−Removed: Discussion and Analysis of Financial Condition and Results of Operations
+Added: Management’s Discussion and Analysis of Financial
+Added: Condition and Results of Operations
following discussion should be read in conjunction with our consolidated financial statements and the related notes contained elsewhere
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materially from any future performance suggested below.
−Removed: Medical Corporation is a late clinical-stage medical device company focused on the advancement of innovative bioprosthetic (tissue-based)
−Removed: solutions to improve the standard of care for the treatment of venous disease.
−Removed: Chronic Venous Disease (CVD) is the world’s most
−Removed: prevalent chronic disease, impacting approximately 70% of the adult population of the U.S.
−Removed: Chronic Venous Insufficiency (CVI), is a large
−Removed: subset of CVD, which most often occurs when valves inside of the veins of the leg become damaged, resulting in the backwards flow of
−Removed: blood (reflux), blood pooling in the lower leg, increased pressure in the veins of the leg (venous hypertension) and in severe cases,
−Removed: venous ulcers that are difficult to heal.
−Removed: The Company is developing surgical and non-surgical replacement venous valves for patients
−Removed: suffering from severe CVI of the deep venous system of the leg.
−Removed: Company’s lead product is the VenoValve®, which is a first-in-class surgical replacement venous valve that is currently being
−Removed: evaluated in a U.S.
−Removed: pivotal study.
−Removed: The Company is also developing a second product called enVVe®, which is a first-in-class, non-surgical,
−Removed: transcatheter based replacement venous valve.
−Removed: The Company is currently conducting pre-clinical testing on enVVe.
−Removed: Both the VenoValve and
−Removed: enVVe are designed to act as one-way valves, to help assist in propelling blood up the veins of the leg, and back to the heart and lungs.
−Removed: VenoValve and enVVe are being developed first for approval by the U.S.
−Removed: Food and Drug Administration (FDA).
−Removed: We expect the VenoValve to
−Removed: be eligible for FDA approval first, followed two to three years later by enVVe.
−Removed: If approved, we expect the VenoValve and enVVe to co-exist,
−Removed: with the VenoValve as a surgical replacement venous valve option and enVVe as a non-surgical replacement venous valve option, although
−Removed: we cannot provide any assurance that either the VenoValve or enVVe will receive approval from the FDA (see the section entitled “Risk
+Added: Medical Corporation is a medical device company focused on the advancement of innovative bioprosthetic (tissue-based) solutions to improve
+Added: the standard of care for the treatment of venous disease.
+Added: Chronic Venous Disease (“CVD”) is the world’s most prevalent
+Added: chronic disease, impacting approximately 70% of the adult population of the U.S.
+Added: Chronic Venous Insufficiency (“CVI”), is
+Added: a large subset of CVD, which most often occurs when valves inside of the veins of the leg become damaged, resulting in the backwards
+Added: flow of blood (reflux), blood pooling in the lower leg, increased pressure in the veins of the leg (venous hypertension) and in severe
+Added: cases, venous ulcers that are difficult to heal.
+Added: The Company is developing a replacement venous valve for patients suffering from severe
+Added: CVI of the deep venous system of the leg.
+Added: Company first developed the VenoValve®, which was a first-in-class surgical replacement venous valve.
+Added: On August 19, 2025, the Company
+Added: received a not-approvable letter from the U.S.
+Added: Food and Drug Administration (“FDA”) in response to its PMA application for
+Added: the VenoValve.
+Added: The Company is now focused on its next-generation, non-surgical venous valve product, called the enVVe® system.
+Added: enVVe System consists of the enVVe Valve, enVVe Delivery System, enVVe Nose Cone, the enVVe Delivery System Accessories, and the enVVe
+Added: Crimping System.
+Added: The enVVe Valve is a first-in-class, non-surgical, transcatheter based replacement venous valve being developed for
+Added: the treatment of severe CVI.
+Added: The enVVe Valve is designed to act as a one-way valve, to help assist in propelling blood up the veins of
+Added: the leg, and back to the heart and lungs.
+Added: The Company has completed pre-clinical testing on the enVVe System and has begun discussions
+Added: with the FDA regarding the enVVe pivotal trial.
+Added: is being developed for approval by the FDA.
+Added: We cannot provide any assurance that either enVVe will receive approval from the FDA (see the section entitled “Risk
Factors” in this Annual Report on Form 10-K).
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valves, and there are currently no effective treatments for deep venous CVI caused by incompetent valves.
−Removed: team of officers and directors has been affiliated with numerous medical devices that have received FDA approval or CE marking and that
−Removed: have been commercially successful.
−Removed: We develop and manufacture our products in connection with our clinical trials in a 14,507 sq.
