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UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

FORM 10-Q

 

QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

 

For the quarterly period ended June 30, 2023

 

OR

 

TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

 

For the transition period from ________ to ________

 

Commission File Number: 001-36445

 

 

NanoVibronix, Inc

(Exact name of registrant as specified in its charter)

 

Delaware   01-0801232

(State or other jurisdiction

of incorporation or organization)

 

(I.R.S. Employer

Identification Number)

     
525 Executive Blvd. Elmsford, New York   10523
(Address of principal executive office)   (Zip Code)

 

Registrant’s telephone number, including area code: (914) 233-3004

 

 

(Former name, former address and

former fiscal year, if changed since last report)

 

Securities registered pursuant to Section 12(b) of the Act:

 

Title of each class   Trading Symbol   Name of each exchange on which registered
Common stock, par value $0.001 per share   NAOV   NASDAQ Capital Market

 

Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports) and (2) has been subject to such filing requirements for the past 90 days. Yes ☒ No ☐

 

Indicate by check mark whether the registrant has submitted electronically and every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T during the preceding 12 months (or for such shorter period that the registrant has been required to submit and post such files). Yes ☒ No ☐

 

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer,” “smaller reporting company,” and “emerging growth company” in Rule 12b-2 of the Exchange Act.

 

Large accelerated filer Accelerated filer
       
Non-accelerated filer Smaller reporting company
       
    Emerging growth company

 

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ☐

 

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).

Yes ☐ No

 

The number of shares outstanding of the registrant’s Common Stock as of August 11, 2023 was 1,662,330 shares.

 

 

 

 

 

 

NanoVibronix, Inc.

Quarter Ended June 30, 2023

 

TABLE OF CONTENTS

 

    Page
PART I. FINANCIAL INFORMATION  
     
Item 1. Financial Statements (Unaudited) 1
     
  Condensed Consolidated Balance Sheets as of June 30, 2023 (Unaudited) and December 31, 2022 1
     
  Unaudited Condensed Consolidated Statements of Operations and Comprehensive Loss for the Three and Six Months Ended June 30, 2023 and 2022 2
     
  Unaudited Condensed Consolidated Statements of Stockholders’ Equity for the Three and Six Months Ended June 30, 2023 and 2022 3
     
  Unaudited Condensed Consolidated Statements of Cash Flows for the Six Months Ended June 30, 2023 and 2022 4
     
  Notes to Unaudited Condensed Consolidated Financial Statements 5
     
Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations 12
     
Item 3. Quantitative and Qualitative Disclosures about Market Risk 18
     
Item 4. Controls and Procedures 18
     
PART II. OTHER INFORMATION  
     
Item 1. Legal Proceedings 19
     
Item 1A. Risk Factors 20
     
Item 2. Unregistered Sales of Equity Securities and Use of Proceeds 21
     
Item 3. Defaults Upon Senior Securities 21
     
Item 4. Mine Safety Disclosures 21
     
Item 5. Other Information 21
     
Item 6. Exhibits 22
     
Signatures 23

 

i

 

 

PART I - FINANCIAL INFORMATION

 

ITEM 1. CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

 

NanoVibronix, Inc.

Condensed Consolidated Balance Sheets

(Amounts in thousands except share and per share data)

 

  

June 30,

2023

  

December 31,

2022

 
   (unaudited)     
ASSETS:          
Current assets:          
Cash  $253   $2,713 
Trade receivables, net   71    9 
Prepaid expenses and other accounts receivable   176    712 
Inventory, net   3,114    2,175 
Total current assets   3,614    5,609 
           
Noncurrent assets:          
Fixed assets, net   7    7 
Other assets   3    3 
Severance pay fund   170    179 
Operating lease right-of-use assets, net   37    81 
Total non-current assets   217    270 
Total assets  $3,831   $5,879 
           
LIABILITIES AND STOCKHOLDERS’ EQUITY:          
           
Current liabilities:          
Trade payables  $33   $66 
Other accounts payable and accrued expenses   2,300    2,148 
Deferred revenue   -    21 
Operating lease liabilities   37    81 
Total current liabilities   2,370    2,316 
           
Non-current liabilities:          
Accrued severance pay   212    223 
Deferred licensing income   84    107 
Total liabilities   2,666    2,646 
           
Commitments and contingencies   -    - 
           
Stockholders’ equity:          
Series C Preferred stock of $0.001 par value - Authorized: 3,000,000 shares at both June 30, 2023 and December 31, 2022; Issued and outstanding: 0 shares at both June 30, 2023 and December 31, 2022   -    - 
           
Series D Preferred stock of $0.001 par value - Authorized: 506 shares at both June 30, 2023 and December 31, 2022; Issued and outstanding: 0 shares at both June 30, 2023 and December 31, 2022   -    - 
           
Series E Preferred stock of $0.001 par value - Authorized: 1,999,494 shares at both June 30, 2023 and December 31, 2022; Issued and outstanding: 0 shares at both June 30, 2023 and December 31, 2022   -    - 
           
Series F Preferred stock of $0.01 par value - Authorized: 40,000 and 0 shares at both June 30, 2023 and December 31, 2022; Issued and outstanding: 0 shares at both June 30, 2023 and December 31, 2022   -    - 
           
           
Common stock of $0.001 par value - Authorized: 40,000,000 shares at both June 30, 2023 and December 31, 2022, respectively; Issued and outstanding: 1,662,330 and 1,641,146 shares at June 30, 2023 and December 31, 2022, respectively   2    2 
           
Additional paid in capital   65,774    65,634 
Accumulated other comprehensive income   (55)   (18)
Accumulated deficit   (64,556)   (62,385)
Total stockholders’ equity   1,165    3,233 
Total liabilities and stockholders’ equity  $3,831   $5,879 

 

The accompanying notes are an integral part of these condensed consolidated financial statements

 

1

 

 

NanoVibronix, Inc.

Condensed Consolidated Statements of Operations and Comprehensive Loss (Unaudited)

(Amounts in thousands except share and per share data)

 

   2023   2022   2023   2022 
  

Three Months Ended

June 30,

  

Six Months Ended

June 30,

 
   2023   2022   2023   2022 
                 
Revenues  $294   $485   $648   $757 
Cost of revenues   78    204    197    370 
Gross profit   216    281    451    387 
                     
Operating expenses:                    
Research and development   35    61    90    127 
Selling and marketing   227    333    441    543 
General and administrative   963    1,155    1,984    2,097 
                     
Total operating expenses   1,225    1,549    2,515    2,767 
                     
Loss from operations   (1,009)   (1,268)   (2,064)   (2,380)
                     
Interest expense   (33)   -    (67)   - 
Financial expense, net   (19)   (18)   (25)   (31)
                     
Loss before taxes on income   (1,061)   (1,286)   (2,156)   (2,411)
                     
Income tax expense   (13)   (16)   (15)   (23)
                     
Net loss  $(1,074)  $(1,302)  $(2,171)  $(2,434)
                     
Basic and diluted net loss available for holders of common stock  $(0.65)  $(0.93)  $(1.31)  $(1.74)
                     
Weighted average common shares outstanding:                    
Basic and diluted   1,662,330    1,399,890    1,662,330    1,399,890 
Comprehensive loss:                    
Net loss available to common
stockholders
   (1,074)   (1,302)   (2,171)   (2,434)
Change in foreign currency
translation adjustments
   (30)   (46)   (37)   (51)
Comprehensive loss available to common stockholders   (1,104)   (1,348)   (2,208)   (2,485)

 

2

 

 

NanoVibronix, Inc.

Condensed Consolidated Statement of Stockholders’ Equity (Unaudited)

(Amounts in thousands except share and per share data)

 

   Shares   Amount   Shares   Amount   Shares   Amount   Shares   Amount   Shares   Amount   Capital   Income   Deficit   Equity 
   Series C Preferred Stock   Series D Preferred Stock    Series E Preferred Stock   Series F Preferred Stock   Common Stock   Additional Paid - in   Accumulated Other Comprehensive   Accumulated   Total Stockholders’ 
   Shares   Amount   Shares   Amount   Shares   Amount   Shares   Amount   Shares   Amount   Capital   Income   Deficit   Equity 
Balance, March 31, 2022   -   $-    -   $-    -   $-    -   $-    1,399,890   $1   $63,248   $54   $(58,069)  $5,261 
Stock-based compensation   -    -    -    -    -    -    -    -    -    -    83    -    -    83 
Exercise of warrants   -    -    -    -    -    -    -    -    -    -    137    -    -    137 
Currency translation adjustment   -    -    -    -    -    -    -    -    -    -    -    (45)   -    (45)
Net loss   -    -    -    -    -    -    -    -    -    -    -    -    (1,302)   (1,302)
Balance, June 30, 2022   -   $-    -   $-    -   $-    -   $-    1,399,890   $1   $63,468   $9   $(59,371)  $4,134 

 

   Series C Preferred Stock   Series D Preferred Stock   Series E Preferred Stock   Series F Preferred Stock   Common Stock   Additional Paid - in   Accumulated Other Comprehensive   Accumulated   Total Stockholders’ 
   Shares   Amount   Shares   Amount   Shares   Amount   Shares   Amount   Shares   Amount   Capital   Income   Deficit   Equity 
Balance, December 31, 2021   -   $-    -   $-    -   $-    -   $-    1,399,890   $1   $63,162   $60   $(56,937)  $6,313 
Stock-based compensation   -    -    -    -    -    -    -    -    -    -    169    -    -    169 
Exercise of warrants   -    -    -    -    -    -    -    -    -    -    137    -    -    137 
Currency translation adjustment   -    -    -    -    -    -    -    -    -    -    -    (51)   -    (51)
Net loss   -    -    -    -    -    -    -    -    -    -    -    -    (2,434)   (2,434)
Balance, June 30, 2022   -   $-    -   $-    -   $-    -   $-    1,399,890   $1   $63,468   $9   $(59,371)  $4,134 

 

   Series C Preferred Stock   Series D Preferred Stock   Series E Preferred Stock    Series F Preferred Stock   Common Stock    Additional Paid - in    Accumulated Other Comprehensive   Accumulated   Total Stockholders’ 
   Shares   Amount   Shares   Amount   Shares   Amount   Shares   Amount   Shares   Amount   Capital   Income   Deficit   Equity 
Balance, March 31, 2023   -   $-    -   $-    -   $-    -   $-    1,662,330   $2   $65,708   $(25)  $(63,482)  $2,203 
Stock-based compensation   -    -    -    -    -    -    -    -    -    -    66    -    -    66 
Currency translation adjustment   -    -    -    -    -    -    -    -    -    -    -    (30)   -    (30)
Net loss   -    -    -    -    -    -    -    -    -    -    -    -    (1,074)   (1,074)
Balance, June 30, 2023   -   $-    -   $-    -   $-    -   $-    1,662,330   $2   $65,774   $(55)  $(64,556)  $1,165 

 

   Series C Preferred Stock   Series D Preferred Stock   Series E Preferred Stock   Series F Preferred Stock   Common Stock   Additional Paid - in   Accumulated Other Comprehensive   Accumulated   Total Stockholders’ 
   Shares   Amount   Shares   Amount   Shares   Amount   Shares   Amount   Shares   Amount   Capital   Income   Deficit   Equity 
Balance, December 31, 2022   -   $-    -   $-    -   $-    -   $-    1,641,146   $2   $65,634   $(18)  $(62,385)  $3,233 
Stock-based compensation   -    -    -    -    -    -    -    -    -    -    133    -    -    133 
Currency translation adjustment   -    -    -    -    -    -    -    -    -    -    -    (37)   -    (37)
Exercise of options   -    -    -    -    -    -    -    -    5,458    -    7    -    -    7 
Rounding up of fractional shares due to stock split   -    -    -    -    -    -    -    -    15,726    -    -    -    -    - 
Net loss   -    -    -    -    -    -    -    -    -    -    -    -    (2,171)   (2,171)
Balance, June 30, 2023   -   $-    -   $-    -   $-    -   $-    1,662,330   $2   $65,774   $(55)  $(64,556)  $1,165 

 

The accompanying notes are an integral part of these condensed consolidated financial statements.

 

3

 

 

NanoVibronix, Inc.

Condensed Consolidated Statements of Cash Flows (Unaudited)

(Amounts in thousands except share and per share data)

 

   2023   2022 
  

Six Months Ended

June 30,

 
   2023   2022 
Cash flows from operating activities:          
Net loss  $(2,171)  $(2,434)
Adjustments to reconcile net loss to net cash used in operating activities:          
Depreciation and amortization   1    - 
Stock-based compensation   133    306 
Noncash interest expense   67    - 
Change in fair value of equity investment   -    10 
Changes in operating assets and liabilities:          
Trade receivable   (62)   (62)
Prepaid expenses and other accounts receivable   536   (945)
Inventory   (939)   (753)
Trade payables   (33)   86 
Other accounts payable and accrued expenses   85    80 
Deferred revenue   (44)   (23)
Accrued severance pay, net   (2)   (5)
Net cash used in operating activities   (2,429)   (3,740)
           
Cash flows from investing activities:          
Purchases of equipment   (1)   (2)
Net cash used in investing activities   (1)   (2)
           
Cash flows from financing activities:          
Proceeds from exercise of options   7    - 
Net cash provided by financing activities   7    - 
           
Effects of currency translation on cash and cash equivalents   (37)   (51)
           
Net (decrease) in cash   (2,460)   (3,793)
Cash at beginning of period   2,713    7,737 
           
Cash at end of period  $253   $3,944 

 

The accompanying notes are an integral part of these condensed consolidated financial statements

 

4

 

 

NanoVibronix, Inc.

Notes to Condensed Consolidated Financial Statements (Unaudited)

(Amounts in thousands except share and per share data)

 

NOTE 1 – DESCRIPTION OF BUSINESS

 

NanoVibronix, Inc. (the “Company”), a Delaware corporation, commenced operations on October 20, 2003 and is a medical device company focusing on noninvasive biological response-activating devices that target wound healing and pain therapy and can be administered at home, without the assistance of medical professionals.

 

The Company’s principal research and development activities are conducted in Israel through its wholly owned subsidiary, NanoVibronix (Israel 2003) Ltd., a company registered in Israel, which commenced operations in October 2003.

 

NOTE 2 – GOING CONCERN, LIQUIDITY AND OTHER UNCERTAINTIES

 

The Company’s ability to continue to operate is dependent mainly on its ability to successfully market and sell its products and the receipt of additional financing until profitability is achieved. During the three and six months ended June 30, 2023, the Company has incurred losses as well as negative cash outflows from operating activities and expects to incur losses and negative cash outflows from operating activities through at least fiscal year 2023. Because the Company does not have sufficient resources to fund its operations for the next twelve months from the date of this filing and there could be a significant arbitration payment due (see Note 9), substantial doubt exists as to the Company’s ability to continue as a going concern.

 

The Company will need to raise additional capital to finance its losses and negative cash flows from operations and may continue to be dependent on additional capital raising as long as our products do not reach commercial profitability. If the Company is unable to obtain additional financing, the development of its product candidates and the Company’s commercial strategy may be impacted and there could be a material adverse effect on the Company’s business and financial condition. These financial statements do not include any adjustments that may result from the outcome of this uncertainty.

 

On May 23, 2023, we received a letter from the Listing Qualifications Department of Nasdaq indicating that we no longer comply with the minimum stockholders’ equity requirement under Nasdaq Listing Rule 5550(b)(1) (the “Rule”) for continued listing on Nasdaq because our stockholders’ equity of approximately $2.2 million as reported in our Quarterly Report on Form 10-Q for the period ended March 31, 2023, is below the required minimum of $2.5 million, and as of May 22, 2023, we did not meet the alternative compliance standards relating to the market value of listed securities of $35 million or net income from continuing operations of $500,000 in the most recently completed fiscal year or in two of the last three most recently completed fiscal years.

 

In accordance with Nasdaq Listing Rules, we had 45 calendar days, or until July 7, 2023, to submit a plan to regain compliance. On July 7, 2023 we submitted our plan to regain compliance with the Nasdaq minimum stockholders’ equity standard. If our plan is accepted, Nasdaq may grant us an extension of up to 180 calendar days from the date of the notification letter to evidence compliance. On July 19, 2023, the Staff granted the Company’s request for continued listing pursuant to an extension through November 20, 2023, to evidence compliance with the Rule.

