10-Q

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

FORM 10-Q

(Mark One)

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

For the quarterly period ended: September 30, 2017

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

For the transition period from _______________ to ______________X

Commission File Number: 000-51030

TearLab Corporation

(Exact name of registrant as

specified in its charter)

Delaware	59 343 4771
(State or other jurisdiction of incorporation or organization)	(I.R.S. Employer Identification No.)

9980 Huennekens Street., Suite 100, San Diego, CA 92121

(Address of principal executive offices)

(858) 455-6006

(Registrant’s telephone number, including area code)

Indicate by check mark whether the registrant (1) 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 [X] No [  ]

Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit and post such files).

Yes [X] No [  ]

Indicate by check mark whether 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 [  ] (Do not check if a smaller reporting company)	Smaller reporting company [X]
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 [X]

Indicate the number of shares outstanding of each of the issuer’s classes of common stock, as of the latest practicable date: 5,742,453 as of November 6, 2017.

PART I.	FINANCIAL INFORMATION
Item 1.	Financial Statements (Unaudited)	4
Item 2.	Management’s Discussion and Analysis of Financial Condition and Results of Operations	22
Item 3.	Quantitative and Qualitative Disclosures about Market Risk	30
Item 4.	Controls and Procedures	31
PART II.	OTHER INFORMATION
Item 1.	Legal Proceedings	31
Item 1A.	Risk Factors	31
Item 2.	Unregistered Sales of Equity Securities and Use of Proceeds	44
Item 3.	Defaults Upon Senior Securities	44
Item 4.	Mine Safety Disclosures	44
Item 5.	Other Information	44
Item 6.	Exhibits	44

2

SPECIAL NOTE REGARDING FORWARD-LOOKING STATEMENTS

This Quarterly Report on Form 10-Q contains forward-looking statements relating to future events and our future performance within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended. In some cases, you can identify forward-looking statements by terms such as “may,” “will,” “should,” “could,” “would,” “expects,” “plans,” “intends,” “anticipates,” “believes,” “estimates,” “projects,” “predicts,” “pursue,” “potential” and similar expressions intended to identify forward-looking statements. These forward-looking statements include, without limitation, statements relating to future events, future results, and future economic conditions in general and statements about:

● Our ability to continue as a going concern;

● The adequacy of our funding and our forecast of the period of time through which our financial resources will be adequate to support our operations;

● Our future strategy, structure, and business prospects, and the ability to identify and execute any strategic alternatives;

● Our ability to obtain additional financing for working capital on acceptable terms and in a timely manner;

● The planned commercialization of our current product;

● Our ability to expand into next generation products;

● Our ability to meet the financial covenants under our credit facilities;

● Use of cash, cash needs and ability to raise capital;

● The size and growth of the potential markets for our product and technology;

● The effect of our strategy to streamline our organization and lower our costs;

● The adequacy of current, and the development of new distributor, reseller, and supplier relationships, and our efforts to expand relationships with distributors and resellers in additional countries;

● Our anticipated expansion of United States and international sales and operations;

● Our ability to obtain and protect our intellectual property and proprietary rights;

● The results of our clinical trials;

● Our ability to maintain reimbursement of our product and support our pricing strategies;

● Our plan to continue to develop and execute our conference and podium strategy to ensure visibility and evidence-based positioning of the TearLab® Osmolarity System among eye care professionals;

● Our ability to attract and retain a sufficient number of scientists, clinicians, sales personnel and other key personnel with extensive experience in medical technology, who are in short supply;

● Our beliefs about our employee relations;

● Our efforts to assist our customers in obtaining their CLIA waiver or providing them with support from certified professionals; and

● The impact of our delisting from the NASDAQ Capital Market and our common stock being traded on the OTCQB.

These statements involve known and unknown risks, uncertainties and other factors, including the risks described in Part II, Item 1A. of this Quarterly Report on Form 10-Q, which may cause our actual results, performance or achievements to be materially different from any future results, performances, time frames or achievements expressed or implied by the forward-looking statements. Given these risks, uncertainties and other factors, you should not place undue reliance on these forward-looking statements. Information regarding market and industry statistics contained in this Quarterly Report on Form 10-Q is included based on information available to us that we believe is accurate. It is generally based on academic and other publications that are not produced for purposes of securities offerings or economic analysis. We have not reviewed or included data from all sources and cannot assure you of the accuracy of the market and industry data we have included.

Unless the context indicates or requires otherwise, in this Quarterly Report on Form 10-Q, references to the “Company” shall mean TearLab Corporation or TearLab Corp. and its subsidiaries. References to “$” or “dollars” shall mean U.S. dollars unless otherwise indicated.

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TearLab Corporation

PART I.	FINANCIAL INFORMATION
ITEM 1.	FINANCIAL STATEMENTS (Unaudited)

CONDENSED CONSOLIDATED BALANCE SHEETS

(expressed in thousands of U.S. dollars except number of shares)

(Unaudited)

	September 30, 2017			December 31, 2016
ASSETS
Current assets
Cash	$	7,713		$	15,471
Accounts receivable, net		1,656			2,279
Inventory		2,590			3,193
Prepaid expenses and other current assets		775			1,226
Total current assets		12,734			22,169
Fixed assets, net		3,432			4,178
Intangible assets, net		15			60
Other non-current assets		289			220
Total assets	$	16,470		$	26,627
LIABILITIES AND STOCKHOLDERS’ DEFICIT
Current liabilities
Accounts payable	$	1,909		$	1,858
Accrued liabilities		3,855			3,958
Deferred rent		49			83
Total current liabilities		5,813			5,899
Long-term debt		27,843			26,449
Total liabilities		33,656			32,348
Commitments and contingencies (Note 8)
Stockholders’ deficit
Capital stock
Preferred Stock, $0.001 par value, 10,000,000 authorized, 0 and 2,764 issued and outstanding at September 30, 2017 and December 31, 2016, respectively		-			-
Common stock, $0.001 par value, 9,500,000 authorized, 5,742,453 and 5,360,198 issued and outstanding at September 30, 2017 and December 31, 2016, respectively		6			5
Additional paid-in capital		507,651			506,982
Accumulated deficit		(524,843	)		(512,708	)
Total stockholders’ deficit		(17,186	)		(5,721	)
Total liabilities and stockholders’ deficit	$	16,470		$	26,627

See accompanying notes to interim condensed consolidated financial statements

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TearLab Corporation

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS AND COMPREHENSIVE LOSS

(expressed in thousands of U.S. dollars except shares and per share amounts)

(Unaudited)

	Three months ended
	September 30,
	2017			2016
Revenue
Product sales	$	5,733		$	6,463
Reader equipment rentals		790			760
Total revenue		6,523			7,223
Cost of goods sold
Cost of goods sold (excluding amortization of intangible assets)		3,028			2,564
Cost of goods sold - reader equipment depreciation		415			527
Gross profit		3,080			4,132
Operating expenses
Sales and marketing		2,659			3,109
Clinical, regulatory and research & development		898			1,007
General and administrative		2,260			2,598
Amortization of intangible assets		-			359
Total operating expenses		5,817			7,073
Loss from operations		(2,737	)		(2,941	)
Other income (expense)
Interest income (expense)		(1,069	)		(1,037	)
Other, net		(15	)		(4	)
Total other income (expense)		(1,084	)		(1,041	)
Net loss and comprehensive loss	$	(3,821	)	$	(3,982	)
Weighted average shares outstanding - basic and fully diluted		5,742,234			5,334,891
Net loss per share - basic and fully diluted	$	(0.67	)	$	(0.75	)

See accompanying notes to interim condensed consolidated financial statements

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TearLab Corporation

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS AND COMPREHENSIVE LOSS

(expressed in thousands of U.S. dollars except shares and per share amounts)

(Unaudited)

	Nine months ended
	September 30,
	2017			2016
Revenue
Product sales	$	17,949		$	17,393
Reader equipment rentals		2,289			3,500
Total revenue		20,238			20,893
Cost of goods sold
Cost of goods sold (excluding amortization of intangible assets)		8,252			7,569
Cost of goods sold - reader equipment depreciation		1,328			1,635
Gross profit		10,658			11,689
Operating expenses
Sales and marketing		9,294			11,109
Clinical, regulatory and research & development		3,572			2,805
General and administrative		6,755			9,490
Amortization of intangible assets		-			966
Total operating expenses		19,621			24,370
Loss from operations		(8,963	)		(12,681	)
Other income (expense)
Interest income (expense)		(3,145	)		(2,967	)
Changes in fair value of warrant obligations		-			29
Other, net		(27	)		40
Total other income (expense)		(3,172	)		(2,898	)
Net loss and comprehensive loss	$	(12,135	)	$	(15,579	)
Weighted average shares outstanding - basic and fully diluted		5,615,903			4,404,203
Net loss per share - basic and fully diluted	$	(2.16	)	$	(3.54	)

See accompanying notes to interim condensed consolidated financial statements

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TearLab Corporation

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

(expressed in thousands of U.S. dollars)

(Unaudited)

	Nine months ended
	September 30,
	2017			2016
OPERATING ACTIVITIES
Net loss for the period	$	(12,135	)	$	(15,579	)
Adjustments to reconcile net loss to cash used in operating activities:
Stock-based compensation		661			2,103
Depreciation of fixed assets		1,490			1,816
Amortization of intangible assets		45			966
Gain on disposal of subsidiary		-			(75	)
Changes in fair value of warrant obligations		-			(29	)
Deferred interest on long-term debt		928			1,104
Amortization of debt discount		466			187
Changes in operating assets and liabilities:
Accounts receivable, net		624			614
Inventory		603			568
Prepaid expenses and other assets		451			(70	)
Other non-current assets		(70	)		(157	)
Accounts payable		51			(328	)
Accrued liabilities		(103	)		(1,819	)
Deferred rent/revenue		(34	)		3
Cash used in operating activities		(7,023	)		(10,696	)
INVESTING ACTIVITIES
Additions to fixed assets		(744	)		(1,177	)
Cash used in investing activities		(744	)		(1,177	)
FINANCING ACTIVITIES
Proceeds from the issuance of equity instruments		-			15,457
Repurchase of fractional shares upon reverse stock split		(3	)		-
Proceeds from the issuance of employee stock purchase plan shares		45			126
Deferred financing fees and capital costs for equity transactions		(33	)		-
Cash provided by financing activities		9			15,583
Increase (decrease) in cash and cash equivalents during the period		(7,758	)		3,710
Cash, beginning of period		15,471			13,838
Cash, end of period	$	7,713		$	17,548
Supplemental cash flow information
Cash paid for interest	$	1,155		$	1,681

See accompanying notes to interim condensed consolidated financial statements

7

TearLab Corporation

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

(expressed in thousands of U.S. dollars except as otherwise stated)

(Unaudited)

1. BASIS OF PRESENTATION

Nature of Operations

TearLab Corporation (formerly OccuLogix, Inc.) (“TearLab” or the “Company”), a Delaware corporation, is an ophthalmic device company that is commercializing a proprietary in vitro diagnostic tear testing platform, the TearLab® test for dry eye disease, or DED, which enables eye care practitioners to test for highly sensitive and specific biomarkers using nanoliters of tear film at the point-of-care.

The accompanying Condensed Consolidated Financial Statements include the accounts of the Company and all of its wholly owned subsidiaries. On April 8, 2016, OcuHub Holdings, Inc., a wholly-owned subsidiary of the Company, completed the sale of 10,167.5 units of OcuHub LLC (“OcuHub”), reducing OcuHub Holdings, Inc.’s ownership in OcuHub to 10.5% on a fully-diluted basis. Prior to the sale, the accounts of OcuHub were included in the Condensed Consolidated Financial Statements. In the nine months ended September 30, 2016, the Company recorded a gain on the sale of OcuHub of $75, included in Other income (expense) on the Condensed Consolidated Statement of Operations and Comprehensive Loss. Intercompany accounts and transactions have been eliminated on consolidation.

On February 23, 2017, the Company’s stockholders authorized the board of directors to implement a reverse stock split, along with a corresponding reduction in the number of shares authorized. On February 27, 2017, the Company effected a 1-for-10 reverse stock split of its common stock. All common stock share amounts and prices per share of common stock in these Condensed Consolidated Financial Statements have been retroactively adjusted to reflect the reverse stock split.

Liquidity and Going Concern

The accompanying Condensed Consolidated Financial Statements have been prepared on the going concern basis, which assumes that the Company will continue to operate as a going concern and which contemplates the realization of assets and the satisfaction of liabilities and commitments in the normal course of business. The Company has sustained substantial losses of $12,135 and $15,579 for the nine months ended September 30, 2017 and 2016, respectively. Based on the Company’s current rate of cash consumption, the Company estimates it will need additional capital either in the latter part of the fourth quarter of 2017 or by the first quarter of 2018 and its prospects for obtaining that capital are uncertain. The Company is attempting to raise additional equity financing and has currently on file an S-1 registration statement, filed with the SEC on August 21, 2017, amended on September 21, 2017 and amended on November 13, 2017, through which the Company is seeking to raise up to $5 million in additional equity financing. However, the Company can make no assurances that it will be able to raise additional capital, either through equity or debt financing, on acceptable terms or at all. Unless the Company succeeds in raising additional capital or significantly reduces the cash consumed in the operations of the Company, the Company anticipates that it will be unable to continue operations through the latter part of the fourth quarter of 2017 without violating an existing covenant on the Term Loan Agreement (defined below). As a result of the Company’s historical losses and financial condition, there is substantial doubt about the Company’s ability to continue as a going concern.

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TearLab Corporation

2. SIGNIFICANT ACCOUNTING POLICIES

The Condensed Consolidated Balance Sheet at December 31, 2016 has been derived from the audited consolidated financial statements at that date but does not include all of the information and footnotes required by accounting principles generally accepted in the United States (“U.S. GAAP”) for complete financial statements. These unaudited interim Condensed Consolidated Financial Statements have been prepared using significant accounting policies that are consistent with the policies used in preparing the Company’s audited consolidated financial statements for the year ended December 31, 2016. The audited financial statements for the year ended December 31, 2016, filed with the SEC with the Company’s annual report on Form 10-K on March 10, 2017 include a summary of significant accounting policies and should be read in conjunction with this Form 10-Q. Management believes that all adjustments necessary for the fair presentation of results, consisting of normally recurring items, have been included in the unaudited Condensed Consolidated Financial Statements for the interim periods presented.

Use of Estimates

The preparation of financial statements in conformity with U.S. GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities, disclosure of contingent assets and liabilities at the date of the financial statements, and the reported amounts of revenue and expenses during the reporting period. Actual results could differ from those estimates. The principal areas of judgment relate to revenue and inventory reserves, allowance for doubtful accounts, impairment of long-lived and intangible assets, and the fair value of stock options and warrants.

Revenue recognition

Revenue is recognized when all four of the following criteria are met: (i) persuasive evidence that an arrangement exists; (ii) delivery of the products has occurred; (iii) the selling price is fixed or determinable; and (iv) collectability is reasonably assured. The Company’s timing of revenue recognition is impacted by factors such as passage of title, payments and customer acceptance. Amounts received in excess of revenue recognizable are deferred.

The Company sells its proprietary TearLab® Osmolarity System and related test cards to external customers, who are primarily eye care professionals, for use in osmolarity testing procedures. Revenue is primarily derived from the sale of disposable test cards. Products are generally shipped from a distribution and warehousing facility located in San Diego, California. The Company’s sales are currently direct to customers in the United States and distributors in the rest of the world.

The Company enters into contracts where revenue is derived either from agreements whereby the customer is provided the right to use the TearLab® Osmolarity System (reader equipment) at no separate cost to the customer in consideration for a minimum or implied purchase commitment of disposable test cards over the related contract term (referred to as either “Use Agreements”, “Masters Agreements” or “Flex Agreements”), or from agreements with sales of multiple deliverables, such as the reader equipment and disposable test cards (referred to as “Purchase Agreements”).

Purchase commitments for Use Agreements and Flex Agreements are expressed in the agreement for a specified period of time (generally one to three years). The purchase commitment for Masters Agreements is implied for large physician practices with an expectation of purchasing certain levels of test cards. The Company recovers the cost of providing the reader equipment in the amount charged for disposable test cards. These agreements are treated as operating leases as collectability of the minimum lease payments is not reasonably predictable at the outset of the arrangement. Accordingly, revenue is recognized over the defined contract term as disposable test cards are shipped. Revenue under such agreements is allocated between the lease of the reader equipment and the sale of the disposables based upon each component’s relative fair value. When reader equipment is placed with a customer at no separate cost, the Company retains title to the equipment and it remains capitalized on the Company’s Condensed Consolidated Balance Sheet as equipment classified within fixed assets, net. The equipment is depreciated on a straight-line basis once shipped to a customer location over its estimated useful life and depreciation expense is included in cost of goods sold within the Condensed Consolidated Statements of Operations and Comprehensive Loss.

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TearLab Corporation

Revenue recognition for Purchase Agreements with multiple deliverables is based on the individual units of accounting determined to exist in the contract. A delivered item is considered a separate unit of accounting when the delivered item has value to the customer on a stand-alone basis. Items are considered to have stand-alone value when they are sold separately by any vendor or when the customer could resell the item on a stand-alone basis. Considering that test cards are essential to the operation of a TearLab reader, there is no alternative vendor for the test cards and no indication that a secondary market for the TearLab readers is established, the deliverables under the contracts do not meet criteria for separation under the multiple-element arrangements guidance. Consideration is allocated at the inception of the contract to all deliverables based on their relative selling price as determined by the selling price of similar individual items on a stand-alone basis. The Company recognizes revenue for each of the elements only when it determines that all applicable recognition criteria have been met.

Although the Company typically has a no return policy for its products, the Company has established a reserve for product sales that contain an implicit right of return. The Company reserves for estimated returns or refunds by reducing revenues at the time of shipment based on historical experience. The reserve of $11 and $13 as of September 30, 2017 and December 31, 2016, respectively, has reduced revenue and is included in accounts receivable.

Recent accounting pronouncements

In August 2016, the Financial Accountings Standards Board (the “FASB”) issued Accounting Standards Update No. 2016-15, Statement of Cash Flows (“ASU 2016-15”), to reduce diversity in practice of how certain transactions are classified in the statement of cash flows. ASU 2016-15 is effective for fiscal and interim periods beginning after December 15, 2017. The Company is currently evaluating the impact the adoption of the new standard will have on its financial statements.

In March 2016, the FASB issued Accounting Standards Update No. 2016-09 Compensation–Stock Compensation (“ASU 2016-09”), which requires that excess tax benefits and tax deficiencies be recorded in the income statement as a reduction or increase of income taxes when an award vests. It also requires excess tax benefits to be classified as an operating activity in the statement of cash flows. In addition, it simplifies other aspects of share-based payment transactions, including classification of awards that permit repurchase to satisfy statutory tax withholding requirements and classification of tax payments on behalf of employees on the statement of cash flows. The Company adopted this guidance in the first quarter 2017, and it did not have a material effect on the Company’s Condensed Consolidated Financial Statements.

In February 2016, the FASB issued Accounting Standards Update No. 2016-02, Leases (“ASU 2016-02”). ASU 2016-02 establishes a right-of-use model that requires a lessee to record an asset and liability on the balance sheet for all leases with terms longer than twelve months. ASU 2016-02 is effective for fiscal years and interim periods beginning after December 15, 2018. A modified retrospective transition approach is required for lessees for capital and operating leases existing at, or entered into after, the beginning of the earliest comparative period presented in the financial statements. The Company is currently evaluating the impact of the new standard on its financial statements.

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TearLab Corporation

In July 2015, the FASB issued Accounting Standards Update No. 2015-11, Inventory- Simplifying the Measurement of Inventory (“ASU 2015-11”). ASU 2015-11 became effective January 1, 2017. Under ASU 2015-11, the Company measures inventory at the lower of cost or net realizable value, where net realizable value is defined as the estimated selling price in the ordinary course of business, less reasonably predictable costs of completion, disposal, and transportation. ASU 2015-11 was applied prospectively beginning January 1, 2017. The change to lower of cost or net realizable value had no impact on the Company’s financial statements.

In May 2014, the FASB issued Accounting Standards Update No. 2014-09, Revenue from Contracts with Customers (“ASU 2014-09”) and amended by Accounting Standards Update No. 2017-13, Revenue Recognition (“ASU 2017-13”), which requires an entity to recognize the amount of revenue to which it expects to be entitled for the transfer of promised goods or services to customers. Early application is not permitted. On April 1, 2015, the FASB voted to propose a deferral of the effective date of the standard by one year which would result in the new standard being effective for the Company at the beginning of its first quarter of fiscal year 2018. The Company has completed its assessment of the impact of the new standard on its financial statements in 2017 so it can implement ASU 2014-09, on a modified retrospective basis, in the first quarter of 2018. The Company does not expect the guidance to have a material impact on the amounts reported in the financial statements, but it will require enhanced footnote disclosures regarding the Company’s recognition of revenue.

3. BALANCE SHEET DETAILS

Accounts receivable

	September 30, 2017			December 31, 2016
Trade receivables	$	2,177		$	2,928
Allowance for doubtful accounts		(521	)		(649	)
	$	1,656		$	2,279

Inventory

Inventory is recorded at the lower of cost or net realizable value and consists of finished goods. Inventory is accounted for on a first-in, first-out basis.

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TearLab Corporation

Inventory

	September 30, 2017			December 31, 2016
Finished goods	$	2,610		$	3,210
Inventory reserves		(20	)		(17	)
	$	2,590		$	3,193

The Company evaluates inventory for estimated excess quantities and obsolescence, based on expected future sales levels and projections of future demand, and establishes inventory reserves for obsolete and excess inventories. In addition, the Company assesses the impact of changing technology and market conditions. The Company has entered into a long term purchase commitment to buy the test cards from MiniFAB (Note 8). As part of its analysis of excess or obsolete inventories, the Company considers future required minimum purchases, estimated future usage and the expiry dating of the cards to determine if any inventory reserve is needed.

