significant risk that we will not be able to:
●
implement
or execute our current business plan, or that our business plan is sound;
●
maintain
our management team and Board of Directors;
●
determine
that the technologies that have been developed are commercially viable;
●
attract,
enter into or maintain contracts with, and retain customers; and
●
raise
any necessary additional funds in the capital markets or otherwise to effectuate our business plan.
In
the event that we do not successfully address these risks, our business, prospects, financial condition, and results of operations could
be materially and adversely affected.
We
have incurred significant losses since inception and continue to incur losses, and we may not be able to achieve significant revenues
or profitability.
Since
our inception, we have engaged primarily in development activities. We have financed our operations primarily through financing from
the issuance of common stock, convertible preferred stock, convertible notes and the incurrence of debt and have incurred losses since
inception, including a net loss of $10,631,720 for the fiscal year ended June 30, 2023 and a net loss of $10,156,759 for the
fiscal year ended June 30, 2024. The unaudited pro-forma result was prepared as if we closed the IFP Acquisition (defined below) on July
1, 2021 (and including adjustments for amortization related to the valuation of acquired intangibles), we incurred a net loss of $11,873,274 for the fiscal year ended June 30 2023, and a net loss of $10,156,759
for the fiscal year ended June 30, 2024. We do not know whether or when we will become profitable.
22
Our
ability to generate higher revenue and achieve profitability depends upon our ability, alone or with others, to complete the development
process of our products, including regulatory approvals, and achieve substantial acceptance in the marketplace for our existing IFP products.
We may be unable to achieve any or all of these goals.
We
rely on third parties to perform certain confirmatory tests for our IFP Drug Screening System.
We
rely on third-party service providers to analyze samples collected from our confirmatory kit of the IFP Drug Screening System. We contract
with third-party laboratory service providers to perform confirmation testing on the samples collected. This service is critical and there
are relatively few alternatives. These third-party service providers may be unwilling or unable to provide the necessary services reliably
and at the levels we anticipate or that are required by the market. While these third-party service providers have generally met our
demand for their services on a timely basis in the past, we cannot guarantee that they will in the future be able to meet our demand
for their services or our service providers may decide in the future to discontinue or reduce the level of business they conduct with
us. If we are required to change service providers for any reason, including due to any change in or termination of our relationships
with these third parties, we may lose sales, experience delays, incur increased costs or otherwise experience impairment to our customer
relationships. We cannot guarantee that we will be able to establish alternative relationships on similar terms, without delay or at
all.
We
depend on a limited number of single-source suppliers to manufacture certain components of IFP Drug Screening System, which makes us
vulnerable to supply shortages and price fluctuations that could negatively affect our business, financial condition and results of operations.
We
rely on single-source suppliers for certain components of our IFP Drug Screening System and materials for our other current products.
These components and materials are critical and there are no or relatively few alternative sources of supply. These single-source suppliers
may be unwilling or unable to supply the necessary materials and components or manufacture and assemble our products reliably and at
the levels we anticipate or that are required by the market. While our suppliers have generally met our demand for their products and
services on a timely basis in the past, we cannot guarantee that they will in the future be able to meet our demand for their products
or our suppliers may decide in the future to discontinue or reduce the level of business they conduct with us. If we are required to
change suppliers due to any change in or termination of our relationships with these third parties, or if our suppliers are unable to
obtain the materials, they need to produce our products at consistent prices or at all, we may lose sales, experience manufacturing or
other delays, incur increased costs or otherwise experience impairment to our customer relationships. We cannot guarantee that we will
be able to establish alternative relationships on similar terms, without delay or at all.
Our
results may be impacted by changes in foreign currency exchange rates.
A
significant proportion of our sales are outside of the United States, and a majority of those are denominated in foreign currencies,
which exposes us to foreign currency risks, including changes in currency exchange rates. We do not currently engage in any hedging transactions.
If we are unable to address these risks and challenges effectively, our international operations may not be successful, and our business
could be harmed.
If
we fail to retain marketing and sales personnel, or if we fail to increase our marketing and sales capabilities as we grow, or if we
fail to develop broad awareness of our product in a cost-effective manner, we may not be able to generate revenue growth.
We
have limited experience marketing and selling our products. We currently primarily rely on our direct sales force to sell our products
in targeted geographic regions and distributors in certain regions including the United Kingdom, and any failure to maintain and grow
our direct sales force will negatively affect our business, financial condition and results of operations. The members of our direct
sales force are highly trained and possess substantial technical expertise, which we believe is critical in increasing adoption of our
products. The members of our U.K. sales force are at-will employees. The loss of these personnel to competitors, or otherwise, will negatively
affect our business, financial condition and results of operations. If we are unable to retain our direct sales force personnel or replace
them with individuals of equivalent technical expertise and qualifications, or if we are unable to successfully install such technical
expertise in replacement personnel, it may negatively affect our business, financial condition and results of operations.
23
In
order to generate future growth, we plan to continue to expand and leverage our sales and marketing infrastructure to increase the number
of customers. Identifying and recruiting qualified sales and marketing personnel and training them on our product, on applicable laws
and regulations and on our internal policies and procedures requires significant time, expense and attention. It often takes several
months or more before a sales representative is fully trained and productive. Our sales force may subject us to higher fixed costs than
those of companies with competing techniques or products that utilize independent third parties, which could place us at a competitive
disadvantage. It will negatively affect our business, financial condition and results of operations if our efforts to expand and train
our sales force do not generate a corresponding increase in revenue, and our higher fixed costs may slow our ability to reduce costs
in the face of a sudden decline in demand for our products. Any failure to hire, develop and retain talented sales personnel, to achieve
desired productivity levels in a reasonable period of time or timely reduce fixed costs, could negatively affect our business, financial
condition and results of operations.
Our
ability to increase our customer base and achieve broader market acceptance of our product will depend to a significant extent on our
ability to expand our marketing efforts. We plan to dedicate significant resources to our marketing programs, as we plan to further expand our geographical reach especially in the APAC Region and the North America region. It will negatively affect our business,
financial condition and results of operations if our marketing efforts and expenditure do not generate a corresponding increase in revenue.
In addition, we believe that developing and maintaining broad awareness of our product in a cost-effective manner is critical to achieving
broad acceptance of our product and expanding domestically and internationally.
Our
results of operations will be materially harmed if we are unable to accurately forecast customer demand for our products and manage our
inventory.
To
ensure adequate inventory supply, we must forecast inventory needs and manufacture our products based on our estimates of future demand
for our solution. Our ability to accurately forecast demand for our solution could be negatively affected by many factors, including
our failure to accurately manage our expansion strategy, product introductions by competitors, an increase or decrease in customer demand
for our products or products of our competitors, our failure to accurately forecast customer acceptance of new products, unanticipated
changes in general market conditions or regulatory matters and weakening of economic conditions or consumer confidence in future economic
conditions.
Inventory
levels in excess of customer demand may result in inventory write-downs or write-offs, which would cause our gross margin to be adversely
affected and could impair the strength of our brand. Conversely, if we underestimate customer demand for our products, our internal manufacturing
team may not be able to deliver products to meet our requirements, and this could result in damage to our reputation and customer relationships.
In addition, if we experience a significant increase in demand, additional supplies of raw materials or additional manufacturing capacity
may not be available when required on terms that are acceptable to us, or at all, or suppliers may not be able to allocate sufficient
capacity in order to meet our increased requirements, which will negatively affect our business, financial condition and results of operations.
We
seek to maintain sufficient levels of inventory in order to protect ourselves from supply interruptions. As a result, we are subject
to the risk that a portion of our inventory will become obsolete or expire, which could have a material adverse effect on our earnings
and cash flows due to the resulting costs associated with the inventory impairment charges and costs required to replace such inventory.
If
our facilities become damaged or inoperable, we will be unable to continue to research, develop and supply our product which could negatively
affect our business, financial condition and results of operations until we are able to secure a new facility and rebuild our inventory.
We
do not have redundant facilities. We perform substantially all of our manufacturing, research and development and back office activity
for our IFP products in a single location at our Cambridge facility in the United Kingdom. We store our finished goods inventory at the
same facility. Our facilities, equipment and inventory would be costly to replace and could require substantial lead time to repair or
replace. The facilities could be harmed or rendered inoperable by natural or man-made disasters, including, but not limited to, earthquakes,
flooding, fire and power outages, which may render it difficult or impossible for us to perform our research, development and commercialization
activities for some period of time for IFP Drug Screening System. The inability to perform those activities, combined with the time it
may take to rebuild our manufacturing capabilities, inventory of finished product, may result in the loss of customers or harm to our
reputation. Although we possess insurance for damage to our property and the disruption of our business, this insurance may not be sufficient
to cover all of our potential losses and this insurance may not continue to be available to us on acceptable terms, or at all.
24
Our
ability to achieve profitability depends in part on maintaining or increasing our gross margins on product sales which we may not be
able to achieve.
A
number of factors may adversely impact our gross margins on product sales and services, including:
●
lower
than expected manufacturing yields of high-cost components leading to increased manufacturing costs;
●
shortages
of electric components resulting in higher prices or an inability to supply key parts;
●
low
production volume which will result in high levels of overhead cost per unit of production;
●
the
timing of revenue recognition and revenue deferrals;
●
increased
material or labor costs;
●
increased
service or warranty costs or the failure to reduce service or warranty costs;
●
increased
price competition;
●
variation
in the margins across products in a particular period; and
●
how
well we execute on our strategic and operating plans.
If
we are unable to maintain or increase our gross margins on product sales, our results of operations could be adversely impacted, we may
not achieve profitability and our stock price could decline.
The
license agreement with the Licensor, which covers the license of the core technology used in our Biosensor Platform products, contains
significant risks that may have a material adverse effect on us and our business, assets and prospects.
The
Amended and Restated Technology License Agreement dated September 12, 2019, which amends and restates all previous license agreements
(the “BPT License Agreement”) is limited to the APAC Region. We have no contractual rights to the intellectual property
covered in the BPT License Agreement other than as expressly set forth therein. Our plans, business, prospects are substantially dependent
on that intellectual property and subject to the limitations relating thereto as set forth in the BPT License Agreement:
●
The
BPT license granted to us is limited in territorial scope. The Licensor granted us a license to its proprietary rights in the biosensor
technology used in the products from Licensor (the “Licensed Products”) solely in the APAC Region, and primarily to act
as authorized party for obtaining regulatory approval and to manufacture (subject to being approved as an Authorized Supplier by
the Licensor) for use in the APAC Region, and to promote, market, import, offer, sell and distribute the Licensed Products in the
APAC Region. We may not exploit or seek to exploit any rights in respect of the Licensed Product outside of the APAC Region through
any means, including digitally or online where the end user is not physically resident in the APAC Region. Accordingly, to the extent
that such users are prohibited, we will be unable to realize any commercialization from such users and ensure that such users do
not do business with us, even as such commercialization and business might be appropriate, related, synergistic or enhanced by our
operations. In addition, we may be responsible for costs and other liabilities that might arise to the extent that users outside
the APAC Region obtain such access and may incur costs to comply with these prohibitions. Further, the non-coverage of digital or
online use for users not physically in the APAC Region may constitute a material limitation on our ability to freely conduct business
digitally, online or through any other medium that may reach outside of the APAC Region. This limitation may have a material adverse
effect on our marketing, sales, operational and other business efforts.