 

NOTE 3 – SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

 

Basis of presentation and principles of consolidation

 

The unaudited consolidated financial statements include the accounts of the Company and its wholly owned subsidiaries. All intercompany accounts and transactions have been eliminated in consolidation. The Company’s condensed consolidated financial statements have been prepared in accordance with accounting principles generally accepted in the United States of America (“U.S. GAAP”) for the interim financial information and with instructions to Form 10-Q and Article 10 of Regulation S-X. In the opinion of management, the accompanying unaudited interim consolidated financial statements reflect all adjustments, which include only normal recurring adjustments, necessary to state fairly the financial position and results of operations of the Company. These condensed consolidated financial statements and notes thereto are unaudited and should be read in conjunction with the Company’s audited financial statements for the year ended December 31, 2022, as found in the Company’s Annual Report on Form 10-K filed with the Securities and Exchange Commission (the “SEC”) on April 17, 2023.

 

The balance sheet for December 31, 2022 was derived from the Company’s audited financial statements for the year ended December 31, 2022. The results of operations for the periods presented are not necessarily indicative of results that could be expected for the entire fiscal year due to seasonality and other factors. Certain information and footnote disclosures normally included in the consolidated financial statements in accordance with U.S. GAAP have been omitted in accordance with the rules and regulations of the SEC for interim reporting.

 

5

 

 

Use of estimates

 

The preparation of the consolidated financial statements in conformity with U.S. GAAP requires management to make estimates, judgments and assumptions. The Company believes that the estimates, judgments and assumptions used are reasonable based upon information available at the time they are made. These estimates, judgments and assumptions can affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the dates of the financial statements, and the reported amounts of revenue and expenses during the reporting period. Actual results could differ from those estimates.

 

Foreign currency translation

 

Non-U.S. dollar denominated transactions and balances have been re-measured to U.S. dollars. All gains and losses from re-measurement of monetary balance sheet items denominated in non-U.S. dollar currencies are reflected in the statements of operations as other comprehensive income, as appropriate. The cumulative translation gains for the periods ended June 30, 2023 and 2022 were $37 and $51, respectively.

 

Revenue recognition

 

Revenues from product sales are recognized in accordance with ASC 606 “Revenue Recognition.” Five basic steps must be followed before revenue can be recognized; (1) Identifying the contract(s) with a customer that creates enforceable rights and obligations; (2) Identifying the performance obligations in the contract, such as promising to transfer goods or services to a customer; (3) Determining the transaction price, meaning the amount of consideration in a contract to which an entity expects to be entitled in exchange for transferring promised goods or services to a customer; (4) Allocating the transaction price to the performance obligations in the contract, which requires the company to allocate the transaction price to each performance obligation on the basis of the relative standalone selling prices of each distinct good or services promised in the contract; and (5) Recognizing revenue when (or as) the entity satisfies a performance obligation by transferring a promised good or service to a customer. The amount of revenue recognized is the amount allocated to the satisfied performance obligation.

 

Revenue from product sales is recorded at the net sales price, or “transaction price,” which includes estimates of variable consideration that result from coupons, discounts and distributor fees, processing fees, as well as allowances for returns and government rebates. The Company constrains revenue by considering factors that could otherwise lead to a probable reversal of revenue. Collectability of revenue is reasonably assured based on historical evidence of collectability between the Company and its customers.

 

Revenues from sales to distributors are recognized at the time the products are delivered to the distributors (“sell-in”). The Company does not grant rights of return, credits, rebates, price protection, or other privileges on its products to distributors.

 

Recently adopted accounting standards

 

In June 2016, the Financial Accounting Standards Board (“FASB”) issued Accounting Standards Update (“ASU”) No. 2016-13, Financial Instruments—Credit Losses (Topic 326): Measurement of Credit Losses on Financial Instruments (“ASU 2016-13”) and also issued subsequent amendments to the initial guidance: ASU 2018-19, ASU 2019-04, and ASU 2019-05 (collectively, “Topic 326”). Topic 326 requires measurement and recognition of expected credit losses for financial assets held. This ASU is effective for interim and annual reporting periods beginning after December 15, 2022, including interim periods within those fiscal years. The Company adopted ASU 2016-13 as of January 1, 2023, and there was no material impact on its condensed consolidated financial statements upon adoption.

 

6

 

 

NOTE 4 – STOCKHOLDERS’ EQUITY

 

Common stock

 

The common stock confers upon the holders the right to receive notice to participate and vote in general meetings of the Company, and the right to receive dividends, if declared, and to participate in the distribution of the surplus assets and funds of the Company in the event of liquidation, dissolution or winding up of the Company.

 

Reverse Stock Split

 

On February 8, 2023, the Company effected a reverse stock split of its common stock at a ratio of 1 post-split share for every 20 pre-split shares. The Company’s common stock begin trading on a split-adjusted basis when the market opened on February 9, 2023 (the “Reverse Stock Split”).

 

At the effective time of the Reverse Stock Split, every 20 shares of the Company’s issued and outstanding common stock were converted automatically into one issued and outstanding share of common stock without any change in the par value per share. Stockholders holding shares through a brokerage account had their shares automatically adjusted to reflect the 1-for-20 Reverse Stock Split. The Reverse Stock Split affected all stockholders uniformly and did not alter any stockholder’s percentage interest in the Company’s equity, except to the extent that the Reverse Stock Split resulted in a stockholder owning a fractional share. Any fractional share of a stockholder resulting from the Reverse Stock Split was rounded up to the nearest whole number of shares. Proportional adjustments were made to the number of shares of the Company’s common stock issuable upon exercise or conversion of the Company’s equity awards, warrants and other convertible securities, as well as the applicable exercise or conversion price thereof. On February 16, 2023, the Company rounded up fractional shares to its nearest whole number of 15,726 shares.

 

All references in this Report to number of shares, price per share and weighted average number of shares of common stock outstanding prior to the Reverse Stock Split have been adjusted to reflect the Reverse Stock Split on a retroactive basis, unless otherwise noted.

 

Stock-based compensation and Options

 

During the three and six-month period ended June 30, 2023, 0 and 5,459 employee options were exercised respectively. During the three and six-month period ended June 30, 2022, no employee options were exercised. During the three and six-month period ended June 30, 2023, no employee options were granted. During the three and six-month period ended June 30, 2022, 0 and 6,000 employee options were granted, respectively.

 

The options granted to employees and board members and were recorded at a fair value and vested over three years. During the three and six-month period ended June 30, 2023, stock-based compensation expense of $66 and $133 was recorded for options that vested, respectively. During the three and six-month period ended June 30, 2022, stock-based compensation expense of $85 and $171 was recorded for options that vested, respectively. During the second quarter of 2023 and 2022, no options expired.

 

  

Shares Under

Options

  

Weighted

Average

Exercise Price

per Share

  

Weighted

Average

Remaining

Life (Years)

 
Outstanding – December 31, 2021   127,000   $31.86    7.77 
Granted   6,000    15.56    9.89 
Exercised   -    -    - 
Outstanding – March 31, 2022   133,000   $26.00    7.63 
Granted   -    -    - 
Exercised   -    -    - 
Outstanding – June 30, 2022   133,000   $26.00    7.63 
                
Outstanding – December 31, 2022   147,619   $24.42    7.24 
Granted   -    -    - 
Exercised   (5,459)   0.07    0.24 
Outstanding – March 31, 2023   142,160   $25.31    7.50 
Granted   -    -    - 
Exercised   -    -    - 
Outstanding – June 30, 2023   142,160   $25.31    7.50 

 

7

 

 

The total stock-based expense recognized in the financial statements for services received from employees and non-employees is shown in the following table.

 

                 
   Three Months Ended   Six Months Ended 
   June 30,   June 30, 
   2023   2022   2023   2022 
                 
Research and development   1    1    3    3 
Selling and marketing   6    6    12    12 
General and administrative   59    213    118    291 
                     
Total  $66   $220   $133   $306 

 

As of June 30, 2023, the total unrecognized estimated compensation cost related to non-vested stock options granted prior to that date was $195, which is expected to be recognized over a weighted average period of approximately 1.91 years.

 

Warrants

 

For the six months ended June 30, 2023 and 2022, there were 0 and 12,500 warrants granted, respectively. For the six months ended June 30, 2023 and 2022, no warrants were exercised and/ or cancelled.

 

   Warrants 
Outstanding – December 31, 2021   115,467 
Granted   12,500 
Exercised   - 
Canceled   - 
Outstanding – June 30, 2022   127,967 
      
Outstanding – December 31, 2022   78,252 
Granted   - 
Exercised   - 
Canceled   - 
Outstanding – June 30, 2023   78,252 

 

NOTE 5 – LOSS PER SHARE APPLICABLE TO COMMON STOCKHOLDER

 

Basic net loss per common share is computed by dividing net loss available to common stockholders by the weighted average number of shares of common stock outstanding during the period. All outstanding stock options and warrants for the six months ended June 30, 2023 and 2022 have been excluded from the calculation of the diluted net loss per share because all such securities are anti-dilutive for all periods presented.

 

The following table summarizes the Company’s securities, in common stock equivalents, which have been excluded from the calculation of dilutive loss per share as their effect would be anti-dilutive:

 

   June 30, 2023   June 30, 2022 
Stock Options – employee and non-employee   142,160    133,000 
Warrants   78,252    127,967 
Total   220,412    260,967 

 

The diluted loss per share equals basic loss per share in the six months ended June 30, 2023 and 2022 because the Company had a net loss and the impact of the assumed exercise of stock options and the vesting of restricted stock would have been anti-dilutive.

 

8

 

 

NOTE 6 – GEOGRAPHIC INFORMATION AND MAJOR CUSTOMER DATA

 

The Company manages its business on the basis of one reportable segment and derives revenues from selling its products directly to patients as well as through distributor agreements. The following is a summary of revenues within geographic areas:  

   2023   2022   2023   2022 
   Three Months Ended June 30,   Six Months Ended June 30, 
   2023   2022   2023   2022 
United States  $282   $476   $592   $723 
Europe   -    1    19    12 
Australia/New Zealand   -    5    13    5 
Asia   -    3    1    9 
Other   12    -    23    8 
Total  $294   $485   $648   $757 

 

For both the three and six months ended June 30, 2023, our two largest customers comprised approximately 86% of total revenues in each of the respective periods. Customer one comprised 36% and 86% while customer two comprised 50% and 0%, respectively. During the three and six months ended June 30, 2022, our largest customer comprised approximately 78% and 64% of total revenues, respectively.

 

NOTE 7 – LEASES

 

The Company has operating lease agreements with terms up to 2-3 years, including car and office space leases.

 

The Company’s weighted-average remaining lease term relating to its operating leases is 0.56 years, with a weighted-average discount rate of 10%.

 

The Company incurred $36 and $14 of lease expense for its operating leases for the six months ended June 30, 2023 and 2022, respectively.

 

The following table presents information about the amount and timing of liabilities arising from the Company’s operating leases as of June 30, 2023:

 

      
2023  $35 
2024   3 
Total undiscounted operating lease payments   38 
Less: Imputed interest   1 
Present value of operating lease liabilities  $37 

 

NOTE 8 – OTHER ASSETS

 

On April 9, 2020, pursuant to a licensing agreement entered into in March 2020, the Company received 10-year warrants to purchase 127,000 shares of Sanuwave Health, Inc. at a price of $0.19 per share. The fair value for warrants received was estimated at the date of grant and at each reporting period using a Black-Scholes-Merton pricing model with the following underlying assumptions:

 

    June 30, 2023     June 30, 2022  
Price at valuation   $ 0.02     $ 0.08  
Exercise price   $ 0.19     $ 0.19  
Risk free interest     3.97 %     1.44 %
Expected term (in years)     7       8  
Volatility     155.6 %     137.7 %

 

The Company considers this to be Level 3 inputs and is valued at each reporting period. For the three and six months ended June 30, 2023, changes in the fair value of these warrants amounted to $(2) and $0, respectively, leaving a balance of $3 as of June 30, 2023. For the three and six months ended June 30, 2022, changes in the fair value of these warrants amounted to $8 and $10, respectively, leaving a balance of $9 as of June 30, 2022.

 

9

 

 

Financial Instruments Measured at Fair Value on a Recurring Basis

 

The fair value accounting standards define fair value as the amount that would be received to sell an asset or paid to transfer a liability in an orderly transaction between market participants. As such, fair value is determined based upon assumptions that market participants would use in pricing an asset or liability. Fair value measurements are rated on a three-tier hierarchy as follows:

 

Level 1 inputs: Quoted prices (unadjusted) for identical assets or liabilities in active markets;
   
Level 2 inputs: Inputs, other than quoted prices included in Level 1, that are observable either directly or indirectly; and
   
Level 3 inputs: Unobservable inputs for which there is little or no market data, which require the reporting entity to develop its own assumptions.

 

There were no transfers between Level 3 during the three and six months ended June 30, 2023 and 2022.

 

The following table presents changes in Level 3 asset and liability measured at fair value for the quarters ended June 30, 2023 and 2022:

 

   Asset 
Balance – December 31, 2021  $19 
Fair value adjustments – Sanuwave warrants   (2)
Balance – March 31, 2022  $17 
Fair value adjustments – Sanuwave warrants   (8)
Balance – June 30, 2022  $9 
      
Balance – December 31, 2022   3 
Fair value adjustments – Sanuwave warrants   2 
Balance – March 31, 2023  $5 
Fair value adjustments – Sanuwave warrants   (2)
Balance – June 30, 2022  $3 

 

The following table sets forth the Company’s assets and liabilities which are measured at fair value on a recurring basis by level within the fair value hierarchy:

 

   Level I   Level II   Level III   Total 
   Fair Value Measurements as of June 30, 2023 
   Level I   Level II   Level III   Total 
Asset:                    
Other assets  $-   $-   $3   $3 

 

   Level I   Level II   Level III   Total 
   Fair Value Measurements as of December 31, 2022 
   Level I   Level II   Level III   Total 
Asset:                    
Other assets  $-   $-   $3   $3 

 

10

 

 

NOTE 9 – COMMITMENTS AND CONTINGENCIES

 

Pending litigation

 

On February 26, 2021, Protrade Systems, Inc. (“Protrade”) filed a Request for Arbitration (the “Request”) with the International Court of Arbitration (the “ICA”) of the International Chamber of Commerce alleging the Company is in breach of an Exclusive Distribution Agreement dated March 7, 2019 (the “Exclusive Distribution Agreement”) between Protrade and the Company. Protrade alleges, in part, that the Company has breached the Exclusive Distribution Agreement by discontinuing the manufacture of the DV0057 Painshield MD device in favor of an updated 10-100-001 Painshield MD device. Protrade claims damages estimated at $3 million.

 

On March 15, 2022, the arbitrator issued a final award, which, determined that (i) the Company had the right to terminate the Exclusive Distribution Agreement; (ii) the Company did not breach the duty of good faith and fair dealing with regard to the Exclusive Distribution Agreement; and (iii) the Company did not breach any confidentiality obligations to Protrade. Nevertheless the arbitrator determined that the Company did not comply with the obligation to supply Protrade with a year’s supply of patches, and awarded Protrade $1,500,250, which consists of $1,432,000 for “lost profits” and $68,250 as reimbursement of arbitration costs, on the grounds that the Company allegedly failed to supply Protrade with certain patches utilized by users of DV0057 Painshield MD device. The arbitrator based the decision on the testimony of Protrade’s president who asserted that a user would use in excess of 33 patches per each device. The Company believes that the number of patches per device alleged by Protrade is grossly inflated, and that these claims were not properly raised before the arbitrator. Accordingly, on April 13, 2022, the Company submitted an application for the correction of the award which the arbitrator denied on June 22, 2022.

 

On April 5, 2022, Protrade filed a Petition with the Supreme Court of New York Nassau County seeking to confirm the Award. On April 13, 2022, the Company submitted an application to the ICA seeking to correct an error in the award based on the evidence that the Company only sold 2-3 reusable patches per device contrary to the 33 reusable patches claimed by Protrade. The same arbitrator who issued the award, denied the application.