Prepaid expenses and other current assets

	September 30, 2017		December 31, 2016
Prepaid trade shows	$	362	$	217
Prepaid insurance		163		326
Manufacturing deposits		-		282
Subscriptions		183		297
Other fees and services		62		66
Other current assets		5		38
	$	775	$	1,226

Fixed assets

	September 30, 2017			December 31, 2016
Capitalized TearLab equipment	$	9,314		$	9,095
Leasehold improvements		60			60
Computer equipment and software		920			932
Furniture and office equipment		271			271
Medical equipment		781			500
	$	11,346		$	10,858
Less accumulated depreciation		(7,914	)		(6,680	)
	$	3,432		$	4,178

Depreciation expense was $1,490 and $1,816 for the nine months ended September 30, 2017 and 2016, respectively, and $464 and $580, respectively, for the three months ended September 30, 2017 and 2016.

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TearLab Corporation

Accrued liabilities

	September 30, 2017		December 31, 2016
Due to professionals	$	235	$	81
Due to employees and directors		1,194		2,200
Sales and use tax liabilities		247		247
Royalty liability		417		854
Warranty		142		124
Other		750		452
Goods Received Not Invoiced		273		-
Interest		597		-
	$	3,855	$	3,958

4. INTANGIBLE ASSETS

The Company’s intangible assets consist of the value of TearLab® Technology acquired in the acquisition of TearLab Research, Inc., a wholly-owned subsidiary of the Company and a prescriber list. The TearLab Technology, which consists of a disposable lab card and card reader, supported by an array of patents and patent applications that are either held or in-licensed by the Company, included in amortization of intangibles line item in the Condensed Consolidated Statements of Operations and Comprehensive Loss, was fully amortized in November 2016. Amortization expense for the three months ended September 30, 2017 and 2016 was $15 and $359, respectively. Amortization expense for the nine months ended September 30, 2017 and 2016 was $45 and $966, respectively.

Intangible assets subject to amortization consist of the following:

	Remaining Useful Life		Gross Value at		Accumulated			Net Book Value at
	(Years)		September 30, 2017		Amortization			September 30, 2017
TearLab® technology		-	$	12,172	$	(12,172	)	$	-
Patents and trademarks		1		271		(256	)		15
Prescriber list		-		90		(90	)		0
Total			$	12,533	$	(12,518	)	$	15

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TearLab Corporation

	Remaining Useful Life		Gross Value at		Accumulated			Net Book Value at
	(Years)		December 31, 2016		Amortization			December 31, 2016
TearLab® technology		-	$	12,172	$	(12,172	)	$	-
Patents and trademarks		1		271		(245	)		26
Prescriber list		1		90		(56	)		34
Total			$	12,533	$	(12,473	)	$	60

The estimated amortization expense for the intangible assets for the remainder of 2017 and thereafter is as follows:

	Amortization
	of intangible
	assets
Remainder of 2017	$	4
Thereafter		11
	$	15

5. TERM LOAN

On March 4, 2015, the Company executed a term loan agreement (the “Term Loan Agreement”) with CRG LP and certain of its affiliate funds (“CRG”) as lenders providing the Company with access of up to $35,000 under the arrangement. The Company received $15,000 in gross proceeds under the arrangement on March 4, 2015, and an additional $10,000 on October 6, 2015. The Term Loan Agreement matures on March 31, 2021 and bears interest at 13% per annum, with quarterly payments of interest only for the first four years. While interest on the loan is accrued at 13% per annum, the Company may elect to make interest-only payments at 8.5% per annum. The unpaid interest of 4.5% is added to the principal of the loan and is subject to additional accrued interest (“PIK interest”). The accrued interest can be deferred and paid together with the principal in the fifth and sixth years.

As part of the amended Term Loan Agreement, and funding of the second tranche, CRG received 35,000 warrants dated as of October 6, 2015 to purchase common shares of the Company at a price of $50.00 per share (the “CRG Warrants”). The CRG Warrants have a five-year life. The CRG Warrants are classified as equity on the Condensed Consolidated Balance Sheets as of September 30, 2017 and December 31, 2016. The CRG Warrants were valued at their issuance date using the Black-Scholes Merton model. The related reduction of the long-term debt will be amortized over the life of the debt. See Note 9 Subsequent Event Disclosure regarding an additional amendment of the Term Loan Agreement subsequent to September 30, 2017.

The loan is collateralized by all assets of the Company. Additionally, the terms of the Term Loan Agreement contain various affirmative and negative covenants agreed to by the Company. Among them, the Company must attain minimum certain annual revenue and minimum cash threshold levels. On April 7, 2016, the Company amended the Term Loan Agreement to change the required minimum revenue levels. The amended minimum revenue is $31,000 for 2017, $36,000 for 2018, $45,000 for 2019 and $55,000 for 2020. The minimum cash balance required is $5,000 subject to certain conditions. The amendment also reduced the exercise price of the CRG Warrants from $50.00 per share to $15.00 per share and the Company issued CRG additional warrants to purchase 35,000 common shares of the Company’s stock at $15.00 per share, which expire 5 years after issuance.

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TearLab Corporation

If the Company does not have annual revenue greater or equal to the annual revenue covenant in a calendar year, the Company will have the right within 90 days of the end of the respective calendar year to raise subordinated debt or equity (the “CRG Equity Cure”) equal to twice the difference between the annual revenue and the revenue covenant, with the total proceeds from this financing to be used to reduce the principal of the Term Loan Agreement. In the event of a default, the Company may be required to repay any outstanding amounts earlier than anticipated, and CRG may foreclose on their security interest in the Company’s assets.

At September 30, 2017, the Company was in compliance with all of the covenants.

As part of the amended Term Loan Agreement, on the earlier of the maturity date or the date the term loan is paid off in full, the Company will pay a facility fee equal to 6.5% of the aggregate principal amount of the loan, excluding accrued PIK interest (the “Facility Fee”). The Facility Fee is being accrued to interest expense using the effective interest method.

The Company incurred financing and legal fees associated with the debt of $606, which were recorded as a direct discount to the debt and are being amortized using the effective interest method. The Company presents the debt issuance costs related to the recognized debt liability on the Condensed Consolidated Balance Sheet as a reduction of the liability.

The Term Loan Agreement provided for prepayment fees of 5% of the outstanding balance of the loan if the loan was repaid prior to March 31, 2016. The prepayment fee is reduced 1% per year for each subsequent year until maturity.

The following is a summary of the Term Loan Agreement as of September 30, 2017 and related maturities of outstanding principal:

Principal balance outstanding	$	25,000
PIK interest		2,804
Facility fee		643
Less discount on term loan:
Deferred financing fees, net		(346	)
Detachable warrants, net		(258	)
Total term loan	$	27,843

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TearLab Corporation

Principal due for each of the next 5 years and in the aggregate:

2017	$	-
2018		-
2019		10,427
2020		13,902
2021		4,118
Total principal due	$	28,447
Less: discount on term loan		(604	)
Total term loan	$	27,843

6. STOCKHOLDERS’ EQUITY

(a) Authorized share capital

On February 23, 2017, the Company’s stockholders authorized the board of directors to implement a reverse stock split, along with a corresponding reduction in the number of shares authorized. On February 27, 2017, the Company effected a 1-for-10 reverse stock split of its common stock. All common stock share amounts and prices per share of common stock have been retroactively adjusted to reflect the reverse stock split.

On June 24, 2016, the Company’s stockholders approved an amendment to the Company’s certificate of incorporation to increase the total number of authorized shares of common stock of the Company to 9,500,000 from 6,500,000. Each share of common stock has a par value of $0.001 per share. The total number of authorized shares of preferred stock of the Company is 10,000,000. Each share of preferred stock has a par value of $0.001 per share. See Note 9 Subsequent Events disclosure regarding changes to authorized shares of common stock made subsequent to September 30, 2017.

(b) Common and preferred shares

On May 9, 2016 the Company issued 1,861,090 shares of common stock, 3,291.8 shares of Series A Convertible Preferred Stock (“Preferred Stock”) and Series A warrants to purchase 1,150,000 shares of common stock (“Series A Warrants”) for gross proceeds of $17,250 less issuance costs of $1,793. Additionally, the Company granted the placement agent warrants to purchase 103,500 shares of common stock with an exercise price of $11.25 per share. All the Preferred Stock converted into an aggregate of 438,910 shares of common stock prior to June 30, 2017. The common stock, the Series A Convertible Preferred Stock, and the Series A Warrants are all included in equity in the Company’s Condensed Consolidated Balance Sheets as of September 30, 2017 and December 31, 2016. The net proceeds were allocated to common stock, Preferred Stock, and Series A Warrants based on their relative fair values, as follows:

Common stock	$	9,632
Preferred stock		2,275
Series A warrants		3,550
Net proceeds	$	15,457

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TearLab Corporation

(c) Stock incentive plan

On June 23, 2017 the Company’s stockholders approved an amendment to the 2002 Stock Incentive Plan (the “Stock Incentive Plan”), to increase the total number of shares reserved for issuance to 1,070,000 from 720,000. Stock Incentive Plan shares are available for grant to employees, directors and consultants. Shares granted under the Stock Incentive Plan may be incentive stock options, non-statutory stock options, stock appreciation rights, restricted stock or restricted share units. Under the terms of the Stock Incentive Plan, the exercise price per share for an incentive stock option shall not be less than the fair market value of a share of stock on the effective date of grant and the exercise price per share for non-statutory stock options shall not be less than 85% of the fair market value of a share of stock on the date of grant. No option granted to a holder of more than 10% of the Company’s common stock shall have an exercise price per share less than 110% of the fair market value of a share of stock on the effective date of grant.

Options granted are typically service-based options. Generally, options expire 10 years after the date of grant. No incentive stock options granted to a 10% owner optionee shall be exercisable after the expiration of five years after the effective date of grant of such option, no option has been granted to a prospective employee, prospective consultant or prospective director prior to the date on which such person commences service, and with the exception of an option granted to an officer, director or consultant, no incentive option shall become exercisable at a rate less than 20% per annum over a period of five years from the effective date of grant of such option unless otherwise approved by the board of directors.

Share-based payment transactions with employees are recognized in the financial statements based on their fair value and recognized as compensation expense over the vesting period. The amount of expense recognized during the period is affected by subjective assumptions, including: estimates of the Company’s future volatility, the expected term for its stock options, option exercise behavior, the number of options expected to ultimately vest, and the timing of vesting for the Company’s share-based awards.

The following table sets forth the total stock-based compensation expense resulting from stock options and the employee stock purchase plan included in the Company’s Condensed Consolidated Statements of Operations and Comprehensive Loss (in thousands):

	Three months ended				Nine months ended
	September 30,				September 30,
	2017		2016		2017		2016
Sales and marketing	$	61	$	196	$	317	$	617
Clinical, regulatory and research and development		14		50		98		279
General and administrative		52		333		246		1,207
Stock-based compensation expense before income taxes	$	127	$	579	$	661	$	2,103

(d) Employee Stock Purchase Plan

In July 2014, the Company’s board of directors adopted the 2014 Employee Stock Purchase Plan (the “ESPP”) which was approved by the Company’s stockholders in June 2014 at the Company’s Annual Meeting of Stockholders. A total of 67,150 shares of the Company’s common stock are reserved for issuance under the plan, which permits eligible employees to purchase common stock at a discount through payroll deductions.

The price at which stock is purchased under the ESPP is equal to 90% of the fair market value of the common stock on the first or the last day of the offering period, whichever is lower. Generally, each offering under the ESPP will be for a period of six months as determined by the Company’s board of directors. Employees may invest up to 20% of their gross compensation through payroll deductions. In no event may an employee invest more than $25 worth of stock in the plan during each calendar year or more than 500 shares per offering period. During both the three months ended September 30, 2017 and 2016, the Company recorded $2 of expense, respectively, under the ESPP. During the nine months ended September 30, 2017 and 2016, the Company recorded $6 and $8 of expense, respectively, under the ESPP. During the nine months ended September 30, 2017 and 2016, the Company issued 14,233 and 14,105 shares of common stock, respectively, under the ESPP.

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TearLab Corporation

(e) Warrants

On October 8, 2015, as part of the second amendment to the Term Loan Agreement and funding of the $10,000 tranche, CRG received warrants to purchase 35,000 common shares in the Company at a price of $50.00 per share (the “CRG Warrants”). The CRG Warrants are exercisable any time prior to October 8, 2020. The CRG Warrants are classified as equity on the Condensed Consolidated Balance Sheets as of September 30, 2017 and December 31, 2016. The CRG Warrants were valued at $290 upon issuance using the Black-Scholes Merton model assuming volatility of 73%, an expected life of 5.0 years, a risk-free interest rate of 1.71%, and 0% dividend yield. No CRG Warrants were exercised during the nine months ended September 30, 2017 or 2016.

On April 8, 2016, the Company further amended its Term Loan Agreement. As part of the amendment, the exercise price of the CRG Warrants was changed to allow the holder to purchase 35,000 common shares in the Company at a price of $15.00 per share and CRG was issued an additional 35,000 warrants to purchase common shares at an exercise price of $15.00 (the “2016 CRG Warrants”). The modification to the terms of the CRG Warrants resulted in a change in fair value of $54 which was included as interest expense. The change in fair value was calculated using the Black-Scholes Merton model with both exercise prices, assuming volatility of 76%, an expected life of 4.5 years, a risk-free interest rate of 1.06%, and 0% dividend yield. The 2016 CRG Warrants were valued at $106 upon issuance using the Black-Scholes Merton model assuming volatility of 76%, an expected life of 5.0 years, a risk-free interest rate of 1.30% and 0% dividend yield. See Note 9 Subsequent Events disclosure regarding an additional amendment of the Term Loan Agreement and the CRG Warrants subsequent to September 30, 2017.

On May 9, 2016, the Company issued Series A Warrants to purchase 1,253,500 shares of common stock for $11.25 per common share attached to shares of common and Series A Convertible Preferred Stock issued on the same date. The Series A Warrants can be exercised after May 9, 2017 (the “Initial Exercise Date”) and expire 5 years after the Initial Exercise Date. Fair value of the Series A Warrants, for purposes of allocating the net proceeds of the equity offering, was determined using the Black-Scholes Merton model assuming volatility of 76%, an expected life of 6.0 years, a risk-free interest rate of 1.30%, and 0% dividend yield.

(f) Exchange Right

In August 2014, the Company sold membership units in OcuHub in exchange for 2% ownership of OcuHub LLC. In connection with the sale of the membership units, the new members received an exchange right allowing the units to be exchanged upon written notice and during a specified exchange window for shares in the Company’s common stock. On March 31, 2016, the members exchanged the ownership interest in OcuHub LLC for 385,800 shares of the Company’s common stock.

7. NET INCOME (LOSS) PER SHARE

Basic earnings per share (“EPS”) excludes dilutive securities and is computed by dividing net loss available to common stockholders by the weighted average number of shares of common stock outstanding for the year. Diluted EPS reflects the potential dilution that could occur if securities or other contracts to issue common stock were exercised or converted and the resulting additional shares are dilutive because their inclusion decreases the amount of EPS.

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TearLab Corporation

The following securities were not included in the calculation of diluted earnings per share because their effects were anti-dilutive:

(in thousands of shares)	As of September 30,
	2017		2016
Stock options		682		728
Warrants		1,323		1,323
ESPP shares		6		7
Convertible Preferred shares		-		369
Total		2,011		2,427

8. COMMITMENTS AND CONTINGENCIES

Commitments

The Company has commitments relating to operating leases recognized on a straight line basis over the term of the lease for rental of office space and equipment from unrelated parties, expiring at various times through June 30, 2018. The Company leases office facilities under an operating lease agreement. The initial term of the lease is five years and includes periodic rent increases and a renewal option.

Effective October 1, 2006, the Company entered into a patent license and royalty agreement with the University of California San Diego to obtain a second exclusive license to make, use, sell, offer for sale, and import existing TearLab technology. The Company is required to make royalty payments of $35 or 5.5% of gross sales per year, whichever is higher. Additionally, the Company is required to pay a royalty of 30% of any sublicense fees it receives prior to receiving FDA approval and 25% of any sub-license fees it receives after FDA approval.

Future minimum royalty payments under this agreement as of September 30, 2017 are as follows:

2017	$	35
2018		35
2019		35
2020		35
2021		35
Thereafter		210
Total	$	385

On March 12, 2003, the Company entered into a patent license and royalty agreement with the University of California San Diego to obtain an exclusive license to make, use, sell, offer for sale, and import TearLab technology in development. Starting in 2009, the Company was required to make minimum royalty payments of $35 or 5.5% of gross sales per year, whichever is higher. However, if this new technology is combined with existing technology, the maximum royalty payable on the sale of the combined products would be 5.5% of gross sales per year. As the new technology is currently in development, there is no revenue and the minimum royalty payment of $35 is applicable.

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TearLab Corporation

Future minimum royalty payments under this agreement as of September 30, 2017 are as follows:

2017	$	35
2018		35
2019		35
2020		35
2021		35
Thereafter		210
Total	$	385

On March 7, 2016, the Company, through its subsidiary, TearLab Research, Inc., entered into a supply and development agreement (“Supply Agreement”) with MiniFAB (Aust) Pty Ltd (“MiniFAB”). The agreement is an exclusive supply agreement through June 2021, for the purchase and delivery of individual osmolarity test cards with the freight costs borne by MiniFab. The Company has the benefit of a lower purchase price that will remain in place until the earlier of, the Company reaches an annual volume of 4.5 million test cards or March 31, 2018. Certain savings from freight costs will remain in place throughout the agreement. The Supply Agreement requires, in any given 6 calendar months, the Company must place aggregate purchase orders equal to at least 50% of the orders forecasted for that 6 month period at its onset. The Supply Agreement can be extended by either party for a term of five years with the option for the Company to buyout the exclusive supply provision during any extended term. This Supply Agreement replaces the July 2011 agreement between MiniFAB and the Company.

In April 2014, the Company guaranteed a marketing agreement entered into by OcuHub. The underlying marketing agreement calls for an annual marketing fee of $100, with payments due quarterly through March 31, 2019. If OcuHub fails to perform its obligations under the terms of the marketing agreement, the Company would be required to make the $25 quarterly payments, through the March 31, 2019 initial term of the agreement. The Company has not accrued for any liability under the guarantee.

In the normal course of business, the Company enters into purchase obligations for future goods and services needed for the operations of the business. Such commitments generally are not in excess of expected requirements and are not reasonably likely to result in performance penalties or payments that would have a material adverse effect on the Company’s liquidity. However, in September 2017 we agreed to a $0.7 million settlement with one of our suppliers for raw materials purchased by the supplier in excess of needed demand related to the cancellation of purchase orders. The $0.7 million settlement was charged to cost of goods sold in the three months ended September 30, 2017.

Contingencies

During the ordinary course of business activities, the Company may be contingently liable for litigation and a party to claims. Currently the Company is not party to any material litigation.

9. SUBSEQUENT EVENTS

On October 12, 2017 the stockholders of the Company approved an amendment to the Company’s Amended and Restated Certificate of Incorporation to increase the number of authorized shares of common stock from 9,500,000 to 40,000,000. In addition, on the same day the stockholders of the Company provided advanced approval to the board of directors as required by NASDAQ Rule 5636(d) to enable the Company to issue shares of common stock in one or more capital raising transactions or debt for equity conversion transactions and to provide the board of directors with the flexibility to enter into and close such transactions on a timely basis within the three month period commencing on the date of approval by the stockholders.

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TearLab Corporation

On October 12, 2017, the Company entered into an amendment (the “Amendment”) to the Term Loan Agreement. The Amendment changes the required minimum revenue levels under the Term Loan Agreement from $31 million to $25 million for 2017, from $36 million to $25 million for 2018, from $45 million to $38 million for 2019, and from $55 million to $45 million for 2020. In addition, subject to the condition of raising net equity proceeds of at least $7 million (net of bona fide costs incurred in connection with issuance of such equity) by March 31, 2018, the Amendment changes the definition of “Interest-only Period” and “PIK Period” from the sixteenth (16th) payment date to the twentieth (20th) payment date following the first borrowing date, which has the effect of extending the “Interest-only Period” and the “PIK” period through the calendar year 2019. Should the Company fail to raise net equity proceeds of $7 million on or before March 31, 2018, the “Interest-only Period” and “PIK” period will remain unchanged from their current dates. Also, pursuant to the Amendment, the Company agreed to amend the CRG Warrants to (i) reduce the strike price to $1.50 per share and (ii) to include broad based anti-dilution protection such that the CRG Warrants shall maintain the same 1.22% ownership percentage following any capital raises the Company may complete through March 31, 2018.

Effective at the open of business on November 9, 2017, the Company’s common stock was suspended and delisted from The Nasdaq Capital Market and began trading on the OTCQB. The delisting was the result of the Company’s non-compliance with Nasdaq Listing Rule 5550(b).

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TearLab Corporation

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

The following discussion and analysis of our financial condition and results of operations should be read in conjunction with our condensed consolidated financial statements and related notes, included in Item 1 of this Report. Unless otherwise specified, all dollar amounts are U.S. dollars.

Overview

We are an in-vitro diagnostic company based in San Diego, California. We have commercialized a proprietary tear testing platform, the TearLab® Osmolarity System that enables eye care practitioners to test for highly sensitive and specific biomarkers using nanoliters of tear film at the point-of-care. Our first product measures tear film osmolarity for the diagnosis of Dry Eye Disease, or DED.

We develop technologies to enable eye care practitioners to test a wide range of biomarkers (chemistries, metabolites, genes and proteins) at the point-of-care. Commercializing that tear testing platform is now the focus of our business.

