Item 1A. Risk Factors
Item
1A. Risk Factors
You
should carefully consider the following risk factors and the other information included herein as well as the information included in
other reports and filings made with the SEC before investing in our common stock. The following factors, as well as other factors affecting
our operating results and financial condition, could cause our actual future results and financial condition to differ materially from
those projected. The trading price of our common stock could decline due to any of these risks, should they materialize, and you may
lose part or all of your investment.
Risks
Related to Our Technology, Business, and Industry
We
are an early-stage company with a history of losses.
We
incurred net losses of $ 4,639,662 and $4,664,412 for the year ended December 31, 2022 and
2021, respectively. We have not generated any revenue to date, and we had accumulated deficit of $ 15,307,366
as of December 31, 2022. We have developed our Sharps Provensa product line but there can be no assurance that it will be commercially
successful. Our potential profitability is dependent upon a number of factors, many of which are beyond our control.
8
If
we are unable to achieve and sustain profitability, the value of our business and common stock may significantly decrease.
We
have a limited operating history and we may not succeed.
We
have a limited operating history, and we may not succeed. We have not yet commercialized our Sharps Provensa or other products. You should
consider, among other factors, our prospects for success in light of the risks and uncertainties encountered by companies that, like
us, are in their early stages. For example, unanticipated expenses, problems, and technical difficulties may occur and they may result
in material challenges to our business. We may not be able to successfully address these risks and uncertainties or successfully implement
our operating strategies. If we fail to do so, such failure could have a material adverse effect on our business, financial conditions
and results of operation. We may never generate significant revenues or achieve profitability.
We
may not succeed in commercializing Sharps syringe products or any future product.
We
may face difficulties or delays in the commercialization of Sharps Provensa or any future products, which could result in our inability
to timely offer products or services that satisfy the market. We may, for example, encounter difficulties due to:
●
our inability to adequately
market our products;
●
our inability to effectively
scale manufacturing as needed to maintain an adequate commercial supply of our products;
●
our inability to attract
and retain skilled support team, marketing staff and sales force necessary to increase the market for our products and to maintain
market acceptance for our products; and
●
the difficulty of establishing
brand recognition and loyalty for our products.
In
addition, to increase our production capacity, we will need to build inventory, which will require that we purchase certain additional
equipment, including molding machines and molds. We have not received any orders to date. Even if we succeed in building inventory, and
increasing our production capacity, there is no assurance we will receive any orders for our Sharps Provensa or any future products.
We
may encounter significant competition and may not be able to successfully compete.
There
are many medical device companies offering safety syringes, and more competitors are likely to arrive. Some of our competitors have
considerably more financial resources than us. As a result, we may not be able to successfully compete in our market, which could
result in our failure to successfully commercialize Sharps disposable syringe products or otherwise fail to successfully compete. We
anticipate that our major domestic competitors will include Retractable Technologies, Inc., Becton, Dickinson & Company,
Medtronic Minimally Invasive Therapies, Terumo Medical Corp., Smiths Medical, and B Braun. There can be no assurances that we will
be able to compete successfully in this environment.
We
are vulnerable to new technologies.
Because
we have a narrow focus on particular product lines and technology (currently, safety needle products), we are vulnerable to the development
of superior or similar competing products and to changes in technology which could eliminate or reduce the need for our products. If
a superior or similar technology is created, the demand for our products could be adversely affected.
We
are subject to product liability risk.
As
a manufacturer and provider of safety needle products, we will face an inherent business risk of exposure to product liability claims.
Additionally, our success will depend on the quality, reliability, and safety of our products and defects in our products could damage
our reputation. If a product liability claim is made and damages are in excess of our product liability coverage (which is currently
$5 million, and which we may increase as we commence and increase sales of our products), our competitive position could be weakened
by the amount of money we could be required to pay to compensate those injured by our products. In the event of a recall, we have recall
insurance.
9
Our
business may be affected by changes in the health care regulatory environment.
In
the U.S. and internationally, government authorities may enact changes in regulatory requirements, reform existing reimbursement programs,
and/or make changes to patient access to health care, all of which could adversely affect the demand for our products and/or put downward
pressure on our prices. Future healthcare rulemaking could affect our business. We cannot predict the timing or impact of any future
rulemaking or changes in the law.
The
approval process for medical device products outside the United States varies among countries and may limit our ability to develop, manufacture
and sell our products internationally. Failure to obtain marketing and regulatory approval in international jurisdictions would prevent
our products from being marketed abroad.