 

On July 22, 2022, the Company filed a cross-motion seeking to vacate arbitration award on the grounds that the arbitrator exceeded her authority, that the award was procured by fraud, and that the arbitrator failed to follow procedures established by New York law. In particular, the Company averred in its motion that Protrade’s witness made false statements in arbitration, and that the arbitrator resolved a claim that was never raised by Protrade and that has no factual basis.

 

On October 3, 2022, the court issued a decision granting Protrade its petition to confirm the award and denying the cross-motion.

 

On November 9, 2022, the Company filed a motion to re-argue and renew its cross-motion to vacate the arbitration decision based on newer information that was not available during the initial hearing. On the same day, the Company also filed a notice of appeal with the Appellate Division, Second Department. On March 21, 2023, the Court denied the motion to re-argue and renew.

 

On July 10, 2023, we filed its appeal with the Appellate Division, Second Department. The Company intends to continue to vigorously pursue its opposition to the award in all appropriate fora.

 

As of June 30, 2023 and December 31, 2022, the Company accrued the amount of the award to Protrade amounting to approximately $1.9 million, with the $0.4 million of interest accrued as part of “Interest expense” and “Other accounts payable and accrued expenses” on both periods.

 

NOTE 10 – RELATED PARTY TRANSACTION

 

The firm of FisherBroyles LLP is handling the Company’s Protrade litigation and appeals. For the three and six months ended June 30, 2023, the Company have been billed and paid legal fees from FisherBroyles amounting to $23 and $89, respectively, and it has been recorded as part of “General and administrative expenses” in the condensed consolidated statements of operations. As has been previously disclosed, one of the Company’s board members, Aurora Cassirer, is a partner at FisherBroyles. Ms. Cassirer does not provide any legal services or legal advice to the Company.

 

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ITEM 2. MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS

 

The following discussion and analysis of the results of operations and financial condition of NanoVibronix, Inc. (the “Company”) as of June 30, 2023 and for the six months ended June 30, 2023 and 2022 should be read in conjunction with our financial statements and the notes to those financial statements that are included elsewhere in this Quarterly Report on Form 10-Q. This discussion and analysis should be read in conjunction with the Company’s audited financial statements and related disclosures as of December 31, 2022 and for the year then ended December 31, 2022, which are included in the Form 10-K filed with the Securities and Exchange Commission (“SEC”) on April 17, 2023. References in this Management’s Discussion and Analysis of Financial Condition and Results of Operations to “us”, “we”, “our” and similar terms refer to the Company.

 

Cautionary Note Regarding Forward-Looking Statements

 

This Quarterly Report on Form 10-Q contains “forward-looking statements,” which include information relating to future events, future financial performance, financial projections, strategies, expectations, competitive environment and regulation. Words such as “may,” “should,” “could,” “would,” “predicts,” “potential,” “continue,” “expects,” “anticipates,” “future,” “intends,” “plans,” “believes,” “estimates,” and similar expressions, as well as statements in future tense, identify forward-looking statements. Forward-looking statements should not be read as a guarantee of future performance or results and may not be accurate indications of when such performance or results will be achieved. Forward-looking statements are based on information we have when those statements are made or management’s good faith belief as of that time with respect to future events and are subject to risks and uncertainties that could cause actual performance or results to differ materially from those expressed in or suggested by the forward-looking statements. Important factors that could cause such differences include, but are not limited to:

 

  Our history of losses and expectation of continued losses;
  Global economic and political instability and conflicts, such as the conflict between Russia and Ukraine, could adversely affect our business, financial condition or results of operations;
  Increasing inflation could adversely affect our business, financial condition, results of operations or cash flows;
  The geographic, social and economic impact of COVID-19 on the Company’s business operations;
  Our ability to raise funding for, and the timing of, clinical studies and eventual U.S. Food and Drug Administration approval of our product candidates;
  Regulatory actions that could adversely affect the price of or demand for our approved products;
  Market acceptance of existing and new products;
  Favorable or unfavorable decisions about our products from government regulators, insurance companies or other third-party payers (including the U.S. Centers for Medicare and Medicaid Services, or “CMS”);
  Risks of product liability claims and the availability of insurance;
  Our ability to successfully develop and commercialize our products;
  Our ability to generate internal growth;
  Risks related to computer system failures and cyber-attacks;
  Our ability to obtain regulatory approval in foreign jurisdictions;
  Uncertainty regarding the success of our clinical trials for our products in development;
  Risks related to our operations in Israel, including political, economic and military instability;
  The price of our securities is volatile with limited trading volume;
  Our ability to regain compliance with the continued listing requirements of the NASDAQ capital market;
  Our ability to maintain effective internal control over financial reporting and to remedy identified material weaknesses;
  We are a “smaller reporting company” and have reduced disclosure obligations that may make our stock less attractive to investors;
  Our intellectual property portfolio and our ability to protect our intellectual property rights;
  Our ability to recruit and retain qualified regulatory and research and development personnel;
  Unforeseen changes in healthcare reimbursement for any of our approved products;
  The adoption of health policy changes and health care reform;
  Lack of financial resources to adequately support our operations;
  Difficulties in maintaining commercial scale manufacturing capacity and capability;
  Our ability to generate internal growth;
  Changes in our relationship with key collaborators;
  Changes in the market valuation or earnings of our competitors or companies viewed as similar to us;
  Our failure to comply with regulatory guidelines;
  Uncertainty in industry demand and patient wellness behavior;
  General economic conditions and market conditions in the medical device industry;
  Future sales of large blocks of our common stock, which may adversely impact our stock price; and
  Depth of the trading market in our common stock.

 

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The foregoing does not represent an exhaustive list of matters that may be covered by the forward-looking statements contained herein or risk factors that we are faced with that may cause our actual results to differ from those anticipated in our forward-looking statements. For a discussion of these and other risks that relate to our business and financial performance, you should carefully review the risks and uncertainties described under the heading “Item 1A. Risk Factors” and elsewhere in this Quarterly Report on Form 10-Q and in our Annual Report on Form 10-K for the fiscal year ended December 31, 2022, and those described from time to time in our future reports filed with the Securities and Exchange Commission. Moreover, new risks regularly emerge, and it is not possible for us to predict or articulate all risks we face, nor can we assess the impact of all risks on our business or the extent to which any risk, or combination of risks, may cause actual results to differ from those contained in any forward-looking statements. All forward-looking statements included in this Form 10-Q are based on information available to us on the date of this Quarterly Report on Form 10-Q. Except to the extent required by applicable laws or rules, we undertake no obligation to publicly update or revise any forward-looking statement, whether as a result of new information, future events or otherwise.

 

Overview

 

We are a medical device company focusing on noninvasive biological response-activating devices that target wound healing and pain therapy and can be administered at home, without the assistance of medical professionals. Our WoundShield, PainShield and UroShield products are backed by novel technology which relates to ultrasound delivery through surface acoustic waves. The global wound care device market totaled approximately $20.8 billion in 2022 and it is expected to grow to $27.2 billion by 2027 at a CAGR of 5.4% during 2022-2027 (as reported by Markets and Markets in June 2022).

 

Protrade Proceeding

 

On February 26, 2021, Protrade Systems, Inc. (“Protrade”) filed a Request for Arbitration (the “Request”) with the International Court of Arbitration (the “ICA”) of the International Chamber of Commerce alleging that we were in breach of the Exclusive Distribution Agreement. Protrade alleges, in part, that we breached the Exclusive Distribution Agreement by discontinuing the manufacture of the DV0057 Painshield MD device in favor of an updated 10-100-001 Painshield MD device. Protrade claims damages estimated at $3 million.

 

On March 15, 2022, the arbitrator issued a final award, which, determined that (i) we had the right to terminate the Exclusive Distribution Agreement; (ii) we did not breach the duty of good faith and fair dealing with regard to the Exclusive Distribution Agreement; and (iii) we did not breach any confidentiality obligations to Protrade. Nevertheless, the arbitrator determined that we did not comply with the obligation to supply Protrade with a year’s supply of patches, and awarded Protrade $1,500,250, which consists of $1,432,000 for “lost profits” and $68,250 as reimbursement of arbitration costs, on the grounds that we allegedly failed to supply Protrade with certain patches utilized by users of DV0057 Painshield MD device. The arbitrator based the decision on the testimony of Protrade’s president who asserted that a user would use in excess of 33 patches per each device. We believe that the number of patches per device alleged by Protrade is grossly inflated, and that these claims were not properly raised before the arbitrator. Accordingly, on April 13, 2022, we submitted an application for the correction of the award which the arbitrator denied on June 22, 2022.

 

On April 5, 2022, Protrade filed a Petition with the Supreme Court of New York Nassau County seeking to confirm the award. On April 13, 2022, we submitted an application to the ICA seeking to correct an error in the award based on the evidence that we only sold 2-3 reusable patches per device contrary to the 33 reusable patches claimed by Protrade. The same arbitrator who issued the award, denied the application.

 

On July 22, 2022, we filed a cross-motion seeking to vacate arbitration award on the grounds that the arbitrator exceeded her authority, that the award was procured by fraud, and that the arbitrator failed to follow procedures established by New York law. In particular, we averred in our motion that Protrade’s witness made false statements in arbitration, and that the arbitrator resolved a claim that was never raised by Protrade and that has no factual basis.

 

On October 3, 2022, the court issued a decision granting Protrade its petition to confirm the award and denying the cross-motion.

 

On November 9, 2022, we filed a motion to re-argue and renew its cross-motion to vacate the arbitration decision based on newer information that was not available during the initial hearing. On the same day, we also filed a notice of appeal with the Appellate Division, Second Department. On March 21, 2023, the Court denied the motion to re-argue and renew.

 

On July 10, 2023, we filed our appeal with the Appellate Division, Second Department. We intend to continue to vigorously pursue our opposition to the award in all appropriate fora.

 

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Nasdaq Minimum Stockholders’ Equity Requirement

 

On May 23, 2023, we received a letter from the Listing Qualifications Department of the Nasdaq Capital Market (“Nasdaq”) indicating that we no longer comply with the minimum stockholders’ equity requirement under Nasdaq Listing Rule 5550(b)(1) (the “Rule”) for continued listing on Nasdaq because our stockholders’ equity of approximately $2.2 million as reported in our Quarterly Report on Form 10-Q for the period ended March 31, 2023, is below the required minimum of $2.5 million, and as of May 22, 2023, we did not meet the alternative compliance standards relating to the market value of listed securities of $35 million or net income from continuing operations of $500,000 in the most recently completed fiscal year or in two of the last three most recently completed fiscal years.

 

In accordance with Nasdaq Listing Rules, we had 45 calendar days, or until July 7, 2023, to submit a plan to regain compliance. On July 7, 2023 we submitted our plan to regain compliance with the Nasdaq minimum stockholders’ equity standard. If our plan is accepted, Nasdaq may grant us an extension of up to 180 calendar days from the date of the notification letter to evidence compliance. On July 19, 2023, the Staff granted our request for continued listing pursuant to an extension through November 20, 2023, to evidence compliance with the Rule.

 

However, there can be no assurance that we will be able to regain compliance. If we do not regain compliance by the end of the extension granted by Nasdaq, or we fail to satisfy another Nasdaq requirement for continued listing, Nasdaq staff could provide notice that our common stock will become subject to delisting. In such event, Nasdaq rules permit us to appeal the decision to reject its proposed compliance plan or any delisting determination to a Nasdaq Hearings Panel. Accordingly, there can be no guarantee that we will be able to maintain our Nasdaq listing.

 

Critical Accounting Policies

 

A critical accounting policy is one that is both important to the portrayal of our financial condition and results of operation and requires management’s most difficult, subjective or complex judgments, often as a result of the need to make estimates about the effect of matters that are inherently uncertain. Our critical accounting policies are more fully described in both (i) “Item 7. Management’s Discussion and Analysis of Financial Condition and Results of Operations” and (ii) Note 3 of the Notes to the Consolidated Financial Statements included in our Annual Report on Form 10-K for the fiscal year ended December 31, 2022. There have not been any material changes to such critical accounting policies since December 31, 2022.

 

The currency of the primary economic environment in which our operations are conducted is the U.S. dollar (“$” or “dollar”). Accordingly, our functional currency is the dollar.

 

Results of Operations

 

Three Months Ended June 30, 2023 Compared to Three Months Ended June 30, 2022

 

Revenues. For the three months ended June 30, 2023 and 2022, our revenues were approximately $294,000 and $485,000, respectively, a decrease of approximately 39%, or $191,000 between the periods. The decrease in revenues was mainly due to decreased orders from Ultra Pain Products, LLC (“UPPI”), one of our two largest customers, partially offset, to a lesser extent, by the increase in volume of sales to veteran administration facilities (“VA”). Our revenues may fluctuate as we add new consumers or when existing distributors or consumers make large purchases of our products during one period and no purchases during another period. Therefore, any growth or decrease in revenues by quarter may not be linear or consistent.

 

For the three months ended June 30, 2023, the percentage of revenues attributable to our products was: PainShield - 100% and UroShield - 0%. For the three months ended June 30, 2022, the percentage of revenues attributable to our products was: PainShield - 98% and UroShield - 2%. For the three months ended June 30, 2023 and 2022, the portion of our revenues that was derived from distributors was 96% and 97%, respectively.

 

Gross Profit. For the three months ended June 30, 2023 and 2022, gross profit was approximately $216,000 and $281,000, respectively, a decrease of approximately 23% or $65,000, mainly due to decreased sales to UPPI, which are sold a lower gross margin as compared to our sales to VA customers, as well as accounting for patches that were expired and written off, and replacement of old components that occurred in the second quarter of 2022.

 

Gross profit as a percentage of revenues was approximately 73% and 58% for the three months ended June 30, 2023 and 2022, respectively.

 

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Research and Development Expenses. For the three months ended June 30, 2023 and 2022, research and development expenses were approximately $35,000 and $61,000, respectively between the periods. The decrease was mainly due to a decrease in expenses incurred to subcontractors and consultants for our research and development activities.

 

Research and development expenses as a percentage of total revenues were relatively steady totaling approximately 12% and 13% for the three months ended June 30, 2023 and 2022, respectively. This minimal decrease was mainly due to the increase in revenues.

 

Our research and development expenses consist mainly of payroll expenses to employees involved in research and development activities, stock-based compensation expenses, expenses related to subcontracting, patents application and registration, clinical trial and facilities expenses associated with and allocated to research and development activities.

 

Selling and Marketing Expenses. For the three months ended June 30, 2023 and 2022, selling and marketing expenses were approximately $227,000 and $333,000, respectively, a decrease of approximately 32%, or $106,000, between the periods. The decrease was mainly due to a decrease in payments to subcontractors and consultants, as we terminated a large distributor in the third quarter of 2022.

 

Selling and marketing expenses as a percentage of total revenues were approximately 77% and 69% for the three months ended June 30, 2023 and 2022, respectively.

 

Selling and marketing expenses consist mainly of payroll expenses to direct sales and marketing employees, stock-based compensation expenses, travel expenses, conventions, advertising and marketing expenses, rent and facilities expenses associated with and allocated to selling and marketing activities.

 

General and Administrative Expenses. For the three months ended June 30, 2023 and 2022, general and administrative expenses were approximately $963,000 and $1,155,000, respectively, a decrease of approximately 17%, or $192,000, between the periods. The decrease was primarily due to increased legal fees related to pending litigations and appeal that started in the mid-year of 2022.

 

General and administrative expenses as a percentage of total revenues were approximately 328% and 238% for the three months ended June 30, 2023 and 2022, respectively.

 

Our general and administrative expenses consist mainly of payroll expenses for management and administrative employees, stock-based compensation expenses, accounting, legal and facilities expenses associated with general and administrative activities and costs associated with being a publicly traded company.

 

Interest expense. For the three months ended June 30, 2023 and 2022, interest expense were $33,000 and $0, respectively. This pertains to the interest on the Company’s judgment liability for the 2nd quarter of 2023.

 

Income tax expense. For the three months ended June 30, 2023 and 2022, tax expenses were $13,000 and $16,000, respectively. The tax expense is computed by multiplying income before taxes at our Israeli subsidiary by the appropriate tax rate.

