Financial Performance - Net sales for the three months ended September 30, 2024, decreased by 18.6million,or19.178.8 million[109]. - Delivery Systems net sales fell by 23.4million,or45.927.6 million, impacted by unfavorable macroeconomic conditions and a challenging year-over-year comparison due to the prior year's international launch of Syndeo[110]. - Consumables net sales increased by 4.8million,or10.451.2 million, driven by increased placements of Delivery Systems[111]. - Net sales for the nine months ended September 30, 2024 decreased by 50.4million,or16.763.4 million, or 39.1%[124]. - The company reported a net loss of 18.8millionfortheninemonthsendedSeptember30,2024,comparedtoanetlossof90.7 million for the same period in 2023[123]. - The company reported a net loss of 18.8millionfortheninemonthsendedSeptember30,2024,comparedtoanetlossof90.7 million for the same period in 2023[152]. Cost and Expenses - Cost of sales decreased by 71.8millionto38.2 million, primarily due to the absence of charges related to the Syndeo Program in the prior year[112]. - Selling and marketing expenses decreased by 3.1million,or10.127.6 million, representing 35.0% of net sales[113]. - Research and development expenses decreased by 0.7million,or39.71.1 million, accounting for 1.4% of net sales[114]. - General and administrative expenses decreased by 3.5million,or9.633.4 million, representing 42.4% of net sales[117]. - Gross profit for the three months ended September 30, 2024, was 40.6million,comparedtoalossof12.6 million in the same period of 2023, resulting in a gross margin of 51.6%[112]. - Gross profit for the nine months ended September 30, 2024 increased by 20.5million,or18.820.7 million, or 18.4%, compared to the same period in 2023, primarily due to lower personnel-related expenses[127]. - Research and development expenses for the nine months ended September 30, 2024 decreased by 2.0million,or28.18.8 million, or 8.5%, compared to the same period in 2023, primarily due to lower personnel-related expenses and losses on asset sales[129]. Cash Flow and Liquidity - As of September 30, 2024, the company had cash, cash equivalents, and restricted cash of approximately 358.9million,whichsupportsongoingoperationsandpotentialacquisitions[134].−Thecompanyhassufficientliquiditytomeetanticipatedworkingcapitalrequirementsforatleastthenext12months[137].−NetcashusedforoperatingactivitiesfortheninemonthsendedSeptember30,2024was0.3 million, compared to net cash provided of 26.9millionforthesameperiodin2023[153].−NetcashusedforinvestingactivitiesfortheninemonthsendedSeptember30,2024was5.9 million, down from 29.3millionintheprioryear[154].−NetcashusedforfinancingactivitiesfortheninemonthsendedSeptember30,2024was157.6 million, compared to 6.1millionforthesameperiodin2023[155].−DuringtheninemonthsendedSeptember30,2024,thecompanyrepurchased192.3 million principal amount of its Notes for 156.1million[141].StrategicInitiatives−TheSyndeoProgram,whichofferedupgradesandreplacementsforexistingdevices,wascompletedasofSeptember30,2024[105].−Thecompanycontinuestoexplorestrategiestomitigatecostpressures,includingpotentialpriceincreasesandoptimizingsuppliercontracts[106].−Thecompanydiscontinueditstrade−upprogramstartingin2024,whichpreviouslyrecognizedapproximately12 million and 17millioninrevenuefortheninemonthsandyearendedDecember31,2023,respectively[150].−ThecompanyenteredintoanAmendedandRestatedCreditAgreementprovidinga50.0 million revolving credit facility with a maturity date of November 14, 2027[144]. Market Conditions - The company faced macro-economic challenges that negatively impacted revenues in 2024, including potential recession and financial market instability[148]. - Interest income for the three months ended September 30, 2024 decreased by 1.9million,orapproximately27.90.4 million related to the change in the fair value of warrant liabilities for the three months ended September 30, 2024, a decrease of 5.4million,or91.628.1 million compared to the same period in 2023, primarily due to a net gain related to the repurchase of Convertible Senior Notes[133]. - The cap price of the Capped Call Transactions is initially set at $47.94, representing a premium of 100% over the last reported sale price of the company's Class A Common Stock on September 9, 2021[142].