In
order to market and sell our syringe product line and any additional medical device products we may develop in the future in
the European Union and many other jurisdictions, we, and our collaborators, must obtain separate marketing approvals and comply with
numerous and varying regulatory requirements. We have not yet received approval or clearance to sell our products in any jurisdiction
outside the United States. The approval procedure varies among countries and may involve additional testing. We may conduct clinical
trials for, and seek regulatory approval to market, our product candidates in countries other than the United States. If we or our collaborators
seek marketing approval for a product candidate outside the United States, we will be subject to the regulatory requirements of health
authorities in each country in which we seek approval. With respect to marketing authorizations in Europe, we will be required to submit
a European Marketing Authorisation Application, or MAA, to the European Medicines Agency, or EMA, which conducts a validation and scientific
approval process in evaluating a product for safety and efficacy. The approval procedure varies among regions and countries and may involve
additional testing, and the time required to obtain approval may differ from that required to obtain FDA approval or clearance. In addition,
marketing approval or clearance by the FDA does not ensure approval or clearance by the health authorities of any other country.
Ongoing
regulation of our products may limit how we market our products, which could materially impair our ability to generate revenue.
Approval
or clearance of a medical device product may carry conditions that limit the market for the product or put the product at a
competitive disadvantage relative to alternative products. For instance, a regulatory approval or clearance may limit the indicated
uses for which we can market a product or the patient population that may utilize the product. These restrictions could make it more
difficult to market any product effectively. Accordingly, we expect to continue to expend time, money and effort in all areas of
regulatory compliance.
We
are dependent on our management; without whose services our business operations could cease.
At
this time, our management is wholly responsible for the development and execution of our business plan. If our management should choose
to leave us for any reason before we have hired additional personnel, our operations may fail. Even if we are able to find additional
personnel, it is uncertain whether we could find qualified management who could develop our business along the lines described herein
or who would be willing to work for compensation the Company could afford. Without such management, the Company could be forced to cease
operations and investors in our common stock or other securities could lose their entire investment.
We
may not be able to raise capital as needed to develop our products or maintain our operations.
We
expect that we will need to raise additional funds to execute our business plan and expand our operations. Additional financing may not
be available to us on favorable terms, or at all. If we cannot raise needed funds on acceptable terms, the Company’s business and
prospects may be materially adversely affected.
Health
care crises could have an adverse effect on our business.
Particularly
during 2020, several states and local jurisdictions imposed, and others in the future may impose, “shelter-in-place”
orders, quarantines, executive orders and similar government orders and restrictions for their residents to control the spread of
COVID-19. Although the manufacturing facility we operate has continued to operate during the 2020-2021 COVID-19 pandemic due to its
status as an essential business, we continue to monitor the evolving situation and cannot guarantee that the situation would be the
same for any future pandemic. In the future, we may elect or be required to close temporarily which would result in a disruption in
our activities and operations. Our supply chain, including transportation channels, may be impacted by any such restrictions as
well. Any such disruption could impact our sales and operating results.
10
Widespread
health crises also negatively affect economies which could affect demand for our products. While we plan to market our Sharps smart
safety syringe products for use for injecting medicines as well as Covid-19 and other vaccines, in the event of a resurgence of
COVID-19 or in the case of any future pandemic, there is no guarantee that revenues from syringes needed for vaccines would offset
the effects to our business in a global economic decline.
Health
systems and other healthcare providers in our markets that provide procedures that may use our products have suffered financially
and operationally and may not be able to return to pre-pandemic levels of operations. Travel and import restrictions may also
disrupt our ability to manufacture or distribute our devices. Any import or export or other cargo restrictions related to our
products, or the raw materials used to manufacture our products could restrict our ability to manufacture and ship products and harm
our business, financial condition, and results of operations.
Our
key personnel and other employees could still be affected by COVID-19 or any future pandemic, which could affect our ability to operate
efficiently.
Our
business may be adversely affected by uncertainties in obtaining and enforcing intellectual property rights.
We
believe our main competitive strength is our technology, including patent protection and trade secrets relating to the manufacture and
design of our products. We are dependent on patent rights to prevent unlawful copying of our products, and if the patent rights are invalidated
or circumvented, our business would be adversely affected. We consider patent protection to be of material importance in the design,
development, and marketing of our products.
Our
patent pending applications may not issue as patents, which may have a material adverse effect on our ability to prevent others from
commercially exploiting products similar to ours.