Our product, the TearLab® Osmolarity System, enables the rapid measurement of tear osmolarity in the doctor’s office. Osmolarity is a quantitative and highly specific biomarker that has been shown to assist in the diagnosis and disease management of DED. Based on the Beaver Dam Offspring Study (2005-2008), prevalence of DED was 14.5% across an adult population aged 21-84, impacting 17.9% of women and 10.5% of men in the study. The innovation of the TearLab® Osmolarity System is its ability to precisely and rapidly measure osmolarity in nanoliter volumes of tear samples, using a highly efficient and novel tear collection system at the point of care. Historically, eye care researchers have relied on expensive instruments to perform tear biomarker analysis. In addition to their cost, these conventional systems are slow, highly variable in their measurement readings, and not categorized as waived by the United States Food and Drug Administration, or the FDA, under regulations promulgated under the Clinical Laboratory Improvement Amendments, or CLIA.

The TearLab® Osmolarity System consists of the following three components: (1) the TearLab disposable, which is a single-use microfluidic microchip; (2) the TearLab Pen, which is a hand-held device that interfaces with the TearLab disposable; and (3) the TearLab Reader, which is a small desktop unit that allows for the docking of the TearLab Pen and provides a quantitative reading for the operator.

We enter into contracts where revenue is derived either from agreements whereby the customer is provided the right to use the TearLab® Osmolarity System at no separate cost to the customer in consideration for a minimum or implied purchase commitment of disposable test cards over the related contract term (referred to as either “Use Agreements”, “Masters Agreements” or “Flex Agreements”), or from agreements with separate sales of the reader equipment and disposable test cards (“Purchase Agreements”). Purchase commitments for Use Agreements and Flex Agreements are expressed in the agreement for a specified period of time (generally one to three years). The purchase commitment for Masters Agreements is implied for large physician practices with an expectation of purchasing certain levels of test cards.

In October 2008, the TearLab® Osmolarity System received CE mark approval, clearing the way for sales in the European Union and all countries recognizing the CE mark. While our current focus is on developing our business in the United States, we do have agreements with numerous distributors for distribution of the TearLab® Osmolarity System in Canada, Mexico, South America, Europe, Asia and Australia.

Based on our current rate of cash consumption, we estimate we will need additional capital during the latter part of the fourth quarter of 2017 or the first quarter of 2018 and our prospectus for obtaining that capital are uncertain. The Company is attempting to raise additional equity financing and has currently on file an S-1 registration statement, filed with the SEC on August 21, 2017, amended on September 21, 2017 and amended on November 13, 2017, through which the Company is seeking to raise up to $5 million in additional equity financing. However, the Company can make no assurances that it will be able to raise the required additional capital, either through equity or debt financing, on acceptable terms or at all. Unless we succeed in raising additional capital or we significantly reduce the cash consumed in the operations of the Company, we anticipate that we will be unable to continue our operations through the latter part of the fourth quarter of 2017, without violating an existing covenant on the Term Loan Agreement. As a result of the Company’s historical losses and financial condition, there is substantial doubt about the Company’s ability to continue as a going concern.

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TearLab Corporation

RESULTS OF OPERATIONS

Revenue, Cost of Sales and Gross Profit

Revenue

(in thousands)	Three months ended September 30,									Nine months ended September 30,
	2017			2016			Change			2017			2016			Change
TearLab revenue	$	6,523		$	7,223		$	(700	)	$	20,238		$	20,893		$	(655	)
TearLab – cost of sales		3,443			3,091			352			9,580			9,204			376
TearLab gross profit	$	3,080		$	4,132		$	(1,052	)	$	10,658		$	11,689		$	(1,031	)
Gross profit  percentage		47	%		57	%					53	%		56	%

TearLab revenue consists of sales of the TearLab® Osmolarity System, which is a hand-held tear film test for the measurement of tear osmolarity, a quantitative and highly specific biomarker that has shown to correlate with DED.

The TearLab Osmolarity System consists of the following three components: (1) the TearLab disposable, which is a single-use microfluidic lab test card; (2) the TearLab pen, which is a hand-held device that interfaces with the TearLab disposable; and (3) the TearLab reader, which is a small desktop unit that allows for the docking of the TearLab disposable and the TearLab pen and provides a quantitative reading for the operator.

TearLab revenue decreased by $0.7 million or 10% for the three months ended September 30, 2017 compared to the three months ended September 30, 2016. The decrease is the result of decreased volume of reader sales to new customers and a decline in test card utilization within existing customers.

TearLab revenue decreased by $0.7 million or 3% for the nine months ended September 30, 2017 as compared to the nine months ended September 30, 2016. The decrease is driven by decreased volume of reader sales to new customers and a decline in test card utilization within existing customers. This decrease was partially offset by revenue from a joint marketing agreement with PRN Physicians Recommended Nutriceuticals (“PRN”). The agreement with PRN was terminated effective June 23, 2017.

Cost of Sales

TearLab cost of sales includes depreciation of reader systems, warranty, costs of test cards used with the readers systems and royalty costs. Our cost of goods sold consists primarily of costs for the manufacture of the TearLab Osmolarity System, including the costs we incur for the purchase of component parts from our suppliers, applicable freight and shipping costs, fees related to warehousing and logistics inventory management.

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TearLab Corporation

TearLab costs of sales for the three months ended September 30, 2017 increased $0.4 million, or 11%, compared to the three months ended September 30, 2016. Costs of sales was higher due to a $0.7 million impact of a settlement with one of our suppliers for inventory purchased by the supplier in excess of needed demand as well as the cancellation of purchase orders offset by $0.1 million retirement of leased readers.

For the nine months ended September 30, 2017 cost of sales increased $0.4 million, or 4%, compared to the three months ended September 30, 2016. Costs of sales was higher due to a $0.7 million impact of a settlement with one of our suppliers for inventory purchased by the supplier in excess of needed demand as well as the cancellation of purchase orders offset by $0.1 million retirement of leased readers.

Gross Profit

TearLab gross profit for the three months ended September 30, 2017 decreased $1.1 million or 25% when compared to the three months ended September 30, 2016. The gross profit percentage of revenue for the three months ended September 30, 2017 was 47% as compared to 57% for the three months ended September 30, 2016. The gross profit percentage for the three months ended September 30, 2017 was negatively impacted by the settlement with one of our suppliers for raw materials purchased by the supplier in excess of needed demand related to the cancellation of purchase orders, offset by a positive impact from the retirement of leased readers. Excluding the $0.5 million net unfavorable impact, the gross profit percentage would have been 56% for the three months ended September 30, 2017

TearLab gross profit for the nine months ended September 30, 2017 decreased $1.0 million or 9% compared to the nine months ended September 30, 2016. Gross profit as a percentage of revenue for the nine months ended September 30, 2017 was 53% as compared to 56% for the nine months ended September 30, 2016. The gross profit percentage for the nine months ended was negatively impacted by the settlement with one of our suppliers for raw materials purchased by the supplier in excess of needed demand related to the cancellation of purchase orders, offset by a positive impact from the retirement of leased readers. Excluding the $0.5 million net unfavorable impact, the gross profit percentage would have been 55% for the nine months ended September 30, 2017.

Operating Expenses

(in thousands)	Three months ended September 30,							Nine months ended September 30,
	2017		2016		Change			2017		2016		Change
Sales and marketing	$	2,659	$	3,109	$	(450	)	$	9,294	$	11,109	$	(1,815	)
Clinical, regulatory and research and development		898		1,007		(109	)		3,572		2,805		767
General and administrative		2,260		2,598		(338	)		6,755		9,490		(2,735	)
Amortization of intangible assets		-		359		(359	)		-		966		(966	)
Operating expenses	$	5,817	$	7,073	$	(1,256	)	$	19,621	$	24,370	$	(4,749	)

Sales and Marketing Expense

Sales and marketing expenses decreased by $0.5 million or 14% in the three months ended September 30, 2017, as compared to the three months ended September 30, 2016. The reduction in sales and marketing expenses is attributable to a reduction in employee related costs.

Sales and marketing expenses decreased by $1.8 million or 16% for the nine months ended September 30, 2017, as compared to the nine months ended September 30, 2016. The decrease in sales and marketing expenses is attributable to a reduction in employee related costs and savings from our February 2016 organizational restructuring.

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TearLab Corporation

Clinical, Regulatory and Research and Development Expenses

Total clinical, regulatory and research and development expenses decreased $0.1 million or 11% in the three months ended September 30, 2017 as compared with the three months ended September 30, 2016. The decrease when compared to the prior fiscal period was due to a decrease in external product development costs related to the development and testing of the TearLab Discovery™ platform which is currently in product development.

Total clinical, regulatory and research and development expenses increased $0.8 million or 27% during the nine months ended September 30, 2017 as compared with the nine months ended September 30, 2016. The increase is due to an increase in external product development costs related to the development and testing of the TearLab Discovery™ platform which is currently in product development.

General and Administrative Expenses

Total general and administrative expenses decreased $0.3 million or 13% in the three months ended September 30, 2017 as compared with the three months ended September 30, 2016. The decrease was primarily due to reduced equity compensation in the current period related to the vesting of certain grants of options.

Total general and administrative expenses decreased $2.7 million or 29% for the nine months ended September 30, 2017 as compared with the nine months ended September 30, 2016. The decrease is due to the decrease in equity compensation in 2017 as well as lower legal and professional service fees in 2017.

Amortization of Intangible Assets

Amortization expense of intangible assets for the three and nine months ended September 30, 2017 was $0, compared to $0.4 million and $1.0 million in the three and nine months ended September 30, 2016, respectively. The TearLab® technology fully amortized during 2016 so there was no comparable expense for the three and nine month period ended September 30, 2017.

Other Income (Expense)

(in thousands)	Three Months Ended September 30,									Nine Months Ended September 30,
	2017			2016			Change			2017			2016			Change
Interest income (expense)	$	(1,069	)	$	(1,037	)	$	(32	)	$	(3,145	)	$	(2,967	)	$	(178	)
Changes in fair value of warrant obligations		-			-			-			-			29			(29	)
Other (net )		(15	)		(4	)		(11	)		(27	)		40			(67	)
Other income	$	(1,084	)	$	(1,041	)	$	(43	)	$	(3,172	)	$	(2,898	)	$	(274	)

Interest Income (Expense)

Interest expense for the three months ended September 30, 2017 and 2016 was from the interest for the CRG term loan. Interest expense was flat for the three months ended September 30, 2017 when compared to September 30, 2016 and increased 6% for the nine months ended September 30, 2017 when compared to September 30, 2016 on larger average balances of long-term debt outstanding during the period, offset in part by $54,000 charged to interest expense in 2016 from the revaluation of the CRG Warrants generated by an amendment to the exercise price of the CRG Warrants in April 2016.

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TearLab Corporation

Changes in Fair Value of Warrants Obligations

The Company records outstanding warrants considered liabilities at fair value at the end of each reporting period, resulting in an adjustment to the warrant obligations, with any gain or loss recorded in earnings for the applicable period. The Company had no warrants with liability treatment outstanding during the three and nine months ended September 30, 2017, and, accordingly, had no associated fair value adjustment during the period. For the three and nine months ended September 30, 2016, the Company recorded income related to a decrease in the fair value of warrant obligations of $0 and $29,000 respectively.

Other (net)

Other income (loss) for the three and nine months ended September 30, 2017 consists primarily of foreign exchange transaction gains and losses, based on fluctuations of the Company’s foreign denominated currencies and trade payables. For the three and nine months ended September 30, 2016 other income (loss) consists primarily of foreign exchange transaction gains and losses and a one-time gain of $75,000 on the sale of OcuHub.

Liquidity and Capital Resources

(in thousands)	September 30, 2017			December 31, 2016			Change
Cash and cash equivalents	$	7,713		$	15,471		$	(7,758	)
Percentage of total assets		46.8	%		58.1	%
Working capital	$	6,921		$	16,270		$	(9,349	)

Financial Condition

Based on our current rate of cash consumption, we estimate we will need additional capital during the latter part of the fourth quarter of 2017 or the first quarter of 2018 and our prospects for obtaining that capital are uncertain. The Company is attempting to raise additional equity financing and has currently on file an S-1 registration statement, filed with the SEC on August 21, 2017, amended on September 21, 2017 and amended on November 13, 2017, through which the Company is seeking to raise up to $5 million in additional equity financing. However, the Company can make no assurances that it will be able to raise the required additional capital, either through equity or debt financing, on acceptable terms or at all. Unless we succeed in raising additional capital or we significantly reduce the cash consumed in the operations of the Company, we anticipate that we will be unable to continue our operations through the latter part of the fourth quarter of 2017, without violating an existing covenant on the Term Loan Agreement. As a result of the Company’s historical losses and financial condition, there is substantial doubt about the Company’s ability to continue as a going concern.

Our forecast of the period of time through which our financial resources will be adequate to support our operations is a forward-looking statement and involves risks and uncertainties. Actual results could vary as a result of a number of factors. We have based this estimate on assumptions that may prove to be wrong, and we could utilize our available capital resources sooner than we currently expect. Our future funding requirements will depend on many factors, including but not limited to:

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TearLab Corporation

● whether government and third-party payers agree to reimburse the TearLab® Osmolarity System;

● whether eye care professionals engage in the process of obtaining their CLIA waiver certification;

● our ability to retain current utilization levels from existing customers and add new customers;

● the costs and timing of building the infrastructure to market and sell the TearLab® Osmolarity System;

● the cost and results of continuing development of the TearLab® Osmolarity System and next generation products including the cost of suppliers and service providers that require advance payment;

● the costs of filing, prosecuting, defending and enforcing any patent claims and other intellectual property rights; and

● the effect of competing technological and market developments.

At the present time, our only product is the TearLab Osmolarity System, and although we have received 510(k) approval from the FDA and a CLIA waiver approval from the FDA, at this time we do not know when we will generate revenue from the TearLab Osmolarity System in the United States sufficient to fully fund our operations. If events or circumstances occur such that we do not meet our plans to fund the business, we may be required to reduce operating expenses and reduce the planned levels of inventory and fixed assets which could have an adverse impact on our ability to achieve our intended business objectives.

Indebtedness

On March 4, 2015, we executed the Term Loan Agreement with CRG as lenders providing us with access of up to $35.0 million under the Term Loan Agreement. We received $15.0 million in gross proceeds under the Term Loan Agreement on March 4, 2015, and an additional $10.0 million on October 6, 2015. We were unable to access a third tranche of $10.0 million because we did not attain at least $38.0 million in twelve month revenue prior to June 30, 2016, as required to access the third tranche. We entered into a second amendment to the Term Loan Agreement with CRG on August 6, 2015. As part of the second amendment to the Term Loan Agreement and funding of the $10.0 million tranche, CRG received warrants to purchase 35,000 common shares in the Company at a price of $50.00 per share. The warrants have a life of five years. On April 7, 2016, the Term Loan Agreement was further amended, under the fourth amendment, to change the required minimum revenue levels. In addition, the fourth amendment reduced the exercise price of the warrants CRG received under the second amendment to $15.00 per share and granted CRG additional warrants to purchase an additional 35,000 common shares in the Company at a price of $15.00 per share.

On October 12, 2017, the Term Loan Agreement was further amended to change the required minimum revenue levels under the Loan Agreement from $31 million to $25 million for 2017, from $36 million to $25 million for 2018, from $45 million to $38 million for 2019, and from $55 million to $45 million for 2020. In addition, subject to the condition of raising net equity proceeds of at least $7 million (net of bona fide costs incurred in connection with issuance of such equity) by March 31, 2018, the Amendment changes the definition of “Interest-only Period” and “PIK Period” from the sixteenth (16th) payment date to the twentieth (20th) payment date following the first borrowing date, which has the effect of extending the “Interest-only Period” and the “PIK” period through the calendar year 2019. Should the Company fail to raise net equity proceeds of $7 million on or before March 31, 2018, the “Interest-only Period” and “PIK” period will remain unchanged from their current dates. Also, pursuant to the Amendment, the Company agreed to amend the warrants previously issued by the Company to CRG to (i) reduce the strike price to $1.50 per share and (ii) to include broad based anti-dilution protection such that the warrants shall maintain the same 1.22% ownership percentage following any capital raises the Company may complete through March 31, 2018.

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TearLab Corporation

The Term Loan Agreement has a term of six years and bears interest at 13% per annum, with quarterly payments of interest only for the first four years. At our option, during the first four years a portion of the interest payments amounting to a 4.5% per annum rate may be deferred and paid together with the principal in the fifth and sixth years.

The Term Loan Agreement is collateralized by all our assets. Additionally, the terms of the Term Loan Agreement contain various affirmative and negative covenants. Among them, we must attain minimum certain annual revenue and minimum cash threshold levels. The minimum annual revenue threshold level required by the Term Loan Agreement, as amended, for calendar year 2017 is $25.0 million. The minimum cash balance required is $5.0 million, subject to certain conditions.

If we do not have annual revenue greater or equal to the annual revenue covenant in a calendar year, we will have to raise subordinated debt or equity (the “CRG Equity Cure”) equal to twice the difference between the annual revenue and the revenue covenant, with the total proceeds from this financing to be used to reduce the principal of the Term Loan Agreement. In the event we do not achieve the minimum revenue threshold and cannot complete the CRG Equity Cure, we may be in default of the Term Loan Agreement. In the event of a default, we may be required to repay any outstanding amounts earlier than anticipated, and the lenders may foreclose on their security interest in our assets.

Ongoing Sources and Uses of Cash

We anticipate that our cash on hand and cash generated from increased revenue will be sufficient to sustain our operations into the latter part of the fourth quarter of 2017 or the first quarter of 2018. During these timeframes, we will likely need to raise additional capital. We continually evaluate various financing possibilities but we typically expect our primary sources of cash will be related to the collection of accounts receivable. Our accounts receivable collections will be impacted by our ability to grow our point-of-care revenue.

We expect our primary uses of cash will be to fund our costs of sales, operating expenses and pursuing and maintaining our patents and trademarks. In addition, dependent on available funds, we expect to expend cash to improve production capability of the TearLab test, to further improve the performance of the TearLab test, and to pursue next generation products using our lab-on-a-chip technology.

Changes in Cash Flows

Cash Used in Operating Activities

Net cash used to fund our operating activities during the nine months ended September 30, 2017 was $7.0 million compared to $10.7 million during the nine months ended September 30, 2016. Net cash used in operating activities during the nine months ended September 30, 2017 was less than our net loss of $12.1 million primarily due to the depreciation of fixed assets, stock-based compensation and interest deferred on our long-term debt in the aggregate total of $3.6 million offset by a $1.5 million net increase in our investment in working capital accounts. Net cash used in operating activities during the nine months ended September 30, 2016 was less than our net loss of $15.6 million due to the amortization of intangible assets, depreciation of fixed assets, stock-based compensation, interest deferred on our long-term debt and changes in the fair value of warrant obligations in the aggregate total of $6.1 million plus a $1.2 million net decrease in working capital accounts.

The net change in working capital and non-current asset balances related to operations for the nine months ended September 30, 2017 and 2016 consists of the following:

Explanations of the more significant net changes in working capital and non-current asset balances are as follows:

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TearLab Corporation

	Nine Months Ended
(in thousands)	September 30,
	2017			2016
Changes in operating assets and liabilities:
Accounts receivable, net	$	624		$	614
Inventory		603			568
Prepaid expenses and other assets		451			(70	)
Other non-current assets		(70	)		(157	)
Accounts payable		51			(328	)
Accrued liabilities		(103	)		(1,819	)
Deferred rent/revenue		(34	)		3
	$	1,522		$	(1,189	)

● Accounts receivable decreased in the nine months ended September 30, 2017 because of improved collections on outstanding balances and a reduction in sales.

● Inventory decreased in the nine months ended September 30, 2017 because of reduced levels of test card inventory on hand.

● Accounts payable and accrued liabilities had a net increase during the nine months ended September 30, 2017 primarily because of the timing of the work performed and invoices received relating to the development of our next generation of products offset in part by payment in 2017 of amounts due to employees under the 2016 incentive compensation program.

Cash Used in Investing Activities

Net cash used in investing activities for the nine months ended September 30, 2017 and 2016 was $0.7 million and $1.2 million respectively, to acquire fixed assets, primarily TearLab Osmolarity systems.

Cash Provided by Financing Activities

Net cash provided by financing activities during the nine months ended September 30, 2017 and 2016 was $9,000 and $15.6 million respectively, of proceeds from the issuance of equity.

Off-Balance-Sheet Arrangements

As of September 30, 2017, we did not have any material off-balance-sheet arrangements as defined in Item 303(1)(4)(ii) of SEC Regulation S-K.

Critical Accounting Policies and Estimates

Management’s discussion and analysis of our financial condition and results of operations are based upon our Condensed Consolidated Financial Statements which are prepared in accordance with accounting principles that are generally accepted in the United States. The preparation of these financial statements requires us to make estimates and judgments that affect the reported amounts of assets and liabilities, related disclosure of contingent assets and liabilities at the date of the financial statements, and the reported amounts of revenues and expenses during the reporting period. We continually evaluate our estimates and judgments, the most critical of which are those related to revenue recognition and inventory valuation. We base our estimates and judgments on historical experience and other factors that we believe to be reasonable under the circumstances. Materially different results can occur as circumstances change and additional information becomes known.

There were no significant changes during the nine months ended September 30, 2017 to the items that we disclosed as our critical accounting policies and estimates in Management’s Discussion and Analysis of Financial Condition and Results of Operations in the Company’s Annual Report on Form 10-K for the year ended December 31, 2016. For further clarification with regards to the Company’s specific policies for revenue recognition, see Note 2 of the Notes to the Unaudited Condensed Consolidated Financial Statements for the three and nine months ended September 30, 2017 included in Item 1.

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Recent Developments

Effective at the open of business on November 9, 2017, our common stock was suspended and delisted from The Nasdaq Capital Market and began trading on the OTCQB. The delisting was the result of our non-compliance with Nasdaq Listing Rule 5550(b).