−Removed: leased manufacturing facility in Irvine, California, which has been ISO 13485-2016 certified for the design, development and manufacturing
−Removed: of tissue based implantable medical devices.
+Added: Company has completed pre-clinical testing on the enVVe System and has begun discussions with the FDA regarding the enVVe pivotal trial,
+Added: which it expects to begin in 2026.
+Added: develop and manufacture our products in connection with our clinical trials in a 14,507 sq.
+Added: leased manufacturing facility in Irvine,
+Added: California, which has been ISO 13485-2016 certified for the design, development and manufacturing of tissue based implantable medical
+Added: Reverse Stock Split
+Added: the annual meeting of the Company’s stockholders held on December 11, 2025 (the “2025 Annual Meeting”), the Company’s
+Added: stockholders approved an amendment to the Company’s amended and restated certificate of incorporation to effect a reverse stock
+Added: split of our common stock, at a ratio between one-for-five (1:5) and one-for-thirty-five (1:35).
+Added: January 2, 2026, the Company’s board of directors approved a one-for-thirty-five (1:35) reverse stock split of the outstanding
+Added: shares of our common stock (the “Reverse Stock Split”).
+Added: On January 16, 2026, the Company filed an amendment to the amended
+Added: and restated certificate of incorporation with the Secretary of State of the State of Delaware to effect the Reverse Stock Split, which
+Added: became effective on January 20, 2026.
+Added: The amendment did not change the number of authorized shares of our common stock.
+Added: as the context otherwise requires, all common stock share numbers, share price amounts (including exercise prices, conversion prices,
+Added: and closing market prices) and shares issued upon the exercise of warrants contained in this Annual Report on Form 10-K have been retroactively
+Added: adjusted to reflect the Reverse Stock Split.
of Operations
of the year ended December 31, 2025 to the year ended December 31, 2024
−Removed: a late-stage clinical medical device Company, we are not currently generating revenue and our future revenue, if any, is dependent
−Removed: on our ability to commercialize our product candidates.
−Removed: We will not begin generating revenue with respect to any of our product
−Removed: candidates until after we obtain FDA approval, if at all.
−Removed: We hope to eventually achieve revenues by commercializing and selling our products or licensing
−Removed: our technologies to companies that have the resources and infrastructure in place to manufacture, market and sell our products.
−Removed: commercialization and/or licensing of any of our products may take several years, if it is to occur at all, and depends on our
−Removed: ability to obtain regulatory approval.
reported net losses of $19.5 million and $21.8 million for the years ended December 31, 2025 and 2024, respectively, representing a decrease
in net loss of $2.3 million or 11%, resulting from, as described in further detail below, a decrease in operating expenses of $2.9 million,
−Removed: and an increase in other income of $0.2 million.
+Added: and a decrease in other income of $0.6 million.
+Added: a developmental stage Company, our revenue, if any, is expected to be diminutive and dependent on our ability to commercialize our product
+Added: We are not currently generating revenue and do not expect significant revenue until we successfully commercialize our lead
+Added: product candidate after receiving FDA approval, if ever.
and Development Expenses
−Removed: the year ended December 31, 2024, research and development expenses decreased by $1.4 million or 10%, to $12.2 million from $13.6
−Removed: million for the year ended December 31, 2023.
−Removed: The decrease is due to a decrease of $2.2 million in costs for the SAVVE trial, and a
−Removed: $0.3 million decrease in other lab costs, partially offset by an increase of $0.9 million in employee compensation from the
−Removed: increases in staffing, and an increase of $0.2 million in costs related to the GLP study for the enVVe.
−Removed: Costs related to SAVVE
−Removed: decreased in 2024 because, after full enrollment in 2023, activity shifted to ongoing monitoring, data collection, and preparation
−Removed: and filing of the PMA.
−Removed: The increase in compensation cost is due to the hiring of additional personnel supporting ongoing VenoValve
−Removed: testing and trial activity in addition to the preparation for the enVVe GLP study.
+Added: the year ended December 31, 2025, research and development expenses decreased by $2.2 million or 19%, to $10.0 million from $12.2 million
+Added: for the year ended December 31, 2024.
+Added: The decrease primarily resulted from $2.4 million in lower costs related to the VenoValve study
+Added: as the amount of follow-up for each participant decreases over time, partially offset by $0.2 million in higher compensation costs from
+Added: additional personnel.
+Added: We expect a moderate overall increase in expenses from current levels as costs related to the VenoValve pivotal
+Added: study continue and costs related to the enVVe pivotal study would begin if IDE approval from the FDA is received.