 

Net loss. Our net loss decreased by approximately $228,000, or 18%, to approximately $1,074,000 for the three months ended June 30, 2023 from approximately $1,302,000 in the same period of 2022. The decrease in net loss resulted primarily from the factors described above.

 

Six Months Ended June 30, 2023 Compared to Six Months Ended June 30, 2022

 

Revenues. For the six months ended June 30, 2023 and 2022, our revenues were approximately $648,000 and $757,000 respectively, a decrease of approximately 14%, or $109,000 between the periods. The decrease was due to decreased orders from UPPI partially offset by higher sales to veterans’ administration facilities. Our revenues may fluctuate as we add new consumers or when existing distributors or consumers make large purchases of our products during one period and no purchases during another period. Therefore, any growth or decrease in revenues by quarter may not be linear or consistent.

 

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For the six months ended June 30, 2023, the percentage of revenues attributable to our products was: PainShield - 95% and UroShield – 5%. For the six months ended June 30, 2022, the percentage of revenues attributable to our products was: PainShield - 98% and UroShield – 2%. For the six months ended June 30, 2023 and 2022, the portion of our revenues that was derived from distributors was 91% and 95%, respectively.

 

Gross Profit. For the six months ended June 30, 2023 and 2022, gross profit was approximately $451,000 and $387,000, respectively, an increase of approximately 17% or $64,000, mainly due to decreased sales to UPPI, which are sold a lower gross margin as compared to our sales to VA customers, as well as accounting for patches that were expired and written off, and the replacement of old components that occurred in the second quarter of 2022.

 

Gross profit as a percentage of revenues was approximately 70% and 51% for the six months ended June 30, 2023 and 2022, respectively. The increase in gross profit as a percentage resulted primarily from the reasons described above.

 

Research and Development Expenses. For the six months ended June 30, 2023 and 2022, research and development expenses were approximately $90,000 and $127,000, respectively, a decrease of approximately 29%, or $37,000, between the periods. The decrease was due to a decrease in expenses incurred to subcontractors and consultants for our research and development activities, especially as we engaged third parties to assist in regulatory matters during the three months ended June 30, 2023.

 

Our research and development expenses consist mainly of payroll expenses to employees involved in research and development activities, stock-based compensation expenses, expenses related to subcontracting, patents application and registration, clinical trial and facilities expenses associated with and allocated to research and development activities.

 

Research and development expenses as a percentage of total revenues were relatively steady totaling approximately 14% and 17% for the six months ended June 30, 2023 and 2022, respectively.

 

Selling and Marketing Expenses. For the six months ended June 30, 2023 and 2022, selling and marketing expenses were approximately $441,000 and $543,000, respectively, a decrease of approximately 19%, or $102,000, between the periods. The decrease was due to lesser payments made to sales consultants and building website sales portals in 2022.

 

Selling and marketing expenses consist mainly of payroll expenses to direct sales and marketing employees, stock-based compensation expenses, travel expenses, conventions, advertising and marketing expenses, rent and facilities expenses associated with and allocated to selling and marketing activities.

 

Selling and marketing expenses as a percentage of total revenues were relatively steady totaling approximately 68% and 72% for the six months ended June 30, 2023 and 2022, respectively.

 

General and Administrative Expenses. For the six months ended June 30, 2023 and 2022, general and administrative expenses were approximately $1,984,000 and $2,097,000, respectively, a decrease of approximately 5%, or $113,000, between the periods. The decrease was mainly due to the increased legal costs from the appeal of the arbitration litigation in the mid-year of 2022.

 

Our general and administrative expenses consist mainly of payroll expenses for management and administrative employees, stock-based compensation expenses, accounting, legal and facilities expenses associated with general and administrative activities and costs associated with being a publicly traded company.

 

General and administrative expenses as a percentage of total revenues were approximately 306% and 277% for the six months ended June 30, 2023 and 2022, respectively.

 

Financial expense, net. For the six months ended June 30, 2023 and 2022, financial expenses, net was approximately $25,000 compared to $31,000, respectively, a decrease of approximately $6,000 between the periods mainly due to the change in fair value of the investment in Sanuwave.

 

Interest expense. For the six months ended June 30, 2023 and 2022, interest expense was $67,000 and $0, respectively. This pertains to the interest on the Company’s judgment liability for the first six months of 2023.

 

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Income tax expenses. For the six months ended June 30, 2023 and 2022, tax expenses were $15,000 and $23,000, respectively. The tax expense is computed by multiplying income before taxes at our Israeli subsidiary by the appropriate tax rate.

 

Net loss. Our net loss decreased by approximately $263,000, or 11%, to approximately $2,171,000 for the six months ended June 30, 2023 from approximately $2,434,000 in the same period of 2022. The decrease in net loss resulted primarily from the factors described above.

 

Liquidity and Capital Resources

 

We have incurred losses in the amount of approximately $2,171,000 during the six months ended June 30, 2023, which primarily consisted of lower amount of revenues and increased interest expense from judgement liability. We also had negative cash flow from operating activities of $2,429,000 for the six months ended June 30, 2023. We had a cash balance of just over $253,000 as of June 30, 2023 and we expect to continue to incur losses and negative cash flows from operating activities, and therefore, do not have sufficient resources to fund our operation for the next twelve months from the date of this filing causing us to have substantial doubt of our ability to continue as a going concern We will need to continue to raise additional capital to finance our losses and negative cash flows from operations beyond the next years and may continue to be dependent on additional capital raising as long as our products do not reach commercial profitability. As a result, we will be limited in our ability to raise additional capital. If we are unable to raise additional capital, we will need to adjust our business plan and reduce workforce.

 

During the six-month period ended June 30, 2023, we met our short-term liquidity requirements from our existing cash reserves. Our future capital requirements and the adequacy of our available funds will depend on many factors, including our ability to successfully commercialize our products and our development of future products and competing technological and market developments. We expect to continue to incur losses and negative flows from operations. We intend to use the proceeds generated from equity financings, or strategic alliances with third parties, either alone or in combination with equity financing to meet our short-term liquidity requirements as well as to advance our long-term plans. There are no assurances that we are able to raise additional capital, as required, on terms favorable to us.

 

We do not have any material commitments to capital expenditures as of June 30, 2023, other than the $1.9 million owed to Protrade under the court decision, which we continue to appeal.

 

As of June 30, 2023, we have no off-balance sheet transactions, arrangements, obligations (including contingent obligations), or other relationships with unconsolidated entities or other persons that have, or may have, a material effect on our financial condition, changes in financial condition, revenues or expenses, results of operations, liquidity, capital expenditures or capital resources.

 

Cash flows

 

As of June 30, 2023, we had cash and cash equivalents of approximately $253,000, compared to approximately $2,713,000 as of December 31, 2022. We have historically met our cash needs through a combination of issuance of equity, borrowing activities and sales. Our cash requirements are generally for product development, research and development cost, marketing and sales activities, finance and administrative cost, capital expenditures and general working capital.

 

Cash used in our operating activities was approximately $2,429,000 for the six months ended June 30, 2023, compared to $3,740,000 for the six months ended June 30, 2022.

 

Cash used in our investing activities was approximately $1,000 for the six months ended June 30, 2023, compared to $2,000 for the six months ended June 30, 2022.

 

Cash provided by financing activities was approximately $7,000 for the six months ended June 30, 2023, compared to $0 for the six months ended June 30, 2022.

 

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Item 3. Quantitative and Qualitative Disclosures about Market Risk

 

Not applicable.

 

Item 4. Controls and Procedures

 

Our management, with the participation of our Chief Executive Officer and Chief Financial Officer, evaluated the effectiveness of the Company’s disclosure controls and procedures as of June 30, 2023, the end of the period covered by this Quarterly Report on Form 10-Q. The term “disclosure controls and procedures,” as defined in Rules 13a-15(e) and 15d-15(e) under the Exchange Act, means controls and other procedures of a company that are designed to provide reasonable assurance that information required to be disclosed by the company in the reports it files or submits under the Exchange Act is recorded, processed, summarized and reported, within the time periods specified in the SEC’s rules and forms. Disclosure controls and procedures are also designed to provide reasonable assurance that such information is accumulated and communicated to our management, including our Chief Executive Officer and Chief Financial Officer, to allow timely decisions regarding required disclosure. Based on their evaluation, as of the end of the period covered by this Form 10-Q, our Chief Executive Officer and Chief Financial Officer have concluded that our disclosure controls and procedures (as defined in Rules 13a-15(e) and 15d-15(e) under the Exchange Act were not effective because of the material weaknesses in our internal control over financial reporting as described in Item 9A in our Annual Report on Form 10-K for the fiscal ended December 31, 2022, filed with the SEC on April 17, 2023.

 

Remediation Efforts to Address Material Weakness

 

With the oversight of senior management and our audit committee, we have taken the steps below and we plan to take additional measures to remediate the underlying causes of the material weakness in our internal control over financial reporting as described in Item 9A in our Annual Report on Form 10-K for the fiscal ended December 31, 2022, filed with the SEC on April 17, 2023:

 

  We took steps to remediate the stock issuance material weakness through creating a template documentation that needs to be filled out before any new equity issuances to ensure that there are no further over-issuances.
  With assistance from a current finance and accounting third-party service provider, we are formalizing our risk assessment process, policies and procedures, implementing revised control activities, controls documentation, and ongoing monitoring activities related to the internal controls over financial reporting including testing documentation to provide evidence that our system of internal controls over financial reporting meets the requirements of the COSO 2013 framework, and provide a foundation to communicate internal control deficiencies in a timely manner to those parties responsible for taking corrective action.
  We have expanded consultations with third party specialists on complex accounting matters, financial reporting and regulatory filings.
  We have enhanced documentation of internal control activities
  We have enhanced monitoring of the internal control activities process
  We have added an additional level of review to ensure accurate inventory costing and recording

 

In addition, under the direction of the audit committee of the Board of Directors, management will continue to review and make necessary changes to the overall design of the Company’s internal control environment, as well as to refine policies and procedures to improve the overall effectiveness of internal control over financial reporting of the Company.

 

Changes in Internal Control over Financial Reporting

 

Other than described above in Item 4, there has been no change in our internal control over financial reporting that occurred during the last fiscal quarter to which this report relates that has materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.

 

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Part II - OTHER INFORMATION

 

Item 1. Legal Proceedings

 

From time to time, we may be involved in certain claims and litigation arising out of the ordinary course and conduct of business. Management assesses such claims and, if it considers that it is probable that an asset had been impaired or a liability had been incurred and the amount of loss can be reasonably estimated, provisions for loss are made based on management’s assessment of the most likely outcome.

 

On February 26, 2021, Protrade Systems, Inc. (“Protrade”) filed a Request for Arbitration (the “Request”) with the International Court of Arbitration (the “ICA”) of the International Chamber of Commerce alleging we were in breach of an Exclusive Distribution Agreement. Protrade alleges, in part, that we breached the Exclusive Distribution Agreement by discontinuing the manufacture of the DV0057 Painshield MD device in favor of an updated 10-100-001 Painshield MD device. Protrade claims damages estimated at $3 million.

 

On March 15, 2022, the arbitrator issued a final award, which, determined that (i) the Company had the right to terminate the Exclusive Distribution Agreement; (ii) we did not breach the duty of good faith and fair dealing with regard to the Exclusive Distribution Agreement; and (iii) we did not breach any confidentiality obligations to Protrade. Nevertheless, the arbitrator determined that we did not comply with the obligation to supply Protrade with a year’s supply of patches, and awarded Protrade $1,500,250, which consists of $1,432,000 for “lost profits” and $68,250 as reimbursement of arbitration costs, on the grounds that we allegedly failed to supply Protrade with certain patches utilized by users of DV0057 Painshield MD device. The arbitrator based the decision on the testimony of Protrade’s president who asserted that a user would use in excess of 33 patches per each device. We believe that the number of patches per device alleged by Protrade is grossly inflated, and that these claims were not properly raised before the arbitrator. Accordingly, on April 13, 2022, we submitted an application for the correction of the award which the arbitrator denied on June 22, 2022.

 

On April 5, 2022, Protrade filed a Petition with the Supreme Court of New York Nassau County seeking to confirm the award. On April 13, 2022, we submitted an application to the ICA seeking to correct an error in the award based on the evidence that we only sold 2-3 reusable patches per device contrary to the 33 reusable patches claimed by Protrade. The same arbitrator who issued the award, denied the application.

 

On July 22, 2022, we filed a cross-motion seeking to vacate arbitration award on the grounds that the arbitrator exceeded her authority, that the award was procured by fraud, and that the arbitrator failed to follow procedures established by New York law. In particular, we averred in our motion that Protrade’s witness made false statements in arbitration, and that the arbitrator resolved a claim that was never raised by Protrade and that has no factual basis.

 

On October 3, 2022, the court issued a decision granting Protrade its petition to confirm the award and denying the cross-motion.

 

On November 9, 2022, we filed a motion to re-argue and renew our cross-motion to vacate the arbitration decision based on newer information that was not available during the initial hearing. On the same day, we also filed a notice of appeal with the Appellate Division, Second Department. On March 21, 2023, the Court denied the motion to re-argue and renew.

 

On July 10, 2023, we filed our appeal with the Appellate Division, Second Department. We intend to continue to vigorously pursue our opposition to the award in all appropriate fora.

 

There are no other material proceedings in which any of our directors, officers or affiliates or any registered or beneficial stockholder of more than 5% of our common stock, or any associate of any of the foregoing is an adverse party or has a material interest adverse to our interest.

 

19

 

 

Item 1A. Risk Factors

 

The following description of risk factors includes any material changes to, and supersedes the description of, the risk factors addressed below associated with our business, financial condition and results of operations previously disclosed in “Item 1A. Risk Factors” of our Annual Report on Form 10-K for the fiscal year ended December 31, 2022, as filed with the SEC on April 17, 2023. Our business, financial condition and operating results can be affected by a number of factors, whether currently known or unknown, including but not limited to those described below, any one or more of which could, directly or indirectly, cause our actual financial condition and operating results to vary materially from past, or from anticipated future, financial condition and operating results. Any of these factors, in whole or in part, could materially and adversely affect our business, financial condition, operating results and stock price.

 

The following discussion of risk factor contains forward-looking statements. This risk factor may be important to understanding other statements in this Form 10-Q. The following information should be read in conjunction with the condensed consolidated financial statements and related notes in Part I, Item 1, “Financial Statements” and Part I, Item 2, “Management’s Discussion and Analysis of Financial Condition and Results of Operations” of this Form 10-Q.

 

The Company’s financial statements have been prepared on a going concern basis, and do not include adjustments that might be necessary if the Company is unable to continue as a going concern. Management has substantial doubt about the Company’s ability to continue as a going concern.

 

The Company’s unaudited condensed consolidated financial statements have been prepared on a going concern basis, which contemplates the realization of assets and the satisfaction of liabilities in the normal course of business. During the six months ended June 30, 2023, the Company’s cash used in operations was $2,429 leaving a cash balance of $253 as of June 30, 2023. Because the Company does not have sufficient resources to fund our operations for the next twelve months from the date of this filing, management has substantial doubt about the Company’s ability to continue as a going concern. The consolidated financial statements do not include any adjustments relating to the recoverability and classification of asset amounts or the classification of liabilities that might be necessary should the Company be unable to continue as a going concern.

 

The Company will need to raise additional capital to finance its losses and negative cash flows from operations and may continue to be dependent on additional capital raising as long as our products do not reach commercial profitability. There are no assurances that the Company would be able to raise additional capital on terms favorable to it. If the Company is unsuccessful in commercializing its products and raising capital, it will need to reduce activities, curtail, or cease operations.

 

If we fail to comply with the continued listing requirements of Nasdaq, our common stock may be delisted and the price of our common stock and our ability to access the capital markets could be negatively impacted.