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●
After
the receipt of regulatory approval in a jurisdiction, we may be required to pay the Minimum Royalty with respect to such jurisdiction
regardless of the actual amount of sales by us of Licensed Products. Accordingly, although the Minimum Royalty is based on our projected
sales in each such jurisdiction, and although the determination of the Minimum Royalty is subject to agreement between us and the
Licensor as to certain parameters, as described elsewhere in this report, with disputes generally resolved by an independent third-party,
we could be obligated to pay royalties even though we have generated no or limited revenue. Such payments could materially and adversely
affect our profitability and could limit our investment in our business.
●
The
Licensed Products include only products that are supplied by an Authorized Supplier. Accordingly, we will not have unfettered right
to select our suppliers, regardless of whether an unauthorized supplier could provide products on better pricing, delivery, quality
or other terms, thus potentially materially and adversely impacting those aspects of our business, economies, profitability and prospects.
●
We
are required to collect and anonymize demographic information about the end users of the Licensed Products, as well as data acquired
from the Licensed Products. The data collection and retention may be expensive in cost, resources, legal and regulatory compliance
and other ways, none of which costs can be quantified at this time. Further, changing regulations with respect to medical and similar
such data may make such compliance beyond the scope of our capabilities. Any failure to comply may result in financial liability,
as well as reputational harm.
●
The
license is non-transferable, non-assignable and non-sublicensable, except that the Licensor will in good faith consider any request
by us for any sublicense. The Licensor is not obligated to agree to any such sub-license. These restrictions may limit our flexibility
to structure our operations in the most advantageous manner.
●
We
must manufacture, promote, market, import, offer, sell, distribute and supply the Licensed Products in accordance with certain distribution
requirements set forth in the License Agreement. For instance, we may not package the Licensed Products with other products, and
we may deliver them only as supplied by an Authorized Supplier. Accordingly, the limitations imposed by the License Agreement may
impact our ability to pursue certain marketing strategies and distribution channels, which may have a material adverse effect on
us and our business, assets and prospects.
●
The
Licensor may require any change to any Licensed Product by any Authorized Supplier and may make any change to any sales or promotional
literature made available by the Licensor, provided that such changes do not affect any regulatory approvals we obtain. This right
of the Licensor may create material expense for us, may be practically difficult to accomplish and may cause relationship, reputational
and other adverse harm to us, our business and our prospects, without our having any control over these changes. Further, the Licensor
is not liable for any of the costs to us of such changes.
●
We
must file for, prosecute the application for, and obtain all regulatory approvals for each of the Licensed Products and all legal
permits necessary for promoting, marketing, offering or selling each Licensed Product. The regulatory approval process can be expensive
and time consuming, and there can be no assurances that we will be able to obtain or maintain any or all required permits.
●
Except
with respect to the Licensor’s ownership of all intellectual property rights in respect of the licensed property and the non-infringement
by our exercise of those rights, the Licensor provides no, and disclaims all, representations, warranties or covenants relating to
the licensed intellectual property or any other matters under the License Agreement and in particular disclaims any fitness of the
property for any purpose. These provisions limit our recourse in the event that the licensed intellectual property is flawed, defective,
inadequate, incomplete, uncommercial, wrongly described or otherwise not useful for our purposes. We have not independently verified
any of the technical, scientific, commercial, legal, medical or other circumstances or nature of the licensed intellectual property
and therefore there can be no assurances that any of the foregoing risks have been reduced or eliminated. These provisions represent
a significant risk of a material adverse impact on us, our business and our prospects.
26
We
cannot accurately predict the volume or timing of any sales of any of our products, making the timing of any associated revenues uncertain
and difficult to forecast.
We
may face with lengthy and unpredictable customer evaluation and approval processes associated with the BPT and our other products.
Consequently, we may incur substantial expenses and devote significant management effort and expense in developing customer adoption
of our products, which may not result in revenue generation for those products. We must also obtain regulatory approvals for our products
in the respective jurisdiction, which is subject to risk and potential delays, and may actually occur. The same risks apply to other
tests we may develop based on the Biosensor Platform and planned tests from IFP Drug Screening System. As such, we cannot accurately
predict the volume, if any, or timing of any future sales.
If
the BPT fails to satisfy current or future customer requirements, we may be required to make significant expenditures to redesign the
product candidate, and we may have insufficient resources to do so.
The
BPT is being designed to address an existing marketplace and must comply with current and evolving customer requirements in order to
gain market acceptance. There is a risk that the BPT will not meet anticipated customer requirements or desires. If we are required to
redesign our products to address customer demands or otherwise modify our business model, we may incur significant unanticipated expenses
and losses, and we may be left with insufficient resources to engage in such activities. If we are unable to redesign our products, develop
new products or modify our business model to meet customer desires or any other customer requirements that may emerge, our operating
results would be materially adversely affected, and our business might fail.
We
are yet to finalize the manufacturing plan for the production of the BPT and its components on a mass market commercial scale, and may
be dependent upon third-party manufacturers and suppliers, making us vulnerable to contractual relationships and market forces, supply
shortages and problems and price fluctuations, which could harm our business.
While
we have been using the facilities of Australian National Fabrication Facility to manufacture the BPT for clinical evaluation, we are yet to
finalize the manufacturing plan for the production of the BPT and its components on a mass market commercial scale. We presently do not
possess the manufacturing and processing capacity to meet the production requirements of consumer demand in a timely manner. Accordingly,
we may rely on outsourcing the manufacturing of the BPT or its components. Our capacity to conduct clinical evaluation and launch our
products in the market will depend in part on our ability or the ability of third-party manufacturers to provide our products on a large
scale, at a competitive cost and in accordance with regulatory requirements. We cannot guarantee that we or our third-party manufacturers
or suppliers will be able to provide the BPT and its components in mass-market quantities in a timely or cost-effective manner, or at
all. Delays in providing or increasing production or processing capacity could result in additional expense or delays in our clinical
evaluation, regulatory submissions and the market launch of our products. In addition, we or our third-party manufacturers or suppliers
could make errors that could adversely affect the efficacy or safety of the BPT or cause delays in shipment. Any third-party party manufacturers
or suppliers may encounter problems for a variety of reasons, including, for example, failure to follow specific protocols and procedures,
failure to comply with applicable legal and regulatory requirements, equipment malfunction and environmental factors, failure to properly
conduct their own business affairs, and infringement of third-party intellectual property rights, any of which could delay or impede
their ability to meet our requirements. Reliance on these third-party manufacturers or suppliers also subjects us to other risks where:
●
we
may have difficulty locating and qualifying alternative manufacturers or suppliers;
●
switching
manufacturers or suppliers may require product redesign and possibly submission to regulatory bodies, which could significantly impede
or delay our commercial activities;
●
sole-source
manufacturers or suppliers could fail to supply the BPT or components of the BPT; and
●
manufacturers
or suppliers could encounter financial or other business hardships unrelated to us, interfering with their fulfilment of our orders
and requirements.
27
We
may not be able to quickly establish additional or alternative manufacturers or suppliers, if necessary, in part because we may need
to undertake additional activities to establish such manufacturers or suppliers as required by the regulatory approval process. We potentially
will rely on certain single-source manufacturers or suppliers, and to the extent we do so, these risks will be intensified. Any interruption
or delay in obtaining products or components from our third-party manufacturers or suppliers, or shortages of products or components,
could impair our ability to meet the demand of our customers and cause them to switch to competing products.
We
expect to rely in part on third-party distributors to effectively distribute our products, if our distributors fail to effectively market
and sell the BPT and IFP products in full compliance with applicable laws, our operating results and business may suffer.
We
will depend in part on qualified distributors for the marketing and selling of our products. We will depend on these distributors’
efforts to market our products, yet we will be unable to control their efforts completely. While we entered into non-binding memoranda
of understanding with two large distributors in China for the BPT, we have not yet executed any definitive distribution agreements in
this regard and there can be no assurances that suitable distributors will be engaged on terms acceptable to us. These distributors typically
would sell a variety of other, non-competing products that may limit the resources they dedicate to selling our products. In addition,
we are unable to ensure that our distributors will comply with all applicable laws regarding the sale of our products. If our distributors
fail to effectively market and sell our products in full compliance with applicable laws, our operating results and business may suffer.
Recruiting and retaining qualified third-party distributors and training them in our technology and product offering will require significant
time and resources. To develop and expand our distribution, we will be required to scale and improve our processes and procedures that
support our distributors. Further, if our relationship with a successful distributor terminates, we may be unable to replace that distributor
without disruption to our business. If we fail to develop or maintain positive relationships with our distributors, including in new
markets, fail to manage, train or incentivize these distributors effectively, or fail to provide distributors with competitive products
on attractive terms, or if these distributors are not successful in their sales efforts, we may not achieve or may have a reduction in
revenue and our operating results, reputation and business would be harmed.
Failure
in our conventional, online and digital marketing efforts could impact our ability to generate sales.
We
intend to engage in conventional marketing strategies and also may utilize online and digital marketing in order to create awareness
to the BPT and the IFP products. Our management believes that using a wide variety of marketing strategies, including online advertisement
and a variety of other pay-for-performance methods may be effective for marketing and generating sales of the BPT and the IFP products,
as opposed to relying exclusively on traditional, expensive retail channels. In any event, there is a risk that any or all of our marketing
strategies could fail. We cannot predict whether the use of traditional and/or non-traditional retail sales tools, in combination with
reliance on healthcare providers to educate our customers about the BPT and the IFP products, will be successful in effectively marketing
the BPT and the IFP products. The failure of our marketing efforts could negatively impact our ability to generate sales.
As
we intend to conduct business internationally, we are susceptible to risks associated with international relationships, which could adversely
impact our results of operations and financial condition.
We
are based in the United States, and expect to market, promote and sell our products globally. The international nature of our business
requires significant management attention, which could negatively affect our business if it diverts their attention from their other
responsibilities. In addition, doing business with foreign customers subjects us to additional risks that companies do not generally
face if they operate exclusively within a single jurisdiction. These risks and uncertainties include:
●
different
regulatory requirements for medical product approvals in foreign countries;
●
different
standards of care in various countries that could complicate the evaluation of our product candidates;
●
different
medical product import and export rules;
●
different
labor laws;
●
reduced
protection for intellectual property rights in certain countries;
●
unexpected
changes in tariffs, trade barriers and regulatory requirements;
●
different
reimbursement systems and different competitive medical products indicated for glucose testing;
28
●
localization
of products and services, including translation of foreign languages;
●
delivery,
logistics and storage costs;
●
longer
accounts receivable payment cycles and difficulties in collecting accounts receivable;
●
difficulties
providing customer services;
●
economic
weakness, including inflation, or political instability in particular foreign economies and markets;
●
compliance
with tax, employment, immigration and labor laws for employees living or traveling abroad;
●
compliance
with the Foreign Corrupt Practices Act, or the “FCPA,” and other anti-corruption and anti-bribery laws;
●
foreign
taxes, including withholding of payroll taxes;
●
foreign
currency fluctuations, which could result in increased operating expenses and reduced revenues, and other obligations incident to
doing business in another country;
●
restrictions
on the repatriation of earnings;
●
workforce
uncertainty in countries where labor unrest is more common than in the United States;
●
potential
liability resulting from development work conducted by third-party foreign distributors; and
●
business
interruptions resulting from geopolitical actions, including war and terrorism, or natural disasters, management, communication,
and integration problems resulting from cultural differences and geographic dispersion.
