
Clinical Development - The company has initiated a first-in-human study for the CellFX nsPFA Percutaneous Electrode System, treating over 20 subjects with no serious side effects reported[82]. - In November 2023, the company filed a premarket notification 510(k) with the FDA for the CellFX nsPFA Percutaneous Electrode System, receiving clearance in March 2024 for soft tissue ablation[83]. - The company expects to commence a pivotal clinical trial in 2025 to support the commercialization of the Percutaneous Electrode System for benign thyroid nodules[84]. - Atrial fibrillation (AF) affects an estimated 43 million people worldwide, and the company believes its nsPFA technology is uniquely suited for safe and effective ablation of cardiac tissue[85]. - The nsPFA Cardiac Surgical System received Breakthrough Device Designation from the FDA in July 2024, expediting its development for AF treatment[89]. - The company has expanded its clinical study for the CellFX nsPFA 360° Cardiac Catheter from 30 to 60 patients due to promising early data[92]. - The company plans to pursue a PMA application for the cardiac ablation clamp, expecting to begin pivotal clinical trials in 2025[88]. - The CellFX Console is designed to accommodate various clinical applications and has been cleared for use in dermatology, now being repurposed for cardiology[93]. - The company continues to explore partnership opportunities to develop additional applications for nsPFA technology across various medical disciplines[94]. Financial Performance - The company reported no revenues for the three-month periods ended June 30, 2024, and 2023[105]. - Research and development expenses increased by 7.2 million for the three-month period ended June 30, 2024, compared to 1.0 million to 3.5 million in the same period in 2023[108]. - For the six-month period ended June 30, 2024, research and development expenses increased by 14.0 million compared to 1.1 million to 7.3 million in the same period in 2023[115]. - Interest income for the six-month period ended June 30, 2024, decreased by 0.8 million compared to 18.2 million in operating activities during the six months ended June 30, 2024, compared to 40,000 for the six months ended June 30, 2024, a significant decrease from 26.2 million and raised approximately 15 million through a common stock rights offering in June 2022, with Robert Duggan purchasing approximately 56% of the shares offered[95]. - In September 2022, the company entered into a loan agreement with Robert Duggan for 60 million, with Mr. Duggan purchasing approximately 88% of the shares offered[95]. - The company expects to finance future cash needs through public or private equity offerings, debt financings, and potential collaborations, but there is no assurance that such funds will be available[121]. - The company incurred significant operating losses since inception and may continue to do so for the next several years[120]. - The company may need to curtail operations or seek unattractive financing terms if adequate funds are not available[121]. - The company entered into a 2022 Loan Agreement with Robert W. Duggan for a principal sum of $65.0 million, with an interest rate of 5.0%[119]. Market and Risk Factors - Research and development of new technologies are unpredictable, and there is no assurance that the company will achieve sustainable revenues[129]. - The company has no off-balance sheet arrangements as of June 30, 2024[127]. - There have been no material changes in market risk, primarily related to fluctuations in interest rates, since the last annual report[131].