 

Our common stock is currently listed for trading on Nasdaq. We must satisfy Nasdaq’s continued listing requirements, including, among other things, a minimum stockholders’ equity of $2.5 million and a minimum closing bid price of $1.00 per share or risk delisting, which would have a material adverse effect on our business. A delisting of our common stock from Nasdaq could materially reduce the liquidity of our common stock and result in a corresponding material reduction in the price of our common stock. In addition, delisting could harm our ability to raise capital through alternative financing sources on terms acceptable to us, or at all, and may result in the potential loss of confidence by investors, suppliers, customers and employees and fewer business development opportunities.

 

On May 23, 2023, we received a letter from the Listing Qualifications Department of Nasdaq indicating that we no longer comply with the minimum stockholders’ equity requirement under Nasdaq Listing Rule 5550(b)(1) for continued listing on Nasdaq because our stockholders’ equity of approximately $2.2 million as reported in our Quarterly Report on Form 10-Q for the period ended March 31, 2023, is below the required minimum of $2.5 million, and as of May 22, 2023, we did not meet the alternative compliance standards relating to the market value of listed securities of $35 million or net income from continuing operations of $500,000 in the most recently completed fiscal year or in two of the last three most recently completed fiscal years.

 

20

 

 

In accordance with Nasdaq Listing Rules, on July 7, 2023 we submitted our plan to regain compliance with the Nasdaq minimum stockholders’ equity standard. On July 19, 2023, the staff of the Listing Qualifications Department of Nasdaq granted our request for continued listing pursuant to an extension through November 20, 2023, to evidence compliance with the minimum stockholders’ equity requirement, conditioned upon achievement of certain milestones included in the plan of compliance previously submitted to Nasdaq.

 

However, there can be no assurance that we will be able to regain compliance. If we do not regain compliance by the end of the extension granted by Nasdaq, or we fail to satisfy another Nasdaq requirement for continued listing, Nasdaq staff could provide notice that our common stock will become subject to delisting. There is no assurance that we can regain compliance with such minimum listing requirements. If our common stock were delisted from Nasdaq, trading of our common stock would most likely take place on an over-the-counter market established for unlisted securities, such as the OTCQB or the Pink Market maintained by OTC Markets Group Inc. An investor would likely find it less convenient to sell, or to obtain accurate quotations in seeking to buy, our common stock on an over-the-counter market, and many investors would likely not buy or sell our common stock due to difficulty in accessing over-the-counter markets, policies preventing them from trading in securities not listed on a national exchange or other reasons. In addition, as a delisted security, our common stock would be subject to SEC rules as a “penny stock,” which impose additional disclosure requirements on broker-dealers. The regulations relating to penny stocks, coupled with the typically higher cost per trade to the investor of penny stocks due to factors such as broker commissions generally representing a higher percentage of the price of a penny stock than of a higher-priced stock, would further limit the ability of investors to trade in our common stock. In addition, delisting could harm our ability to raise capital through alternative financing sources on terms acceptable to us, or at all, and may result in the potential loss of confidence by investors, suppliers, customers and employees and fewer business development opportunities. For these reasons and others, delisting would adversely affect the liquidity, trading volume and price of our common stock, causing the value of an investment in us to decrease and having an adverse effect on our business, financial condition and results of operations, including our ability to attract and retain qualified employees and to raise capital.

 

Item 2. Unregistered Sales of Equity Securities and Use of Proceeds

 

None.

 

Item 3. Defaults Upon Senior Securities

 

Not applicable.

 

Item 4. Mine Safety Disclosures

 

Not Applicable.

 

Item 5. Other Information

 

Not Applicable.

 

21

 

 

Item 6. Exhibits

 

EXHIBIT INDEX

 

Exhibit No.   Description
31.1*   Certification of Chief Executive Officer pursuant to Section 302 of the Sarbanes-Oxley Act of 2002
31.2*   Certification of Chief Financial Officer pursuant to Section 302 of the Sarbanes-Oxley Act of 2002
32.1*   Certification of Chief Executive Officer pursuant to Section 906 of the Sarbanes-Oxley Act of 2002
32.2*   Certification of Chief Financial Officer pursuant to Section 906 of the Sarbanes-Oxley Act of 2002
101 INS*   Inline XBRL Instance Document
101 SCH*   Inline XBRL Taxonomy Extension Schema Document
101 CAL*   Inline XBRL Taxonomy Calculation Linkbase Document
101 DEF*   Inline XBRL Taxonomy Extension Definition Linkbase Document
101 LAB*   Inline XBRL Taxonomy Labels Linkbase Document
101 PRE*   Inline XBRL Taxonomy Presentation Linkbase Document
104*   Cover Page Interactive Data File (embedded within the Inline XBRL document)

 

* Filed herewith.

 

22

 

 

SIGNATURES

 

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized.

 

  NANOVIBRONIX, INC.
                           
Date: August 11, 2023 By: /s/ Brian Murphy
  Name: Brian Murphy, Ph.D.
  Title: Chief Executive Officer
     
Date: August 11, 2023 By: /s/ Stephen Brown
  Name: Stephen Brown
  Title: Chief Financial Officer

 

23

 

Exhibit 31.1

 

CERTIFICATIONS UNDER SECTION 302

 

I, Brian Murphy, certify that:

 

1. I have reviewed this Quarterly Report on Form 10-Q of NanoVibronix, Inc. (the “registrant”);
   
2. Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;
   
3. Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;
   
4. The registrant’s other certifying officer and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have:

 

  a) designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;
     
  b) designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;
     
  c) evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and
     
  d) disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and

 

5. The registrant’s other certifying officer and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the equivalent functions):

 

  a) all significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and
     
  b) any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting.

 

Date: August 11, 2023  
   
/s/ Brian Murphy  
Brian Murphy  

Chief Executive Officer

(Principal Executive Officer)

 

 

 

 

Exhibit 31.2

 

CERTIFICATIONS UNDER SECTION 302

 

I, Stephen Brown, certify that:

 

1. I have reviewed this Quarterly Report on Form 10-Q of NanoVibronix, Inc. (the “registrant”);
   
2. Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;
   
3. Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;
   
4. The registrant’s other certifying officer and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have:

 

  a) designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;
     
  b) designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;
     
  c) evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and
     
  d) disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and

 

5. The registrant’s other certifying officer and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the equivalent functions):

 

  a) all significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and
     
  b) any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting.

 

Date: August 11, 2023  
   
/s/ Stephen Brown  
Stephen Brown  
Chief Financial Officer  
(Principal Financial and Accounting Officer)  

 

 

 

Exhibit 32.1

 

CERTIFICATION FURNISHED PURSUANT TO 18 U.S.C. SECTION 1350,

AS ADOPTED PURSUANT TO SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002

 

This certification is furnished solely pursuant to Section 906 of the Sarbanes-Oxley Act of 2002 (18 U.S.C. 1350) and accompanies the Quarterly Report on Form 10-Q (the “Form 10-Q”) for the quarter ended June 30, 2023, of NanoVibronix, Inc. (the “Company”). I, Brian Murphy, the Chief Executive Officer of the Company, certify that, based on my knowledge:

 

(1) The Form 10-Q fully complies with the requirements of Section 13(a) or Section 15(d) of the Securities Exchange Act of 1934; and

 

(2) The information contained in the Form 10-Q fairly presents, in all material respects, the financial condition and results of operations of the Company as of and for the periods covered in this report.

 

Date: August 11, 2023 By: /s/ Brian Murphy
    Brian Murphy
    Chief Executive Officer
    (Principal Executive Officer)

 

 

 

Exhibit 32.2

 

CERTIFICATION FURNISHED PURSUANT TO 18 U.S.C. SECTION 1350,

AS ADOPTED PURSUANT TO SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002

 

This certification is furnished solely pursuant to Section 906 of the Sarbanes-Oxley Act of 2002 (18 U.S.C. 1350) and accompanies the Quarterly Report on Form 10-Q (the “Form 10-Q”) for the quarter ended June 30, 2023, of NanoVibronix, Inc. (the “Company”). I, Stephen Brown, the Chief Financial Officer of the Company, certify that, based on my knowledge:

 

(1) The Form 10-Q fully complies with the requirements of Section 13(a) or Section 15(d) of the Securities Exchange Act of 1934; and

 

(2) The information contained in the Form 10-Q fairly presents, in all material respects, the financial condition and results of operations of the Company as of and for the periods covered in this report.

 

Date: August 11, 2023 By: /s/ Stephen Brown
    Stephen Brown
    Chief Financial Officer
    (Principal Financial and Accounting Officer)

 

 
v3.23.2
Cover - shares
6 Months Ended
Jun. 30, 2023
Aug. 11, 2023
Cover [Abstract]    
Document Type 10-Q  
Amendment Flag false  
Document Quarterly Report true  
Document Transition Report false  
Document Period End Date Jun. 30, 2023  
Document Fiscal Period Focus Q2  
Document Fiscal Year Focus 2023  
Current Fiscal Year End Date --12-31  
Entity File Number 001-36445  
Entity Registrant Name NanoVibronix, Inc  
Entity Central Index Key 0001326706  
Entity Tax Identification Number 01-0801232  
Entity Incorporation, State or Country Code DE  
Entity address, address line one 525 Executive Blvd  
Entity ddress, city or town Elmsford  
Entity address, state or province NY  
Entity Address, Postal Zip Code 10523  
City Area Code (914)  
Local Phone Number 233-3004  
Title of 12(b) Security Common stock, par value $0.001 per share  
Trading Symbol NAOV  
Security Exchange Name NASDAQ  
Entity Current Reporting Status Yes  
Entity Interactive Data Current Yes  
Entity Filer Category Non-accelerated Filer  
Entity Small Business true  
Entity Emerging Growth Company false  
Entity Shell Company false  
Entity Common Stock, Shares Outstanding   1,662,330
v3.23.2
Condensed Consolidated Balance Sheets - USD ($)
$ in Thousands
Jun. 30, 2023
Dec. 31, 2022
Current assets:    
Cash $ 253 $ 2,713
Trade receivables, net 71 9
Prepaid expenses and other accounts receivable 176 712
Inventory, net 3,114 2,175
Total current assets 3,614 5,609
Noncurrent assets:    
Fixed assets, net 7 7
Other assets 3 3
Severance pay fund 170 179
Operating lease right-of-use assets, net 37 81
Total non-current assets 217 270
Total assets 3,831 5,879
Current liabilities:    
Trade payables 33 66
Other accounts payable and accrued expenses 2,300 2,148
Deferred revenue 21
Operating lease liabilities 37 81
Total current liabilities 2,370 2,316
Non-current liabilities:    
Accrued severance pay 212 223
Deferred licensing income 84 107
Total liabilities 2,666 2,646
Commitments and contingencies
Stockholders’ equity:    
Common stock of $0.001 par value - Authorized: 40,000,000 shares at both June 30, 2023 and December 31, 2022, respectively; Issued and outstanding: 1,662,330 and 1,641,146 shares at June 30, 2023 and December 31, 2022, respectively 2 2
Additional paid in capital 65,774 65,634
Accumulated other comprehensive income (55) (18)
Accumulated deficit (64,556) (62,385)
Total stockholders’ equity 1,165 3,233
Total liabilities and stockholders’ equity 3,831 5,879
Series C Preferred Stock [Member]    
Stockholders’ equity:    
Series F Preferred stock of $0.01 par value - Authorized: 40,000 and 0 shares at both June 30, 2023 and December 31, 2022; Issued and outstanding: 0 shares at both June 30, 2023 and December 31, 2022
Series D Preferred Stock [Member]    
Stockholders’ equity:    
Series F Preferred stock of $0.01 par value - Authorized: 40,000 and 0 shares at both June 30, 2023 and December 31, 2022; Issued and outstanding: 0 shares at both June 30, 2023 and December 31, 2022
Series E Preferred Stock [Member]    
Stockholders’ equity:    
Series F Preferred stock of $0.01 par value - Authorized: 40,000 and 0 shares at both June 30, 2023 and December 31, 2022; Issued and outstanding: 0 shares at both June 30, 2023 and December 31, 2022
Series F Preferred Stock [Member]    
Stockholders’ equity:    
Series F Preferred stock of $0.01 par value - Authorized: 40,000 and 0 shares at both June 30, 2023 and December 31, 2022; Issued and outstanding: 0 shares at both June 30, 2023 and December 31, 2022
v3.23.2
Condensed Consolidated Balance Sheets (Parenthetical) - $ / shares
Jun. 30, 2023
Dec. 31, 2022
Common stock, par value $ 0.001 $ 0.001
Common stock, shares authorized 40,000,000 40,000,000
Common stock, shares issued 1,662,330 1,641,146
Common stock, shares outstanding 1,662,330 1,641,146
Series C Preferred Stock [Member]    
Preferred stock, par value $ 0.001 $ 0.001
Preferred stock, shares authorized 3,000,000 3,000,000
Preferred stock, shares issued 0 0
Preferred stock, shares outstanding 0 0
Series D Preferred Stock [Member]    
Preferred stock, par value $ 0.001 $ 0.001
Preferred stock, shares authorized 506 506
Preferred stock, shares issued 0 0
Preferred stock, shares outstanding 0 0
Series E Preferred Stock [Member]    
Preferred stock, par value $ 0.001 $ 0.001
Preferred stock, shares authorized 1,999,494 1,999,494
Preferred stock, shares issued 0 0
Preferred stock, shares outstanding 0 0
Series F Preferred Stock [Member]    
Preferred stock, par value $ 0.01 $ 0.01
Preferred stock, shares authorized 40,000 0
Preferred stock, shares issued 0 0
Preferred stock, shares outstanding 0 0
v3.23.2
Condensed Consolidated Statements of Operations and Comprehensive Loss (Unaudited) - USD ($)
3 Months Ended 6 Months Ended
Jun. 30, 2023
Jun. 30, 2022
Jun. 30, 2023
Jun. 30, 2022
Income Statement [Abstract]        
Revenues $ 294,000 $ 485,000 $ 648,000 $ 757,000
Cost of revenues 78,000 204,000 197,000 370,000
Gross profit 216,000 281,000 451,000 387,000
Operating expenses:        
Research and development 35,000 61,000 90,000 127,000
Selling and marketing 227,000 333,000 441,000 543,000
General and administrative 963,000 1,155,000 1,984,000 2,097,000
Total operating expenses 1,225,000 1,549,000 2,515,000 2,767,000
Loss from operations (1,009,000) (1,268,000) (2,064,000) (2,380,000)
Interest expense (33,000) (67,000)
Financial expense, net (19,000) (18,000) (25,000) (31,000)
Loss before taxes on income (1,061,000) (1,286,000) (2,156,000) (2,411,000)
Income tax expense (13,000) (16,000) (15,000) (23,000)
Net loss $ (1,074,000) $ (1,302,000) $ (2,171,000) $ (2,434,000)
Basic net loss available for holders of common stock $ (0.65) $ (0.93) $ (1.31) $ (1.74)
Diluted net loss available for holders of common stock $ (0.65) $ (0.93) $ (1.31) $ (1.74)
Weighted average common shares outstanding, basic 1,662,330 1,399,890 1,662,330 1,399,890
Weighted average common shares outstanding, diluted 1,662,330 1,399,890 1,662,330 1,399,890
Comprehensive loss:        
Net loss available to common stockholders $ (1,074,000) $ (1,302,000) $ (2,171,000) $ (2,434,000)
Change in foreign currency translation adjustments (30,000) (46,000) (37,000) (51,000)
Comprehensive loss available to common stockholders $ (1,104,000) $ (1,348,000) $ (2,208,000) $ (2,485,000)
v3.23.2
Condensed Consolidated Statement of Stockholders' Equity (Unaudited) - USD ($)
$ in Thousands
Preferred Stock [Member]
Series C Preferred Stock [Member]
Preferred Stock [Member]
Series D Preferred Stock [Member]
Preferred Stock [Member]
Series E Preferred Stock [Member]
Preferred Stock [Member]
Series F Preferred Stock [Member]
Common Stock [Member]
Additional Paid-in Capital [Member]
AOCI Attributable to Parent [Member]
Retained Earnings [Member]
Total
Beginning balance, value at Dec. 31, 2021 $ 1 $ 63,162 $ 60 $ (56,937) $ 6,313
Beginning balance, shares at Dec. 31, 2021 1,399,890        
Ending balance, value at Mar. 31, 2022 $ 1 63,248 54 (58,069) 5,261
Ending balance, shares at Mar. 31, 2022 1,399,890        
Beginning balance, value at Dec. 31, 2021 $ 1 63,162 60 (56,937) 6,313
Beginning balance, shares at Dec. 31, 2021 1,399,890        
Stock-based compensation 169 169
Exercise of warrants 137 137
Currency translation adjustment (51) (51)
Net loss (2,434) (2,434)
Ending balance, value at Jun. 30, 2022 $ 1 63,468 9 (59,371) 4,134
Ending balance, shares at Jun. 30, 2022 1,399,890        
Beginning balance, value at Mar. 31, 2022 $ 1 63,248 54 (58,069) 5,261
Beginning balance, shares at Mar. 31, 2022 1,399,890        
Stock-based compensation 83 83
Exercise of warrants 137 137
Currency translation adjustment (45) (45)
Net loss (1,302) (1,302)
Ending balance, value at Jun. 30, 2022 $ 1 63,468 9 (59,371) 4,134
Ending balance, shares at Jun. 30, 2022 1,399,890        
Beginning balance, value at Dec. 31, 2022 $ 2 65,634 (18) (62,385) 3,233
Beginning balance, shares at Dec. 31, 2022 1,641,146        
Ending balance, value at Mar. 31, 2023 $ 2 65,708 (25) (63,482) 2,203
Ending balance, shares at Mar. 31, 2023 1,662,330        
Beginning balance, value at Dec. 31, 2022 $ 2 65,634 (18) (62,385) 3,233
Beginning balance, shares at Dec. 31, 2022 1,641,146        
Stock-based compensation 133 133
Currency translation adjustment (37) (37)
Net loss (2,171) (2,171)
Exercise of options 7 7
Exercise of options, shares         5,458        
Rounding up of fractional shares due to stock split
Rounding up of fractional shares due to stock split, shares         15,726        
Ending balance, value at Jun. 30, 2023 $ 2 65,774 (55) (64,556) 1,165
Ending balance, shares at Jun. 30, 2023 1,662,330        
Beginning balance, value at Mar. 31, 2023 $ 2 65,708 (25) (63,482) 2,203
Beginning balance, shares at Mar. 31, 2023 1,662,330        
Stock-based compensation 66 66
Currency translation adjustment (30) (30)
Net loss (1,074) (1,074)
Ending balance, value at Jun. 30, 2023 $ 2 $ 65,774 $ (55) $ (64,556) $ 1,165
Ending balance, shares at Jun. 30, 2023 1,662,330        
v3.23.2
Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($)
6 Months Ended
Jun. 30, 2023
Jun. 30, 2022
Cash flows from operating activities:    
Net loss $ (2,171,000) $ (2,434,000)
Adjustments to reconcile net loss to net cash used in operating activities:    
Depreciation and amortization 1,000
Stock-based compensation 133,000 306,000
Noncash interest expense 67,000
Change in fair value of equity investment 10,000
Changes in operating assets and liabilities:    
Trade receivable (62,000) (62,000)
Prepaid expenses and other accounts receivable 536,000 (945,000)
Inventory (939,000) (753,000)
Trade payables (33,000) 86,000
Other accounts payable and accrued expenses 85,000 80,000
Deferred revenue (44,000) (23,000)
Accrued severance pay, net (2,000) (5,000)
Net cash used in operating activities (2,429,000) (3,740,000)
Cash flows from investing activities:    
Purchases of equipment (1,000) (2,000)
Net cash used in investing activities (1,000) (2,000)
Cash flows from financing activities:    
Proceeds from exercise of options 7,000
Net cash provided by financing activities 7,000
Effects of currency translation on cash and cash equivalents (37,000) (51,000)
Net (decrease) in cash (2,460,000) (3,793,000)
Cash at beginning of period 2,713,000 7,737,000
Cash at end of period $ 253,000 $ 3,944,000
v3.23.2
DESCRIPTION OF BUSINESS
6 Months Ended
Jun. 30, 2023
Organization, Consolidation and Presentation of Financial Statements [Abstract]  
DESCRIPTION OF BUSINESS