The
occurrence of any or all of these risks could adversely affect our business. In the event that we are unable to manage the complications
associated with international operations, our results of operations, financial condition and business prospects could be materially and
adversely affected.
If
third-party payors do not provide coverage and reimbursement for the use of the BPT and IFP products, our business and prospects may
be negatively impacted.
Third-party
payors, whether governmental or commercial, are developing increasingly sophisticated methods of controlling healthcare costs. In addition,
in certain countries, no uniform policy of coverage and reimbursement for medical device products and services exists among third-party
payors. Therefore, coverage and reimbursement for medical device products and services can differ significantly from payor to payor.
In addition, payors continually review new technologies for possible coverage and can, without notice, deny coverage for these new products
and procedures. As a result, the coverage determination process is often a time-consuming and costly process that will require us to
provide scientific and clinical support for the use of our products to each payor separately, with no assurance that coverage and adequate
reimbursement will be obtained or maintained if obtained. Reimbursement systems in international markets vary significantly by country
and by region within some countries, and reimbursement approvals must be obtained on a country-by-country basis. In many international
markets, a product must be approved for reimbursement before it can be approved for sale in that country. Further, many international
markets have government-managed healthcare systems that control reimbursement for new devices and procedures. For example, no government
in the areas where we hold our license has approved reimbursement of the BPT or the IFP Drug Screening System. If sufficient coverage
and reimbursement is not available for our current or future products, in any country where our license operates, the demand for our
products and our revenues will be adversely affected.
Non-United
States governments often impose strict price controls, which may adversely affect our future profitability.
We
intend to seek approval to market the BPT across the APAC Region and expand IFP products offerings in the APAC region. If we obtain approval
for BPT in one or more of the jurisdictions within our License Agreement, we will be subject to rules and regulations in those jurisdictions
relating to our products. In some countries, pricing may be subject to governmental control under certain circumstances, which may vary
country by country. In these countries, pricing negotiations with governmental authorities can take considerable time after the receipt
of requisite marketing approval. To obtain reimbursement or pricing approval in some countries, we may be required to conduct a clinical
evaluation that compares the cost-effectiveness of our product to other available products. If reimbursement of our products or product
candidates is unavailable or limited in scope or amount, or if pricing is set at unsatisfactory levels, we may be unable to achieve or
sustain profitability. Price controls may reduce prices to levels significantly below those that would prevail in less regulated markets
or limit the volume of products which may be sold, either of which may have a material and adverse effect on potential revenues from
sales of the BPT and IFP products. Moreover, the process and timing for the implementation of price restrictions is unpredictable, which
may cause potential revenues from the sales of the BPT and IFP products to fluctuate from period to period.
29
The
BPT and IFP Drug Screening System, including its software and systems, may contain undetected errors, which could limit our ability to
provide our products and services and diminish the attractiveness of our service offerings.
The
BPT and IFP Drug Screening System may contain undetected errors, defects or bugs. As a result, our customers or end users may discover
errors or defects in our products, software or systems, or our products, software or systems may not operate as expected. We may discover
significant errors or defects in the future that we may not be able to fix. Our inability to fix any of those errors could limit our
ability to provide our products and services, impair the reputation of our brand and diminish the attractiveness of our product and service
offerings to our customers. In addition, we may utilize third-party technology or components in our products, and we rely on those third
parties to provide support services to us. The existence of errors, defects or bugs in third-party technology or components, or the failure
of those third parties to provide necessary support services to us, could materially adversely impact our business.
We
will rely on the proper function, security and availability of our information technology systems and data to operate our business, and
a breach, cyber-attack or other disruption to these systems or data could materially and adversely affect our business, results of operations,
financial condition, cash flows, reputation or competitive position.
We
will depend on sophisticated software and other information technology systems to operate our business, including to process, transmit
and store sensitive data, and our products and services will include information technology systems that collect data regarding patients.
We could experience attempted or actual interference with the integrity of, and interruptions in, our technology systems, as well as
data breaches, such as cyber-attacks, malicious intrusions, breakdowns, interference with the integrity of our products and data or other
significant disruptions. Furthermore, we may rely on third-party vendors to supply and/or support certain aspects of our information
technology systems. These third-party systems could also become vulnerable to cyber-attack, malicious intrusions, breakdowns, interference
or other significant disruptions, and may contain defects in design or manufacture or other problems that could result in system disruption
or compromise the information security of our own systems. Our international operations mean that we are subject to laws and regulations,
including data protection and cybersecurity laws and regulations, in many jurisdictions. Furthermore, there has been a developing trend
of civil lawsuits and class actions relating to breaches of consumer data held by large companies or incidents arising from other cyber-attacks.
Any data security breaches, cyber-attacks, malicious intrusions or significant disruptions could result in actions by regulatory bodies
and/or civil litigation, any of which could materially and adversely affect our business, results of operations, financial condition,
cash flows, reputation or competitive position. In addition, our information technology systems require an ongoing commitment of significant
resources to maintain, protect, and enhance existing systems and develop new systems to keep pace with continuing changes in information
processing technology, evolving legal and regulatory standards, the increasing need to protect patient and customer information, changes
in the techniques used to obtain unauthorized access to data and information systems, and the information technology needs associated
any new products and services. There can be no assurance that our process of consolidating, protecting, upgrading and expanding our systems
and capabilities, continuing to build security into the design of our products, and developing new systems to keep pace with continuing
changes in information processing technology will be successful or that additional systems issues will not arise in the future. If our
information technology systems, products or services or sensitive data are compromised, patients or employees could be exposed to financial
or medical identity theft or suffer a loss of product functionality, and we could lose existing customers, have difficulty attracting
new customers, have difficulty preventing, detecting, and controlling fraud, be exposed to the loss or misuse of confidential information,
have disputes with customers, physicians, and other health care professionals, suffer regulatory sanctions or penalties, experience increases
in operating expenses or an impairment in our ability to conduct our operations, incur expenses or lose revenues as a result of a data
privacy breach, product failure, information technology outages or disruptions, or suffer other adverse consequences including lawsuits
or other legal action and damage to our reputation.
30
Our
future performance will depend on the continued engagement of key members of our management team, and the loss of one or more of the
key members of our management team could have a negative impact on our business.
Our
future performance depends to a large extent on the continued services of members of our current management including, in particular,
our Chief Executive Officer and Chief Financial Officer. In the event that we lose the continued services of such key personnel for any
reason, this could have a material adverse effect on our business, operations and prospects.
If
we are not able to attract and retain highly skilled managerial, scientific and technical personnel, we may not be able to implement
our business model successfully.
We
believe that our management team must be able to act decisively to apply and adapt our business model in the markets in which we will
compete. In addition, we will rely upon technical and scientific employees or third-party contractors to effectively establish, manage
and grow our business. Consequently, we believe that our future viability will depend largely on our ability to attract and retain highly
skilled managerial, sales, scientific and technical personnel. In order to do so, we may need to pay higher compensation or fees to our
employees or consultants than we currently expect, and such higher compensation payments would have a negative effect on our operating
results. Competition for experienced, high-quality personnel is intense and we cannot assure that we will be able to recruit and retain
such personnel. We may not be able to hire or retain the necessary personnel to implement our business strategy. Our failure to hire
and retain such personnel could impair our ability to develop new products and manage our business effectively.
If we or our manufacturers fail to comply with applicable regulations,
our proposed operations could be interrupted, and our operating results may be negatively impacted.
We
and any third-party manufacturers and suppliers of ours will be required, to the extent of applicable regulation, to follow the quality
system regulations of each jurisdiction we will seek to penetrate and also will be subject to the regulations of these jurisdictions
regarding the manufacturing processes. If we or any third-party manufacturers or suppliers of ours are found to be in significant non-compliance
or fail to take satisfactory corrective action in response to adverse regulatory findings in this regard, regulatory agencies could take
enforcement actions against us and such manufacturers or suppliers, which could impair or prevent our ability to produce our products
in a cost-effective and timely manner in order to meet customers’ demands. Accordingly, our operating results would suffer.
We
may be subject to healthcare fraud and abuse laws and regulations which, if violated, could subject us to substantial penalties. Additionally,
any challenge to or investigation into our practices under these laws could cause adverse publicity and be costly to respond to, and
thus could harm our business.
There
are numerous U.S. federal and state, as well as foreign, laws pertaining to healthcare fraud and abuse, including anti-kickback, false
claims and transparency laws. Many international healthcare laws and regulations apply to the BPT businesses and medical
devices. We will be subject to certain regulations regarding commercial practices false claims. The federal civil and criminal false
claims laws, including the federal civil False Claims Act, which prohibit, among other things, individuals, or entities from knowingly
presenting, or causing to be presented, claims for payment from Medicare, Medicaid or other federal healthcare programs that are false
or fraudulent. Private individuals can bring False Claims Act “qui tam” actions, on behalf of the government and such individuals,
commonly known as “whistleblowers,” may share in amounts paid by the entity to the government in fines or settlement. When
an entity is determined to have violated the federal civil False Claims Act, the government may impose substantial penalties plus three
times the amount of damages which the government sustains because of the submission of a false claim, and exclude the entity from participation
in Medicare, Medicaid and other federal healthcare programs.
If
our operations or arrangements are found to be in violation of governmental regulations, we may be subject to civil and criminal penalties,
damages, fines and the curtailment of our operations. All of these penalties could adversely affect our ability to operate our business
and our financial results.
31
Product
liability suits, whether or not meritorious, could be brought against us due to an alleged defective product or for the misuse of the
BPT and IFP Drug Screening System. These suits could result in expensive and time-consuming litigation, payment of substantial damages,
and an increase in our insurance rates.
If
the BPT and IFP Drug Screening System or any future diagnostic test based on the Biosensor Platform or IFP Drug Screening System is defectively
designed or manufactured, contains defective components or is misused, or if someone claims any of the foregoing, whether or not meritorious,
we may become subject to substantial and costly litigation. Misusing our devices or failing to adhere to the operating guidelines or
our devices producing inaccurate meter readings could cause significant harm to patients, including death. In addition, if our operating
guidelines are found to be inadequate, we may be subject to liability. Product liability claims could divert management’s attention
from our core business, be expensive to defend and result in sizable damage awards against us. While we expect to maintain product liability
insurance, we may not have sufficient insurance coverage for all future claims. Any product liability claims brought against us, with
or without merit, could increase our product liability insurance rates or prevent us from securing continuing coverage, could harm our
reputation in the industry and could reduce revenue. Product liability claims in excess of our insurance coverage would be paid out of
cash reserves harming our financial condition and adversely affecting our results of operations.
If we are found to have violated laws protecting the confidentiality of
patient health information, we could be subject to penalties, which could increase our liabilities and harm our reputation or our business.