General and Administrative Expenses
−Removed: For the year ended December 31, 2024, selling, general and administrative
−Removed: expenses decreased by $0.1 million or 1%, to $11.6 million from $11.7 million for the year ended December 31, 2023.
−Removed: This decrease is primarily
−Removed: driven by share-based compensation which decreased $1.1 million from 2023 to 2024.
−Removed: Selling, general and administrative expenses also decreased
−Removed: $0.1 million from lower travel cost, and $0.1 million from lower insurance cost in 2024.
−Removed: These decreases were partially offset by a $0.7 million increase in legal costs and a $0.5 million increase in
−Removed: costs related to conferences, and market research as the Company started increasing its market visibility in anticipation of commercialization activity if FDA approval
−Removed: of the VenoValve PMA is received.
−Removed: For the year ended December 31, 2024, other income increased $0.3 million
−Removed: to $2.0 million from $1.7 million for the year ended September 30, 2023.
−Removed: Other income in both periods reflects realized gains, interest,
−Removed: and unrealized gains from our program to invest excess cash in U.S.
+Added: the year ended December 31, 2025, selling, general and administrative expenses decreased by $0.7 million or 6%, to $10.9 million from
+Added: $11.6 million for the year ended December 31, 2024.
+Added: This decrease is primarily driven by $1.1 million in non-recurring legal costs incurred
+Added: during the year ended December 31, 2024 and $0.7 million from the net effect of lower stock-based compensation cost incurred as option
+Added: grants are issued and vest.
+Added: These decreases were partially offset by a $0.3 million non-recurring severance expense recorded in 2025,
+Added: $0.4 million related to higher compensation costs from additional personnel, and a net $0.4 million increase related to various other
+Added: the year ended December 31, 2025, other income decreased $0.6 million to $1.4 million from $2.0 million for the year ended December 31,
+Added: 2024 as a result of the Company holding less U.S.
+Added: Treasury securities in 2025 than 2024.
+Added: Other income in both periods reflects net realized
+Added: gains, interest, and unrealized losses from our program to invest excess cash in U.S.
Treasury securities.
9 unchanged sentences
internal administrative functions.
−Removed: Research and development activities are for continued product development and clinical trials for
−Removed: VenoValve and for enVVe.
−Removed: The Company will continue to incur these costs to complete its clinical trials, enhance products, develop new
−Removed: products, and operate as a public company for the foreseeable future as we seek to obtain regulatory approval for our studies and product
−Removed: are not currently generating revenue.
−Removed: However, with the filing of our final PMA module completed in December 2024, we hope to
−Removed: receive FDA approval during 2026, and we have commenced limited activity toward commercial launch in anticipation of that approval.
−Removed: To-date, this activity is primarily market research and attendance at conferences.
−Removed: If and when we receive FDA approval of our PMA,
−Removed: we expect to significantly increase costs related to commercial launch and to direct spending toward establishing our market presence and
−Removed: generating revenue.
+Added: Research and development activities were for product development and clinical trials for the VenoValve
+Added: and for the enVVe System.
+Added: The Company will continue to incur these costs to complete its clinical trials for the VenoValve and the enVVe
+Added: System, enhance products, develop new products, and operate as a public company for the foreseeable future as we seek to obtain regulatory
+Added: approval for our studies and product candidates.
do not currently have material commitments for capital expenditures or other expenditures with the exception of our facility lease commitment
of $0.4 million per year.
−Removed: We expect a modest increase in purchases of property and equipment and in facility lease costs as we continue
−Removed: SAVVE, commence TAVVE, and plan for commercialization of the VenoValve.
+Added: We expect a nominal increase in purchases of property and equipment and in facility lease costs as we commence
future capital requirements will remain dependent upon a variety of factors, especially including the success of our clinical trials
1 unchanged sentence
We anticipate that our cash burn rate
−Removed: will increase from current levels of approximately $4 million to $5 million per quarter to $5 million to $6 million per quarter in 2025.
−Removed: Even after considering this increase, we should have sufficient cash to fund operations through mid-2026.
−Removed: have historically funded our operations through financing activities such as the capital raises completed in 2024 and 2023.
−Removed: to raise additional capital in the future.
+Added: may increase from current levels of approximately $4 million per quarter to between $4 million and $5 million per quarter in 2026.
+Added: after considering this increase, we should have sufficient cash to fund operations through mid-2027.
+Added: have historically funded our operations through financing activities such as the capital raises.
+Added: We will need to raise additional capital
+Added: in the future.
Any inability to raise additional financing would have a material adverse effect on us.
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Compared sentence by sentence after normalising whitespace, quotation marks, case and digits, so re-formatting and restated figures do not read as changed language. Wording changes appear as one removal and one addition. The current filing and the prior one are authoritative.