NOTE 1 – DESCRIPTION OF BUSINESS

 

NanoVibronix, Inc. (the “Company”), a Delaware corporation, commenced operations on October 20, 2003 and is a medical device company focusing on noninvasive biological response-activating devices that target wound healing and pain therapy and can be administered at home, without the assistance of medical professionals.

 

The Company’s principal research and development activities are conducted in Israel through its wholly owned subsidiary, NanoVibronix (Israel 2003) Ltd., a company registered in Israel, which commenced operations in October 2003.

 

v3.23.2
GOING CONCERN, LIQUIDITY AND OTHER UNCERTAINTIES
6 Months Ended
Jun. 30, 2023
Going Concern Liquidity And Other Uncertainties  
GOING CONCERN, LIQUIDITY AND OTHER UNCERTAINTIES

NOTE 2 – GOING CONCERN, LIQUIDITY AND OTHER UNCERTAINTIES

 

The Company’s ability to continue to operate is dependent mainly on its ability to successfully market and sell its products and the receipt of additional financing until profitability is achieved. During the three and six months ended June 30, 2023, the Company has incurred losses as well as negative cash outflows from operating activities and expects to incur losses and negative cash outflows from operating activities through at least fiscal year 2023. Because the Company does not have sufficient resources to fund its operations for the next twelve months from the date of this filing and there could be a significant arbitration payment due (see Note 9), substantial doubt exists as to the Company’s ability to continue as a going concern.

 

The Company will need to raise additional capital to finance its losses and negative cash flows from operations and may continue to be dependent on additional capital raising as long as our products do not reach commercial profitability. If the Company is unable to obtain additional financing, the development of its product candidates and the Company’s commercial strategy may be impacted and there could be a material adverse effect on the Company’s business and financial condition. These financial statements do not include any adjustments that may result from the outcome of this uncertainty.

 

On May 23, 2023, we received a letter from the Listing Qualifications Department of Nasdaq indicating that we no longer comply with the minimum stockholders’ equity requirement under Nasdaq Listing Rule 5550(b)(1) (the “Rule”) for continued listing on Nasdaq because our stockholders’ equity of approximately $2.2 million as reported in our Quarterly Report on Form 10-Q for the period ended March 31, 2023, is below the required minimum of $2.5 million, and as of May 22, 2023, we did not meet the alternative compliance standards relating to the market value of listed securities of $35 million or net income from continuing operations of $500,000 in the most recently completed fiscal year or in two of the last three most recently completed fiscal years.

 

In accordance with Nasdaq Listing Rules, we had 45 calendar days, or until July 7, 2023, to submit a plan to regain compliance. On July 7, 2023 we submitted our plan to regain compliance with the Nasdaq minimum stockholders’ equity standard. If our plan is accepted, Nasdaq may grant us an extension of up to 180 calendar days from the date of the notification letter to evidence compliance. On July 19, 2023, the Staff granted the Company’s request for continued listing pursuant to an extension through November 20, 2023, to evidence compliance with the Rule.

 

v3.23.2
SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES
6 Months Ended
Jun. 30, 2023
Accounting Policies [Abstract]  
SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

NOTE 3 – SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

 

Basis of presentation and principles of consolidation

 

The unaudited consolidated financial statements include the accounts of the Company and its wholly owned subsidiaries. All intercompany accounts and transactions have been eliminated in consolidation. The Company’s condensed consolidated financial statements have been prepared in accordance with accounting principles generally accepted in the United States of America (“U.S. GAAP”) for the interim financial information and with instructions to Form 10-Q and Article 10 of Regulation S-X. In the opinion of management, the accompanying unaudited interim consolidated financial statements reflect all adjustments, which include only normal recurring adjustments, necessary to state fairly the financial position and results of operations of the Company. These condensed consolidated financial statements and notes thereto are unaudited and should be read in conjunction with the Company’s audited financial statements for the year ended December 31, 2022, as found in the Company’s Annual Report on Form 10-K filed with the Securities and Exchange Commission (the “SEC”) on April 17, 2023.

 

The balance sheet for December 31, 2022 was derived from the Company’s audited financial statements for the year ended December 31, 2022. The results of operations for the periods presented are not necessarily indicative of results that could be expected for the entire fiscal year due to seasonality and other factors. Certain information and footnote disclosures normally included in the consolidated financial statements in accordance with U.S. GAAP have been omitted in accordance with the rules and regulations of the SEC for interim reporting.

 

 

Use of estimates

 

The preparation of the consolidated financial statements in conformity with U.S. GAAP requires management to make estimates, judgments and assumptions. The Company believes that the estimates, judgments and assumptions used are reasonable based upon information available at the time they are made. These estimates, judgments and assumptions can affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the dates of the financial statements, and the reported amounts of revenue and expenses during the reporting period. Actual results could differ from those estimates.

 

Foreign currency translation

 

Non-U.S. dollar denominated transactions and balances have been re-measured to U.S. dollars. All gains and losses from re-measurement of monetary balance sheet items denominated in non-U.S. dollar currencies are reflected in the statements of operations as other comprehensive income, as appropriate. The cumulative translation gains for the periods ended June 30, 2023 and 2022 were $37 and $51, respectively.

 

Revenue recognition

 

Revenues from product sales are recognized in accordance with ASC 606 “Revenue Recognition.” Five basic steps must be followed before revenue can be recognized; (1) Identifying the contract(s) with a customer that creates enforceable rights and obligations; (2) Identifying the performance obligations in the contract, such as promising to transfer goods or services to a customer; (3) Determining the transaction price, meaning the amount of consideration in a contract to which an entity expects to be entitled in exchange for transferring promised goods or services to a customer; (4) Allocating the transaction price to the performance obligations in the contract, which requires the company to allocate the transaction price to each performance obligation on the basis of the relative standalone selling prices of each distinct good or services promised in the contract; and (5) Recognizing revenue when (or as) the entity satisfies a performance obligation by transferring a promised good or service to a customer. The amount of revenue recognized is the amount allocated to the satisfied performance obligation.

 

Revenue from product sales is recorded at the net sales price, or “transaction price,” which includes estimates of variable consideration that result from coupons, discounts and distributor fees, processing fees, as well as allowances for returns and government rebates. The Company constrains revenue by considering factors that could otherwise lead to a probable reversal of revenue. Collectability of revenue is reasonably assured based on historical evidence of collectability between the Company and its customers.

 

Revenues from sales to distributors are recognized at the time the products are delivered to the distributors (“sell-in”). The Company does not grant rights of return, credits, rebates, price protection, or other privileges on its products to distributors.

 

Recently adopted accounting standards

 

In June 2016, the Financial Accounting Standards Board (“FASB”) issued Accounting Standards Update (“ASU”) No. 2016-13, Financial Instruments—Credit Losses (Topic 326): Measurement of Credit Losses on Financial Instruments (“ASU 2016-13”) and also issued subsequent amendments to the initial guidance: ASU 2018-19, ASU 2019-04, and ASU 2019-05 (collectively, “Topic 326”). Topic 326 requires measurement and recognition of expected credit losses for financial assets held. This ASU is effective for interim and annual reporting periods beginning after December 15, 2022, including interim periods within those fiscal years. The Company adopted ASU 2016-13 as of January 1, 2023, and there was no material impact on its condensed consolidated financial statements upon adoption.

 

 

v3.23.2
STOCKHOLDERS’ EQUITY
6 Months Ended
Jun. 30, 2023
Equity [Abstract]  
STOCKHOLDERS’ EQUITY

NOTE 4 – STOCKHOLDERS’ EQUITY

 

Common stock

 

The common stock confers upon the holders the right to receive notice to participate and vote in general meetings of the Company, and the right to receive dividends, if declared, and to participate in the distribution of the surplus assets and funds of the Company in the event of liquidation, dissolution or winding up of the Company.

 

Reverse Stock Split

 

On February 8, 2023, the Company effected a reverse stock split of its common stock at a ratio of 1 post-split share for every 20 pre-split shares. The Company’s common stock begin trading on a split-adjusted basis when the market opened on February 9, 2023 (the “Reverse Stock Split”).

 

At the effective time of the Reverse Stock Split, every 20 shares of the Company’s issued and outstanding common stock were converted automatically into one issued and outstanding share of common stock without any change in the par value per share. Stockholders holding shares through a brokerage account had their shares automatically adjusted to reflect the 1-for-20 Reverse Stock Split. The Reverse Stock Split affected all stockholders uniformly and did not alter any stockholder’s percentage interest in the Company’s equity, except to the extent that the Reverse Stock Split resulted in a stockholder owning a fractional share. Any fractional share of a stockholder resulting from the Reverse Stock Split was rounded up to the nearest whole number of shares. Proportional adjustments were made to the number of shares of the Company’s common stock issuable upon exercise or conversion of the Company’s equity awards, warrants and other convertible securities, as well as the applicable exercise or conversion price thereof. On February 16, 2023, the Company rounded up fractional shares to its nearest whole number of 15,726 shares.

 

All references in this Report to number of shares, price per share and weighted average number of shares of common stock outstanding prior to the Reverse Stock Split have been adjusted to reflect the Reverse Stock Split on a retroactive basis, unless otherwise noted.

 

Stock-based compensation and Options

 

During the three and six-month period ended June 30, 2023, 0 and 5,459 employee options were exercised respectively. During the three and six-month period ended June 30, 2022, no employee options were exercised. During the three and six-month period ended June 30, 2023, no employee options were granted. During the three and six-month period ended June 30, 2022, 0 and 6,000 employee options were granted, respectively.

 

The options granted to employees and board members and were recorded at a fair value and vested over three years. During the three and six-month period ended June 30, 2023, stock-based compensation expense of $66 and $133 was recorded for options that vested, respectively. During the three and six-month period ended June 30, 2022, stock-based compensation expense of $85 and $171 was recorded for options that vested, respectively. During the second quarter of 2023 and 2022, no options expired.

 

  

Shares Under

Options

  

Weighted

Average

Exercise Price

per Share

  

Weighted

Average

Remaining

Life (Years)

 
Outstanding – December 31, 2021   127,000   $31.86    7.77 
Granted   6,000    15.56    9.89 
Exercised   -    -    - 
Outstanding – March 31, 2022   133,000   $26.00    7.63 
Granted   -    -    - 
Exercised   -    -    - 
Outstanding – June 30, 2022   133,000   $26.00    7.63 
                
Outstanding – December 31, 2022   147,619   $24.42    7.24 
Granted   -    -    - 
Exercised   (5,459)   0.07    0.24 
Outstanding – March 31, 2023   142,160   $25.31    7.50 
Granted   -    -    - 
Exercised   -    -    - 
Outstanding – June 30, 2023   142,160   $25.31    7.50 

 

 

The total stock-based expense recognized in the financial statements for services received from employees and non-employees is shown in the following table.

 

                 
   Three Months Ended   Six Months Ended 
   June 30,   June 30, 
   2023   2022   2023   2022 
                 
Research and development   1    1    3    3 
Selling and marketing   6    6    12    12 
General and administrative   59    213    118    291 
                     
Total  $66   $220   $133   $306 

 

As of June 30, 2023, the total unrecognized estimated compensation cost related to non-vested stock options granted prior to that date was $195, which is expected to be recognized over a weighted average period of approximately 1.91 years.

 

Warrants

 

For the six months ended June 30, 2023 and 2022, there were 0 and 12,500 warrants granted, respectively. For the six months ended June 30, 2023 and 2022, no warrants were exercised and/ or cancelled.

 

   Warrants 
Outstanding – December 31, 2021   115,467 
Granted   12,500 
Exercised   - 
Canceled   - 
Outstanding – June 30, 2022   127,967 
      
Outstanding – December 31, 2022   78,252 
Granted   - 
Exercised   - 
Canceled   - 
Outstanding – June 30, 2023   78,252 

 

v3.23.2
LOSS PER SHARE APPLICABLE TO COMMON STOCKHOLDER
6 Months Ended
Jun. 30, 2023
Earnings Per Share [Abstract]  
LOSS PER SHARE APPLICABLE TO COMMON STOCKHOLDER

NOTE 5 – LOSS PER SHARE APPLICABLE TO COMMON STOCKHOLDER

 

Basic net loss per common share is computed by dividing net loss available to common stockholders by the weighted average number of shares of common stock outstanding during the period. All outstanding stock options and warrants for the six months ended June 30, 2023 and 2022 have been excluded from the calculation of the diluted net loss per share because all such securities are anti-dilutive for all periods presented.