Part
of our business plan includes the storage and potential monetization of data of users of the BPT. There are several laws around the world
protecting the confidentiality of certain patient health information, including patient records, and restricting the use and disclosure
of that protected information. Privacy rules protect medical records and other personal health information by limiting their use and
disclosure, giving individuals the right to access, amend and seek accounting of their own health information and limiting most use and
disclosures of health information to the minimum amount reasonably necessary to accomplish the intended purpose. We may face difficulties
in holding such information in compliance with applicable law. If we are found to be in violation of the privacy rules, we could be subject
to civil or criminal penalties, which could increase our liabilities, harm our reputation and have a material adverse effect on our business,
financial condition and results of operations.
We
could be party to litigation or other legal proceedings that could adversely affect our business, results of operations and reputation.
We
may be subject to litigation and other legal proceedings that may adversely affect our business. These legal proceedings may involve
claims brought by employees, government agencies, suppliers, shareholders or others through private actions, class actions, administrative
proceedings, regulatory actions, or other litigation. These legal proceedings may involve allegations of illegal, unfair or inconsistent
employment practices, including wage and hour, employment of minors, discrimination, harassment, wrongful termination, and vacation and
family leave laws; data security or privacy breaches; violation of the federal securities laws or other concerns.
We
could be involved in litigation and legal proceedings in the future. Even if the allegations against us in future legal matters are unfounded
or we ultimately are not held liable, the costs to defend ourselves may be significant and the litigation may subject us to substantial
settlements, fines, penalties or judgments against us and may consume management’s bandwidth and attention, some or all of which
may negatively impact our financial condition and results of operations. Litigation also may generate negative publicity, regardless
of whether the allegations are valid, or we ultimately are liable, which could damage our reputation, and adversely impact our sales
and our relationship with our employees, clients, and guests.
Risks
Related to Product Development and Regulatory Approval
The regulatory clearance/approval
process which we may be required to navigate may be expensive, time-consuming, and uncertain and may prevent us from obtaining clearance
for any product launch by the Company of the BPT and IFP products in certain jurisdiction or our any future product.
The
Company intends to market the BPT following regulatory clearance or approval. The IFP products may require regulatory clearance or
approval in certain jurisdictions to market. The Company has commenced its 510(k) studies and documentation for entry into United
States markets that require FDA clearance. The Company currently sells IFP products throughout parts of Europe, Asia Pacific, South
America, the Middle East and North America, specifically the United Kingdom, Ireland, Spain, Italy, Sweden, Denmark, the
Philippines, Thailand, Japan, Nepal, Australia, New Zealand, Chile, Saudi Arabia, the UAE, and Canada.
32
The
research, design, testing, manufacturing, labelling, selling, marketing and distribution of medical devices are subject to extensive
regulation by country-specific regulatory authorities, which regulations differ from country to country. There can be no assurance that,
even after such time and expenditures, we will be able to obtain necessary regulatory clearance or approvals for clinical testing or
for the manufacturing or marketing of any products. In addition, during the regulatory process, other companies may develop other technologies
with the same intended use as our products. We also will be subject to numerous post-marketing regulatory requirements, which may include
labelling regulations and medical device reporting regulations, which may require us to report to different regulatory agencies if our
device causes or contributes to a death or serious injury, or malfunctions in a way that would likely cause or contribute to a death
or serious injury. In addition, these regulatory requirements may change in the future in a way that adversely affects us. If we fail
to comply with present or future regulatory requirements that are applicable to us, we may be subject to enforcement action by regulatory
agencies, which may include, among others, any of the following sanctions:
●
untitled
letters, warning letters, fines, injunctions, consent decrees and civil penalties;
●
customer
notification, or orders for repair, replacement or refunds;
●
voluntary
or mandatory recall or seizure of our current or future products;
●
imposing
operating restrictions, suspension or shutdown of production;
●
refusing
our requests for clearance or pre-market approval of new products, new intended uses or modifications to the BPT, IFP products or
future products;
●
rescinding
clearance or suspending or withdrawing pre-market approvals that have already been granted; and
●
criminal
prosecution.
The
occurrence of any of these events may have a material adverse effect on our business, financial condition and results of operations.
Clinical
data obtained subsequent to the implementation of the clinical evidence module may not meet the required objectives, which could delay,
limit or prevent additional regulatory clearance or approval.
There
can be no assurance that we will successfully complete any clinical evaluations necessary to receive regulatory clearance or approvals.
The preliminary results that are indicative of the potential performance of the BPT, data already obtained, or to be
obtained in future, from clinical studies do not necessarily predict the results that will be obtained from later clinical evaluations.
We market IFP products as a screening device. The clinical studies undertaken to date may not meet the requirements of certain regulatory
bodies for us to market in those jurisdictions. The failure to adequately demonstrate the analytical performance characteristics of the
device under development could delay or prevent regulatory clearance or approval of the device, which could prevent or result in delays
to market launch and could materially harm our business. There can be no assurance that we will be able to receive approval for any potential
applications of our principal technology, or that we will receive regulatory clearances from targeted regions or countries.
We
may be unable to complete required clinical evaluations, or we may experience significant delays in completing such clinical evaluations,
which could prevent or significantly delay our targeted product launch timeframe and impair our business plan.
The
completion of any future clinical evaluations for the BPT and IFP products, or other studies that we may be required to undertake in
the future for the BPT and IFP Drug Screening System could be delayed, suspended or
terminated for several reasons, including:
●
we
may fail to or be unable to conduct the clinical evaluation in accordance with regulatory requirements;
●
sites
participating in the trial may drop out of the trial, which may require us to engage new sites for an expansion of the number of
sites that are permitted to be involved in the trial;
●
patients
may not enroll in, remain in or complete, the clinical evaluation at the rates we expect; and
●
clinical
investigators may not perform our clinical evaluation on our anticipated schedule or consistent with the clinical evaluation protocol
and good clinical practices.
33
If
our clinical evaluations are delayed it will take us longer to ultimately launch the BPT, IFP and other products in the relevant
markets requiring regulatory approval and generate revenues. Moreover, our development costs will increase if we have material delays in our clinical evaluation or
if we need to perform more or larger clinical evaluations than planned.
We
are subject to the risk of reliance on third parties to conduct our clinical evaluation work, their inability to comply with good clinical
practice and relevant regulation could adversely affect the clinical development of our product candidates and harm our business.
We
will depend on independent clinical investigators to conduct our clinical evaluations. Contract research organizations may also assist
us in the collection and analysis of data. These investigators and contract research organizations will not be our employees and we will
not be able to control, other than by contract, the amount of resources, including time that they devote to products that we develop.
If independent investigators fail to devote sufficient resources to our clinical evaluations, or if their performance is substandard,
it will delay the approval or clearance and ultimately the market launch of any products that we develop. Further, regulatory bodies
require that we comply with standards, commonly referred to as good clinical practice, for conducting, recording and reporting clinical
evaluations to assure that data and reported results are credible and accurate and that the rights, integrity and confidentiality of
trial subjects are protected. If our independent clinical investigators and contract research organizations fail to comply with good
clinical practice, the results of our clinical evaluations could be called into question and the clinical development of our product
candidates could be delayed. Failure of clinical investigators or contract research organizations to meet their obligations to us or
comply with applicable regulations could adversely affect the clinical development of our product candidates and harm our business. Moreover,
we intend to have several clinical evaluations in order to support our marketing efforts and business development purposes. Such clinical
evaluations will be conducted by third parties as well. Failure of such clinical evaluations to meet their primary endpoints could adversely
affect our marketing efforts.
Risks
Related to Our Intellectual Property
Our
success will depend on our ability to obtain, maintain and protect our intellectual property rights.
In
order to remain competitive, we must develop, maintain and protect the proprietary aspects of our brands, technologies and data. We rely
on a combination of contractual provisions, confidentiality procedures and patent, copyright, trademark, trade secret and other intellectual
property laws to protect the proprietary aspects of our brands, technologies and data. These legal measures afford only limited protection,
and competitors or others may gain access to or use our intellectual property and proprietary information. Our success will depend, in
part, on preserving our trade secrets, maintaining the security of our data and know-how and obtaining and maintaining other intellectual
property rights by us. We may not be able to obtain or maintain intellectual property or other proprietary rights necessary to our business
or in a form that provides us with a competitive advantage.
In
addition, our trade secrets, data and know-how could be subject to unauthorized use, misappropriation, or disclosure to unauthorized
parties, despite our efforts to enter into confidentiality agreements with our employees, consultants, clients and other vendors who
have access to such information and could otherwise become known or be independently discovered by third parties. Our intellectual property,
including trademarks, could be challenged, invalidated, infringed, and circumvented by third parties, and our trademarks could also be
diluted, declared generic or found to be infringing on other marks. If any of the foregoing occurs, we could be forced to re-brand our
products, resulting in loss of brand recognition and requiring us to devote resources to advertising and marketing new brands, and suffer
other competitive harm. Third parties may also adopt trademarks similar to ours, which could harm our brand identity and lead to market
confusion. Failure to obtain and maintain intellectual property rights necessary to our business and failure to protect, monitor and
control the use of our intellectual property rights could negatively impact our ability to compete and cause us to incur significant
expenses. The intellectual property laws and other statutory and contractual arrangements in the United States and other jurisdictions
we depend upon may not provide sufficient protection in the future to prevent the infringement, use, violation or misappropriation of
our trademarks, data, technology and other intellectual property and services, and may not provide an adequate remedy if our intellectual
property rights are infringed, misappropriated or otherwise violated.
34
We
rely, in part, on our ability to obtain, maintain, expand, enforce, and defend the scope of our intellectual property portfolio or
other proprietary rights, including the amount and timing of any payments we may be required to make in connection to the filing,
defence and enforcement of any patents or other intellectual property rights. The process of applying for and obtaining a patent is
expensive, time consuming and complex, and we may not be able to file, prosecute, maintain, enforce all necessary or desirable
patent applications at a reasonable cost, in a timely manner, or in all jurisdictions where protection may be commercially
advantageous, or we may not be able to protect our proprietary rights at all. Despite our efforts to protect our proprietary rights,
unauthorized parties may be able to obtain and use information that we regard as proprietary. In addition, the issuance of a patent
does not ensure that it is valid or enforceable, so even if we obtain patents, they may not be valid or enforceable against third
parties. Our patent applications may not result in issued patents and our patents may not be sufficiently broad to protect our
technology.
The
degree of future protection for our proprietary rights is uncertain, and we cannot ensure that:
●
any
of our patents, or any of our pending patent applications, if issued, will include claims having a scope sufficient to protect our
products;
●
any
of our pending patent applications will issue as patents;
●
we
will be able to successfully commercialize our products on a substantial scale, if approved, before our relevant patents we may have
expire;
●
we
were the first to make the inventions covered by each of our patents and pending patent applications;
●
we
were the first to file patent applications for these inventions;
●
others
will not develop similar or alternative technologies that do not infringe our patents; any of our patents will be found to ultimately
be valid and enforceable;
●
any
patents issued to us will provide a basis for an exclusive market for our commercially viable products, will provide us with any
competitive advantages or will not be challenged by third parties;
●
we
will develop additional proprietary technologies or products that are separately patentable; or
●
our
commercial activities or products will not infringe upon the patents of others.
Moreover,
even if we are able to obtain patent protection, such patent protection may be of insufficient scope to achieve our business objectives.