We
have three issued patents, three pending patent applications in the United States, and one PCT (Patent Cooperation Treaty) patent application.
We cannot be certain that we are the first inventor of the subject matter to which we have filed a particular patent application, or
if we are the first party to file such a patent application. If another party has filed a patent application to the same subject matter
as we have, we may not be entitled to the protection sought by the patent application. Further, the scope of protection of issued patent
claims is often difficult to determine. As a result, we cannot be certain that the patent applications that we file will issue, or that
our issued patents will be broad enough to protect our proprietary rights or otherwise afford protection against competitors with similar
technology. In addition, the issuance of a patent is not conclusive as to its inventorship, scope, validity or enforceability. Our competitors
may challenge or seek to invalidate our issued patents, or design around our issued patents, which may adversely affect our business,
prospects, financial condition or operating results. Also, the costs associated with enforcing patents, confidentiality and invention
agreements, or other intellectual property rights may make aggressive enforcement impracticable.
Illegal
distribution and sale by third parties of counterfeit versions of our products could have a negative impact on us.
Third
parties may illegally distribute and sell counterfeit versions of our products which do not meet our rigorous manufacturing and testing
standards. Our reputation and business could suffer harm as a result.
Risks
Related to Our Securities
Our
common stock could be subject to extreme volatility.
The
trading price of our common stock may be affected by a number of factors, including events described in the risk factors set forth
in this annual report, as well as our operating results, financial condition and other events or factors. In addition to the
uncertainties relating to future operating performance and the profitability of operations, factors such as variations in interim
financial results or various, as yet unpredictable, factors, many of which are beyond our control, may have a negative effect on the
market price of our common stock. In recent years, broad stock market indices, in general, and smaller capitalization companies, in
particular, have experienced substantial price fluctuations. In a volatile market, we may experience wide fluctuations in the market
price of our common stock and wide bid-ask spreads. These fluctuations may have a negative effect on the market price of our common
stock. In addition, the securities market has, from time to time, experienced significant price and volume fluctuations that are not
related to the operating performance of particular companies. These market fluctuations may also materially and adversely affect the
market price of our common stock.
11
We
have never paid common stock dividends and have no plans to pay dividends in the future, as a result our common stock may be less valuable
because a return on an investor’s investment will only occur if our stock price appreciates.
Holders
of shares of our common stock are entitled to receive such dividends as may be declared by our Board of Directors. To date, we have
paid no cash dividends on our shares of common stock, and we do not expect to pay cash dividends on our common stock in the
foreseeable future. We intend to retain future earnings, if any, to provide funds for operations of our business. Therefore, any
return investors in our common stock will be in the form of appreciation, if any, in the market value of our shares of common stock.
There can be no assurance that shares of our common stock will appreciate in value or even maintain the price at which our
stockholders have purchased their shares.
Our
shares will be subject to potential delisting if we do not maintain the listing requirements of the Nasdaq Capital Market.
Nasdaq
has rules for continued listing, including, without limitation, minimum market capitalization and other requirements. Failure to maintain
our listing, or de-listing from Nasdaq, would make it more difficult for shareholders to dispose of our common stock and more difficult
to obtain accurate price quotations on our common stock. This could have an adverse effect on the price of our common stock. Our ability
to issue additional securities for financing or other purposes, or otherwise to arrange for any financing we may need in the future,
may also be materially and adversely affected if our common stock is not traded on a national securities exchange.
As
a result of being a public company, we are obligated to develop and maintain proper and effective internal controls over financial reporting,
and any failure to maintain the adequacy of these internal controls may adversely affect investor confidence in our company and, as a
result, the value of our common stock.
We
will be 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 as of the end of the fiscal year that coincides with the filing of
our second annual report on Form 10-K. This assessment will need to include disclosure of any material weaknesses identified by our
management in our internal control over financial reporting. In addition, our independent registered public accounting firm may be
required to attest to the effectiveness of our internal control over financial reporting in our first annual report required to be
filed with the SEC following the date we are no longer an “emerging growth company.” We have not yet commenced the
costly and time-consuming process of compiling the system and processing documentation necessary to perform the evaluation needed to
comply with Section 404, and we may not be able to complete our evaluation, testing and any required remediation in a timely fashion
once initiated. Our compliance with Section 404 will require that we incur substantial expenses and expend significant management
efforts. We currently do not have an internal audit group, and we will need to hire additional accounting and financial staff with
appropriate public company experience and technical accounting knowledge and compile the system and process documentation necessary
to perform the evaluation needed to comply with Section 404.