 

The following table summarizes the Company’s securities, in common stock equivalents, which have been excluded from the calculation of dilutive loss per share as their effect would be anti-dilutive:

 

   June 30, 2023   June 30, 2022 
Stock Options – employee and non-employee   142,160    133,000 
Warrants   78,252    127,967 
Total   220,412    260,967 

 

The diluted loss per share equals basic loss per share in the six months ended June 30, 2023 and 2022 because the Company had a net loss and the impact of the assumed exercise of stock options and the vesting of restricted stock would have been anti-dilutive.

 

 

v3.23.2
GEOGRAPHIC INFORMATION AND MAJOR CUSTOMER DATA
6 Months Ended
Jun. 30, 2023
Segment Reporting [Abstract]  
GEOGRAPHIC INFORMATION AND MAJOR CUSTOMER DATA

NOTE 6 – GEOGRAPHIC INFORMATION AND MAJOR CUSTOMER DATA

 

The Company manages its business on the basis of one reportable segment and derives revenues from selling its products directly to patients as well as through distributor agreements. The following is a summary of revenues within geographic areas:  

   2023   2022   2023   2022 
   Three Months Ended June 30,   Six Months Ended June 30, 
   2023   2022   2023   2022 
United States  $282   $476   $592   $723 
Europe   -    1    19    12 
Australia/New Zealand   -    5    13    5 
Asia   -    3    1    9 
Other   12    -    23    8 
Total  $294   $485   $648   $757 

 

For both the three and six months ended June 30, 2023, our two largest customers comprised approximately 86% of total revenues in each of the respective periods. Customer one comprised 36% and 86% while customer two comprised 50% and 0%, respectively. During the three and six months ended June 30, 2022, our largest customer comprised approximately 78% and 64% of total revenues, respectively.

 

v3.23.2
LEASES
6 Months Ended
Jun. 30, 2023
Leases [Abstract]  
LEASES

NOTE 7 – LEASES

 

The Company has operating lease agreements with terms up to 2-3 years, including car and office space leases.

 

The Company’s weighted-average remaining lease term relating to its operating leases is 0.56 years, with a weighted-average discount rate of 10%.

 

The Company incurred $36 and $14 of lease expense for its operating leases for the six months ended June 30, 2023 and 2022, respectively.

 

The following table presents information about the amount and timing of liabilities arising from the Company’s operating leases as of June 30, 2023:

 

      
2023  $35 
2024   3 
Total undiscounted operating lease payments   38 
Less: Imputed interest   1 
Present value of operating lease liabilities  $37 

 

v3.23.2
OTHER ASSETS
6 Months Ended
Jun. 30, 2023
Deferred Costs, Capitalized, Prepaid, and Other Assets Disclosure [Abstract]  
OTHER ASSETS

NOTE 8 – OTHER ASSETS

 

On April 9, 2020, pursuant to a licensing agreement entered into in March 2020, the Company received 10-year warrants to purchase 127,000 shares of Sanuwave Health, Inc. at a price of $0.19 per share. The fair value for warrants received was estimated at the date of grant and at each reporting period using a Black-Scholes-Merton pricing model with the following underlying assumptions:

 

    June 30, 2023     June 30, 2022  
Price at valuation   $ 0.02     $ 0.08  
Exercise price   $ 0.19     $ 0.19  
Risk free interest     3.97 %     1.44 %
Expected term (in years)     7       8  
Volatility     155.6 %     137.7 %

 

The Company considers this to be Level 3 inputs and is valued at each reporting period. For the three and six months ended June 30, 2023, changes in the fair value of these warrants amounted to $(2) and $0, respectively, leaving a balance of $3 as of June 30, 2023. For the three and six months ended June 30, 2022, changes in the fair value of these warrants amounted to $8 and $10, respectively, leaving a balance of $9 as of June 30, 2022.

 

 

Financial Instruments Measured at Fair Value on a Recurring Basis

 

The fair value accounting standards define fair value as the amount that would be received to sell an asset or paid to transfer a liability in an orderly transaction between market participants. As such, fair value is determined based upon assumptions that market participants would use in pricing an asset or liability. Fair value measurements are rated on a three-tier hierarchy as follows:

 

Level 1 inputs: Quoted prices (unadjusted) for identical assets or liabilities in active markets;
   
Level 2 inputs: Inputs, other than quoted prices included in Level 1, that are observable either directly or indirectly; and
   
Level 3 inputs: Unobservable inputs for which there is little or no market data, which require the reporting entity to develop its own assumptions.

 

There were no transfers between Level 3 during the three and six months ended June 30, 2023 and 2022.

 

The following table presents changes in Level 3 asset and liability measured at fair value for the quarters ended June 30, 2023 and 2022:

 

   Asset 
Balance – December 31, 2021  $19 
Fair value adjustments – Sanuwave warrants   (2)
Balance – March 31, 2022  $17 
Fair value adjustments – Sanuwave warrants   (8)
Balance – June 30, 2022  $9 
      
Balance – December 31, 2022   3 
Fair value adjustments – Sanuwave warrants   2 
Balance – March 31, 2023  $5 
Fair value adjustments – Sanuwave warrants   (2)
Balance – June 30, 2022  $3 

 

The following table sets forth the Company’s assets and liabilities which are measured at fair value on a recurring basis by level within the fair value hierarchy:

 

   Level I   Level II   Level III   Total 
   Fair Value Measurements as of June 30, 2023 
   Level I   Level II   Level III   Total 
Asset:                    
Other assets  $-   $-   $3   $3 

 

   Level I   Level II   Level III   Total 
   Fair Value Measurements as of December 31, 2022 
   Level I   Level II   Level III   Total 
Asset:                    
Other assets  $-   $-   $3   $3 

 

 

v3.23.2
COMMITMENTS AND CONTINGENCIES
6 Months Ended
Jun. 30, 2023
Commitments and Contingencies Disclosure [Abstract]  
COMMITMENTS AND CONTINGENCIES

NOTE 9 – COMMITMENTS AND CONTINGENCIES

 

Pending litigation

 

On February 26, 2021, Protrade Systems, Inc. (“Protrade”) filed a Request for Arbitration (the “Request”) with the International Court of Arbitration (the “ICA”) of the International Chamber of Commerce alleging the Company is in breach of an Exclusive Distribution Agreement dated March 7, 2019 (the “Exclusive Distribution Agreement”) between Protrade and the Company. Protrade alleges, in part, that the Company has breached the Exclusive Distribution Agreement by discontinuing the manufacture of the DV0057 Painshield MD device in favor of an updated 10-100-001 Painshield MD device. Protrade claims damages estimated at $3 million.

 

On March 15, 2022, the arbitrator issued a final award, which, determined that (i) the Company had the right to terminate the Exclusive Distribution Agreement; (ii) the Company did not breach the duty of good faith and fair dealing with regard to the Exclusive Distribution Agreement; and (iii) the Company did not breach any confidentiality obligations to Protrade. Nevertheless the arbitrator determined that the Company did not comply with the obligation to supply Protrade with a year’s supply of patches, and awarded Protrade $1,500,250, which consists of $1,432,000 for “lost profits” and $68,250 as reimbursement of arbitration costs, on the grounds that the Company allegedly failed to supply Protrade with certain patches utilized by users of DV0057 Painshield MD device. The arbitrator based the decision on the testimony of Protrade’s president who asserted that a user would use in excess of 33 patches per each device. The Company believes that the number of patches per device alleged by Protrade is grossly inflated, and that these claims were not properly raised before the arbitrator. Accordingly, on April 13, 2022, the Company submitted an application for the correction of the award which the arbitrator denied on June 22, 2022.

 

On April 5, 2022, Protrade filed a Petition with the Supreme Court of New York Nassau County seeking to confirm the Award. On April 13, 2022, the Company submitted an application to the ICA seeking to correct an error in the award based on the evidence that the Company only sold 2-3 reusable patches per device contrary to the 33 reusable patches claimed by Protrade. The same arbitrator who issued the award, denied the application.

 

On July 22, 2022, the Company filed a cross-motion seeking to vacate arbitration award on the grounds that the arbitrator exceeded her authority, that the award was procured by fraud, and that the arbitrator failed to follow procedures established by New York law. In particular, the Company averred in its motion that Protrade’s witness made false statements in arbitration, and that the arbitrator resolved a claim that was never raised by Protrade and that has no factual basis.

 

On October 3, 2022, the court issued a decision granting Protrade its petition to confirm the award and denying the cross-motion.

 

On November 9, 2022, the Company filed a motion to re-argue and renew its cross-motion to vacate the arbitration decision based on newer information that was not available during the initial hearing. On the same day, the Company also filed a notice of appeal with the Appellate Division, Second Department. On March 21, 2023, the Court denied the motion to re-argue and renew.

 

On July 10, 2023, we filed its appeal with the Appellate Division, Second Department. The Company intends to continue to vigorously pursue its opposition to the award in all appropriate fora.

 

As of June 30, 2023 and December 31, 2022, the Company accrued the amount of the award to Protrade amounting to approximately $1.9 million, with the $0.4 million of interest accrued as part of “Interest expense” and “Other accounts payable and accrued expenses” on both periods.

 

v3.23.2
RELATED PARTY TRANSACTION
6 Months Ended
Jun. 30, 2023
Related Party Transactions [Abstract]  
RELATED PARTY TRANSACTION

NOTE 10 – RELATED PARTY TRANSACTION

 

The firm of FisherBroyles LLP is handling the Company’s Protrade litigation and appeals. For the three and six months ended June 30, 2023, the Company have been billed and paid legal fees from FisherBroyles amounting to $23 and $89, respectively, and it has been recorded as part of “General and administrative expenses” in the condensed consolidated statements of operations. As has been previously disclosed, one of the Company’s board members, Aurora Cassirer, is a partner at FisherBroyles. Ms. Cassirer does not provide any legal services or legal advice to the Company.

v3.23.2
SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (Policies)
6 Months Ended
Jun. 30, 2023
Accounting Policies [Abstract]  
Basis of presentation and principles of consolidation

Basis of presentation and principles of consolidation

 

The unaudited consolidated financial statements include the accounts of the Company and its wholly owned subsidiaries. All intercompany accounts and transactions have been eliminated in consolidation. The Company’s condensed consolidated financial statements have been prepared in accordance with accounting principles generally accepted in the United States of America (“U.S. GAAP”) for the interim financial information and with instructions to Form 10-Q and Article 10 of Regulation S-X. In the opinion of management, the accompanying unaudited interim consolidated financial statements reflect all adjustments, which include only normal recurring adjustments, necessary to state fairly the financial position and results of operations of the Company. These condensed consolidated financial statements and notes thereto are unaudited and should be read in conjunction with the Company’s audited financial statements for the year ended December 31, 2022, as found in the Company’s Annual Report on Form 10-K filed with the Securities and Exchange Commission (the “SEC”) on April 17, 2023.

 

The balance sheet for December 31, 2022 was derived from the Company’s audited financial statements for the year ended December 31, 2022. The results of operations for the periods presented are not necessarily indicative of results that could be expected for the entire fiscal year due to seasonality and other factors. Certain information and footnote disclosures normally included in the consolidated financial statements in accordance with U.S. GAAP have been omitted in accordance with the rules and regulations of the SEC for interim reporting.

 

 

Use of estimates

Use of estimates

 

The preparation of the consolidated financial statements in conformity with U.S. GAAP requires management to make estimates, judgments and assumptions. The Company believes that the estimates, judgments and assumptions used are reasonable based upon information available at the time they are made. These estimates, judgments and assumptions can affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the dates of the financial statements, and the reported amounts of revenue and expenses during the reporting period. Actual results could differ from those estimates.

 

Foreign currency translation

Foreign currency translation

 

Non-U.S. dollar denominated transactions and balances have been re-measured to U.S. dollars. All gains and losses from re-measurement of monetary balance sheet items denominated in non-U.S. dollar currencies are reflected in the statements of operations as other comprehensive income, as appropriate. The cumulative translation gains for the periods ended June 30, 2023 and 2022 were $37 and $51, respectively.

 

Revenue recognition

Revenue recognition

 

Revenues from product sales are recognized in accordance with ASC 606 “Revenue Recognition.” Five basic steps must be followed before revenue can be recognized; (1) Identifying the contract(s) with a customer that creates enforceable rights and obligations; (2) Identifying the performance obligations in the contract, such as promising to transfer goods or services to a customer; (3) Determining the transaction price, meaning the amount of consideration in a contract to which an entity expects to be entitled in exchange for transferring promised goods or services to a customer; (4) Allocating the transaction price to the performance obligations in the contract, which requires the company to allocate the transaction price to each performance obligation on the basis of the relative standalone selling prices of each distinct good or services promised in the contract; and (5) Recognizing revenue when (or as) the entity satisfies a performance obligation by transferring a promised good or service to a customer. The amount of revenue recognized is the amount allocated to the satisfied performance obligation.

 

Revenue from product sales is recorded at the net sales price, or “transaction price,” which includes estimates of variable consideration that result from coupons, discounts and distributor fees, processing fees, as well as allowances for returns and government rebates. The Company constrains revenue by considering factors that could otherwise lead to a probable reversal of revenue. Collectability of revenue is reasonably assured based on historical evidence of collectability between the Company and its customers.

 

Revenues from sales to distributors are recognized at the time the products are delivered to the distributors (“sell-in”). The Company does not grant rights of return, credits, rebates, price protection, or other privileges on its products to distributors.

 

Recently adopted accounting standards

Recently adopted accounting standards

 

In June 2016, the Financial Accounting Standards Board (“FASB”) issued Accounting Standards Update (“ASU”) No. 2016-13, Financial Instruments—Credit Losses (Topic 326): Measurement of Credit Losses on Financial Instruments (“ASU 2016-13”) and also issued subsequent amendments to the initial guidance: ASU 2018-19, ASU 2019-04, and ASU 2019-05 (collectively, “Topic 326”). Topic 326 requires measurement and recognition of expected credit losses for financial assets held. This ASU is effective for interim and annual reporting periods beginning after December 15, 2022, including interim periods within those fiscal years. The Company adopted ASU 2016-13 as of January 1, 2023, and there was no material impact on its condensed consolidated financial statements upon adoption.

v3.23.2
STOCKHOLDERS’ EQUITY (Tables)
6 Months Ended
Jun. 30, 2023
Equity [Abstract]  
SCHEDULE OF OPTIONS ACTIVITY

 

  

Shares Under

Options

  

Weighted

Average

Exercise Price

per Share

  

Weighted

Average

Remaining

Life (Years)

 
Outstanding – December 31, 2021   127,000   $31.86    7.77 
Granted   6,000    15.56    9.89 
Exercised   -    -    - 
Outstanding – March 31, 2022   133,000   $26.00    7.63 
Granted   -    -    - 
Exercised   -    -    - 
Outstanding – June 30, 2022   133,000   $26.00    7.63 
                
Outstanding – December 31, 2022   147,619   $24.42    7.24 
Granted   -    -    - 
Exercised   (5,459)   0.07    0.24 
Outstanding – March 31, 2023   142,160   $25.31    7.50 
Granted   -    -    - 
Exercised   -    -    - 
Outstanding – June 30, 2023   142,160   $25.31    7.50 
SCHEDULE OF STOCK BASED EXPENSES RECOGNIZED SERVICES FROM EMPLOYEES AND NON-EMPLOYEES

The total stock-based expense recognized in the financial statements for services received from employees and non-employees is shown in the following table.

 

                 
   Three Months Ended   Six Months Ended 
   June 30,   June 30, 
   2023   2022   2023   2022 
                 
Research and development   1    1    3    3 
Selling and marketing   6    6    12    12 
General and administrative   59    213    118    291 
                     
Total  $66   $220   $133   $306 
SCHEDULE OF WARRANTS ACTIVITY

For the six months ended June 30, 2023 and 2022, there were 0 and 12,500 warrants granted, respectively. For the six months ended June 30, 2023 and 2022, no warrants were exercised and/ or cancelled.