Issued patents may be challenged, narrowed, invalidated or circumvented. Decisions by courts and governmental patent agencies may introduce
uncertainty in the enforceability or scope of patents owned by or licensed to us. Furthermore, the issuance of a patent does not give
us the right to practice the patented invention. Third parties may have blocking patents that could prevent us from marketing our own
products and practicing our own technology. Alternatively, third parties may seek approval to market their own products similar to or
otherwise competitive with our products. In these circumstances, we may need to defend or assert our patents, including by filing lawsuits
alleging patent infringement. In any of these types of proceedings, a court or agency with jurisdiction may find our patents invalid,
unenforceable or not infringed; competitors may then be able to market products and use manufacturing and analytical processes that are
substantially similar to ours. Even if we have valid and enforceable patents, these patents still may not provide protection against
competing products or processes sufficient to achieve our business objectives.
Obtaining
and maintaining patent protection depends on compliance with various procedural, document submission, fee payment and other requirements
imposed by governmental patent agencies, and our patent protection could be reduced or eliminated for non-compliance with these requirements.
The
United States Patent and Trademark Office (the “USPTO”) and various foreign governmental patent agencies require compliance
with a number of procedural, documentary, fee payment and other similar provisions during the patent application process. In addition,
periodic maintenance fees on issued patents often must be paid to the USPTO and foreign patent agencies over the lifetime of the patent.
While an unintentional lapse can in many cases be cured by payment of a late fee or by other means in accordance with the applicable
rules, there are situations in which noncompliance can result in abandonment or lapse of the patent or patent application, resulting
in partial or complete loss of patent rights in the relevant jurisdiction. Non-compliance events that could result in abandonment or
lapse of a patent or patent application include, but are not limited to, failure to respond to official actions within prescribed time
limits, non-payment of fees and failure to properly legalize and submit formal documents. If we fail to maintain the patents and patent
applications covering our products, we may not be able to stop a competitor from marketing products that are the same as or similar to
our products, which would have a material adverse effect on our business.
35
Patent
terms may not be able to protect our competitive position for an adequate period of time with respect to our current or future technologies.
Patents
have a limited lifespan. In the United States, the standard patent term is typically 20 years after filing. Various extensions may be
available. Even so, the life of a patent and the protection it affords are limited. As a result, our patent portfolio provides us with
limited rights that may not last for a sufficient period of time to exclude others from commercializing products similar or identical
to ours. For example, given the large amount of time required for the research, development, testing and regulatory review of medical
devices, patents protecting our products might expire before or shortly after they are commercialized.
Extensions
of patent term may be available, but there is no guarantee that we would succeed in obtaining any particular extension and no guarantee
any such extension would confer patent term for a sufficient period of time to exclude others from commercializing products similar or
identical to ours.
Additionally,
an extension may not be granted or may be limited where there is, for example, a failure to exercise due diligence during the testing
phase or regulatory review process, failure to apply within applicable deadlines, failure to apply before expiration of relevant patents,
or some other failure to satisfy applicable requirements. If this occurs, our competitors may be able to launch their products earlier
by taking advantage of our investment in development and clinical trials along with our clinical and pre-clinical data. This could have
a material adverse effect on our business and ability to achieve profitability.
We
and/or the Licensor may be subject to claims alleging the violation of the intellectual property rights of others, which could involve
in lawsuits to protect or enforce our intellectual property rights, which could be expensive, time consuming and unsuccessful.
We
may face significant expense and liability as a result of litigation or other proceedings relating to intellectual property rights of
others. In the event that another party has intellectual property protection relating to an invention or technologies licensed by us
from the Licensor, we and/or the Licensor may be required to participate in an interference proceeding declared by the regulatory authorities
to determine priority of invention, which could result in substantial uncertainties and costs for us, even if the eventual outcome was
favorable to us. We and/or the Licensor also could be required to participate in interference proceedings involving intellectual property
of another entity. An adverse outcome in an interference proceeding could require us and/or the Licensor to cease using the technology,
to substantially modify it or to license rights from prevailing third parties, which could delay or prevent the launch of our products
in the market or adversely affect our profitability. The cost to us of any intellectual property litigation or other proceeding relating
to the intellectual property licensed by us from the Licensor, even if resolved in our favor, could be substantial, especially given
our early stage of development. A third-party may claim that we and/or the Licensor are using inventions claimed by their intellectual
property and may go to court to stop us and/or the Licensor from engaging in our normal operations and activities, such as research,
development and the sale of any future products. Such lawsuits are expensive and would consume significant time and other resources.
There is a risk that a court will decide that we and/or the Licensor are infringing the third-party’s intellectual property and
will order us to stop the activities claimed by the intellectual property. In addition, there is a risk that a court will order us and/or
the Licensor to pay the other party damages for having infringed their intellectual property. While the Licensor is required to indemnify
us for certain losses in connection with such proceedings, there can be no assurance that the Licensor will be able to satisfy any such
obligation. Moreover, there is no guarantee that any prevailing intellectual property owner would offer us a license so that we could
continue to engage in activities claimed by the intellectual property, or that such a license, if made available to us, could be acquired
on commercially acceptable terms.
36
We are subject to risk related to the
possibility of modifications to our rights to, or the Company’s ability to use, the Licensed Products in relation to the
Biosensor Platform due to liquidation of the Licensor, which could materially and adversely affect the Company’s planned
business, financial condition, and operating results.
We
understand that the External Administrator of LSBD, the Licensor of the BPT technology, sent a notice to the creditors on July 24, 2023,
stating that LSBD had appointed a liquidator on July 21, 2023. Our understanding is that the ownership of the intellectual property rights
licensed by us from the Licensor have reverted to the University of Newcastle. The Company is in early-stage discussions regarding the
potential restructuring of future licensing of BPT and products with the University of Newcastle. A timeline for these discussions has
not yet been established. There is an inherent risk related to the possibility of modifications to our rights to, or the Company’s
ability to use, the Licensed Products, which could materially and adversely affect the Company’s planned business, financial condition,
and operating results.
We
depend on intellectual property licensed from the Licensor for our BPT related products, and any absence of legal effect of the license or dispute
over the license would significantly harm our BPT related business.
We
are dependent on the intellectual property licensed from the Licensor for our BPT products. Although the License Agreement may not be
terminated by the Licensor as long as we are continuing our operations, any absence of legal effect of the license could result in the
loss of significant rights and could harm our ability to launch the BPT in the market. Disputes may also arise between us and the Licensor
regarding intellectual property subject to the License Agreement. If disputes over intellectual property that we have licensed prevent
or impair our ability to maintain our current licensing arrangements on acceptable terms or are insufficient to provide us the necessary
rights to use the intellectual property, we may be unable to successfully develop and launch the BPT and our other product candidates
from Biosensor Platform. If we or the Licensor fail to adequately protect this intellectual property, our ability to launch our products
in the market also could suffer. For so long as we are dependent on the intellectual property covered by the License Agreement for the
pursuit of our business, any such disputes relating to the License Agreement or failure to protect the intellectual property could adversely
affect our business, results of operations and financial condition.
We
will depend primarily on the Licensor to file, prosecute, maintain, defend and enforce intellectual property that we license from it
and that is material to our business.
The
intellectual property relating to the COV2T and/or BPT is owned by the Licensor. Under the License Agreement, the Licensor generally
has the right to file, prosecute, maintain and defend the intellectual property we have licensed from the Licensor. If the Licensor fails
to conduct these activities for intellectual property protection covering any of our product candidates, our ability to develop and launch
those product candidates may be adversely affected and we may not be able to prevent competitors from making, using or selling competing
products. In addition, pursuant to the terms of the License Agreement with the Licensor, the Licensor generally has the right to control
the enforcement of our licensed intellectual property and the defense of any claims asserting the invalidity of that intellectual property.
We cannot be certain that the Licensor will allocate sufficient resources to and otherwise prioritize the enforcement of such intellectual
property or the defense of such claims to protect our interests in the licensed intellectual property. In the absence of action by the
Licensor, we may be unable to protect and enforce the proprietary rights on which our business relies. Even if we are not a party to
these legal actions, an adverse outcome could harm our business because it might prevent us from continuing to use the licensed intellectual
property that we need to operate our business. In addition, even if we take control of the prosecution of licensed intellectual property
and related applications, enforcement of licensed intellectual property, or defence of claims asserting the invalidity of that intellectual
property, we may still be adversely affected or prejudiced by actions or inactions of the Licensor and its counsel that took place prior
to or after our assuming control, and we cannot ensure the cooperation of the Licensor in any such action. Furthermore, if we take action
to protect, enforce or defend the licensed intellectual property, we may incur significant costs and the attention of our management
may be diverted from our normal business operations. As a result, our business, results of operations and financial condition could be
materially and adversely affected.
37
We
and the Licensor may be unable to protect or enforce the intellectual property rights licensed to us, which could impair our competitive
position.
For
our business to be viable and to compete effectively, the proprietary rights with respect to the technologies and intellectual property
used in our products must be developed and maintained. The Licensor relies primarily on patent protection and trade secrets, as well
as a combination of copyright and trademark laws and non-disclosure and confidentiality agreements to protect its technology and intellectual
property rights. There are significant risks associated with the Licensor’s ability (or our ability, in the absence of action by
the Licensor) to protect the intellectual property licensed to us, including:
●
pending
intellectual property applications may not be approved or may take longer than expected to result in approval in one or more of the
countries in which we operate;
●
the
Licensor’s intellectual property rights may not provide meaningful protection;
●
other
companies may challenge the validity or extent of the Licensor’s patents and other proprietary intellectual property rights
through litigation, oppositions and other proceedings. These proceedings can be protracted as well as unpredictable;
●
other
companies may have independently developed (or may in the future independently develop) similar or alternative technologies, may
duplicate the Licensor’s technologies or may design their technologies around the Licensor’s technologies;
●
enforcement
of intellectual property rights is complex, uncertain and expensive, and may be subject to lengthy delays. In the event we take control
of any such action under the License Agreement, our ability to enforce our intellectual property protection could be limited by our
financial resources; and
●
the
other risks described under “ Risks Related to Our Intellectual Property. ”
If
any of the Licensor’s patents or other intellectual property rights fail to protect the technologies licensed by us, it would make
it easier for our competitors to offer similar products. Any inability on the Licensor’s part (or on our part, in the absence of
action by the Licensor) to adequately protect its intellectual property may have a material adverse effect on our business, financial
condition and results of operations.
We
and where applicable, the Licensor of our products have limited foreign intellectual property rights and may not be able
to protect those intellectual property rights, which means that we and/or Licensor may not be able to prevent third parties from practicing
our inventions or from selling or importing products made using those inventions.
Our
intellectual property rights include intellectual property licensed from the Licensor for our BPT Products and rights related to the
IFP products. We and the Licensor have determined that filing, prosecuting and defending intellectual property rights in all countries
globally would be prohibitively expensive, and intellectual property rights in some countries can be less extensive than those in the
United States. In addition, the laws of some foreign countries do not protect intellectual property to the same extent as laws in the
United States. Consequently, we and/or the Licensor may not be able to prevent third parties from practicing our inventions or from selling
or importing products made using our inventions. Competitors may use our technologies in jurisdictions where we have not obtained intellectual
property rights to develop their own products and further, may export otherwise infringing products to territories where we have intellectual
property protection, but enforcement is not as strong as that in the United States. Policing unauthorized use of proprietary technology
is difficult and expensive. The legal systems of certain countries do not favor the enforcement of trade secrets and other intellectual
property, particularly those relating to medical device products, which could make it difficult for us to stop the infringement of our
intellectual property or marketing of competing products industry of our proprietary rights generally. An adverse determination or an
insufficient damage award in any such litigation could materially impair our intellectual property rights and may otherwise harm our
business. In addition, some developing countries in the APAC Region have compulsory licensing laws under which an intellectual property
owner may be compelled to grant licenses to third parties. In those countries, we and/or the Licensor may have limited remedies if our
intellectual property is infringed or if we and/or the Licensor are compelled to grant a license to a third-party, which could materially
diminish the value of that intellectual property. Furthermore, we may not be able to register or otherwise protect the trademark “Glucose
Biosensor” in developing countries in the APAC Region.