Our
current controls and any new controls that we develop may become inadequate because of changes in conditions in our business. In
addition, changes in accounting principles or interpretations could also challenge our internal controls and require that we
establish new business processes, systems and controls to accommodate such changes. Additionally, if these new systems, controls or
standards and the associated process changes do not give rise to the benefits that we expect or do not operate as intended, it could
adversely affect our financial reporting systems and processes, our ability to produce timely and accurate financial reports or the
effectiveness of internal control over financial reporting. Moreover, our business may be harmed if we experience problems with any
new systems and controls that result in delays in their implementation or increased costs to correct any post-implementation issues
that may arise.
12
Any
failure to maintain internal control over financial reporting could severely inhibit our ability to accurately report our financial condition
or results of operations. If we are unable to conclude that our internal control over financial reporting is effective, we could lose
investor confidence in the accuracy and completeness of our financial reports, the market price of our common stock could decline, and
we could be subject to sanctions or investigations by the SEC or other regulatory authorities. Failure to remedy any material weakness
in our internal control over financial reporting, or to implement or maintain other effective control systems required of public companies,
could also restrict our future access to the capital markets.
A
sale of a substantial number of shares of our common stock may cause the price of the common stock to decline.
If
our stockholders sell substantial amounts of our common stock in the public market, the market price of our common stock could fall.
These sales also may make it more difficult for us to sell equity or equity-related securities in the future at a time and price
that we deem reasonable or appropriate. Stockholders who have held their shares for at least six months are able to sell their
shares pursuant to Rule 144 under the Securities Act. We have registered under separate registration statements in aggregate up to
4,497,042 shares of our common stock for sale into the public market (2,248,521 of which are issuable upon the exercise of warrants)
by certain selling stockholders named therein. These shares represent a large number of shares of our common stock, and if sold in
the market all at once or at about the same time, could depress the market price of our common stock during the period the
registration statement remains effective and could also affect our ability to raise equity capital.
Our
stock price may be volatile, and the value of our common stock may decline.
The
market price of our common stock is likely to be highly volatile and could fluctuate widely in price in response to various factors,
many of which are beyond our control, including the following:
●
actual or anticipated fluctuations
in our financial condition or results of operations;
●
variance in our financial
performance from expectations of securities analysts;
●
changes in our projected
operating and financial results;
●
changes in laws or regulations
applicable to our products;
●
announcements by us or
our competitors of significant business developments, acquisitions or new products;
●
sales of shares of our
common stock by us or our shareholders, as well as the anticipation of lock-up releases;
●
our involvement in litigation;
●
future sales of our common
stock by us or our stockholders;
●
changes in senior management
or key personnel;
●
the trading volume of our
common stock;
●
changes in the anticipated
future size and growth rate of our market;
●
general economic and market
conditions; and
●
other events or factors,
including those resulting from war, incidents of terrorism, global pandemics or responses to these events.
13
Broad
market and industry fluctuations, as well as general economic, political, regulatory and market conditions, may also negatively impact
the market price of our common stock. In the past, companies who have experienced volatility in the market price of their securities
have been subject to securities class action litigation. We may be the target of this type of litigation in the future, which could result
in substantial expenses and divert our management’s attention.
We
do not intend to pay dividends on our common stock for the foreseeable future.
We
have paid no dividends on our common stock to date and we do not anticipate paying any dividends to holders of our common stock in the
foreseeable future. While our future dividend policy will be based on the operating results and capital needs of the business, we currently
anticipate that we will retain any earnings to finance our future expansion and for the implementation of our business plan. Investors
should take note of the fact that a lack of a dividend can further affect the market value of our common stock and could significantly
affect the value of any investment in the Company.
Our
articles of incorporation allow for our board to create new series of preferred stock without further approval by our stockholders, which
could adversely affect the rights of the holders of our common stock.
Our
board of directors has the authority to fix and determine the relative rights and preferences of preferred stock. Our board of directors
has the authority to issue up to 1,000,000 shares of our preferred stock without further stockholder approval. 1 share of preferred stock
is designated Series A Preferred Stock and is outstanding. Our board of directors could authorize the creation of additional series of
preferred stock that would grant to holders of preferred stock the right to our assets upon liquidation, or the right to receive dividend
payments before dividends are distributed to the holders of common stock. In addition, subject to the rules of any securities exchange
on which our stock is then listed, our board of directors could authorize the creation of additional series of preferred stock that has
greater voting power than our common stock or that is convertible into our common stock, which could decrease the relative voting power
of our common stock or result in dilution to our existing stockholders.