Recent Accounting Pronouncements

For information on the recent accounting pronouncements impacting our business, see Note 2 of the Notes to the unaudited Condensed Consolidated Financial Statements for the three and nine months ended September 30, 2017 included in Item 1.

ITEM 3. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK.

Currency Fluctuations and Exchange Risk

Our sales are denominated primarily in U.S. dollars with minimal sales in euros and pound sterling. Most of our expenses are denominated in U.S. dollars, however, some of the development work on new products is in Australian dollars and a minor portion of our other expenses are in Canadian dollars and pounds sterling. We cannot predict any future trends in the exchange rate of the Canadian dollar, Australian dollar, euro or pound sterling against the U.S. dollar. Any strengthening of the Canadian dollar, Australian dollar, euro or pound sterling in relation to the U.S. dollar would increase the U.S. dollar cost of our operations, and affect our U.S. dollar measured results of operations. We maintain bank accounts in Canadian dollars to meet short term operating requirements. We do not engage in any hedging or other transactions intended to manage these risks. In the future, we may undertake hedging or other similar transactions or invest in market risk sensitive instruments if we determine that it is advisable to offset these risks.

Interest Rate Risk

Our interest payments to CRG are based on a fixed contractual interest rate of 13%. A decrease in market interest rates would increase the fair value of our long-term debt.

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TearLab Corporation

ITEM 4. CONTROLS AND PROCEDURES.

(a) Disclosure Controls and Procedures.

We maintain disclosure controls and procedures that are designed to ensure that information required to be disclosed in our reports under the Securities Exchange Act of 1934, as amended, is recorded, processed, summarized and reported within the time periods specified in the Securities and Exchange Commission’s rules and forms, and that such information is accumulated and communicated to the our management, including our chief executive officer and chief financial officer, as appropriate, to allow timely decisions regarding required disclosure. Further, the design of a control system must reflect the fact that there are resource constraints, and the benefit of controls must be considered relative to their costs. In designing and evaluating the disclosure controls and procedures, management recognizes that any controls and procedures, no matter how well designed and operated, can provide only reasonable assurance of achieving the desired control objectives, and management necessarily is required to apply its judgment in evaluating the cost-benefit relationship of possible controls and procedures.

As of the end of the period covered by this report, we carried out an evaluation, under the supervision and with the participation of our management, including our chief executive officer and chief financial officer, of the effectiveness of the design and operation of our disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)). Based on that evaluation, our chief executive officer and chief financial officer concluded that, as at September 30, 2017 our disclosure controls and procedures were effective at the reasonable assurance level.

(b) Changes in Internal Control over Financial Reporting.

During the third quarter of 2017, there were no changes in our internal control over financial reporting that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.

PART II. OTHER INFORMATION

ITEM 1. LEGAL PROCEEDINGS.

We are not aware of any material litigation involving us that is outstanding, threatened or pending.

ITEM 1A. RISK FACTORS.

Risks Relating to Our Financial Condition

We will need to raise additional capital in the near future. Such capital, may not be available to us on reasonable terms, if at all, when or as we require additional funding. If we issue additional shares of our common stock or other securities that may be convertible into, or exercisable or exchangeable for, our common stock, our existing stockholders, would experience further dilution.

We expect that we will need to raise additional capital prior to the end of the fourth quarter of 2017 or in first quarter of 2018. The Company is attempting to raise additional equity financing and has currently on file an S-1 registration statement, filed with the SEC on August 21, 2017, amended on September 21, 2017 and amended on November 13, 2017, through which the Company is seeking to raise up to $5 million in additional equity financing. This or other such financings may involve the issuance of equity, debt and/or securities convertible into or exercisable or exchangeable for our equity securities. These financings may not be available to us on reasonable terms or at all when and as we require funding. Any failure to obtain additional working capital when required would have a material adverse effect on our business and financial condition, our ability to continue as a going concern and would be expected to result in a decline in our stock price. If we consummate such financings, the terms of such financings may adversely affect the interests of our existing stockholders. Any issuances of our common stock, preferred stock, or securities such as warrants or notes that are convertible into, exercisable or exchangeable for, our capital stock, would have a dilutive effect on the voting and economic interest of our existing stockholders. If access to sufficient capital is not available as and when needed, our business will be materially impaired and we may be required to cease operations, curtail product development, manufacturing improvements, or sales generation programs, attempt to obtain funds through licensing certain technologies or products, or we may be required to significantly reduce expense, sell assets, seek a merger or joint venture partner, file for protection from creditors or liquidate all our assets.

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TearLab Corporation 

We have limited working capital and a history of losses that raise substantial doubts as to whether we will be able to continue as a going concern.

We have prepared our Condensed Consolidated Financial Statements on the basis that we would continue as a going concern. However, we have incurred losses in each year since our inception and there is substantial doubt about our ability to continue as a going concern as it is uncertain presently how long our current cash will last. We currently anticipate that if we do not raise additional capital prior to the end of the fourth quarter or in the first quarter of 2018 we will not be in compliance with the financial covenants in our Term Loan Agreement (as defined below), and we cannot assure you that we will be able to raise such additional capital. We do not currently have any available borrowing under our term loan or credit facility.

Our Condensed Consolidated Financial Statements do not include any adjustments relating to the recoverability and classification of recorded asset amounts or the amounts and classification of liabilities that might be necessary if we were not able to continue as a going concern. If we are unable to generate positive cash flows from operations, we would need to undertake a review of potential business alternatives, which may include, but are not limited to, a merger or sale of the company or ceasing operations and winding down the business.

We have incurred losses since inception and anticipate that we will incur continued losses for the foreseeable future.

We have incurred losses in each year since our inception. As of September 30, 2017, we had an accumulated deficit of $525.0 million. Our losses have resulted primarily from expenses incurred in research and development of our product candidates from the former retina and glaucoma business divisions. We do not know when or if we will successfully commercialize the TearLab® Osmolarity System in the United States or in international markets. As a result, and because of the numerous risks and uncertainties facing us, it is difficult to provide the extent of any future losses or the time required to achieve profitability, if at all. Any failure to become and remain profitable would require us to undertake a review of the potential business alternatives discussed above.

We may not be able to generate sufficient cash to service our indebtedness, which currently consists of our credit facility with CRG. We may not be able to satisfy our minimum revenue and cash covenants, as required by the CRG term loan. If our annual sales revenue levels do not meet or exceed the levels required by the CRG covenants, we will be required to raise additional equity or subordinated debt, with the proceeds paid to reduce the outstanding principal of the CRG term loan. This financing could dilute existing shareholders and impact the value of their investment.

On March 4, 2015, we executed a term loan agreement with CRG as lenders (the “Term Loan Agreement”) providing us with access of up to $35.0 million under the Term Loan Agreement. We entered into an amendment of the Term Loan Agreement with CRG on August 6, 2015. We received $25.0 million in gross proceeds during 2015. We can make no assurance that we will be able to raise either additional debt financing or additional equity capital. There can be no assurances that there will be adequate financing available to us on acceptable terms or at all.

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TearLab Corporation 

Our ability to make scheduled payments or to refinance our debt obligations depends on numerous factors, including the amount of our cash reserves and our actual and projected financial and operating performance. These amounts and our performance are subject to certain financial and business factors, as well as prevailing economic and competitive conditions, some of which may be beyond our control. We cannot assure you that we will maintain a level of cash reserves or cash flows from operating activities sufficient to permit us to pay the principal, premium, if any, and interest on our existing or future indebtedness. If our cash flows and capital resources are insufficient to fund our debt service obligations, we may be forced to reduce or delay capital expenditures, sell assets or operations, seek additional capital or restructure or refinance our indebtedness. We cannot assure you that we would be able to take any of these actions, or that these actions would permit us to meet our scheduled debt service obligations. In addition, in the event of our breach of the Term Loan Agreement with CRG, we may not be allowed to draw additional amounts under the agreement, we may be required to repay any outstanding amounts earlier than anticipated, and the lenders may foreclose on their security interest in our assets.

The CRG loan is collateralized by all our assets. Additionally, the terms of the Term Loan Agreement contain various affirmative and negative covenants agreed to by the Company. Among them, we must attain minimum annual revenue and minimum cash threshold levels. Subsequent to September 30, 2017 the Company amended its Term Loan Agreement. The amendment changes the required minimum revenue levels under the Term Loan Agreement from $31 million to $25 million for 2017, from $36 million to $25 million for 2018, from $45 million to $38 million for 2019, and from $55 million to $45 million for 2020. The minimum cash balance required is $5.0 million, subject to certain conditions.

If we do not have annual revenue greater or equal to the annual revenue covenant in a calendar year, we will have the right to cure by raising subordinated debt or equity equal to twice the difference between the annual revenue and the revenue covenant, with the total proceeds from this financing to be used to reduce the principal of the Term Loan Agreement. We cannot assure you that we will be able to achieve the annual revenue thresholds and the daily cash threshold. We cannot assure you that we would be able to raise the financing described above, if required. In addition, in the event of our breach of the Term Loan Agreement with CRG, we may not be allowed to draw additional amounts under the Term Loan Agreement, we may be required to repay any outstanding amounts earlier than anticipated, and the lenders may foreclose on their security interest in our assets.

Borrowings under the Term Loan Agreement are subject to certain conditions, including the non-occurrence of a material adverse change in our business or operations (financial or otherwise), or a material impairment of the prospect of repayment of obligations.

Our existing Term Loan Agreement contains restrictive and financial covenants that may limit our operating flexibility.

Our existing Term Loan Agreement with CRG contains certain restrictive covenants that limit our ability to incur additional indebtedness and liens, merge with other companies or consummate certain changes of control, acquire other companies, engage in new lines of business, make certain investments, pay dividends, transfer or dispose of assets, amend certain material agreements or enter into various specified transactions. We therefore may not be able to engage in any of the foregoing transactions unless we obtain the consent of the lender or terminate the Term Loan Agreement. There is no guarantee that we will be able to generate sufficient cash flow or sales to meet the financial covenants or pay the principal and interest under the agreement. Furthermore, there is no guarantee that future working capital, borrowings or equity financing will be available to repay or refinance the amounts outstanding under the Term Loan Agreement.

Our financial results may vary significantly from year-to-year [and quarter-to-quarter] due to a number of factors, which may lead to volatility in the trading price of our common stock.

Our annual and quarterly revenue and results of operations have varied in the past and may continue to vary significantly from year-to-year and quarter-to-quarter. The variability in our annual and quarterly results of operations may lead to volatility in our stock price as research analysts and investors respond to these annual fluctuations. These fluctuations are due to numerous factors that are difficult to forecast, including:

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TearLab Corporation 

● fluctuations in demand for our products;

● changes in customer budget cycles and capital spending;

● seasonal variations in customer operations that could occur during holiday or summer vacation periods;

● tendencies among some customers to defer purchase decisions until the end of the quarter;

● the unit value of our systems;

● changes in our pricing and sales policies or the pricing and sales policies of our competitors;

● changes in reimbursement levels that might negatively impact our pricing policies;

● our ability to design, manufacture and deliver products to our customers in a timely and cost effective manner;

● quality control or yield problems in our manufacturing suppliers;

● our ability to timely obtain adequate quantities of the components used in our products;

● new product introductions or enhancements by us and our competitors;

● unanticipated increases in costs or expenses;

● our complex, variable and, at times, lengthy sales cycle;

● global economic conditions; and

● fluctuations in foreign currency exchange rates.

In addition, we may experience seasonal variations in our customer operations such as could occur during holiday vacation periods. For example, one of our principal target markets consists of private ophthalmic and optometric practices, and our quarterly operating results could be adversely affected by summer or holiday vacation periods. The foregoing factors, as well as other factors, could materially and adversely affect our quarterly and annual results of operations. In addition, a significant amount of our operating expenses are relatively fixed due to our manufacturing, research and development, and sales and general administrative efforts. Any failure to adjust spending quickly enough to compensate for a revenue shortfall could magnify the adverse impact of such revenue shortfall on our results of operations. We expect that our sales will continue to fluctuate on a quarterly basis and our financial results for some periods may differ from those projected by securities analysts, which could significantly decrease the price of our common stock.

Risks Related to Our Business

Our near-term success is highly dependent on the success of the TearLab® Osmolarity System, and we cannot be certain that it will be successfully commercialized in the United States.

The TearLab® Osmolarity System is currently our only product. Our product is currently sold outside of the United States pursuant to CE mark approval; in Canada pursuant to a Health Canada Medical Device License; and in the United States as a result of having received 510(k) approval from the FDA to market the TearLab® Osmolarity System to those reference and physician operated laboratories with CLIA waiver certifications. Even though the TearLab® Osmolarity System has received all regulatory approvals in the United States, it may never be successfully commercialized. If the TearLab® Osmolarity System is not as successfully commercialized as expected, we may not be able to generate revenue, become profitable or continue our operations. Any failure of the TearLab® Osmolarity System to be successfully commercialized in the United States would have a material adverse effect on our business, operating results, financial condition and cash flows and could result in a substantial decline in the price of our common stock.

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TearLab Corporation 

Our near-term success is highly dependent on increasing sales of the TearLab® Osmolarity System outside the United States, and we cannot be certain that we will successfully increase such sales.

Our product is currently sold outside of the United States pursuant to CE mark approval and Health Canada Approval in Canada. Our near-term success is highly dependent on increasing our international sales. We may also be required to register our product with health departments in our foreign market countries. A failure to successfully register in such markets would negatively affect our sales in any such markets. In addition, import taxes are levied on our product in certain foreign markets. Other countries may adopt taxation codes on imported products. Increases in such taxes or other restrictions on our product could negatively affect our ability to import, distribute and price our product.

We have outstanding liabilities, which could adversely affect our ability to adjust our business to respond to competitive pressures and to obtain sufficient funds to satisfy our future research and development needs, and to defend our intellectual property.

As of September 30, 2017, our total liabilities were $33.7 million including $27.8 million of long-term obligations under our Term Loan Agreement. Our significant liability service requirements could adversely affect our ability to operate our business and may limit our ability to take advantage of potential business opportunities. For example, our liabilities present the following risks:

● our liabilities increase our vulnerability to economic downturns and adverse competitive and industry conditions and could place us at a competitive disadvantage compared to those of our competitors that are less leveraged;

● our liabilities could limit our flexibility in planning for, or reacting to, changes in our business and our industry and could limit our ability to pursue other business opportunities, borrow money for operations or capital in the future, require us to pay for goods and services in advance which would increase our cash consumption in the near term and implement our business strategies; and

● our liabilities may restrict us from raising additional funds on satisfactory terms to fund working capital, capital expenditures, product development efforts, strategic acquisitions, investments and alliances, and other general corporate requirements.

If we are at any time unable to generate sufficient cash flow to service our liabilities when payment is due, we may be required to attempt to renegotiate the terms of the instruments relating to the liabilities, seek to refinance all or a portion of the liabilities or obtain financing. There can be no assurance that we will be able to successfully renegotiate such terms, that any such refinancing would be possible or that any additional financing could be obtained on terms that are favorable or acceptable to us.

We will face challenges in bringing the TearLab® Osmolarity System to market in the United States and may not succeed in executing our business plan.

There are numerous risks and uncertainties inherent in the development of new medical technologies. In addition to our requirement for additional capital, our ability to successfully commercialize the TearLab® Osmolarity System in the United States and to execute our business plan successfully is subject to the following risks, among others:

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TearLab Corporation 

● Our clinical trials may not succeed. Clinical testing is expensive and can take longer than originally anticipated. The outcomes of clinical trials are uncertain, and failure can occur at any stage of the testing. We could encounter unexpected problems, which could result in a delay in efforts to complete clinical trials supporting our commercialization efforts.

● The TearLab® Osmolarity System is rated under a CLIA waiver certification which requires our customers to be certified under the CLIA waiver requirements to be reimbursed under Medicare, including certain parallel state requirements. If our customers are unwilling or unable to comply with such requirements, it could have an adverse effect on their acceptance of and on our ability to market the TearLab® Osmolarity System.

● Our suppliers and we will be subject to numerous FDA requirements covering the design, testing, manufacturing, quality control, labeling, advertising, promotion and export of the TearLab® Osmolarity System and other matters. If our suppliers or we fail to comply with these regulatory requirements, the TearLab® Osmolarity System could be subject to restrictions or withdrawals.

● Even though we successfully obtained the sought-after FDA approvals, we may be unable to commercialize the TearLab® Osmolarity System successfully in the United States. Successful commercialization will depend on a number of factors, including, among other things, achieving widespread acceptance of the TearLab® Osmolarity System among physicians, establishing adequate sales and marketing capabilities, addressing competition effectively, the ability to obtain and enforce patents to protect proprietary rights from use by would-be competitors, key personnel retention and ensuring sufficient manufacturing capacity and inventory.

Our business is subject to health care industry cost-containment measures that could result in reduced sales of our TearLab® Osmolarity System.

Most of our customers rely on third-party payers, including government programs and private health insurance plans, to reimburse some or all of the cost of the procedures which use our TearLab® Osmolarity System. The continuing efforts of governmental authorities, insurance companies, and other health care payers to contain or reduce these costs could lead to patients and providers being unable to obtain approval for payment from these third-party payers. If patients and providers cannot obtain third-party payer payment approval, the use of our TearLab® Osmolarity System may decline significantly and our customers may reduce or eliminate the use of our system. The cost-containment measures that health care providers are instituting, both in the U.S. and internationally, could harm our ability to operate profitably. For example, managed care organizations have successfully negotiated volume discounts for pharmaceuticals. While this type of discount pricing does not currently exist for the medical systems we supply, if managed care or other organizations were able to affect discount pricing for such systems, it could result in lower prices to our customers from their customers and, in turn, reduce the amounts we can charge our customers for our products.

In addition to general health care industry cost-containment, the Centers for Medicare and Medicaid Services (CMS) released its final rule implementing section 216(a) of the Protecting Access to Medicare Act of 2014 (PAMA) that will require reporting entities to report private payer rates paid to laboratories for lab tests, which will be used to calculate Medicare payment rates. This final rule also announces CMS’ decision to move the implementation date for the private payer rate-based fee schedule to January 1, 2018. Reporting entities, which would primarily be certain qualifying customers in the U.S. that derive a certain percentage and volume of their revenue from laboratory tests from Medicare, will report private payer rates for our laboratory tests which will serve under the act as a baseline for future reimbursement. Our product was only minimally impacted by PAMA for the year 2018 through 2020. However, should reimbursement for our products be reduced as a result of PAMA or other cost savings initiatives, this could negatively impact our pricing and commercialization of our products in the U.S.

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TearLab Corporation 

If we are subject to regulatory enforcement action as a result of our failure to comply with regulatory requirements, our commercial operations would be harmed.

While we received the 510(k) clearance and CLIA waiver that we were seeking, we will be subject to significant ongoing regulatory requirements, and if we fail to comply with these requirements, we could be subject to enforcement action by the FDA or state agencies, including:

● adverse publicity, warning letters, fines, injunctions, consent decrees and civil penalties;

● repair, replacement, refunds, recall or seizure of our product;

● operating restrictions or partial suspension or total shutdown of production

● delay or refusal of our requests for 510(k) clearance or premarket approval of new products or of new intended uses or modifications to our existing product;

● refusal to grant export approval for our products;

● withdrawing 510(k) clearances or premarket approvals that have already been granted; and

● criminal prosecution.

If the government initiated any of these enforcement actions, our business could be harmed.

We are required to demonstrate and maintain compliance with the FDA’s Quality System Regulation, or the QSR. The QSR is a complex regulatory scheme that covers the methods and documentation of the design, testing, control, manufacturing, labeling, quality assurance, packaging, storage and shipping of our products. The FDA must determine that the facilities which manufacture and assemble our products that are intended for sale in the United States, as well as the manufacturing controls and specifications for these products, are compliant with applicable regulatory requirements, including the QSR. The FDA enforces the QSR through periodic unannounced inspections. The FDA has not yet inspected our facilities, and we cannot assure you that we will pass any future FDA inspection. Our failure, or the failure of our suppliers, to take satisfactory corrective action in response to an adverse QSR inspection could result in enforcement actions, including a public warning letter, a shutdown of our manufacturing operations, a recall of our product, civil or criminal penalties or other sanctions, which would significantly harm our available inventory and sales and cause our business to suffer.

If we are unable to fully comply with federal and state “fraud and abuse laws,” we could face substantial penalties, which may adversely affect our business, financial condition and results of operations.

We are subject to various laws pertaining to health care fraud and abuse, including the U.S. Anti- Kickback Statute, physician self-referral laws (the “Stark Law”), the U.S. False Claims Act, the U.S. False Statements Statute, the Physician Payment Sunshine Act, and state law equivalents to these U.S. federal laws, which may not be limited to government-reimbursed items and may not contain identical exceptions. Violations of these laws are punishable by criminal and civil sanctions, including, in some instances, civil and criminal penalties, damages, fines, exclusion from participation in U.S. federal and state health care programs, including Medicare and Medicaid, and the curtailment or restructuring of operations. Any action against us for violation of these laws could have a significant impact on our business. In addition, we are subject to the U.S. Foreign Corrupt Practices Act. Any action against us for violation by us or our agents or distributors of this act could have a significant impact on our business.

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TearLab Corporation 

If we fail to comply with contractual obligations and applicable laws and regulations governing the handling of patient identifiable medical information, we could suffer material losses or be adversely affected by exposure to material penalties and liabilities.