38
We
and the Licensor rely on confidentiality agreements that could be breached and may be difficult to enforce, which could result in third
parties using our intellectual property to compete against us.
Although
we believe that we and the Licensor take reasonable steps to protect our intellectual property, including the use of agreements relating
to the non-disclosure of confidential information to third parties, as well as agreements that purport to require the disclosure and
assignment to us of the rights to the ideas, developments, discoveries and inventions of our employees and consultants while we or the
Licensor employ them, the agreements can be difficult and costly to enforce. Although we and the Licensor seek to enter into these types
of agreements with contractors, consultants, advisors and research collaborators, to the extent that employees and consultants utilize
or independently develop intellectual property in connection with any of our projects, disputes may arise as to the intellectual property
rights associated with our technology. If a dispute arises, a court may determine that the right belongs to a third-party. In addition,
enforcement of our rights and the rights of the Licensor can be costly and unpredictable. We and the Licensor also rely on trade secrets
and proprietary know-how that we and the Licensor may seek to protect in part by confidentiality agreements with employees, contractors,
consultants, advisors or others. Despite the protective measures we employ, we and the Licensor still face the risk that:
●
these
agreements may be breached;
●
these
agreements may not provide adequate remedies for the applicable type of breach;
●
our
proprietary know-how will otherwise become known; or
●
our
competitors will independently develop similar technology or proprietary information.
We and the Licensor may be subject to claims challenging the invention
of the intellectual property we license.
We
and the Licensor may be subject to claims that former employees, collaborators or other third parties have an interest in intellectual
property as an inventor or co-inventor. For example, we and the Licensor may have inventorship disputes arising from conflicting obligations
of consultants or others who are involved in developing our product candidates. Litigation may be necessary to defend against these and
other claims challenging inventorship. If we and the Licensor fail in defending any such claims, in addition to paying monetary damages,
we and the Licensor may lose valuable intellectual property rights, such as exclusive ownership of, or right to use, valuable intellectual
property. Such an outcome could have a material adverse effect on our business. Even if we are successful in defending against such claims,
litigation could result in substantial costs and be a distraction to management and other employees. As a result, it is unclear whether
and, if so, to what extent employees of ours and the Licensor may be able to claim compensation with respect to our future revenue. We
may receive less revenue from future products if any of employees of the Licensor or us successfully claim compensation for their work
in developing our intellectual property, which in turn could impact our future profitability.
Risks
Related to Our Industry
Our products and operations are subject to extensive government regulation.
If we fail to obtain and maintain necessary regulatory approvals current IFP products, or if approvals for future products and indications
are delayed or not issued, it will negatively affect our business, financial condition and results of operations.
Our
proprietary IFP Drug Screening System is subject to extensive regulation in the United States and abroad, including the European Union,
our largest market for the IFP Drug Screening System. Government regulations specific to medical devices are wide ranging and govern,
among other things:
●
Product
design, development, manufacture, and release;
●
Laboratory,
pre-clinical and clinical testing, labeling, packaging, storage and distribution;
●
Product
safety and efficacy;
●
Premarketing
clearance or approval;
●
Service
operations;
●
Record
keeping;
●
Product
marketing, promotion and advertising, sales and distribution;
●
Post-marketing
surveillance, including reporting of deaths or serious injuries and recalls and correction and removals;
●
Post-market
approval studies; and
●
Product
import and export.
39
If
we fail to remain in compliance with applicable European laws and directives, we would be unable to continue to affix the CE mark to
our products, which would prevent us from selling them within the European Economic Area (“EEA”).
We
have commenced the required regulatory approval process with FDA in the United States, which may be an expensive, lengthy and
unpredictable process. We may not be able to obtain any necessary clearances or approval or may be unduly delayed in doing so, which
will negatively affect our business, financial condition and results of operations. Furthermore, even if we are granted regulatory
clearances or approvals, they may include significant limitations on the indicated uses for the product, which may limit the market
for the product.
The
FDA can delay, limit or deny clearance or approval of a device for many reasons, including:
●
Our
inability to demonstrate to the satisfaction of the FDA or the applicable regulatory entity or notified body that our products are
safe or effective for their intended uses;
●
The
disagreement of the FDA or the applicable foreign regulatory body with the design or implementation of our clinical trials or the
interpretation of data from pre-clinical studies or clinical trials;
●
Serious
and unexpected adverse effects experienced by participants in our clinical trials;
●
The
data from our pre-clinical studies and clinical trials may be insufficient to support clearance or approval, where required;
●
Our
inability to demonstrate that the clinical and other benefits of the product outweigh the risks;
●
The
manufacturing process or facilities we use may not meet applicable requirements; and
●
The
potential for approval policies or regulations of the FDA or applicable foreign regulatory bodies to change significantly in a manner
rendering our clinical data or regulatory filings insufficient for clearance or approval.
Furthermore,
the FDA and state and international authorities have broad enforcement powers. Our failure to comply with applicable regulatory requirements
could result in enforcement action by any such agency, which may include any of the following sanctions:
●
Adverse
publicity, warning letters, fines, injunctions, consent decrees and civil penalties;
●
Repair,
replacement, refunds, recall or seizure of our products;
●
Operating
restrictions, partial suspension or total shutdown of production;
●
Denial
of our requests for regulatory clearance or premarket approval of new products or services, new intended uses or modifications to
existing products or services;
●
Withdrawal
of regulatory clearance or premarket approvals that have already been granted; or
●
Criminal
prosecution.
If
any of these events were to occur, it will negatively affect our business, financial condition and results of operations.
In
addition, the medical device and other medical product industries in the APAC Region, where we plan to expand our product offering in
the near future are generally subject to comprehensive government regulation and supervision, encompassing the approval, registration,
manufacturing, packaging, licensing and marketing of new products. In addition, the regulatory frameworks in the APAC Region regarding
our industry are subject to change. Any such changes may result in increased compliance costs on our business or cause delays in or prevent
the successful development or launch of our product candidates in the APAC Region. The regulatory authorities in the countries and territories
constituting the APAC Region also may launch investigations of individual companies or on an industry-wide basis. The costs and time
necessary to respond to an investigation can be material. Any failure by us or our partners to maintain compliance with applicable laws
and regulations or obtain and maintain required licenses and permits may result in the suspension or termination of our business activities
in certain countries and territories in the APAC Region or in the region as a whole.
40
Compliance
with environmental laws and regulations could be expensive, and the failure to comply with these laws and regulations could subject us
to significant liability.
Our
research, development and manufacturing operations including product assembly line at Cambridge, UK involve the use of hazardous substances,
and we are subject to a variety foreign environmental laws and regulations relating to the storage, use, handling, generation, manufacture,
treatment, discharge and disposal of hazardous substances. Our products may also contain hazardous substances, and they are subject to laws
and regulations relating to labelling requirements and to their sale, collection, recycling, treatment, storage and disposal. Compliance
with these laws and regulations may be expensive and noncompliance could result in substantial fines and penalties. Environmental laws
and regulations also impose liability for the remediation of releases of hazardous substances into the environment and for personal injuries
resulting from exposure to hazardous substances, and they can give rise to substantial remediation costs and to third-party claims, including
for property damage and personal injury. Liability under environmental laws and regulations can be joint and several and without regard
to fault or negligence, and they tend to become more stringent over time, imposing greater compliance costs and increased risks and penalties
associated with violations. We cannot assure you that violations of these laws and regulations, or releases of or exposure to hazardous
substances, will not occur in the future or have not occurred in the past, including as a result of human error, accidents, equipment
failure or other causes. The costs of complying with environmental laws and regulations, and liabilities that may be imposed for violating
them, or for remediation obligations or responding to third-party claims, could negatively affect our business, financial condition and
results of operations.
If
we or our suppliers fail to comply The United Kingdom Accreditation Services (UKAS), FDA’s Quality System Regulation (QSR) and
CE (European Conformity) markings and other relevant regulations regulation, our manufacturing or distribution operations could be
delayed or shut down and our revenue could suffer.
Our
manufacturing and design processes for certain of our products and those of certain of our third-party suppliers are required to comply
with The United Kingdom Accreditation Services (UKAS), FDA’s QSR and CE markings in the European Union. This covers procedures
and documentation of the design, testing, production, control, quality assurance, labelling, packaging, storage and shipping of our IFP
Drug Screening System. We are also subject to ongoing International Organization for Standardization (“ISO 13485”) compliance
in all operations, including design, manufacturing, and service, to maintain our CE Mark. In addition, we must engage in extensive recordkeeping
and reporting and must make available our facilities and records for periodic unannounced inspections by governmental agencies, including
the FDA, state authorities, European Union Notified Bodies and comparable agencies in other countries. If we fail a regulatory inspection,
our operations could be disrupted and our manufacturing interrupted. Failure to take adequate corrective action in response to an adverse
regulatory inspection could result in, among other things, a shutdown of our manufacturing or product distribution operations, significant
fines, suspension of marketing clearances and approvals, seizures or recalls of our device, operating restrictions and criminal prosecutions,
any of which would negatively affect our business, financial condition and results of operations. Furthermore, our key component suppliers
may not currently be or may not continue to be in compliance with applicable regulatory requirements, which may result in manufacturing
delays for our product and cause our revenue to decline.
We
can provide no assurance that we will continue to remain in compliance with the UKAS, QSR and European Union Notified Bodies. If the
FDA, UKAS and European Union of Notified Bodies inspect any of our facilities and discover compliance problems, we may have to cease
manufacturing and product distribution until we can take the appropriate remedial steps to correct the audit findings. Taking corrective
action may be expensive, time consuming and a distraction for management and if we experience a delay at our manufacturing facility,
we may be unable to produce our solutions, which will negatively affect our business, financial condition and results of operations.
41
If
we or the Licensor fail to respond quickly to technological or other developments, our products may become uncompetitive and
obsolete.
The
drug screening, medical testing and biosensor related markets may experience rapid technology developments, changes in industry
standards, changes in customer requirements, changes in demand, and frequent new product introductions and improvements. If we or
the Licensor (where relevant) are unable to respond to these developments, we may lose competitive position, and our other products
may become uncompetitive or obsolete, causing our business and prospects to suffer.
In
order to compete, we and the Licensor (where relevant) need to adjust, develop, license or acquire new technology on a schedule that
keeps pace with technological and other developments and the requirements for products addressing a broad spectrum of needs.
Fluctuation
in the value of foreign currencies may have a material adverse effect on your investment.