The
holder of our Series A Preferred Stock has 29.5 % of the voting power of our stockholders for the election of directors
and will have certain senior rights upon sale of our Company under certain conditions.
There
is 1 share of Series A Preferred Stock issued and outstanding, which is held by our co-chairman and chief operating officer, Alan Blackman.
The Series A Preferred Stock entitles the holder to 29.5% of the voting power of the Company’s stockholders only as it relates
to the elections of directors. As a result, Mr. Blackman is able to exert substantial influence over the election of directors to the
Board.
Further,
the Series A Preferred Stock, provides that in the event the Company is sold during the two year period commencing on April 19, 2023,
at a price per share of more than 500% of $4.25, the Series A Preferred Stock will entitle the holder to 10% of the total purchase price.
This may reduce the value of our common stock, as other holders, in the event of such an acquisition, will be entitled to a lower price
per share than they would otherwise receive.
Our
executive officers, directors and principal stockholders, if they choose to act together, have the ability to control or significantly
influence all matters submitted to stockholders for approval.
Our
executive officers, directors and principal stockholders in the aggregate, beneficially own approximately 23% of our common stock.
Such persons acting together, will have the ability to control or significantly influence all matters submitted to our stockholders for
approval, as well as our management and business affairs. This concentration of ownership may have the effect of delaying, deferring
or preventing a change in control, impeding a merger, consolidation, takeover or other business combination involving us, or discouraging
a potential acquiror from making a tender offer or otherwise attempting to obtain control of our business, even if such a transaction
would benefit other stockholders.
14
Additional
stock offerings in the future may dilute then-existing shareholders’ percentage ownership of the Company.
Given
our plans and expectations that we will need additional capital and personnel, we anticipate that we will need to issue additional shares
of common stock or securities convertible or exercisable for shares of common stock, including convertible preferred stock, convertible
notes, stock options or warrants. The issuance of additional securities in the future will dilute the percentage ownership of then current
stockholders.
We
are an “emerging growth company,” and we cannot be certain if the reduced reporting and disclosure requirements applicable
to emerging growth companies will make our common stock less attractive to investors.
We
are an “emerging-growth company,” as defined in the JOBS Act, and we have elected to take advantage of certain exemptions
from various reporting requirements that are applicable to other public companies that are not “emerging growth companies,”
including the auditor attestation requirements of Section 404 of the Sarbanes-Oxley Act, or Section 404, reduced disclosure obligations
regarding executive compensation in our periodic reports and proxy statements, and exemptions from the requirements of holding a nonbinding
advisory vote on executive compensation and stockholder approval of any golden parachute payments not previously approved. Pursuant to
Section 107 of the JOBS Act, as an emerging growth company, we have elected to use the extended transition period for complying with
new or revised accounting standards until those standards would otherwise apply to private companies. As a result, our consolidated financial
statements will not be comparable to the financial statements of issuers who are required to comply with the effective dates for new
or revised accounting standards that are applicable to public companies, which may make our common stock less attractive to investors.
In addition, if we cease to be an emerging growth company, we will no longer be able to use the extended transition period for complying
with new or revised accounting standards.
We
will remain an emerging-growth company until the earliest of: (1) the last day of the fiscal year following the fifth anniversary of
our IPO; (2) the last day of the first fiscal year in which our annual gross revenue is $1.07 billion or more; (3) the date on which
we have, during the previous rolling three-year period, issued more than $1 billion in non-convertible debt securities; and (4) the date
we qualify as a “large accelerated filer,” with at least $700 million of equity securities held by non-affiliates.
We
cannot predict if investors will find our common stock less attractive as a result of choosing to rely on these exemptions. For example,
if we do not adopt a new or revised accounting standard, our future results of operations will not be as comparable to the results of
operations of certain other companies in our industry that adopted such standards. If some investors find our common stock less attractive
as a result, there may be a less active trading market for our common stock, and our stock price may be more volatile.
Item
1B. Unresolved Staff Comments
Not
applicable.
Text extracted from the filing as submitted to EDGAR. Formatting, tables and exhibits are simplified for reading; the original document is authoritative for anything you rely on.