Many, if not all of our customers, are covered entities under the Health Insurance Portability and Accountability Act of August 1996 or HIPAA. As part of the operation of our business, we provide reimbursement assistance to certain of our customers and as a result we act in the capacity of a business associate with respect to any patient-identifiable medical information, or PHI, we receive in connection with these services. We and our customers must comply with a variety of requirements related to the handling of patient information, including laws and regulations protecting the privacy, confidentiality and security of PHI. The provisions of HIPAA require our customers to have business associate agreements with us under which we are required to appropriately safeguard the PHI we create or receive on their behalf. Further, we and our customers are required to comply with HIPAA security regulations that require us and them to implement certain administrative, physical and technical safeguards to ensure the confidentiality, integrity and availability of electronic PHI, or EPHI. We are required by regulation and contract to protect the security of EPHI that we create, receive, maintain or transmit for our customers consistent with these regulations. To comply with our regulatory and contractual obligations, we may have to reorganize processes and invest in new technologies. We also are required to train personnel regarding HIPAA requirements. If we, or any of our employees or consultants, are unable to maintain the privacy, confidentiality and security of the PHI that is entrusted to us, we and/or our customers could be subject to civil and criminal fines and sanctions and we could be found to have breached our contracts with our customers. Under the Health Information Technology for Economic and Clinical Health Act, or HITECH Act, and recent omnibus revisions to the HIPAA regulations, we are directly subject to HIPAA’s criminal and civil penalties for breaches of our privacy and security obligations and are required to comply with security breach notification requirements. The direct applicability of the HIPAA privacy and security provisions and compliance with the notification requirements requires us to incur additional costs and may restrict our business operations.

Our patents may not be valid, and we may not obtain and enforce patents to protect our proprietary rights from use by would-be competitors. Companies with other patents could require us to stop using or pay to use required technology.

Our owned and licensed patents may not be valid, and we may not obtain and enforce patents to maintain trade secret protection for our technology. The extent to which we are unable to do so could materially harm our business.

We have applied for, and intend to continue to apply for, patents relating to the TearLab® Osmolarity System, products in development and related technology and processes. Such applications may not result in the issuance of any patents, and any patents now held or that may be issued may not provide adequate protection from competition. Furthermore, it is possible that patents issued or licensed to us may be challenged successfully. In that event, if we have a preferred competitive position because of any such patents, any preferred position would be lost. If we are unable to secure or to continue to maintain a preferred position, the TearLab® Osmolarity System could become subject to competition from the sale of generic products.

Patents issued or licensed to us may be infringed by the products or processes of others. The cost of enforcing patent rights against infringers, if such enforcement is required, could be significant and the time demands could interfere with our normal operations. There has been substantial litigation and other proceedings regarding patent and other intellectual property rights in the pharmaceutical, biotechnology and medical technology industries. We are currently involved in litigation defending our patent rights in Canada. Efforts to defend our rights could incur significant costs and may or may not be resolved in our favor. We could become a party to additional patent litigation and other proceedings. The cost to us of any patent litigation, even if resolved in our favor, could be substantial. Some of our would-be competitors may sustain the costs of such litigation more effectively than we can because of their greater financial resources. Litigation also may absorb significant management time.

Unpatented trade secrets, improvements, confidential know-how and continuing technological innovation are important to our future scientific and commercial success. Although we attempt, and will continue to attempt, to protect our proprietary information through reliance on trade secret laws and the use of confidentiality agreements with corporate partners, collaborators, employees and consultants and other appropriate means, these measures may not effectively prevent disclosure of our proprietary information, and, in any event, others may develop independently, or obtain access to, the same or similar information.

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TearLab Corporation 

Certain of our patent rights are licensed to us by third parties. If we fail to comply with the terms of these license agreements, our rights to those patents may be terminated, and we will be unable to conduct our business.

It is possible that a court may find us to be infringing upon validly issued patents of third parties. In that event, in addition to the cost of defending the underlying suit for infringement, we may have to pay license fees and/or damages and may be enjoined from conducting certain activities. Obtaining licenses under third-party patents can be costly, and such licenses may not be available at all.

We may face future product liability claims.

The testing, manufacturing, marketing and sale of therapeutic and diagnostic products entail significant inherent risks of allegations of product liability. Our past use of the RHEO System and the components of the SOLX Glaucoma System in clinical trials and the commercial sale of those products may have exposed us to potential liability claims. Our use of the TearLab® Osmolarity System and its commercial sale could also expose us to liability claims. All of such claims might be made directly by patients, health care providers or others selling the products. We carry clinical trials and product liability insurance to cover certain claims that could arise, or that could have arisen, during our clinical trials or during the commercial use of our products. We currently maintain clinical trials and product liability insurance with aggregate annual coverage limits of $2.0 million. Such coverage, and any coverage obtained in the future, may be inadequate to protect us in the event of successful product liability claims, and we may not increase the amount of such insurance coverage or even renew it. A successful product liability claim could materially harm our business. In addition, substantial, complex or extended litigation could result in the incurrence of large expenditures and the diversion of significant resources.

If we do not introduce new commercially successful products in a timely manner, our products may become obsolete over time, customers may not buy our products and our revenue and profitability may decline.

Demand for our products may change in ways we may not anticipate because of:

● evolving customer needs;

● the introduction of new products and technologies; and

● evolving industry standards.

Without the timely introduction of new commercially successful products and enhancements, our products may become obsolete over time, in which case our sales and operating results would suffer. The success of our new product offerings will depend on several factors, including our ability to:

● properly identify and anticipate customer needs;

● commercialize new products in a cost-effective and timely manner;

● manufacture and deliver products in sufficient volumes on time;

● obtain and maintain regulatory approval for such new products;

● differentiate our offerings from competitors’ offerings;

● achieve positive clinical outcomes; and

● provide adequate medical and/or consumer education relating to new products.

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TearLab Corporation 

Moreover, innovations generally will require a substantial investment in research and development before we can determine the commercial viability of these innovations and we may not have the financial resources necessary to fund these innovations. In addition, even if we successfully develop enhancements or new generations of our products, these enhancements or new generations of products may not produce revenue in excess of the costs of development and they may be quickly rendered obsolete by changing customer preferences or the introduction by our competitors of products embodying new technologies or features.

We rely on a limited number of suppliers of each of the key components of the TearLab® Osmolarity System and are vulnerable to fluctuations in the availability and price of our suppliers’ products and services.

We purchase each of the key components of the TearLab® Osmolarity System from a limited number of third-party suppliers. Our suppliers may not provide the components or other products needed by us in the quantities requested, in a timely manner or at a price we are willing to pay. In the event we were unable to renew our agreements with our suppliers or they were to become unable or unwilling to continue to provide important components in the required volumes and quality levels or in a timely manner, or if regulations affecting the components were to change, we would be required to identify and obtain acceptable replacement supply sources. We may not be able to obtain alternative suppliers or vendors on a timely basis, or at all, which could disrupt or delay, or halt altogether, our ability to manufacture or deliver the TearLab® Osmolarity System. If any of these events should occur, our business, financial condition, cash flows and results of operations could be materially adversely affected.

We face intense competition, and our failure to compete effectively could have a material adverse effect on our results of operations.

We face intense competition in the markets for ophthalmic products and these markets are subject to rapid and significant technological change. Although we have no direct competitors, we have numerous potential competitors in the United States and abroad. We face potential competition from industry participants marketing conventional technologies for the measurement of osmolarity and other in-lab testing technologies, and commercially available methods, such as the Schirmer Test and ocular surface staining. Many of our potential competitors have substantially more resources and a greater marketing scale than we do. If we are unable to develop and produce or market our products to effectively compete against our competitors, our operating results will materially suffer.

If we lose key personnel, or we do not attract and retain highly qualified personnel on a cost-effective basis, it would be more difficult for us to manage our existing business operations and to identify and pursue new growth opportunities.

Our success depends, in large part, upon our ability to attract and retain highly qualified scientific, clinical, manufacturing and management personnel. In addition, any difficulties in retaining key personnel or managing this growth could disrupt our operations. Future growth will require us to continue to implement and improve our managerial, operational and financial systems, and to continue to recruit, train and retain, additional qualified personnel, which may impose a strain on our administrative and operational infrastructure. The competition for qualified personnel in the medical technology field is intense. We are highly dependent on our continued ability to attract, motivate and retain highly qualified management, clinical and scientific personnel.

Due to our limited resources, we may not effectively recruit, train and retain additional qualified personnel. If we do not retain key personnel or manage our growth effectively, we may not implement our business plan effectively.

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TearLab Corporation 

Furthermore, we have not entered into non-competition agreements with all of our key employees. In addition, we do not maintain “key person” life insurance on any of our officers, employees or consultants. The loss of the services of existing personnel, the failure to recruit additional key scientific, technical and managerial personnel in a timely manner, and the loss of our employees to our competitors would harm our research and development programs and our business.

If we fail to establish and maintain proper and effective internal controls, our ability to produce accurate financial statements on a timely basis could be impaired, which would adversely affect our consolidated operating results, our ability to operate our business and our stock price.

Ensuring that we have adequate internal financial and accounting controls and procedures in place to produce accurate financial statements on a timely basis is a costly and time-consuming effort that needs to be re-evaluated frequently. Failure on our part to maintain effective internal financial and accounting controls would cause our financial reporting to be unreliable, could have a material adverse effect on our business, operating results, financial condition and cash flows, and could cause the trading price of our common stock to fall dramatically.

Maintaining proper and effective internal controls will require substantial management time and attention and may result in our incurring substantial incremental expenses, including with respect to increasing the breadth and depth of our finance organization to ensure that we have personnel with the appropriate qualifications and training in certain key accounting roles and adherence to certain control disciplines within the accounting and reporting function. Any failure in internal controls or any errors or delays in our financial reporting would have a material adverse effect on our business and results of operations and could have a substantial adverse impact on the trading price of our common stock.

Our management is responsible for establishing and maintaining adequate internal control over financial reporting to provide reasonable assurance regarding the reliability of our financial reporting and the preparation of financial statements for external purposes in accordance with U.S. GAAP. Our management does not expect that our internal control over financial reporting will prevent or detect all errors and all fraud. A control system, no matter how well designed and operated, can provide only reasonable, not absolute, assurance that the control system’s objectives will be met. Our management has identified control deficiencies in the past and may identify additional deficiencies in the future.

We cannot be certain that the actions we are taking to improve our internal controls over financial reporting will be sufficient or that any changes in processes and procedures can be completed in a timely manner. In future periods, if the process required by Section 404 of the Sarbanes-Oxley Act of 2002 reveals material weaknesses or significant deficiencies, the correction of any such material weaknesses or significant deficiencies could require additional remedial measures which could be costly and time-consuming. In addition, we may be unable to produce accurate financial statements on a timely basis. Any of the foregoing could cause investors to lose confidence in the reliability of our condensed consolidated financial statements, which could cause the market price of our common stock to decline and make it more difficult for us to finance our operations and growth.

Risks Related to Our Common Stock

Our common stock was delisted from The Nasdaq Capital Market, which could make trading in our common stock more difficult for investors, potentially leading to declines in our share price and liquidity and could limit our ability to raise additional capital.

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TearLab Corporation 

Effective at the open of business on November 9, 2017, our common stock was suspended and delisted from The Nasdaq Capital Market and began trading on the OTCQB. The delisting was the result of our non-compliance with Nasdaq Listing Rule 5550(b).

Our delisting from The Nasdaq Capital Market could make trading in our common stock more difficult for investors, potentially leading to declines in our share price and liquidity. Without The Nasdaq Capital Market listing, stockholders may have a difficult time getting a quote for the sale or purchase of our stock, the sale or purchase of our stock will likely be made more difficult and the trading volume and liquidity of our stock could decline. Our delisting from The Nasdaq Capital Market could also result in negative publicity and could also make it more difficult for us to raise additional capital. The absence of such a listing may adversely impact the acceptance of our common stock as currency or the value accorded by other parties. Further, following our delisting, we will also incur additional costs under state blue sky laws in connection with any sales of our securities. These requirements could severely limit the market liquidity of our common stock and the ability of our stockholders to sell our common stock in the secondary market.

Now that our common stock is traded on an over-the-counter quotation system, an investor may find it more difficult to sell our stock or obtain accurate quotations as to the market value of our common stock.

Following the delisting of our common stock, our common stock now falls within the definition of a “penny stock” as defined in the Securities Exchange Act of 1934, or the Exchange Act, and is covered by Rule 15g-9 of the Exchange Act. Rule 15g-9 imposes additional sales practice requirements on broker-dealers who sell securities to persons other than established customers and accredited investors. For transactions covered by Rule 15g-9, the broker-dealer must make a special suitability determination for the purchaser and receive the purchaser’s written agreement to the transaction prior to the sale. Consequently, Rule 15g-9will affect the ability or willingness of broker-dealers to sell our securities, and accordingly will affect the ability of stockholders to sell their securities in the public market. These additional procedures could also limit our ability to raise additional capital in the future.

The trading price of our common stock may be volatile.

The market prices for, and the trading volumes of, securities of medical device companies, such as ours, have been historically volatile. The market has experienced, from time to time, significant price and volume fluctuations unrelated to the operating performance of particular companies. In addition, the fact that our common stock now trades on the OTCQB market could contribute to trading volume in our shares being sporadic and volatility in the share price. If adverse market conditions exist, you may have difficulty selling your shares. The market price of our common shares may fluctuate significantly due to a variety of factors, including:

● our results of operations;

● the results of pre-clinical testing and clinical trials by us, our collaborators and/or our competitors;

● technological innovations or new diagnostic products;

● governmental regulations and reimbursement levels;

● developments in patent or other proprietary rights;

● litigation;

● public concern regarding the safety of products developed by us or others;

● comments by securities analysts;

● the issuance of additional shares to obtain financing or for acquisitions;

● general market conditions in our industry or in the economy as a whole;

● political instability, natural disasters, war and/or events of terrorism; and

● the impact of our delisting from The Nasdaq Capital Market.

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TearLab Corporation 

In addition, the stock market in general has experienced extreme price and volume fluctuations that have often been unrelated or disproportionate to the operating performance of individual companies. Broad market and industry factors may seriously affect the market price of our stock, regardless of actual operating performance. In the past, securities class action litigation often follows periods of volatility in the overall market and market price of a particular company’s securities. This litigation, if instituted against us, could result in substantial costs and a diversion of our management’s attention and resources.

Because we do not expect to pay dividends on our common stock, stockholders will benefit from an investment in our common stock only if it appreciates in value.

We have never paid cash dividends on our common stock and have no present intention to pay any dividends in the future. We are not profitable and may not earn sufficient revenue to meet all operating cash needs. As a result, we intend to use all available cash and liquid assets in the development of our business. Any future determination about the payment of dividends will be made at the discretion of our board of directors and will depend upon our earnings, if any, our capital requirements, our operating and financial conditions and on such other factors as our board of directors may deem relevant. As a result, the success of an investment in our common stock will depend upon any future appreciation in its value. There is no guarantee that our common stock will appreciate in value or even maintain the price at which stockholders have purchased their shares.

Warrant holders will not be entitled to any of the rights of common stockholders, but will be subject to all changes made with respect thereto.

If you hold warrants, you will not be entitled to any rights with respect to our common stock (including, without limitation, voting rights and rights to receive any dividends or other distributions on our common stock), but you will be subject to all changes affecting our common stock. You will have rights with respect to our common stock only if you receive our common stock upon exercise of the warrants and only as of the date when you become a record owner of the shares of our common stock upon such exercise. For example, if a proposed amendment to our charter or bylaws requires stockholder approval and the record date for determining the stockholders of record entitled to vote on the amendment occurs prior to the date that you are deemed to be the owner of the shares of our common stock due upon exercise of your warrants, you will not be entitled to vote on the amendment; although, you will nevertheless be subject to any changes in the powers, preferences or special rights of our common stock.

We can issue shares of preferred stock that may adversely affect the rights of holders of our common stock.

Our certificate of incorporation authorizes us to issue up to 10.0 million shares of preferred stock with designations, rights, and preferences determined from time to time by our board of directors. Accordingly, our board of directors is empowered, without stockholder approval, to issue preferred stock with dividend, liquidation, conversion, voting or other rights superior to those of holders of our common stock. For example, an issuance of shares of preferred stock could:

● adversely affect the voting power of the holders of our common stock;

● make it more difficult for a third party to gain control of us;

● discourage bids for our common stock at a premium;

● limit or eliminate any payments that the holders of our common stock could expect to receive upon our liquidation; or

● otherwise adversely affect the market price or our common stock.

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TearLab Corporation 

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.

ITEM 6. EXHIBITS

Exhibit Number	Exhibit Description	Incorporated by Reference
10.1	Amendment to the Term Loan Agreement, dated as of March 4, 2015 as amended by the Omnibus Amendment Agreement, dated as of April 2, 2015, Amendment 2, dated August 6, 2015, Amendment 3, dated December 31, 2015, and Amendment 4, dated April 7, 2016, by and among TearLab Corporation, certain of its subsidiaries from time to time party thereto as guarantors and CRG LP (formerly known as Capital Royalty) and certain of its affiliate funds, as lenders, dated as of October 12, 2017.
31.1	CEO’s Certification required by Rule 13A-14(a) of the Securities Exchange Act of 1934.
31.2	CFO’s Certification required by Rule 13A-14(a) of the Securities Exchange Act of 1934.
32.1+	CEO’s Certification of periodic financial reports pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, U.S.C. Section 1350.
32.2+	CFO’s Certification of periodic financial reports pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, U.S.C. Section 1350.
101.INS*	XBRL Instance
101.SCH*	XBRL Taxonomy Schema
101.CAL*	XBRL Taxonomy Extension Calculation
101.DEF*	XBRL Taxonomy Extension Definition
101.LAB*	XBRL Taxonomy Extension Labels
101.PRE*	XBRL Taxonomy Extension Presentation

#Management compensatory plan, contract or agreement

*XBRL information is furnished and not filed or a part of a registration statement or prospectus for purposes of sections 11 or 12 of the Securities Act of 1933, as amended, is deemed not filed for purposes of section.

+In accordance with Item 601(b)(32)(ii) of Regulation S-K and SEC Release No. 33-8238 and 34-47986, Final Rule: Management’s Reports on Internal Control Over Financial Reporting and Certification of Disclosure in Exchange Act Periodic Reports, the certifications furnished pursuant to this item will not be deemed “filed” for purposes of Section 18 of the Exchange Act (15 U.S.C. 78r), or otherwise subject to the liability of that section. Such certification will not be deemed to be incorporated by reference into any filing under the Securities Act or the Exchange Act, except to the extent that the registrant specifically incorporates it by reference

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TearLab Corporation 

SIGNATURE

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.

		TearLab Corp.
		(Registrant)
Date:	November 13, 2017	/s/ Joseph Jensen
		Joseph Jensen
		Chief Executive Officer

45

EX-10.1

 

 

 

 

 

 

 

EX-31.2

Exhibit 31.2

CERTIFICATION PURSUANT TO RULE 13A-14 OR 15D-14 OF THE SECURITIES EXCHANGE ACT OF 1934, AS ADOPTED PURSUANT TO SECTION 302 OF THE SARBANES-OXLEY ACT OF 2002

I, Wes Brazell, certify that:

1.	I have reviewed this Quarterly Report on Form 10-Q of TearLab Corporation;
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 the Company’s 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 the Company’s 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 the Company’s 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 the Company’s most recent evaluation of internal control over financial reporting, to the Registrant’s auditors and the audit committee of Registrant’s board of directors (or persons performing the equivalent function):
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.

Dated: November 13, 2017

/s/ Wes Brazell

Wes Brazell

Chief Financial Officer

EX-32.1

Exhibit 32.1

CERTIFICATION PURSUANT TO

18 U.S.C SECTION 1350,

AS ADOPTED PURSUANT TO

SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002

In connection with the Quarterly Report on Form 10-Q of TearLab Corporation (the “Company”) for the quarter ended September 30, 2017, as filed with the Securities and Exchange Commission on the date hereof (the “Report”), I, Joseph Jensen, Chief Executive Officer of the Company, certify, pursuant to 18 U.S.C. section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, that to the best of my knowledge:

1.	The Report fully complies with the requirements of section 13(a) or 15(d) of the Securities Exchange Act of 1934; and
2.	The information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the Company.

By:	/s/ Joseph Jensen
	Joseph Jensen
	Chief Executive Officer

Dated: November 13, 2017

EX-32.2

Exhibit 32.2

CERTIFICATION PURSUANT TO

18 U.S.C SECTION 1350,

AS ADOPTED PURSUANT TO

SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002

In connection with the Quarterly Report on Form 10-Q of TearLab Corporation (the “Company”) for the quarter ended September 30, 2017, as filed with the Securities and Exchange Commission on the date hereof (the “Report”), I, Wes Brazell, Chief Financial Officer of the Company, certify, pursuant to 18 U.S.C. section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, that to the best of my knowledge:

1.	The Report fully complies with the requirements of section 13(a) or 15(d) of the Securities Exchange Act of 1934; and
2.	The information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the Company.