A
substantial portion of our revenues and costs may be denominated in foreign currencies, such as the British Pound, Australian Dollar
or Japanese Yen. Any significant change in value of these foreign currencies against the U.S. dollar may materially affect our cash flows,
net revenues, earnings and financial position, and the value of, and any dividends payable on, our common stock in U.S. dollars. For
example, an appreciation of any such foreign currency against the U.S. dollar would make any new investments or expenditures denominated
in the foreign currency costlier to us, to the extent that we need to convert U.S. dollars into the foreign currency for such purposes.
Conversely, a significant depreciation of any such foreign currency against the U.S. dollar may significantly reduce the U.S. dollar
equivalent of our earnings, which in turn could adversely affect the price of our common stock. If we decide to convert any such foreign
currency into U.S. dollars for the purpose of making payments for dividends on our common stock, strategic acquisitions or investments
or other business purposes, appreciation of the U.S. dollar against the foreign currency would have a negative effect on the U.S. dollar
amount available to us. We do not expect to hedge against the risks associated with fluctuations in exchange rates and, therefore, exchange
rate fluctuations could have an adverse impact on our future operating results. As a result, fluctuations in exchange rates may have
a material adverse effect on your investment.
42
We
are subject to laws and regulations governing business conduct, which will require us to develop and implement costly compliance programs.
We
must comply with a wide range of laws and regulations to prevent corruption, bribery, and other unethical business practices, including
the FCPA, anti-bribery and anti-corruption laws in other countries. The creation and implementation of international business practices
compliance programs is costly and such programs are difficult to enforce, particularly where reliance on third parties is required. Anti-bribery
laws prohibit us, our employees, and some of our agents or representatives from offering or providing any personal benefit to covered
government officials to influence their performance of their duties or induce them to serve interests other than the missions of the
public organizations in which they serve. Certain commercial bribery rules also prohibit offering or providing any personal benefit to
employees and representatives of commercial companies to influence their performance of their duties or induce them to serve interests
other than their employers. The FCPA also obligates companies whose securities are listed in the United States to comply with certain
accounting provisions requiring us to maintain books and records that accurately and fairly reflect all transactions of the corporation,
including international subsidiaries, and devise and maintain an adequate system of internal accounting controls for international operations.
The anti-bribery provisions of the FCPA are enforced primarily by the Department of Justice. The SEC is involved with enforcement of
the books and records provisions of the FCPA. Compliance with these anti-bribery laws is expensive and difficult, particularly in countries
in which corruption is a recognized problem. In addition, the anti-bribery laws present particular challenges in the medical products
industries because in many countries, a majority of hospitals are state-owned or operated by the government, and doctors and other hospital
employees are considered civil servants. Furthermore, in certain countries, hospitals and clinics are permitted to sell medical devices
to their patients and are primary or significant distributors of medical devices. Certain payments to hospitals in connection with clinical
studies, procurement of medical devices and other work have been deemed to be improper payments to government officials that have led
to vigorous anti-bribery law enforcement actions and heavy fines in multiple jurisdictions, particularly in the United States and China.
It is not always possible to identify and deter violations, and the precautions we take to detect and prevent this activity may not be
effective in controlling unknown or unmanaged risks or losses or in protecting us from governmental investigations or other actions or
lawsuits stemming from a failure to be in compliance with such laws or regulations. In the medical products industries, corrupt practices
include, among others, acceptance of kickbacks, bribes or other illegal gains or benefits by the hospitals and medical practitioners
from medical device manufacturers, distributors or their third-party agents in connection with the prescription of certain medical devices
or disposables. If our employees, affiliates, distributors or third-party marketing firms violate these laws or otherwise engage in illegal
practices with respect to their sales or marketing of our products or other activities involving our products, we could be required to
pay damages or heavy fines by multiple jurisdictions where we operate, which could materially and adversely affect our financial condition
and results of operations. Our potential customers also may deny access to sales representatives from medical device companies because
the potential customers want to avoid the perception of corruption, which could adversely affect our ability to promote our products.
As we expand our operations in the APAC Region, we will need to increase the scope of our compliance programs to address the risks relating
to the potential for violations of the FCPA and other anti-bribery and anti-corruption laws. Our compliance programs will need to include
policies addressing not only the FCPA, but also the provisions of a variety of anti-bribery and anti-corruption laws in multiple jurisdictions,
including provisions relating to books and records that apply to us as a public company, and will need to include effective training
for our personnel throughout our organization. The creation and implementation of anti-corruption compliance programs is costly and such
programs are difficult to enforce, particularly where reliance on third parties is required. Violation of the FCPA and other anti-corruption
laws can result in significant administrative and criminal penalties for us and our employees, including substantial fines, suspension
or debarment from government contracting, prison sentences, or even the death penalty in extremely serious cases in certain countries.
The SEC also may suspend or bar us from trading securities on United States exchanges for violation of the FCPA’s accounting provisions.
Even if we are not ultimately punished by government authorities, the costs of investigation and review, distraction of company personnel,
legal defense costs, and harm to our reputation could be substantial and could limit our profitability or our ability to develop or launch
our product candidates. In addition, if any of our competitors are not subject to the FCPA, they may engage in practices that will lead
to their receipt of preferential treatment from potential customers and enable them to secure business from potential customers in ways
that are unavailable to us.
43
Changes
in the economic, political or social conditions or government policies in our target markets could have a material adverse effect on
our business and operations.
The
economies and societies of certain countries and territories of our target markets, continue to undergo significant change. Adverse changes
in the political and economic policies in these countries and territories could have a material adverse effect on the overall economic
growth of these countries and territories, which could adversely affect our ability to conduct business in these countries and territories.
The governments of these countries and territories continue to adjust economic policies to promote economic growth. Some of these measures
may benefit the overall economy but may also have a negative effect on us. As the medical product industry grows and evolves in these
countries and territories, the governments may also implement measures to change the structure of foreign investment in this industry.
We are unable to predict any such policy changes, any of which could materially and adversely affect our ability to finance or conduct
our business in these countries and territories. Any failure on our part to comply with changing government regulations and policies
could result in the loss of our ability to develop and launch our product candidates in these countries and territories.
Risks
Related to the Ownership of Our Common Stock
We
may not be able to satisfy the continued listing requirements of the Nasdaq Capital Market in order to maintain the listing of our common
stock.
Minimum
Bid Price Requirement
On
November 16, 2023 the Company received a letter (the “Bid Price Notice”) from the Listing Qualifications Department of Nasdaq
notifying the Company that the minimum closing bid price per share for our common stock was below $1.00 for 30 consecutive business days
preceding the date of the Bid Price Notice, and that the Company did not meet the $1.00 per share minimum bid price requirement set forth
in Nasdaq Listing Rule 5550(a)(2).
At
our annual meeting of stockholders held on December 13, 2023, the stockholders of the Company approved an amendment to the Company’s
amended and restated certificate of incorporation (the “January Amendment”) to effect the reverse stock split at a ratio
of not less than 1-for-2 and not more than l-for-12 at any time within 12 months following the date of stockholder approval, with the
exact ratio to be set within this range by the Company’s Board at its sole discretion without further approval or authorization
of our stockholders. The primary purpose of the reverse stock split was to increase the per share market price of our common stock.
Pursuant
to the authority granted by the Company’s stockholders, the Board approved a l-for-12 reverse stock split (the “January 2024
Reverse Stock Split”) of the Company’s common stock and the filing of the January Amendment to effectuate the reverse stock
split. The January Amendment was filed with the Secretary of State of the State of Delaware and the January 2024 Reverse Stock Split
became effective at 5:00 p.m. Eastern Time on January 26, 2024, and the Company’s common stock began trading on a reverse stock
split-adjusted basis on the Nasdaq Capital Market on January 29, 2024.
Although
the January 2024 Reverse Stock Split brought the price of our common stock back above $1.00 per share in order to meet the requirements
for the continued listing of our common stock on the Nasdaq Capital Market, there can be no assurance that the closing bid price of our
common stock will remain at or above $1.00 following the January 2024 Reverse Stock Split. If we fail to satisfy any of Nasdaq’s
continued listing requirements, Nasdaq may take steps to delist our common stock, which could have a materially adverse effect on our
ability to raise additional funds as well as the price and liquidity of our common stock.
Stockholders’
Equity Requirement
On
November 16, 2023, the Company received a letter from Nasdaq (the “Stockholder Equity Letter”), regarding its non-compliance
with the minimum stockholders’ equity requirement for continued listing on the Nasdaq Capital Market. The letter notified the Company
that its stockholders’ equity, reported at $1,236,558 in the Quarterly Report on Form 10-Q for the period ending September 30,
2023, did not meet the Nasdaq Capital Market’s minimum stockholders’ equity requirement of $2,500,000 for continued listing
as per Nasdaq Listing Rule 5550(b)(1) (the “Stockholders’ Equity Requirement”). Nasdaq gave the Company until January
2, 2024, to submit a plan to regain compliance with the minimum stockholders’ equity requirement under Nasdaq Listing Rule 5550(b)(1).
On
December 15, 2023, the Company submitted a compliance plan to Nasdaq that included a pro-forma balance sheet as of October 31, 2023 (the
“Balance Sheet”). The Balance Sheet showed that the Company’s stockholders’ equity as of October 31, 2023, was
$4,240,629, which was primarily the result of the of a public offering of the Company’s securities that closed on October 4, 2023.
The Balance Sheet was also attached to a Current Report on Form 8-K filed by the Company on December 18, 2023 (the “December 8-K”).
44
On
January 2, 2024, the Company received a letter from Nasdaq (the “January Letter”) stating that based on the December 8-K,
the Staff had determined that the Company complies with the Listing Rule 5550(b)(1), but that if the Company failed to evidence compliance
upon filing its Form 10-Q for the period ended December 31, 2023, the Company may be subject to delisting. The January Letter also noted,
as did the Stockholder Equity Letter, that as of November 15, 2023, the Company did not meet either alternative to the Stockholders’
Equity Requirement, which alternatives require either a $35 million market value of listed securities or $500,000 of net income from
continuing operations, as set forth in Listing Rules 5550(b)(2) or 5550(b)(3), respectively.
On
February 13, 2024, Nasdaq confirmed that upon filing of the Company’s Quarterly Report on Form 10-Q for the period ended December
31, 2023, the Company had for that period evidenced compliance with Nasdaq Listing Rule 5550(b)(1), the Stockholders’ Equity Requirement;
and that the condition to remain in compliance with the Stockholders’ Equity Requirement was met, as per Nasdaq’s compliance
determination of in the January Letter.
Although
Nasdaq confirmed that Company had for the period ended December 31, 2023, evidenced compliance with the Stockholders’ Equity Requirement,
there can be no assurance that the Company will continue to have a minimum stockholders’ equity of $2,500,000 and satisfy Nasdaq’s
requirements for continued listing under Nasdaq Listing Rule 5550(b)(1), the Stockholders’ Equity Requirement. If we fail to satisfy
any of Nasdaq’s continued listing requirements, Nasdaq may take steps to delist our common stock, which could have a materially
adverse effect on our ability to raise additional funds as well as the price and liquidity of our common stock.
We
have identified material weaknesses in our internal control over financial reporting. If our remediation of the material weaknesses is
not effective, or if we experience additional material weaknesses in the future or otherwise fail to maintain an effective system of
internal controls in the future, we may not be able to accurately or timely report our financial condition or results of operations,
which may adversely affect investor confidence in us and, as a result, the value of our common stock.