 

   Warrants 
Outstanding – December 31, 2021   115,467 
Granted   12,500 
Exercised   - 
Canceled   - 
Outstanding – June 30, 2022   127,967 
      
Outstanding – December 31, 2022   78,252 
Granted   - 
Exercised   - 
Canceled   - 
Outstanding – June 30, 2023   78,252 
v3.23.2
LOSS PER SHARE APPLICABLE TO COMMON STOCKHOLDER (Tables)
6 Months Ended
Jun. 30, 2023
Earnings Per Share [Abstract]  
SUMMARY OF COMMON SHARE EQUIVALENTS BEEN EXCLUDED FROM DILUTIVE LOSS PER SHARE AS ANTI-DILUTIVE

The following table summarizes the Company’s securities, in common stock equivalents, which have been excluded from the calculation of dilutive loss per share as their effect would be anti-dilutive:

 

   June 30, 2023   June 30, 2022 
Stock Options – employee and non-employee   142,160    133,000 
Warrants   78,252    127,967 
Total   220,412    260,967 
v3.23.2
GEOGRAPHIC INFORMATION AND MAJOR CUSTOMER DATA (Tables)
6 Months Ended
Jun. 30, 2023
Segment Reporting [Abstract]  
SUMMARY OF REVENUE WITHIN GEOGRAPHIC AREAS

The Company manages its business on the basis of one reportable segment and derives revenues from selling its products directly to patients as well as through distributor agreements. The following is a summary of revenues within geographic areas:  

   2023   2022   2023   2022 
   Three Months Ended June 30,   Six Months Ended June 30, 
   2023   2022   2023   2022 
United States  $282   $476   $592   $723 
Europe   -    1    19    12 
Australia/New Zealand   -    5    13    5 
Asia   -    3    1    9 
Other   12    -    23    8 
Total  $294   $485   $648   $757 
v3.23.2
LEASES (Tables)
6 Months Ended
Jun. 30, 2023
Leases [Abstract]  
SCHEDULE OF LIABILITIES ARISING FROM OPERATING LEASES

The following table presents information about the amount and timing of liabilities arising from the Company’s operating leases as of June 30, 2023:

 

      
2023  $35 
2024   3 
Total undiscounted operating lease payments   38 
Less: Imputed interest   1 
Present value of operating lease liabilities  $37 
v3.23.2
OTHER ASSETS (Tables)
6 Months Ended
Jun. 30, 2023
Deferred Costs, Capitalized, Prepaid, and Other Assets Disclosure [Abstract]  
SCHEDULE OF WARRANTS ASSUMPTIONS

 

    June 30, 2023     June 30, 2022  
Price at valuation   $ 0.02     $ 0.08  
Exercise price   $ 0.19     $ 0.19  
Risk free interest     3.97 %     1.44 %
Expected term (in years)     7       8  
Volatility     155.6 %     137.7 %
SCHEDULE OF CHANGES IN LEVEL 3 AND LIABILITY MEASURED AT FAIR VALUE

The following table presents changes in Level 3 asset and liability measured at fair value for the quarters ended June 30, 2023 and 2022:

 

   Asset 
Balance – December 31, 2021  $19 
Fair value adjustments – Sanuwave warrants   (2)
Balance – March 31, 2022  $17 
Fair value adjustments – Sanuwave warrants   (8)
Balance – June 30, 2022  $9 
      
Balance – December 31, 2022   3 
Fair value adjustments – Sanuwave warrants   2 
Balance – March 31, 2023  $5 
Fair value adjustments – Sanuwave warrants   (2)
Balance – June 30, 2022  $3 
SCHEDULE OF ASSETS AND LIABILITY MEASURED AT FAIR VALUE

The following table sets forth the Company’s assets and liabilities which are measured at fair value on a recurring basis by level within the fair value hierarchy:

 

   Level I   Level II   Level III   Total 
   Fair Value Measurements as of June 30, 2023 
   Level I   Level II   Level III   Total 
Asset:                    
Other assets  $-   $-   $3   $3 

 

   Level I   Level II   Level III   Total 
   Fair Value Measurements as of December 31, 2022 
   Level I   Level II   Level III   Total 
Asset:                    
Other assets  $-   $-   $3   $3 
v3.23.2
GOING CONCERN, LIQUIDITY AND OTHER UNCERTAINTIES (Details Narrative) - USD ($)
3 Months Ended 6 Months Ended
May 22, 2023
Jun. 30, 2023
Jun. 30, 2022
Jun. 30, 2023
Jun. 30, 2022
Mar. 31, 2023
Dec. 31, 2022
Mar. 31, 2022
Dec. 31, 2021
Stockholder's equity   $ 1,165,000 $ 4,134,000 $ 1,165,000 $ 4,134,000 $ 2,203,000 $ 3,233,000 $ 5,261,000 $ 6,313,000
Value of listed securities $ 35,000,000                
Net income from continuing operations $ 500,000 $ (1,074,000) $ (1,302,000) $ (2,171,000) $ (2,434,000)        
Minimum [Member]                  
Stockholder's equity           $ 2,500,000      
v3.23.2
SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (Details Narrative) - USD ($)
$ in Thousands
6 Months Ended
Jun. 30, 2023
Jun. 30, 2022
Accounting Policies [Abstract]    
Gains and losses from foreign currency translation $ 37 $ 51
v3.23.2
SCHEDULE OF OPTIONS ACTIVITY (Details) - Employee Options [Member] - $ / shares
3 Months Ended 6 Months Ended
Jun. 30, 2023
Mar. 31, 2023
Jun. 30, 2022
Mar. 31, 2022
Jun. 30, 2023
Jun. 30, 2022
Accumulated Other Comprehensive Income (Loss) [Line Items]            
Options, Outstanding - Beginning balance 142,160 147,619 133,000 127,000 147,619 127,000
Weighted Average Exercise Price per Share, Outstanding - beginning balance $ 25.31 $ 24.42 $ 26.00 $ 31.86 $ 24.42 $ 31.86
Weighted Average Remaining Life (Years), Outstanding - beginning balance 7 years 6 months 7 years 2 months 26 days 7 years 7 months 17 days 7 years 9 months 7 days    
Options, Granted 0 (0) 6,000 0 6,000
Weighted Average Exercise Price per Share, Granted $ (0) $ (0) $ 15.56    
Weighted Average Remaining Life (Years), Granted       9 years 10 months 20 days    
Options, Exercised 5,459 0 (0) 5,459 0
Weighted Average Exercise Price per Share, Exercised $ 0.07 $ (0) $ (0)    
Options, Outstanding - Ending balance 142,160 142,160 133,000 133,000 142,160 133,000
Weighted Average Exercise Price per Share, Outstanding - ending balance $ 25.31 $ 25.31 $ 26.00 $ 26.00 $ 25.31 $ 26.00
Weighted Average Remaining Life (Years), Outstanding - ending balance 7 years 6 months   7 years 7 months 17 days      
Options, Exercised (5,459) 0 0 (5,459) 0
Weighted Average Remaining Life (Years), Exercised   2 months 26 days        
v3.23.2
SCHEDULE OF STOCK BASED EXPENSES RECOGNIZED SERVICES FROM EMPLOYEES AND NON-EMPLOYEES (Details) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2023
Jun. 30, 2022
Jun. 30, 2023
Jun. 30, 2022
Total $ 66 $ 220 $ 133 $ 306
Research and Development Expense [Member]        
Total 1 1 3 3
Selling and Marketing Expense [Member]        
Total 6 6 12 12
General and Administrative Expense [Member]        
Total $ 59 $ 213 $ 118 $ 291
v3.23.2
SCHEDULE OF WARRANTS ACTIVITY (Details) - Warrant [Member] - shares
6 Months Ended
Jun. 30, 2023
Jun. 30, 2022
Accumulated Other Comprehensive Income (Loss) [Line Items]    
Warrants, Granted 0 12,500
Warrants, Exercised 0 0
Private Investors [Member]    
Accumulated Other Comprehensive Income (Loss) [Line Items]    
Warrants, Outstanding - Beginning balance 78,252 115,467
Warrants, Granted 12,500
Warrants, Exercised
Warrants, Canceled
Warrants, Outstanding - Ending balance 78,252 127,967
v3.23.2
STOCKHOLDERS’ EQUITY (Details Narrative) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Feb. 16, 2023
Feb. 08, 2023
Jun. 30, 2023
Mar. 31, 2023
Jun. 30, 2022
Mar. 31, 2022
Jun. 30, 2023
Jun. 30, 2022
Accumulated Other Comprehensive Income (Loss) [Line Items]                
Reverse stock split   1-for-20 Reverse Stock Split            
Fractional shares 15,726              
Stock-based compensation expense     $ 66   $ 220   $ 133 $ 306
Non-vested stock options granted, unrecognized estimated compensation cost     $ 195       $ 195  
Non-vested stock options granted, weighted average period             1 year 10 months 28 days  
Employee Options [Member]                
Accumulated Other Comprehensive Income (Loss) [Line Items]                
Number of options, exercised     5,459 0 (0) 5,459 0
Number of options, granted     0 (0) 6,000 0 6,000
Stock-based compensation expense     $ 66   $ 85   $ 133 $ 171
Warrant [Member]                
Accumulated Other Comprehensive Income (Loss) [Line Items]                
Warrants, granted             0 12,500
Warrants, exercised             0 0
v3.23.2
SUMMARY OF COMMON SHARE EQUIVALENTS BEEN EXCLUDED FROM DILUTIVE LOSS PER SHARE AS ANTI-DILUTIVE (Details) - shares
6 Months Ended
Jun. 30, 2023
Jun. 30, 2022
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]    
Total 220,412 260,967
Stock Options Employee And Non Employee [Member]    
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]    
Total 142,160 133,000
Warrant [Member]    
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]    
Total 78,252 127,967
v3.23.2
SUMMARY OF REVENUE WITHIN GEOGRAPHIC AREAS (Details) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2023
Jun. 30, 2022
Jun. 30, 2023
Jun. 30, 2022
Revenues from External Customers and Long-Lived Assets [Line Items]        
Total $ 294 $ 485 $ 648 $ 757
UNITED STATES        
Revenues from External Customers and Long-Lived Assets [Line Items]        
Total 282 476 592 723
Europe [Member]        
Revenues from External Customers and Long-Lived Assets [Line Items]        
Total 1 19 12
AUSTRALIA        
Revenues from External Customers and Long-Lived Assets [Line Items]        
Total 5 13 5
Asia [Member]        
Revenues from External Customers and Long-Lived Assets [Line Items]        
Total 3 1 9
Other Country [Member]        
Revenues from External Customers and Long-Lived Assets [Line Items]        
Total $ 12 $ 23 $ 8
v3.23.2
GEOGRAPHIC INFORMATION AND MAJOR CUSTOMER DATA (Details Narrative)
3 Months Ended 6 Months Ended
Jun. 30, 2023
Jun. 30, 2022
Jun. 30, 2023
Jun. 30, 2022
Revenue Benchmark [Member] | Customer Concentration Risk [Member] | Two Customers [Member]        
Revenue, Major Customer [Line Items]        
Concentration risk, percentage 86.00% 78.00% 86.00% 64.00%
v3.23.2
SCHEDULE OF LIABILITIES ARISING FROM OPERATING LEASES (Details)
$ in Thousands
Jun. 30, 2023
USD ($)
Leases [Abstract]  
2023 $ 35
2024 3
Total undiscounted operating lease payments 38
Less: Imputed interest 1
Present value of operating lease liabilities $ 37
v3.23.2
LEASES (Details Narrative) - USD ($)
$ in Thousands
6 Months Ended
Jun. 30, 2023
Jun. 30, 2022
Weighted-average remaining lease term 6 months 21 days  
Weighted-average discount rate 10.00%  
Operating lease, expense $ 36 $ 14
Minimum [Member]    
Lease term 2 years  
Maximum [Member]    
Lease term 3 years  
v3.23.2
SCHEDULE OF WARRANTS ASSUMPTIONS (Details) - Sanuwave Health, Inc. [Member]
Jun. 30, 2023
$ / shares
Jun. 30, 2022
$ / shares
Fair Value Measurement Inputs and Valuation Techniques [Line Items]    
Expected term (in years) 7 years 8 years
Price at Valuation [Member]    
Fair Value Measurement Inputs and Valuation Techniques [Line Items]    
Warrants and rights outstanding, measurement input 0.02 0.08
Measurement Input, Exercise Price [Member]    
Fair Value Measurement Inputs and Valuation Techniques [Line Items]    
Warrants and rights outstanding, measurement input 0.19 0.19
Measurement Input, Risk Free Interest Rate [Member]    
Fair Value Measurement Inputs and Valuation Techniques [Line Items]    
Warrants and rights outstanding, measurement input 3.97 1.44
Measurement Input, Price Volatility [Member]    
Fair Value Measurement Inputs and Valuation Techniques [Line Items]    
Warrants and rights outstanding, measurement input 155.6 137.7
v3.23.2
SCHEDULE OF CHANGES IN LEVEL 3 AND LIABILITY MEASURED AT FAIR VALUE (Details) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2023
Mar. 31, 2023
Jun. 30, 2022
Mar. 31, 2022
Jun. 30, 2023
Jun. 30, 2022
Offsetting Assets [Line Items]            
Fair value adjustments - Sanuwave warrants $ (2)   $ 8   $ 0 $ 10
Derivative Asset [Member]            
Offsetting Assets [Line Items]            
Balance beginning 5 $ 3 17 $ 19 3 19
Fair value adjustments - Sanuwave warrants (2) 2 (8) (2)    
Balance ending $ 3 $ 5 $ 9 $ 17 $ 3 $ 9
v3.23.2
SCHEDULE OF ASSETS AND LIABILITY MEASURED AT FAIR VALUE (Details) - USD ($)
$ in Thousands
Jun. 30, 2023
Dec. 31, 2022
Platform Operator, Crypto-Asset [Line Items]    
Other assets $ 3 $ 3
Fair Value, Inputs, Level 1 [Member]    
Platform Operator, Crypto-Asset [Line Items]    
Other assets
Fair Value, Inputs, Level 2 [Member]    
Platform Operator, Crypto-Asset [Line Items]    
Other assets
Fair Value, Inputs, Level 3 [Member]    
Platform Operator, Crypto-Asset [Line Items]    
Other assets $ 3 $ 3
v3.23.2
OTHER ASSETS (Details Narrative) - USD ($)
$ / shares in Units, $ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2023
Jun. 30, 2022
Jun. 30, 2023
Jun. 30, 2022
Apr. 09, 2020
Collaborative Arrangement and Arrangement Other than Collaborative [Line Items]          
Fair value of warrants $ (2) $ 8 $ 0 $ 10  
Warrants leaving balance $ 3 $ 9 $ 3 $ 9  
Sanuwave Health, Inc. [Member]          
Collaborative Arrangement and Arrangement Other than Collaborative [Line Items]          
Warrants and rights outstanding term 7 years 8 years 7 years 8 years  
Licensing Agreement [Member] | Sanuwave Health, Inc. [Member]          
Collaborative Arrangement and Arrangement Other than Collaborative [Line Items]          
Warrants and rights outstanding term         10 years
Warrants issued to purchase common stock         127,000
Exercise price of warrants per share         $ 0.19
v3.23.2
COMMITMENTS AND CONTINGENCIES (Details Narrative) - USD ($)
6 Months Ended 12 Months Ended
Mar. 15, 2023
Feb. 26, 2021
Jun. 30, 2023
Dec. 31, 2022
Deferred Compensation Arrangement with Individual, Excluding Share-Based Payments and Postretirement Benefits [Line Items]        
Loss contingency damages sought value $ 1,500,250 $ 3,000,000    
Damages awarded value 1,432,000      
Loss contingency damages paid value $ 68,250      
Arbitrator [Member]        
Deferred Compensation Arrangement with Individual, Excluding Share-Based Payments and Postretirement Benefits [Line Items]        
Damages awarded value     $ 1,900,000 $ 400,000
v3.23.2
RELATED PARTY TRANSACTION (Details Narrative) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2023
Jun. 30, 2023
Related Party Transactions [Abstract]    
Legal fees paid $ 23 $ 89

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