By:	/s/ Wes Brazell
	Wes Brazell
	Chief Financial Officer

Dated: November 13, 2017

XML

Document and Entity Information - shares	9 Months Ended
	Sep. 30, 2017	Nov. 06, 2017
Document And Entity Information
Entity Registrant Name	TearLab Corp
Entity Central Index Key	0001299139
Document Type	10-Q
Document Period End Date	Sep. 30, 2017
Amendment Flag	false
Current Fiscal Year End Date	--12-31
Entity Filer Category	Smaller Reporting Company
Entity Common Stock, Shares Outstanding		5,742,453
Trading Symbol	TEAR
Document Fiscal Period Focus	Q3
Document Fiscal Year Focus	2017

XML

Condensed Consolidated Balance Sheets (Unaudited) - USD ($) $ in Thousands	Sep. 30, 2017	Dec. 31, 2016
Current assets
Cash	$ 7,713	$ 15,471
Accounts receivable, net	1,656	2,279
Inventory	2,590	3,193
Prepaid expenses and other current assets	775	1,226
Total current assets	12,734	22,169
Fixed assets, net	3,432	4,178
Intangible assets, net	15	60
Other non-current assets	289	220
Total assets	16,470	26,627
Current liabilities
Accounts payable	1,909	1,858
Accrued liabilities	3,855	3,958
Deferred rent	49	83
Total current liabilities	5,813	5,899
Long-term debt	27,843	26,449
Total liabilities	33,656	32,348
Commitments and contingencies (Note8)
Stockholders’ deficit
Preferred Stock, $0.001 par value, 10,000,000 authorized, 0 and 2,764 issued and outstanding at September 30, 2017 and December 31, 2016, respectively
Common stock, $0.001 par value, 9,500,000 authorized, 5,742,453 and 5,360,198 issued and outstanding at September 30, 2017 and December 31, 2016, respectively	6	5
Additional paid-in capital	507,651	506,982
Accumulated deficit	(524,843)	(512,708)
Total stockholders’ deficit	(17,186)	(5,721)
Total liabilities and stockholders’ deficit	$ 16,470	$ 26,627

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Condensed Consolidated Balance Sheets (Unaudited) (Parenthetical) - $ / shares	Sep. 30, 2017	Dec. 31, 2016
Statement of Financial Position [Abstract]
Preferred stock, par value	$ 0.001	$ 0.001
Preferred stock, shares authorized	10,000,000	10,000,000
Preferred stock, shares outstanding	0	2,764
Preferred stock, shares issued	0	2,764
Common stock, par value	$ 0.001	$ 0.001
Common stock, shares authorized	9,500,000	9,500,000
Common stock, shares issued	5,742,453	5,360,198
Common stock, shares outstanding	5,742,453	5,360,198

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Condensed Consolidated Statements of Operations and Comprehensive Loss (Unaudited) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2017	Sep. 30, 2016	Sep. 30, 2017	Sep. 30, 2016
Revenue
Product sales	$ 5,733	$ 6,463	$ 17,949	$ 17,393
Reader equipment rentals	790	760	2,289	3,500
Total revenue	6,523	7,223	20,238	20,893
Cost of goods sold
Cost of goods sold (excluding amortization of intangible assets)	3,028	2,564	8,252	7,569
Cost of goods sold - reader equipment depreciation	415	527	1,328	1,635
Gross profit	3,080	4,132	10,658	11,689
Operating expenses
Sales and marketing	2,659	3,109	9,294	11,109
Clinical, regulatory and research & development	898	1,007	3,572	2,805
General and administrative	2,260	2,598	6,755	9,490
Amortization of intangible assets		359		966
Total operating expenses	5,817	7,073	19,621	24,370
Loss from operations	(2,737)	(2,941)	(8,963)	(12,681)
Other income (expense)
Interest income (expense)	(1,069)	(1,037)	(3,145)	(2,967)
Changes in fair value of warrant obligations				29
Other, net	(15)	(4)	(27)	40
Total other income (expense)	(1,084)	(1,041)	(3,172)	(2,898)
Net loss and comprehensive loss	$ (3,821)	$ (3,982)	$ (12,135)	$ (15,579)
Weighted average shares outstanding - basic and fully diluted	5,742,234	5,334,891	5,615,903	4,404,203
Net loss per share - basic and fully diluted	$ (0.67)	$ (0.75)	$ (2.16)	$ (3.54)

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Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($) $ in Thousands	9 Months Ended
	Sep. 30, 2017	Sep. 30, 2016
OPERATING ACTIVITIES
Net loss for the period	$ (12,135)	$ (15,579)
Adjustments to reconcile net loss to cash used in operating activities:
Stock-based compensation	661	2,103
Depreciation of fixed assets	1,490	1,816
Amortization of intangible assets		966
Gain on disposal of subsidiary		(75)
Changes in fair value of warrant obligations		(29)
Deferred interest on long-term debt	928	1,104
Amortization of debt discount	466	187
Changes in operating assets and liabilities:
Accounts receivable, net	624	614
Inventory	603	568
Prepaid expenses and other assets	451	(70)
Other non-current assets	(70)	(157)
Accounts payable	51	(328)
Accrued liabilities	(103)	(1,819)
Deferred rent/revenue	(34)	3
Cash used in operating activities	(7,023)	(10,696)
INVESTING ACTIVITIES
Additions to fixed assets	(744)	(1,177)
Cash used in investing activities	(744)	(1,177)
FINANCING ACTIVITIES
Proceeds from the issuance of equity instruments		15,457
Repurchase of fractional shares upon reverse stock split	(3)
Proceeds from the issuance of employee stock purchase plan shares	45	126
Deferred financing fees and capital costs for equity transactions	(33)
Cash provided by financing activities	9	15,583
Increase (decrease) in cash and cash equivalents during the period	(7,758)	3,710
Cash, beginning of period	15,471	13,838
Cash, end of period	7,713	17,548
Supplemental cash flow information
Cash paid for interest	$ 1,155	$ 1,681

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Basis of Presentation

9 Months Ended

Sep. 30, 2017

Organization, Consolidation and Presentation of Financial Statements [Abstract]

Basis of Presentation

1. BASIS OF PRESENTATION

Nature of Operations

TearLab Corporation (formerly OccuLogix, Inc.) (“TearLab” or the “Company”), a Delaware corporation, is an ophthalmic device company that is commercializing a proprietary in vitro diagnostic tear testing platform, the TearLab® test for dry eye disease, or DED, which enables eye care practitioners to test for highly sensitive and specific biomarkers using nanoliters of tear film at the point-of-care.

The accompanying Condensed Consolidated Financial Statements include the accounts of the Company and all of its wholly owned subsidiaries. On April 8, 2016, OcuHub Holdings, Inc., a wholly-owned subsidiary of the Company, completed the sale of 10,167.5 units of OcuHub LLC (“OcuHub”), reducing OcuHub Holdings, Inc.’s ownership in OcuHub to 10.5% on a fully-diluted basis. Prior to the sale, the accounts of OcuHub were included in the Condensed Consolidated Financial Statements. In the nine months ended September 30, 2016, the Company recorded a gain on the sale of OcuHub of $75, included in Other income (expense) on the Condensed Consolidated Statement of Operations and Comprehensive Loss. Intercompany accounts and transactions have been eliminated on consolidation.

On February 23, 2017, the Company’s stockholders authorized the board of directors to implement a reverse stock split, along with a corresponding reduction in the number of shares authorized. On February 27, 2017, the Company effected a 1-for-10 reverse stock split of its common stock. All common stock share amounts and prices per share of common stock in these Condensed Consolidated Financial Statements have been retroactively adjusted to reflect the reverse stock split.

Liquidity and Going Concern

The accompanying Condensed Consolidated Financial Statements have been prepared on the going concern basis, which assumes that the Company will continue to operate as a going concern and which contemplates the realization of assets and the satisfaction of liabilities and commitments in the normal course of business. The Company has sustained substantial losses of $12,135 and $15,579 for the nine months ended September 30, 2017 and 2016, respectively. Based on the Company’s current rate of cash consumption, the Company estimates it will need additional capital either in the latter part of the fourth quarter of 2017 or by the first quarter of 2018 and its prospects for obtaining that capital are uncertain. The Company is attempting to raise additional equity financing and has currently on file an S-1 registration statement, filed with the SEC on August 21, 2017 and amended on September 21, 2017, through which the Company is seeking to raise up to $15 million in additional equity financing. However, the Company can make no assurances that it will be able to raise additional capital, either through equity or debt financing, on acceptable terms or at all. Unless the Company succeeds in raising additional capital or significantly reduces the cash consumed in the operations of the Company, the Company anticipates that it will be unable to continue operations through the latter part of the fourth quarter of 2017 without violating an existing covenant on the Term Loan Agreement (defined below). As a result of the Company’s historical losses and financial condition, there is substantial doubt about the Company’s ability to continue as a going concern.

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Significant Accounting Policies

9 Months Ended

Sep. 30, 2017

Accounting Policies [Abstract]

Significant Accounting Policies

2. SIGNIFICANT ACCOUNTING POLICIES

The Condensed Consolidated Balance Sheet at December 31, 2016 has been derived from the audited consolidated financial statements at that date but does not include all of the information and footnotes required by accounting principles generally accepted in the United States (“U.S. GAAP”) for complete financial statements. These unaudited interim Condensed Consolidated Financial Statements have been prepared using significant accounting policies that are consistent with the policies used in preparing the Company’s audited consolidated financial statements for the year ended December 31, 2016. The audited financial statements for the year ended December 31, 2016, filed with the SEC with the Company’s annual report on Form 10-K on March 10, 2017 include a summary of significant accounting policies and should be read in conjunction with this Form 10-Q. Management believes that all adjustments necessary for the fair presentation of results, consisting of normally recurring items, have been included in the unaudited Condensed Consolidated Financial Statements for the interim periods presented.

Use of Estimates

The preparation of financial statements in conformity with U.S. GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities, disclosure of contingent assets and liabilities at the date of the financial statements, and the reported amounts of revenue and expenses during the reporting period. Actual results could differ from those estimates. The principal areas of judgment relate to revenue and inventory reserves, allowance for doubtful accounts, impairment of long-lived and intangible assets, and the fair value of stock options and warrants.

Revenue recognition

Revenue is recognized when all four of the following criteria are met: (i) persuasive evidence that an arrangement exists; (ii) delivery of the products has occurred; (iii) the selling price is fixed or determinable; and (iv) collectability is reasonably assured. The Company’s timing of revenue recognition is impacted by factors such as passage of title, payments and customer acceptance. Amounts received in excess of revenue recognizable are deferred.

The Company sells its proprietary TearLab® Osmolarity System and related test cards to external customers, who are primarily eye care professionals, for use in osmolarity testing procedures. Revenue is primarily derived from the sale of disposable test cards. Products are generally shipped from a distribution and warehousing facility located in San Diego, California. The Company’s sales are currently direct to customers in the United States and distributors in the rest of the world.

The Company enters into contracts where revenue is derived either from agreements whereby the customer is provided the right to use the TearLab® Osmolarity System (reader equipment) at no separate cost to the customer in consideration for a minimum or implied purchase commitment of disposable test cards over the related contract term (referred to as either “Use Agreements”, “Masters Agreements” or “Flex Agreements”), or from agreements with sales of multiple deliverables, such as the reader equipment and disposable test cards (referred to as “Purchase Agreements”).

Purchase commitments for Use Agreements and Flex Agreements are expressed in the agreement for a specified period of time (generally one to three years). The purchase commitment for Masters Agreements is implied for large physician practices with an expectation of purchasing certain levels of test cards. The Company recovers the cost of providing the reader equipment in the amount charged for disposable test cards. These agreements are treated as operating leases as collectability of the minimum lease payments is not reasonably predictable at the outset of the arrangement. Accordingly, revenue is recognized over the defined contract term as disposable test cards are shipped. Revenue under such agreements is allocated between the lease of the reader equipment and the sale of the disposables based upon each component’s relative fair value. When reader equipment is placed with a customer at no separate cost, the Company retains title to the equipment and it remains capitalized on the Company’s Condensed Consolidated Balance Sheet as equipment classified within fixed assets, net. The equipment is depreciated on a straight-line basis once shipped to a customer location over its estimated useful life and depreciation expense is included in cost of goods sold within the Condensed Consolidated Statements of Operations and Comprehensive Loss.

Revenue recognition for Purchase Agreements with multiple deliverables is based on the individual units of accounting determined to exist in the contract. A delivered item is considered a separate unit of accounting when the delivered item has value to the customer on a stand-alone basis. Items are considered to have stand-alone value when they are sold separately by any vendor or when the customer could resell the item on a stand-alone basis. Considering that test cards are essential to the operation of a TearLab reader, there is no alternative vendor for the test cards and no indication that a secondary market for the TearLab readers is established, the deliverables under the contracts do not meet criteria for separation under the multiple-element arrangements guidance. Consideration is allocated at the inception of the contract to all deliverables based on their relative selling price as determined by the selling price of similar individual items on a stand-alone basis. The Company recognizes revenue for each of the elements only when it determines that all applicable recognition criteria have been met.

Although the Company typically has a no return policy for its products, the Company has established a reserve for product sales that contain an implicit right of return. The Company reserves for estimated returns or refunds by reducing revenues at the time of shipment based on historical experience. The reserve of $11 and $13 as of September 30, 2017 and December 31, 2016, respectively, has reduced revenue and is included in accounts receivable.

Recent accounting pronouncements

In August 2016, the Financial Accountings Standards Board (the “FASB”) issued Accounting Standards Update No. 2016-15, Statement of Cash Flows (“ASU 2016-15”), to reduce diversity in practice of how certain transactions are classified in the statement of cash flows. ASU 2016-15 is effective for fiscal and interim periods beginning after December 15, 2017. The Company is currently evaluating the impact the adoption of the new standard will have on its financial statements.

In March 2016, the FASB issued Accounting Standards Update No. 2016-09 Compensation–Stock Compensation (“ASU 2016-09”), which requires that excess tax benefits and tax deficiencies be recorded in the income statement as a reduction or increase of income taxes when an award vests. It also requires excess tax benefits to be classified as an operating activity in the statement of cash flows. In addition, it simplifies other aspects of share-based payment transactions, including classification of awards that permit repurchase to satisfy statutory tax withholding requirements and classification of tax payments on behalf of employees on the statement of cash flows. The Company adopted this guidance in the first quarter 2017, and it did not have a material effect on the Company’s Condensed Consolidated Financial Statements.

In February 2016, the FASB issued Accounting Standards Update No. 2016-02, Leases (“ASU 2016-02”). ASU 2016-02 establishes a right-of-use model that requires a lessee to record an asset and liability on the balance sheet for all leases with terms longer than twelve months. ASU 2016-02 is effective for fiscal years and interim periods beginning after December 15, 2018. A modified retrospective transition approach is required for lessees for capital and operating leases existing at, or entered into after, the beginning of the earliest comparative period presented in the financial statements. The Company is currently evaluating the impact of the new standard on its financial statements.

In July 2015, the FASB issued Accounting Standards Update No. 2015-11, Inventory- Simplifying the Measurement of Inventory (“ASU 2015-11”). ASU 2015-11 became effective January 1, 2017. Under ASU 2015-11, the Company measures inventory at the lower of cost or net realizable value, where net realizable value is defined as the estimated selling price in the ordinary course of business, less reasonably predictable costs of completion, disposal, and transportation. ASU 2015-11 was applied prospectively beginning January 1, 2017. The change to lower of cost or net realizable value had no impact on the Company’s financial statements.

In May 2014, the FASB issued Accounting Standards Update No. 2014-09, Revenue from Contracts with Customers (“ASU 2014-09”) and amended by Accounting Standards Update No. 2017-13, Revenue Recognition (“ASU 2017-13”), which requires an entity to recognize the amount of revenue to which it expects to be entitled for the transfer of promised goods or services to customers. Early application is not permitted. On April 1, 2015, the FASB voted to propose a deferral of the effective date of the standard by one year which would result in the new standard being effective for the Company at the beginning of its first quarter of fiscal year 2018. The Company has completed its assessment of the impact of the new standard on its financial statements in 2017 so it can implement ASU 2014-09, on a modified retrospective basis, in the first quarter of 2018. The Company does not expect the guidance to have a material impact on the amounts reported in the financial statements, but it will require enhanced footnote disclosures regarding the Company’s recognition of revenue.

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Balance Sheet Details

9 Months Ended

Sep. 30, 2017

Organization, Consolidation and Presentation of Financial Statements [Abstract]

Balance Sheet Details

3. BALANCE SHEET DETAILS

Accounts receivable

	September 30, 2017			December 31, 2016
Trade receivables	$	2,177		$	2,928
Allowance for doubtful accounts		(521	)		(649	)
	$	1,656		$	2,279

Inventory

Inventory is recorded at the lower of cost or net realizable value and consists of finished goods. Inventory is accounted for on a first-in, first-out basis.

	September 30, 2017			December 31, 2016
Finished goods	$	2,610		$	3,210
Inventory reserves		(20	)		(17	)
	$	2,590		$	3,193

The Company evaluates inventory for estimated excess quantities and obsolescence, based on expected future sales levels and projections of future demand, and establishes inventory reserves for obsolete and excess inventories. In addition, the Company assesses the impact of changing technology and market conditions. The Company has entered into a long term purchase commitment to buy the test cards from MiniFAB (Note 8). As part of its analysis of excess or obsolete inventories, the Company considers future required minimum purchases, estimated future usage and the expiry dating of the cards to determine if any inventory reserve is needed.

Prepaid expenses and other current assets

	September 30, 2017		December 31, 2016
Prepaid trade shows	$	362	$	217
Prepaid insurance		163		326
Manufacturing deposits		-		282
Subscriptions		183		297
Other fees and services		62		66
Other current assets		5		38
	$	775	$	1,226

Fixed assets

	September 30, 2017			December 31, 2016
Capitalized TearLab equipment	$	9,314		$	9,095
Leasehold improvements		60			60
Computer equipment and software		920			932
Furniture and office equipment		271			271
Medical equipment		781			500
	$	11,346		$	10,858
Less accumulated depreciation		(7,914	)		(6,680	)
	$	3,432		$	4,178

Depreciation expense was $1,490 and $1,816 for the nine months ended September 30, 2017 and 2016, respectively, and $464 and $580, respectively, for the three months ended September 30, 2017 and 2016.

Accrued liabilities

	September 30, 2017		December 31, 2016
Due to professionals	$	235	$	81
Due to employees and directors		1,194		2,200
Sales and use tax liabilities		247		247
Royalty liability		417		854
Warranty		142		124
Other		750		452
Goods Received Not Invoiced		273		-
Interest		597		-
	$	3,855	$	3,958

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Intangible Assets

9 Months Ended

Sep. 30, 2017

Goodwill and Intangible Assets Disclosure [Abstract]

Intangible Assets

4. INTANGIBLE ASSETS

The Company’s intangible assets consist of the value of TearLab® Technology acquired in the acquisition of TearLab Research, Inc., a wholly-owned subsidiary of the Company and a prescriber list. The TearLab Technology, which consists of a disposable lab card and card reader, supported by an array of patents and patent applications that are either held or in-licensed by the Company, included in amortization of intangibles line item in the Condensed Consolidated Statements of Operations and Comprehensive Loss, was fully amortized in November 2016. Amortization expense for the three months ended September 30, 2017 and 2016 was $15 and $359, respectively. Amortization expense for the nine months ended September 30, 2017 and 2016 was $45 and $966, respectively.

Intangible assets subject to amortization consist of the following:

	Remaining Useful Life		Gross Value at		Accumulated			Net Book Value at
	(Years)		September 30, 2017		Amortization			September 30, 2017
TearLab® technology		-	$	12,172	$	(12,172	)	$	-
Patents and trademarks		1		271		(256	)		15
Prescriber list		-		90		(90	)		0
Total			$	12,533	$	(12,518	)	$	15

	Remaining Useful Life		Gross Value at		Accumulated			Net Book Value at
	(Years)		December 31, 2016		Amortization			December 31, 2016
TearLab® technology		-	$	12,172	$	(12,172	)	$	-
Patents and trademarks		1		271		(245	)		26
Prescriber list		1		90		(56	)		34
Total			$	12,533	$	(12,473	)	$	60

The estimated amortization expense for the intangible assets for the remainder of 2017 and thereafter is as follows:

	Amortization
	of intangible
	assets
Remainder of 2017	$	4
Thereafter		11
	$	15

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Term Loan

9 Months Ended

Sep. 30, 2017

Debt Disclosure [Abstract]

Term Loan

5. TERM LOAN

On March 4, 2015, the Company executed a term loan agreement (the “Term Loan Agreement”) with CRG LP and certain of its affiliate funds (“CRG”) as lenders providing the Company with access of up to $35,000 under the arrangement. The Company received $15,000 in gross proceeds under the arrangement on March 4, 2015, and an additional $10,000 on October 6, 2015. The Term Loan Agreement matures on March 31, 2021 and bears interest at 13% per annum, with quarterly payments of interest only for the first four years. While interest on the loan is accrued at 13% per annum, the Company may elect to make interest-only payments at 8.5% per annum. The unpaid interest of 4.5% is added to the principal of the loan and is subject to additional accrued interest (“PIK interest”). The accrued interest can be deferred and paid together with the principal in the fifth and sixth years.

As part of the amended Term Loan Agreement, and funding of the second tranche, CRG received 35,000 warrants dated as of October 6, 2015 to purchase common shares of the Company at a price of $50.00 per share (the “CRG Warrants”). The CRG Warrants have a five-year life. The CRG Warrants are classified as equity on the Condensed Consolidated Balance Sheets as of September 30, 2017 and December 31, 2016. The CRG Warrants were valued at their issuance date using the Black-Scholes Merton model. The related reduction of the long-term debt will be amortized over the life of the debt. See Note 9 Subsequent Event Disclosure regarding an additional amendment of the Term Loan Agreement subsequent to September 30, 2017.

The loan is collateralized by all assets of the Company. Additionally, the terms of the Term Loan Agreement contain various affirmative and negative covenants agreed to by the Company. Among them, the Company must attain minimum certain annual revenue and minimum cash threshold levels. On April 7, 2016, the Company amended the Term Loan Agreement to change the required minimum revenue levels. The amended minimum revenue is $31,000 for 2017, $36,000 for 2018, $45,000 for 2019 and $55,000 for 2020. The minimum cash balance required is $5,000 subject to certain conditions. The amendment also reduced the exercise price of the CRG Warrants from $50.00 per share to $15.00 per share and the Company issued CRG additional warrants to purchase 35,000 common shares of the Company’s stock at $15.00 per share, which expire 5 years after issuance.

If the Company does not have annual revenue greater or equal to the annual revenue covenant in a calendar year, the Company will have the right within 90 days of the end of the respective calendar year to raise subordinated debt or equity (the “CRG Equity Cure”) equal to twice the difference between the annual revenue and the revenue covenant, with the total proceeds from this financing to be used to reduce the principal of the Term Loan Agreement. In the event of a default, the Company may be required to repay any outstanding amounts earlier than anticipated, and CRG may foreclose on their security interest in the Company’s assets.

At September 30, 2017, the Company was in compliance with all of the covenants.