In
connection with the preparation of our financial statements for the fiscal year ended June 30, 2024, we identified material weaknesses
in our internal control over financial reporting. A material weakness is a deficiency, or combination of deficiencies, in internal controls
such that there is a reasonable possibility that a material misstatement of our financial statements will not be prevented or detected
on a timely basis.
The
material weaknesses related to the fact that the Company has not yet designed and maintained an effective control environment commensurate
with its financial reporting requirements, including (a) that the Company had not yet completed the formally documented policies and
procedures with respect to the review, supervision and monitoring of the Company’s accounting and reporting functions, (b) the
lack of evidence to support the performance of controls and the adequacy of review procedures, including the completeness and accuracy
of information used in the performance of controls and (c) we currently have limited accounting personnel
and other supervisory resources necessary to adequately execute the Company’s accounting processes and address its internal controls
over financial reporting.
We
have implemented and are in the process of implementing measures designed to improve our internal control over financial reporting to
remediate these material weaknesses, including the hiring of additional qualified accounting and finance personnel, enhancing our controls
to improve the preparation and review of complex accounting measurements and the application of Generally Accepted Accounting Principles in the United States (“US GAAP” or “GAAP”), and engaging independent experts
and outside consultants.
We
cannot assure you that the measures we have taken and that we intend to take will be sufficient to remediate the material weaknesses
we have identified or avoid potential future material weaknesses. While we believe that our efforts will enhance our internal control,
remediation of the material weaknesses will require further validation and testing of the design and operating effectiveness of internal
controls over a sustained period of financial reporting cycles, and we cannot assure you that we have identified all, or that we will
not in the future have additional, material weaknesses.
45
We are obligated to maintain a system of effective internal control over
financial reporting. We may not complete our analysis of our internal control over financial reporting in a timely manner, or these internal
controls may not be determined to be effective, which may harm investor confidence in our company and the value of our common stock.
As
a public company, we are required to maintain internal control over financial reporting and to report any material weaknesses in such
internal controls. We are required, pursuant to Section 404 of the Sarbanes-Oxley Act, to furnish a report by management on, among other
things, the effectiveness of our internal control over financial reporting. This assessment will need to include disclosure of any material
weaknesses identified by our management in our internal control over financial reporting. However, our auditors will not be required
to formally attest to the effectiveness of our internal control over financial reporting pursuant to Section 404 until we are no longer
an “emerging growth company” as defined in the JOBS Act, if we take advantage of the exemptions available to us through the
JOBS Act. Even after we cease to be an “emerging growth company,” our auditors will not be required to formally attest to
the effectiveness of our internal control over financial reporting unless we are an accelerated filer or a large accelerated filer (as
defined under the Exchange Act). We are in the very early stages of the costly and challenging process of compiling the system and process
documentation necessary to perform the evaluation needed to comply with Section 404. In this regard, we will need to continue to dedicate
internal resources, engage outside consultants and adopt a detailed work plan to assess and document the adequacy of internal control
over financial reporting, continue steps to improve control processes as appropriate, validate through testing that controls are functioning
as documented and implement a continuous reporting and improvement process for internal control over financial reporting. As we transition
to the requirements of reporting as a public company, we may need to add additional finance staff. We may not be able to complete our
evaluation and testing in a timely fashion. During the evaluation and testing process, if we identify one or more material weaknesses
in our internal control over financial reporting, we will be unable to assert that our internal controls are effective. We may not be
able to remediate any material weaknesses in a timely fashion. If we are unable to complete our evaluation and testing, or if we are
unable to assert that our internal control over financial reporting is effective, particularly if we have been unable to remediate any
material weaknesses identified, or if or our auditors, when required to do so, are unable to express an opinion that our internal controls
are effective, investors could lose confidence in the accuracy and completeness of our financial reports, which could harm our stock
price.
We
are an emerging growth company and currently have limited accounting personnel and other supervisory resources. This can result in a
lack of necessary resources to adequately execute our accounting processes and address our internal controls over financial reporting
requirements.
The
Company is an emerging growth company. Prior to our initial public offering (“IPO”), which we completed in December 2020,
the Company was a private corporation with limited accounting personnel and other supervisory resources necessary to adequately execute
its accounting processes and address its internal controls over financial reporting requirements. As a result, previously existing internal
controls are no longer sufficient, and the Company is in the process of updating these controls. The design and implementation of internal
control over financial reporting for the Company’s post-IPO has required and will continue to require significant time and resources
from management and other personnel.
Raising
additional capital may cause dilution to our stockholders, restrict our operations or require us to relinquish rights to our technologies
or products.
Since
our inception, our operations have been financed primarily by net proceeds from the sale of our convertible preferred stock and common
stock, indebtedness and revenue from the sales of our products. We anticipate our future capital requirements will be substantial and
that we will need to raise significant additional capital to fund our operations through equity or debt financing, or some combination
thereof. We are currently exploring fundraising opportunities to meet these capital requirements. If we are unable to raise additional
funding to meet our operational needs, we will be forced to limit or cease our operations.
46
In
addition to our current capital needs, we regularly consider fundraising opportunities and may decide, from time to time, to raise capital
based on various factors, including market conditions and our plans of operation. We may seek funds through borrowings or through additional
rounds of financing, including private or public equity or debt offerings. Additional capital may not be available to us on acceptable
terms on a timely basis, or at all. If adequate funds are not available, or if the terms of potential funding sources are unfavorable,
our business and our ability to develop our technology and our products would be harmed. If we raise additional funds by issuing equity
securities, our stockholders may suffer dilution and the terms of any financing may adversely affect the rights of our stockholders.
In addition, as a condition to providing additional funds to us, future investors may demand, and may be granted, rights superior to
those of existing stockholders. Debt financing, if available, is likely to involve restrictive covenants limiting our flexibility in
conducting future business activities, and, in the event of insolvency, debt holders would be repaid before holders of our equity securities
receive any distribution of our corporate assets. We also could be required to seek funds through arrangements with partners or others
that may require us to relinquish rights or jointly own some aspects of our technologies or products that we would otherwise pursue on
our own.
The
sale of a substantial number of shares of our common stock and other securities convertible into or exercisable for our common stock,
such as those securities sold in the October 2023 Offering, the Warrant Inducement Transaction and March 2024 Offerings, could depress
the market price of our shares of common stock and impair our ability to raise capital through the sale of additional equity securities.
The
sale of a substantial number of shares of our common stock and other securities convertible into or exercisable for our common stock,
such as those securities sold in the October 2023 Offering, the Warrant Inducement Transaction, and the March 2024 Offering could depress
the market price of our shares of common stock and impair our ability to raise capital through the sale of additional equity securities.
In addition to causing the market price of our common stock to decline, such sales could also greatly increase the volatility associated
with the trading of our common stock. Furthermore, stockholders may initiate securities class action lawsuits if the market price of
our common stock drops significantly, which may cause us to incur substantial costs and could divert the time and attention of our management.
We cannot predict the number of these shares or warrants that might be sold nor the effect that future sales of our shares of our securities
would have on the market price of our shares of common stock. See Note 13, Shareholders’ Equity for further details of the October
2023 Offering, the Warrant Inducement Transaction, and the March 2024 Offering.
The
market price of our common stock may be significantly volatile.
The
market price for our common stock may be significantly volatile and subject to wide fluctuations in response to factors including the
following:
●
developments
prior to commercial sales relating to regulatory approval, manufacturing and distribution of our products;
●
actual
or anticipated fluctuations in our quarterly or annual operating results;
●
changes
in financial or operational estimates or projections;
●
conditions
in markets generally;
●
changes
in the economic performance or market valuations of companies similar to ours; and
●
general
economic or political conditions in the United States or elsewhere.
In
particular, the market prices for securities of medical device companies have historically been particularly volatile. Some of the factors
that may cause the market price of our common stock to fluctuate include:
●
any
delay in or the results of our clinical evaluations;
●
any
delay in manufacturing of our products;
●
any
delay with the approval for reimbursement for the patients from their insurance companies;
●
our
failure to comply with regulatory requirements;
●
the
announcements of clinical evaluation data, and the investment community’s perception of and reaction to those data;
●
the
results of clinical evaluations conducted by others on products that would compete with ours;
●
any
delay or failure to receive clearance or approval from regulatory agencies or bodies;
●
our
inability to commercially launch products or market and generate sales of our products, including the BPT;
●
failure
of the BPT or any other products, even if approved for marketing, to achieve any level of commercial success;
47
●
our
failure to obtain intellectual property protection for any of our technologies and products (including those related to the BPT)
or the issuance of third-party intellectual property that cover our proposed technologies or products;
●
developments
or disputes concerning our product’s intellectual property rights;
●
our
or our competitors’ technological innovations;
●
general
and industry-specific economic conditions that may affect our expenditures;
●
changes
in market valuations of similar companies;
●
announcements
by us or our competitors of significant contracts, acquisitions, strategic partnerships, joint ventures, capital commitments, new
technologies, or intellectual property;
●
failure
to adequately manufacture the BPT or any other products through third parties;
●
future
sales of our common stock or other securities, including shares issuable upon the exercise of outstanding warrants or otherwise issued
pursuant to certain contractual rights;
●
period-to-period
fluctuations in our financial results; and
●
low
or high trading volume of our common stock due to many factors, including the terms of our financing arrangements.
In
addition, if we fail to reach an important research, development or commercialization milestone or result by a publicly expected deadline,
even if by only a small margin, there could be a significant impact on the market price of our common stock. Additionally, as we approach
the announcement of anticipated significant information and as we announce such information, we expect the price of our common stock
to be volatile and negative results would have a substantial negative impact on the price of our common stock. In some cases, following
periods of volatility in the market price of a company’s securities, stockholders have often instituted class action securities
litigation against those companies. Such litigation, if instituted, could result in substantial costs and diversion of management attention
and resources, which could significantly harm our business operations and reputation.
If
we are unable to achieve certain agreed milestones for the government grant, we received, we may become liable to refund the grant we
received. The Company has only completed 4 of the 8 agreed milestones set forth in the Company’s grant agreement with the Australian
Government.
On
April 16, 2024 the Australian Government Department of Industry, Science and Resources provided an extension to complete the project
by March 28, 2025 with certain modification in project costs. If we are unable to achieve the agreed milestones by the extended date,
we may become liable to refund the grant we received .
48
We
may have difficulties integrating acquired businesses and as a result, our business, results of operations and/or financial condition
may be materially adversely affected.
The success of the acquisition of IFP will depend on, among other things, the combined Company’s ability to realize these anticipated
benefits from combining the businesses of INBS and IFP. The combined company may fail to realize the anticipated benefits of the acquisition
for a variety of reasons, including the following:
●
inability
to efficiently operate new businesses or to integrate acquired products;
●
failure
to successfully manage relationships with customers, distributors, and suppliers;
●
failure
of customers to accept new products or to continue as customers of the combined company;
●
potential
incompatibility of technologies and systems;
●
failure
to leverage the increased scale of the combined company quickly and effectively;
●
potential
difficulties integrating and harmonizing financial reporting systems;
●
difficulties
in retaining key employees of the acquired business;
●
failure
of the acquired business to produce the expected value; and
●
failure
to effectively coordinate sales and marketing efforts to communicate the capabilities of the combined company.