Revenue Dependence and Sales Performance - Sales of OviTex products accounted for 66%, 67%, and 70% of total revenue for the years ended December 31, 2024, 2023, and 2022, respectively[254]. - The company expects that sales of OviTex products will continue to account for the majority of revenue for the foreseeable future[254]. - The company is highly dependent on the commercial success of its OviTex product line, which poses a risk to its financial condition if sales do not increase[254]. - The company’s ability to grow revenue will depend on increasing sales of OviTex products and successfully introducing new products[260]. - The company may experience lower than expected sales if there is a decrease in consumer spending or negative reactions to pricing[249]. - Approximately 15%, 10%, and 8% of the company's revenue for the years ended December 31, 2024, 2023, and 2022, respectively, came from sales in markets outside of the U.S.[273]. Regulatory Compliance and Risks - The company must comply with various regulatory requirements, including FDA clearances, to commercialize its OviTex products[281]. - The company may face enforcement actions from the FDA for non-compliance, which could result in fines, recalls, or delays in product sales[335]. - Compliance with EU MDR is essential for selling products in EEA, with CE mark obtained for OviTex products[348]. - Regulatory compliance failures could lead to significant penalties, including fines, product recalls, and operational restrictions[356]. - Changes in regulatory policies or new legislation could delay or complicate future product approvals and market entry[370]. - The transition period for compliance with the new MDR regulations ends on May 26, 2024, necessitating a quality management system[372]. - Ongoing regulatory scrutiny requires periodic safety and effectiveness reports to the FDA, with non-compliance risking enforcement actions[353]. - Future modifications to products may necessitate new regulatory clearances, impacting the timely introduction of enhanced products[348]. Intellectual Property and Competitive Position - The company owns twenty-three issued or allowed U.S. patents and has twelve pending U.S. patent applications, with rights to a total of twenty-five issued or allowed U.S. patents as of December 31, 2024[299]. - The company may face significant expenses to enforce or defend its intellectual property rights, which could harm its competitive position[298]. - The company may encounter ownership disputes regarding intellectual property developed by employees or contractors, which could interfere with its ability to capture commercial value[306]. - The company may face challenges in protecting its proprietary rights in non-U.S. countries, which could hinder its competitive position[304]. - Recent changes in U.S. patent laws could limit the company's ability to obtain and enforce patents, creating uncertainty regarding the value of existing patents[325]. Market and Competitive Landscape - The medical device industry is highly competitive, with larger competitors having greater market share and resources, which could hinder the company's ability to compete effectively[412]. - The company may struggle to renew contracts with Group Purchasing Organizations (GPOs) and Integrated Delivery Networks (IDNs), affecting sales and operations[418]. - The commercial success of the company's products will depend on market acceptance among surgeons and medical professionals[255]. - The company may face challenges in maintaining market acceptance if competing products are introduced that are more cost-effective[258]. Supply Chain and Manufacturing Risks - The company relies on Aroa as the exclusive manufacturer and supplier of its OviTex and OviTex PRS products, which poses risks if Aroa fails to meet production demands[277]. - The company is dependent on the supply of ovine rumen sourced through Aroa in New Zealand, which may be vulnerable to disruptions[290]. - Any disruption in Aroa's manufacturing activities could materially affect the company's revenue and market acceptance of its products[287]. - Aroa expanded its manufacturing capacity by approximately 15,000 square feet in 2022 to meet anticipated demand[286]. Financial and Operational Risks - The company's financial results may fluctuate significantly due to various factors, making period-to-period comparisons less meaningful[406]. - Changes in political and regulatory environments could have a material adverse effect on the company's financial condition and operations[405]. - The company faces risks related to cybersecurity incidents that could disrupt operations and damage reputation[441]. - The company does not have redundant facilities, which poses risks of operational disruption due to natural or man-made disasters[440]. - Accurate forecasting of customer demand is critical, as mismanagement could lead to inventory issues and reputational damage[430]. Healthcare and Economic Environment - Rising inflation rates may negatively impact revenues and profitability, potentially leading to lower volumes of elective surgeries[249]. - Future healthcare reforms may limit government payments for healthcare products, potentially reducing demand and revenue for the company[400]. - The Affordable Care Act significantly impacts the healthcare industry by broadening access to health insurance and imposing new taxes on pharmaceutical manufacturers[398]. - Changes in healthcare laws, such as the Affordable Care Act, may increase the difficulty and cost of commercializing products[397]. Clinical and Market Research - The BRAVO study fully enrolled 92 patients to support the marketing of OviTex products, but long-term effects of certain products remain unstudied[425]. - Interim or preliminary data from clinical trials may change as more patient data become available, impacting business prospects[427].
TELA Bio(TELA) - 2024 Q4 - Annual Report