As part of the amended Term Loan Agreement, on the earlier of the maturity date or the date the term loan is paid off in full, the Company will pay a facility fee equal to 6.5% of the aggregate principal amount of the loan, excluding accrued PIK interest (the “Facility Fee”). The Facility Fee is being accrued to interest expense using the effective interest method.

The Company incurred financing and legal fees associated with the debt of $606, which were recorded as a direct discount to the debt and are being amortized using the effective interest method. The Company presents the debt issuance costs related to the recognized debt liability on the Condensed Consolidated Balance Sheet as a reduction of the liability.

The Term Loan Agreement provided for prepayment fees of 5% of the outstanding balance of the loan if the loan was repaid prior to March 31, 2016. The prepayment fee is reduced 1% per year for each subsequent year until maturity.

The following is a summary of the Term Loan Agreement as of September 30, 2017 and related maturities of outstanding principal:

Principal balance outstanding	$	25,000
PIK interest		2,804
Facility fee		643
Less discount on term loan:
Deferred financing fees, net		(346	)
Detachable warrants, net		(258	)
Total term loan	$	27,843

Principal due for each of the next 5 years and in the aggregate:

2017	$	-
2018		-
2019		10,427
2020		13,902
2021		4,118
Total principal due	$	28,447
Less: discount on term loan		(604	)
Total term loan	$	27,843

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Stockholders' Equity

9 Months Ended

Sep. 30, 2017

Equity [Abstract]

Stockholders' Equity

6. STOCKHOLDERS’ EQUITY

(a) Authorized share capital

On February 23, 2017, the Company’s stockholders authorized the board of directors to implement a reverse stock split, along with a corresponding reduction in the number of shares authorized. On February 27, 2017, the Company effected a 1-for-10 reverse stock split of its common stock. All common stock share amounts and prices per share of common stock have been retroactively adjusted to reflect the reverse stock split.

On June 24, 2016, the Company’s stockholders approved an amendment to the Company’s certificate of incorporation to increase the total number of authorized shares of common stock of the Company to 9,500,000 from 6,500,000. Each share of common stock has a par value of $0.001 per share. The total number of authorized shares of preferred stock of the Company is 10,000,000. Each share of preferred stock has a par value of $0.001 per share. See Note 9 Subsequent Events disclosure regarding changes to authorized shares of common stock made subsequent to September 30, 2017.

(b) Common and preferred shares

On May 9, 2016 the Company issued 1,861,090 shares of common stock, 3,291.8 shares of Series A Convertible Preferred Stock (“Preferred Stock”) and Series A warrants to purchase 1,150,000 shares of common stock (“Series A Warrants”) for gross proceeds of $17,250, less issuance costs of $1,793. Additionally, the Company granted the placement agent warrants to purchase 103,500 shares of common stock with an exercise price of $11.25 per share. All the Preferred Stock converted into an aggregate of 438,910 shares of common stock prior to June 30, 2017. The common stock, the Series A Convertible Preferred Stock, and the Series A Warrants are all included in equity in the Company’s Condensed Consolidated Balance Sheets as of September 30, 2017 and December 31, 2016. The net proceeds were allocated to common stock, Preferred Stock, and Series A Warrants based on their relative fair values, as follows:

Common stock	$	9,632
Preferred stock		2,275
Series A warrants		3,550
Net proceeds	$	15,457

(c) Stock incentive plan

On June 23, 2017 the Company’s stockholders approved an amendment to the 2002 Stock Incentive Plan (the “Stock Incentive Plan”), to increase the total number of shares reserved for issuance to 1,070,000 from 720,000. Stock Incentive Plan shares are available for grant to employees, directors and consultants. Shares granted under the Stock Incentive Plan may be incentive stock options, non-statutory stock options, stock appreciation rights, restricted stock or restricted share units. Under the terms of the Stock Incentive Plan, the exercise price per share for an incentive stock option shall not be less than the fair market value of a share of stock on the effective date of grant and the exercise price per share for non-statutory stock options shall not be less than 85% of the fair market value of a share of stock on the date of grant. No option granted to a holder of more than 10% of the Company’s common stock shall have an exercise price per share less than 110% of the fair market value of a share of stock on the effective date of grant.

Options granted are typically service-based options. Generally, options expire 10 years after the date of grant. No incentive stock options granted to a 10% owner optionee shall be exercisable after the expiration of five years after the effective date of grant of such option, no option has been granted to a prospective employee, prospective consultant or prospective director prior to the date on which such person commences service, and with the exception of an option granted to an officer, director or consultant, no incentive option shall become exercisable at a rate less than 20% per annum over a period of five years from the effective date of grant of such option unless otherwise approved by the board of directors.

Share-based payment transactions with employees are recognized in the financial statements based on their fair value and recognized as compensation expense over the vesting period. The amount of expense recognized during the period is affected by subjective assumptions, including: estimates of the Company’s future volatility, the expected term for its stock options, option exercise behavior, the number of options expected to ultimately vest, and the timing of vesting for the Company’s share-based awards.

The following table sets forth the total stock-based compensation expense resulting from stock options and the employee stock purchase plan included in the Company’s Condensed Consolidated Statements of Operations and Comprehensive Loss (in thousands):

	Three months ended				Nine months ended
	September 30,				September 30,
	2017		2016		2017		2016
Sales and marketing	$	61	$	196	$	317	$	617
Clinical, regulatory and research and development		14		50		98		279
General and administrative		52		333		246		1,207
Stock-based compensation expense before income taxes	$	127	$	579	$	661	$	2,103

(d) Employee Stock Purchase Plan

In July 2014, the Company’s board of directors adopted the 2014 Employee Stock Purchase Plan (the “ESPP”) which was approved by the Company’s stockholders in June 2014 at the Company’s Annual Meeting of Stockholders. A total of 67,150 shares of the Company’s common stock are reserved for issuance under the plan, which permits eligible employees to purchase common stock at a discount through payroll deductions.

The price at which stock is purchased under the ESPP is equal to 90% of the fair market value of the common stock on the first or the last day of the offering period, whichever is lower. Generally, each offering under the ESPP will be for a period of six months as determined by the Company’s board of directors. Employees may invest up to 20% of their gross compensation through payroll deductions. In no event may an employee invest more than $25 worth of stock in the plan during each calendar year or more than 500 shares per offering period. During both the three months ended September 30, 2017 and 2016, the Company recorded $2 of expense, respectively, under the ESPP. During the nine months ended September 30, 2017 and 2016, the Company recorded $6 and $8 of expense, respectively, under the ESPP. During the nine months ended September 30, 2017 and 2016, the Company issued 14,233 and 14,105 shares of common stock, respectively, under the ESPP.

(e) Warrants

On October 8, 2015, as part of the second amendment to the Term Loan Agreement and funding of the $10,000 tranche, CRG received warrants to purchase 35,000 common shares in the Company at a price of $50.00 per share (the “CRG Warrants”). The CRG Warrants are exercisable any time prior to October 8, 2020. The CRG Warrants are classified as equity on the Condensed Consolidated Balance Sheets as of September 30, 2017 and December 31, 2016. The CRG Warrants were valued at $290 upon issuance using the Black-Scholes Merton model assuming volatility of 73%, an expected life of 5.0 years, a risk-free interest rate of 1.71%, and 0% dividend yield. No CRG Warrants were exercised during the nine months ended September 30, 2017 or 2016.

On April 8, 2016, the Company further amended its Term Loan Agreement. As part of the amendment, the exercise price of the CRG Warrants was changed to allow the holder to purchase 35,000 common shares in the Company at a price of $15.00 per share and CRG was issued an additional 35,000 warrants to purchase common shares at an exercise price of $15.00 (the “2016 CRG Warrants”). The modification to the terms of the CRG Warrants resulted in a change in fair value of $54 which was included as interest expense. The change in fair value was calculated using the Black-Scholes Merton model with both exercise prices, assuming volatility of 76%, an expected life of 4.5 years, a risk-free interest rate of 1.06%, and 0% dividend yield. The 2016 CRG Warrants were valued at $106 upon issuance using the Black-Scholes Merton model assuming volatility of 76%, an expected life of 5.0 years, a risk-free interest rate of 1.30% and 0% dividend yield. See Note 9 Subsequent Events disclosure regarding an additional amendment of the Term Loan Agreement and the CRG Warrants subsequent to September 30, 2017.

On May 9, 2016, the Company issued Series A Warrants to purchase 1,253,500 shares of common stock for $11.25 per common share attached to shares of common and Series A Convertible Preferred Stock issued on the same date. The Series A Warrants can be exercised after May 9, 2017 (the “Initial Exercise Date”) and expire 5 years after the Initial Exercise Date. Fair value of the Series A Warrants, for purposes of allocating the net proceeds of the equity offering, was determined using the Black-Scholes Merton model assuming volatility of 76%, an expected life of 6.0 years, a risk-free interest rate of 1.30%, and 0% dividend yield.

(f) Exchange Right

In August 2014, the Company sold membership units in OcuHub in exchange for 2% ownership of OcuHub LLC. In connection with the sale of the membership units, the new members received an exchange right allowing the units to be exchanged upon written notice and during a specified exchange window for shares in the Company’s common stock. On March 31, 2016, the members exchanged the ownership interest in OcuHub LLC for 385,800 shares of the Company’s common stock.

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Net Income (Loss) Per Share

9 Months Ended

Sep. 30, 2017

Earnings Per Share [Abstract]

Net Income (Loss) Per Share

7. NET INCOME (LOSS) PER SHARE

Basic earnings per share (“EPS”) excludes dilutive securities and is computed by dividing net loss available to common stockholders by the weighted average number of shares of common stock outstanding for the year. Diluted EPS reflects the potential dilution that could occur if securities or other contracts to issue common stock were exercised or converted and the resulting additional shares are dilutive because their inclusion decreases the amount of EPS.

The following securities were not included in the calculation of diluted earnings per share because their effects were anti-dilutive:

(in thousands of shares)	As of September 30,
	2017		2016
Stock options		682		728
Warrants		1,323		1,323
ESPP shares		6		7
Convertible Preferred shares		-		369
Total		2,011		2,427

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Commitments and Contingencies

9 Months Ended

Sep. 30, 2017

Commitments and Contingencies Disclosure [Abstract]

Commitments and Contingencies

8. COMMITMENTS AND CONTINGENCIES

Commitments

The Company has commitments relating to operating leases recognized on a straight line basis over the term of the lease for rental of office space and equipment from unrelated parties, expiring at various times through June 30, 2018. The Company leases office facilities under an operating lease agreement. The initial term of the lease is five years and includes periodic rent increases and a renewal option.

Effective October 1, 2006, the Company entered into a patent license and royalty agreement with the University of California San Diego to obtain a second exclusive license to make, use, sell, offer for sale, and import existing TearLab technology. The Company is required to make royalty payments of $35 or 5.5% of gross sales per year, whichever is higher. Additionally, the Company is required to pay a royalty of 30% of any sublicense fees it receives prior to receiving FDA approval and 25% of any sub-license fees it receives after FDA approval.

Future minimum royalty payments under this agreement as of September 30, 2017 are as follows:

2017	$	35
2018		35
2019		35
2020		35
2021		35
Thereafter		210
Total	$	385

On March 12, 2003, the Company entered into a patent license and royalty agreement with the University of California San Diego to obtain an exclusive license to make, use, sell, offer for sale, and import TearLab technology in development. Starting in 2009, the Company was required to make minimum royalty payments of $35 or 5.5% of gross sales per year, whichever is higher. However, if this new technology is combined with existing technology, the maximum royalty payable on the sale of the combined products would be 5.5% of gross sales per year. As the new technology is currently in development, there is no revenue and the minimum royalty payment of $35 is applicable.

Future minimum royalty payments under this agreement as of September 30, 2017 are as follows:

2017	$	35
2018		35
2019		35
2020		35
2021		35
Thereafter		210
Total	$	385

On March 7, 2016, the Company, through its subsidiary, TearLab Research, Inc., entered into a supply and development agreement (“Supply Agreement”) with MiniFAB (Aust) Pty Ltd (“MiniFAB”). The agreement is an exclusive supply agreement through June 2021, for the purchase and delivery of individual osmolarity test cards with the freight costs borne by MiniFab. The Company has the benefit of a lower purchase price that will remain in place until the earlier of, the Company reaches an annual volume of 4.5 million test cards or March 31, 2018. Certain savings from freight costs will remain in place throughout the agreement. The Supply Agreement requires, in any given 6 calendar months, the Company must place aggregate purchase orders equal to at least 50% of the orders forecasted for that 6 month period at its onset. The Supply Agreement can be extended by either party for a term of five years with the option for the Company to buyout the exclusive supply provision during any extended term. This Supply Agreement replaces the July 2011 agreement between MiniFAB and the Company.

In April 2014, the Company guaranteed a marketing agreement entered into by OcuHub. The underlying marketing agreement calls for an annual marketing fee of $100, with payments due quarterly through March 31, 2019. If OcuHub fails to perform its obligations under the terms of the marketing agreement, the Company would be required to make the $25 quarterly payments, through the March 31, 2019 initial term of the agreement. The Company has not accrued for any liability under the guarantee.

In the normal course of business, the Company enters into purchase obligations for future goods and services needed for the operations of the business. Such commitments generally are not in excess of expected requirements and are not reasonably likely to result in performance penalties or payments that would have a material adverse effect on the Company’s liquidity. However, in September 2017 we agreed to a $0.7 million settlement with one of our suppliers for raw materials purchased by the supplier in excess of needed demand related to the cancellation of purchase orders. The $0.7 million settlement was charged to cost of goods sold in the three months ended September 30, 2017.

Contingencies

During the ordinary course of business activities, the Company may be contingently liable for litigation and a party to claims. Currently the Company is not party to any material litigation.

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Subsequent Events

9 Months Ended

Sep. 30, 2017

Subsequent Events [Abstract]

Subsequent Events

9. SUBSEQUENT EVENTS

On October 12, 2017 the stockholders of the Company approved an amendment to the Company’s Amended and Restated Certificate of Incorporation to increase the number of authorized shares of common stock from 9,500,000 to 40,000,000. In addition, on the same day the stockholders of the Company provided advanced approval to the board of directors as required by NASDAQ Rule 5636(d) to enable the Company to issue shares of common stock in one or more capital raising transactions or debt for equity conversion transactions and to provide the board of directors with the flexibility to enter into and close such transactions on a timely basis within the three month period commencing on the date of approval by the stockholders.

On October 12, 2017, the Company entered into an amendment (the “Amendment”) to the Term Loan Agreement. The Amendment changes the required minimum revenue levels under the Term Loan Agreement from $31 million to $25 million for 2017, from $36 million to $25 million for 2018, from $45 million to $38 million for 2019, and from $55 million to $45 million for 2020. In addition, subject to the condition of raising net equity proceeds of at least $7 million (net of bona fide costs incurred in connection with issuance of such equity) by March 31, 2018, the Amendment changes the definition of “Interest-only Period” and “PIK Period” from the sixteenth (16th) payment date to the twentieth (20th) payment date following the first borrowing date, which has the effect of extending the “Interest-only Period” and the “PIK” period through the calendar year 2019. Should the Company fail to raise net equity proceeds of $7 million on or before March 31, 2018, the “Interest-only Period” and “PIK” period will remain unchanged from their current dates. Also, pursuant to the Amendment, the Company agreed to amend the CRG Warrants to (i) reduce the strike price to $1.50 per share and (ii) to include broad based anti-dilution protection such that the CRG Warrants shall maintain the same 1.22% ownership percentage following any capital raises the Company may complete through March 31, 2018.

Effective at the open of business on November 9, 2017, the Company’s common stock was suspended and delisted from The Nasdaq Capital Market and began trading on the OTCQB. The delisting was the result of the Company’s non-compliance with Nasdaq Listing Rule 5550(b).

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Significant Accounting Policies (Policies)

9 Months Ended

Sep. 30, 2017

Accounting Policies [Abstract]

Use of Estimates

Use of Estimates

The preparation of financial statements in conformity with U.S. GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities, disclosure of contingent assets and liabilities at the date of the financial statements, and the reported amounts of revenue and expenses during the reporting period. Actual results could differ from those estimates. The principal areas of judgment relate to revenue and inventory reserves, allowance for doubtful accounts, impairment of long-lived and intangible assets, and the fair value of stock options and warrants.

Revenue Recognition

Revenue recognition

Revenue is recognized when all four of the following criteria are met: (i) persuasive evidence that an arrangement exists; (ii) delivery of the products has occurred; (iii) the selling price is fixed or determinable; and (iv) collectability is reasonably assured. The Company’s timing of revenue recognition is impacted by factors such as passage of title, payments and customer acceptance. Amounts received in excess of revenue recognizable are deferred.

The Company sells its proprietary TearLab® Osmolarity System and related test cards to external customers, who are primarily eye care professionals, for use in osmolarity testing procedures. Revenue is primarily derived from the sale of disposable test cards. Products are generally shipped from a distribution and warehousing facility located in San Diego, California. The Company’s sales are currently direct to customers in the United States and distributors in the rest of the world.

The Company enters into contracts where revenue is derived either from agreements whereby the customer is provided the right to use the TearLab® Osmolarity System (reader equipment) at no separate cost to the customer in consideration for a minimum or implied purchase commitment of disposable test cards over the related contract term (referred to as either “Use Agreements”, “Masters Agreements” or “Flex Agreements”), or from agreements with sales of multiple deliverables, such as the reader equipment and disposable test cards (referred to as “Purchase Agreements”).

Purchase commitments for Use Agreements and Flex Agreements are expressed in the agreement for a specified period of time (generally one to three years). The purchase commitment for Masters Agreements is implied for large physician practices with an expectation of purchasing certain levels of test cards. The Company recovers the cost of providing the reader equipment in the amount charged for disposable test cards. These agreements are treated as operating leases as collectability of the minimum lease payments is not reasonably predictable at the outset of the arrangement. Accordingly, revenue is recognized over the defined contract term as disposable test cards are shipped. Revenue under such agreements is allocated between the lease of the reader equipment and the sale of the disposables based upon each component’s relative fair value. When reader equipment is placed with a customer at no separate cost, the Company retains title to the equipment and it remains capitalized on the Company’s Condensed Consolidated Balance Sheet as equipment classified within fixed assets, net. The equipment is depreciated on a straight-line basis once shipped to a customer location over its estimated useful life and depreciation expense is included in cost of goods sold within the Condensed Consolidated Statements of Operations and Comprehensive Loss.

Revenue recognition for Purchase Agreements with multiple deliverables is based on the individual units of accounting determined to exist in the contract. A delivered item is considered a separate unit of accounting when the delivered item has value to the customer on a stand-alone basis. Items are considered to have stand-alone value when they are sold separately by any vendor or when the customer could resell the item on a stand-alone basis. Considering that test cards are essential to the operation of a TearLab reader, there is no alternative vendor for the test cards and no indication that a secondary market for the TearLab readers is established, the deliverables under the contracts do not meet criteria for separation under the multiple-element arrangements guidance. Consideration is allocated at the inception of the contract to all deliverables based on their relative selling price as determined by the selling price of similar individual items on a stand-alone basis. The Company recognizes revenue for each of the elements only when it determines that all applicable recognition criteria have been met.

Although the Company typically has a no return policy for its products, the Company has established a reserve for product sales that contain an implicit right of return. The Company reserves for estimated returns or refunds by reducing revenues at the time of shipment based on historical experience. The reserve of $11 and $13 as of September 30, 2017 and December 31, 2016, respectively, has reduced revenue and is included in accounts receivable.

Recent Accounting Pronouncements

Recent accounting pronouncements

In August 2016, the Financial Accountings Standards Board (the “FASB”) issued Accounting Standards Update No. 2016-15, Statement of Cash Flows (“ASU 2016-15”), to reduce diversity in practice of how certain transactions are classified in the statement of cash flows. ASU 2016-15 is effective for fiscal and interim periods beginning after December 15, 2017. The Company is currently evaluating the impact the adoption of the new standard will have on its financial statements.

In March 2016, the FASB issued Accounting Standards Update No. 2016-09 Compensation–Stock Compensation (“ASU 2016-09”), which requires that excess tax benefits and tax deficiencies be recorded in the income statement as a reduction or increase of income taxes when an award vests. It also requires excess tax benefits to be classified as an operating activity in the statement of cash flows. In addition, it simplifies other aspects of share-based payment transactions, including classification of awards that permit repurchase to satisfy statutory tax withholding requirements and classification of tax payments on behalf of employees on the statement of cash flows. The Company adopted this guidance in the first quarter 2017, and it did not have a material effect on the Company’s Condensed Consolidated Financial Statements.

In February 2016, the FASB issued Accounting Standards Update No. 2016-02, Leases (“ASU 2016-02”). ASU 2016-02 establishes a right-of-use model that requires a lessee to record an asset and liability on the balance sheet for all leases with terms longer than twelve months. ASU 2016-02 is effective for fiscal years and interim periods beginning after December 15, 2018. A modified retrospective transition approach is required for lessees for capital and operating leases existing at, or entered into after, the beginning of the earliest comparative period presented in the financial statements. The Company is currently evaluating the impact of the new standard on its financial statements.

In July 2015, the FASB issued Accounting Standards Update No. 2015-11, Inventory- Simplifying the Measurement of Inventory (“ASU 2015-11”). ASU 2015-11 became effective January 1, 2017. Under ASU 2015-11, the Company measures inventory at the lower of cost or net realizable value, where net realizable value is defined as the estimated selling price in the ordinary course of business, less reasonably predictable costs of completion, disposal, and transportation. ASU 2015-11 was applied prospectively beginning January 1, 2017. The change to lower of cost or net realizable value had no impact on the Company’s financial statements.

In May 2014, the FASB issued Accounting Standards Update No. 2014-09, Revenue from Contracts with Customers (“ASU 2014-09”) and amended by Accounting Standards Update No. 2017-13, Revenue Recognition (“ASU 2017-13”), which requires an entity to recognize the amount of revenue to which it expects to be entitled for the transfer of promised goods or services to customers. Early application is not permitted. On April 1, 2015, the FASB voted to propose a deferral of the effective date of the standard by one year which would result in the new standard being effective for the Company at the beginning of its first quarter of fiscal year 2018. The Company has completed its assessment of the impact of the new standard on its financial statements in 2017 so it can implement ASU 2014-09, on a modified retrospective basis, in the first quarter of 2018. The Company does not expect the guidance to have a material impact on the amounts reported in the financial statements, but it will require enhanced footnote disclosures regarding the Company’s recognition of revenue.

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Balance Sheet Details (Tables)

9 Months Ended

Sep. 30, 2017

Organization, Consolidation and Presentation of Financial Statements [Abstract]

Schedule of Accounts Receivable

Accounts receivable

	September 30, 2017			December 31, 2016
Trade receivables	$	2,177		$	2,928
Allowance for doubtful accounts		(521	)		(649	)
	$	1,656		$	2,279

Schedule of Inventory

	September 30, 2017			December 31, 2016
Finished goods	$	2,610		$	3,210
Inventory reserves		(20	)		(17	)
	$	2,590		$	3,193

Summary of Prepaid Expenses and Other Current Assets

Prepaid expenses and other current assets

	September 30, 2017		December 31, 2016
Prepaid trade shows	$	362	$	217
Prepaid insurance		163		326
Manufacturing deposits		-		282
Subscriptions		183		297
Other fees and services		62		66
Other current assets		5		38
	$	775	$	1,226

Schedule of Fixed Assets

Fixed assets

	September 30, 2017			December 31, 2016
Capitalized TearLab equipment	$	9,314		$	9,095
Leasehold improvements		60			60
Computer equipment and software		920			932
Furniture and office equipment		271			271
Medical equipment		781			500
	$	11,346		$	10,858
Less accumulated depreciation		(7,914	)		(6,680	)
	$	3,432		$	4,178

Schedule of Accrued Liabilities

Accrued liabilities

	September 30, 2017		December 31, 2016
Due to professionals	$	235	$	81
Due to employees and directors		1,194		2,200
Sales and use tax liabilities		247		247
Royalty liability		417		854
Warranty		142		124
Other		750		452
Goods Received Not Invoiced		273		-
Interest		597		-
	$	3,855	$	3,958

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Intangible Assets (Tables)

9 Months Ended

Sep. 30, 2017

Goodwill and Intangible Assets Disclosure [Abstract]

Schedule of Amortization of Intangible Assets

Intangible assets subject to amortization consist of the following:

	Remaining Useful Life		Gross Value at		Accumulated			Net Book Value at
	(Years)		September 30, 2017		Amortization			September 30, 2017
TearLab® technology		-	$	12,172	$	(12,172	)	$	-
Patents and trademarks		1		271		(256	)		15
Prescriber list		-		90		(90	)		0
Total			$	12,533	$	(12,518	)	$	15

	Remaining Useful Life		Gross Value at		Accumulated			Net Book Value at
	(Years)		December 31, 2016		Amortization			December 31, 2016
TearLab® technology		-	$	12,172	$	(12,172	)	$	-
Patents and trademarks		1		271		(245	)		26
Prescriber list		1		90		(56	)		34
Total			$	12,533	$	(12,473	)	$	60

Schedule of Estimated Amortization Expense of Intangible Assets

The estimated amortization expense for the intangible assets for the remainder of 2017 and thereafter is as follows:

	Amortization
	of intangible
	assets
Remainder of 2017	$	4
Thereafter		11
	$	15

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Term Loan (Tables)

9 Months Ended

Sep. 30, 2017

Debt Disclosure [Abstract]

Schedule of Term Loan

The following is a summary of the Term Loan Agreement as of September 30, 2017 and related maturities of outstanding principal:

Principal balance outstanding	$	25,000
PIK interest		2,804
Facility fee		643
Less discount on term loan:
Deferred financing fees, net		(346	)
Detachable warrants, net		(258	)
Total term loan	$	27,843

Schedule of Maturities of Outstanding Principal of Term Loan

Principal due for each of the next 5 years and in the aggregate:

2017	-
2018	-
2019	10,427
2020	13,902
2021	4,118
Total principal due	28,447
Less: discount on term loan	(604	)
Total term loan	27,843

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Stockholders' Equity (Tables)

9 Months Ended

Sep. 30, 2017

Equity [Abstract]

Schedule of Common and Preferred Shares

The net proceeds were allocated to common stock, Preferred Stock, and Series A Warrants based on their relative fair values, as follows:

Common stock	$	9,632
Preferred stock		2,275
Series A warrants		3,550
Net proceeds	$	15,457

Schedule of Stock-Based Compensation Expense

The following table sets forth the total stock-based compensation expense resulting from stock options and the employee stock purchase plan included in the Company’s Condensed Consolidated Statements of Operations and Comprehensive Loss (in thousands):

	Three months ended				Nine months ended
	September 30,				September 30,
	2017		2016		2017		2016
Sales and marketing	$	61	$	196	$	317	$	617
Clinical, regulatory and research and development		14		50		98		279
General and administrative		52		333		246		1,207
Stock-based compensation expense before income taxes	$	127	$	579	$	661	$	2,103

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Net Income (Loss) Per Share (Tables)

9 Months Ended

Sep. 30, 2017

Earnings Per Share [Abstract]

Schedule of Antidilutive Securities Excluded from Computation of Earnings Per Share

The following securities were not included in the calculation of diluted earnings per share because their effects were anti-dilutive:

(in thousands of shares)	As of September 30,
	2017		2016
Stock options		682		728
Warrants		1,323		1,323
ESPP shares		6		7
Convertible Preferred shares		-		369
Total		2,011		2,427

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Commitments and Contingencies (Tables)

9 Months Ended

Sep. 30, 2017

2006 Agreement [Member]

Schedule of Future Minimum Payments

Future minimum royalty payments under this agreement as of September 30, 2017 are as follows:

2017	$	35
2018		35
2019		35
2020		35
2021		35
Thereafter		210
Total	$	385

2003 Agreement [Member]

Schedule of Future Minimum Payments

Future minimum royalty payments under this agreement as of September 30, 2017 are as follows:

2017	$	35
2018		35
2019		35
2020		35
2021		35
Thereafter		210
Total	$	385

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Basis of Presentation (Details Narrative) - USD ($) $ in Thousands			3 Months Ended		9 Months Ended
	Feb. 27, 2017	Apr. 08, 2016	Sep. 30, 2017	Sep. 30, 2016	Sep. 30, 2017	Sep. 30, 2016
Gain on disposal of subsidiary						$ 75
Reserve stock split	1-for-10 reverse stock split
Net income (loss)			$ 3,821	$ 3,982	12,135	$ 15,579
Additional equity financing			$ 55,000		$ 55,000
OcuHub Business Inc [Member]
Owned subsidiary, in units		10,167.5
Ownership percentage		10.50%

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Significant Accounting Policies (Details Narrative) - USD ($) $ in Thousands	9 Months Ended	12 Months Ended
	Sep. 30, 2017	Dec. 31, 2016
Accounting Policies [Abstract]
Reserve of product sales	$ 11	$ 13

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Balance Sheet Details (Details Narrative) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2017	Sep. 30, 2016	Sep. 30, 2017	Sep. 30, 2016
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Depreciation expense	$ 464	$ 580	$ 1,490	$ 1,816

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Balance Sheet Details - Schedule of Accounts Receivable (Details) - USD ($) $ in Thousands	Sep. 30, 2017	Dec. 31, 2016
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Trade receivables	$ 2,177	$ 2,928
Allowance for doubtful accounts	(521)	(649)
Accounts receivable net	$ 1,656	$ 2,279

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Balance Sheet Details - Schedule of Inventory (Details) - USD ($) $ in Thousands	Sep. 30, 2017	Dec. 31, 2016
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Finished goods	$ 2,610	$ 3,210
Inventory reserves	(20)	(17)
Inventory net	$ 2,590	$ 3,193

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Balance Sheet Details - Summary of Prepaid Expenses and Other Current Assets (Details) - USD ($) $ in Thousands	Sep. 30, 2017	Dec. 31, 2016
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Prepaid trade shows	$ 362	$ 217
Prepaid insurance	163	326
Manufacturing deposits		282
Subscriptions	183	297
Other fees and services	62	66
Other current assets	5	38
Prepaid expense and other current assets	$ 775	$ 1,226

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Balance Sheet Details - Schedule of Fixed Assets (Details) - USD ($) $ in Thousands	Sep. 30, 2017	Dec. 31, 2016
Property plant and equipment, gross	$ 11,346	$ 10,858
Less accumulated depreciation	(7,914)	(6,680)
Property plant and equipment net	3,432	4,178
Capitalized TearLab Equipment [Member]
Property plant and equipment, gross	9,314	9,095
Leasehold Improvements [Member]
Property plant and equipment, gross	60	60
Computer Equipment and Software [Member]
Property plant and equipment, gross	920	932
Furniture and Office Equipment [Member]
Property plant and equipment, gross	271	271
Medical Equipment [Member]
Property plant and equipment, gross	$ 781	$ 500

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Balance Sheet Details - Schedule of Accrued Liabilities (Details) - USD ($) $ in Thousands	Sep. 30, 2017	Dec. 31, 2016
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Due to professionals	$ 235	$ 81
Due to employees and directors	1,194	2,200
Sales and use tax liabilities	247	247
Royalty liability	417	854
Warranty	142	124
Other	750	452
Goods Received Not Invoiced	273
Interest	597
Accrued liabilities current	$ 3,855	$ 3,958

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Intangible Assets (Details Narrative) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2017	Sep. 30, 2016	Sep. 30, 2017	Sep. 30, 2016
Goodwill and Intangible Assets Disclosure [Abstract]
Amortization expense	$ 15	$ 359	$ 45	$ 966

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Intangible Assets - Schedule of Amortization of Intangible Assets (Details) - USD ($) $ in Thousands	9 Months Ended	12 Months Ended
	Sep. 30, 2017	Dec. 31, 2016
Gross Value	$ 12,533	$ 12,533
Accumulated Amortization	(12,518)	(12,473)
Net Book Value	$ 15	$ 60
TearLab Technology [Member]
Remaining Useful Life (Years)	0 years	0 years
Gross Value	$ 12,172	$ 12,172
Accumulated Amortization	(12,172)	(12,172)
Net Book Value
Patents and Trademarks [Member]
Remaining Useful Life (Years)	1 year	1 year
Gross Value	$ 271	$ 271
Accumulated Amortization	(256)	(245)
Net Book Value	$ 15	$ 26
Prescriber List [Member]
Remaining Useful Life (Years)	0 years	1 year
Gross Value	$ 90	$ 90
Accumulated Amortization	(90)	(56)
Net Book Value	$ 0	$ 34

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Intangible Assets - Schedule of Estimated Amortization Expense of Intangible Assets (Details) - Indefinite-lived Intangible Assets [Member] $ in Thousands	Sep. 30, 2017 USD ($)
Remainder of 2017	$ 4
Thereafter	11
Total	$ 15

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Term Loan (Details Narrative) - USD ($) $ / shares in Units, $ in Thousands				9 Months Ended
	Apr. 08, 2016	Oct. 06, 2015	Mar. 04, 2015	Sep. 30, 2017	Dec. 31, 2016
Long-term debt				$ 27,843	$ 26,449
Financing and legal fees to long-term debt				$ (643)
Term Loan Agreement [Member] | CRG LP Additional Warrants [Member]
Warrants to purchase common shares	35,000			35,000
Warrants exercise price	$ 15.00			$ 15.00
Term Loan Agreement [Member] | CRG LP Additional Warrants [Member] | Maximum [Member]
Warrants exercise price				50.00
Term Loan Agreement [Member] | CRG LP Additional Warrants [Member] | Minimum [Member]
Warrants exercise price				$ 15.00
Black-Scholes Merton Model [Member] | Term Loan Agreement [Member] | CRG LP Additional Warrants [Member]
Warrants term	5 years
Term Loan Agreement [Member]
Minimum cash balance				$ 5,000
Term Loan Agreement [Member] | CRG LP [Member]
Long-term debt			$ 35,000
Proceeds from issuance of long-term debt			$ 15,000
Debt instrument date			Mar. 31, 2021
Debt instrument interest rate percentage			13.00%
Warrants to purchase common shares		35,000
Warrants exercise price		$ 50.00
Warrants term				5 years
Financing and legal fees to long-term debt				$ 606
Facility fee percentage on principal				6.50%
Percentage of prepayment fee				5.00%
Percentage of reduction in annual prepayment fee				1.00%
Term Loan Agreement [Member] | CRG LP [Member] | 2017 [Member]
Term loan minimum annual revenue threshold				$ 31,000
Term Loan Agreement [Member] | CRG LP [Member] | 2018 [Member]
Term loan minimum annual revenue threshold				36,000
Term Loan Agreement [Member] | CRG LP [Member] | 2019 [Member]
Term loan minimum annual revenue threshold				45,000
Term Loan Agreement [Member] | CRG LP [Member] | 2020 [Member]
Term loan minimum annual revenue threshold				$ 55,000
Term Loan Agreement [Member] | CRG LP [Member] | Interest-Only Payment [Member]
Debt instrument interest rate percentage			8.50%
Term Loan Agreement [Member] | CRG LP [Member] | Unpaid Interest With Principal [Member]
Debt instrument interest rate percentage			4.50%
Term Loan Agreement [Member] | CRG LP [Member] | Second Tranche [Member]
Proceeds from issuance of long-term debt		$ 10,000

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Term Loan - Schedule of Term Loan (Details) - USD ($) $ in Thousands	Sep. 30, 2017	Dec. 31, 2016
Debt Disclosure [Abstract]
Principal balance outstanding	$ 25,000
PIK interest	2,804
Facility fee	643
Deferred financing fees, net	(346)
Detachable warrants, net	(258)
Total term loan	$ 27,843	$ 26,449

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Term Loan - Schedule of Maturities of Outstanding Principal of Term Loan (Details) - USD ($) $ in Thousands	Sep. 30, 2017	Dec. 31, 2016
Debt Disclosure [Abstract]
2017
2018
2019	10,427
2020	13,902
2021	4,118
Total principal due	28,447
Less: discount on term loan	(604)
Total term loan	$ 27,843	$ 26,449

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Stockholders' Equity (Details Narrative) - USD ($) $ / shares in Units, $ in Thousands						1 Months Ended		3 Months Ended		9 Months Ended
	Jun. 23, 2017	Feb. 27, 2017	May 09, 2016	Apr. 08, 2016	Oct. 08, 2015	Mar. 31, 2016	Aug. 31, 2014	Sep. 30, 2017	Sep. 30, 2016	Sep. 30, 2017	Sep. 30, 2016	Dec. 31, 2016	Jun. 24, 2016
Reserve stock split		1-for-10 reverse stock split
Common stock shares authorized								9,500,000		9,500,000		9,500,000	9,500,000
Common stock shares authorized previously													6,500,000
Common stock par value								$ 0.001		$ 0.001		$ 0.001	$ 0.001
Preferred stock shares authorized								10,000,000		10,000,000		10,000,000	10,000,000
Preferred stock par value								$ 0.001		$ 0.001		$ 0.001	$ 0.001
Stock issued during period, shares new issue			1,861,090
Preferred stock, issued								0		0		2,764
Proceeds from issuance or sale of equity											$ 15,457
Allocated share-based compensation expense								$ 127	$ 579	$ 661	2,103
Term Loan Agreement [Member] | Tranche One [Member]
Proceeds from issuance of long-term debt					$ 10,000
OcuHub Business Inc [Member]
Stock issued during period, shares new issue						385,800
Membership unit percentage							2.00%
Stock Incentive Plan [Member]
Share-based compensation expiration period										10 years
Percentage of ownership exercisable options expire								10.00%		10.00%
Expected weighted-average period										5 years
Stock Incentive Plan [Member] | Maximum [Member]
Share-based compensation common stock purchase price percentage	110.00%
Stock Incentive Plan [Member] | Maximum [Member] | Officer Director Or Consultant [Member]
Percentage of options exercisable at a rate								20.00%		20.00%
Stock Incentive Plan [Member] | Minimum [Member]
Share-based compensation common stock purchase price percentage	10.00%
Stock Incentive Plan [Member] | Non-Statutory Stock Options [Member] | Maximum [Member]
Share-based compensation common stock purchase price percentage	85.00%
Stock Incentive Plan [Member] | Employees, Directors and Consultants [Member]
Share-based compensation number of shares reserved for issuance	720,000
Stock Incentive Plan [Member] | Employees, Directors and Consultants [Member] | Maximum [Member]
Share-based compensation number of shares reserved for issuance	1,070,000
Employee Stock Purchase Plan 2014 [Member]
Share-based compensation common stock purchase price percentage										90.00%
Common stock capital shares reserved for future issuance								67,150		67,150
Employee stock purchase plan offering period										6 months
Share-based compensation employee stock purchase plan contribution percentage										20.00%
Share-based compensation employee stock purchase plan contribution maximum amount										$ 25
Share-based compensation employee stock purchase plan contribution maximum number of shares										500
Allocated share-based compensation expense								$ 2	$ 2	$ 6	$ 8
Stock issued during period number of shares of employee stock purchase plans										14,233	14,105
Series A Convertible Preferred Stock [Member]
Preferred stock, issued			3,291.8
Series A Warrants [Member]
Preferred stock, issued			1,150,000
Proceeds from issuance or sale of equity			$ 17,250
Payments of stock issuance costs			$ 1,793
Series A Warrants [Member] | Black-Scholes Merton Model [Member]
Class of warrant or right number of securities called by warrants or rights			1,253,500
Class of warrant or right exercise price of warrants or rights			$ 11.25
Fair value assumptions expected volatility rate			76.00%
Fair value assumptions expected term			6 years
Fair value assumptions risk free interest rate			1.30%
Fair value assumptions dividend yield			0.00%
Warrant expiraton date, description			Expire 5 years after the Initial Exercise Date
Placement Agent Warrants [Member]
Preferred stock, issued			103,500
Share issued price per share			$ 11.25
Common Stock [Member]
Common stock, conversion basis			438,910
CRG Warrants [Member]
Class of warrant or right number of securities called by warrants or rights				35,000	35,000
Class of warrant or right exercise price of warrants or rights				$ 15.00	$ 50.00
Fair value of warrants					$ 290
Warrants exercisable date					Oct. 08, 2020
Fair value assumptions expected volatility rate					73.00%
Fair value assumptions expected term					5 years
Fair value assumptions risk free interest rate					1.71%
Fair value assumptions dividend yield					0.00%
CRG Warrants [Member] | Term Loan Agreement [Member] | Black-Scholes Merton Model [Member]
Fair value of warrants				$ 106
Fair value assumptions expected volatility rate				76.00%
Fair value assumptions expected term				5 years
Fair value assumptions risk free interest rate				1.30%
Fair value assumptions dividend yield				0.00%
CRG LP Additional Warrants [Member] | Term Loan Agreement [Member]
Class of warrant or right number of securities called by warrants or rights				35,000				35,000		35,000
Class of warrant or right exercise price of warrants or rights				$ 15.00				$ 15.00		$ 15.00
CRG LP Additional Warrants [Member] | Term Loan Agreement [Member] | Black-Scholes Merton Model [Member]
Fair value of warrants				$ 54
Fair value assumptions expected volatility rate				76.00%
Fair value assumptions expected term				4 years 6 months
Fair value assumptions risk free interest rate				1.06%
Fair value assumptions dividend yield				0.00%
CRG LP Additional Warrants [Member] | Term Loan Agreement [Member] | Maximum [Member]
Class of warrant or right exercise price of warrants or rights								50.00		50.00
CRG LP Additional Warrants [Member] | Term Loan Agreement [Member] | Minimum [Member]
Class of warrant or right exercise price of warrants or rights								$ 15.00		$ 15.00

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Stockholders' Equity - Schedule of Common and Preferred Shares (Details) - USD ($) $ in Thousands	9 Months Ended
	Sep. 30, 2017	Sep. 30, 2016
Proceeds from issuance or sale of equity		$ 15,457
Common Stock [Member]
Proceeds from issuance or sale of equity	9,632
Series A Convertible Preferred Stock [Member]
Proceeds from issuance or sale of equity	2,275
Series A Warrants [Member]
Proceeds from issuance or sale of equity	$ 3,550

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Stockholders' Equity - Schedule of Stock-Based Compensation Expense (Details) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2017	Sep. 30, 2016	Sep. 30, 2017	Sep. 30, 2016
Stock-based compensation expense before income taxes	$ 127	$ 579	$ 661	$ 2,103
Sales and Marketing [Member]
Stock-based compensation expense before income taxes	61	196	317	617
Clinical, Regulatory and Research and Development [Member]
Stock-based compensation expense before income taxes	14	50	98	279
General and Administrative [Member]
Stock-based compensation expense before income taxes	$ 52	$ 333	$ 246	$ 1,207

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Net Income (Loss) Per Share - Schedule of Antidilutive Securities Excluded from Computation of Earnings Per Share (Details) - shares	9 Months Ended
	Sep. 30, 2017	Sep. 30, 2016
Antidilutive securities number of shares	2,011,000	2,427,000
Stock Options [Member]
Antidilutive securities number of shares	682,000	728,000
Warrants [Member]
Antidilutive securities number of shares	1,323,000	1,323,000
ESPP Shares [Member]
Antidilutive securities number of shares	6,000	7,000
Convertible Preferred Shares [Member]
Antidilutive securities number of shares		369,000

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Commitments and Contingencies (Details Narrative) - USD ($) $ in Thousands			1 Months Ended	3 Months Ended		9 Months Ended
	Mar. 07, 2016	Mar. 12, 2003	Apr. 30, 2014	Sep. 30, 2017	Sep. 30, 2016	Sep. 30, 2017	Sep. 30, 2016
Lease expiration date						Jun. 30, 2018
Royalty payments		$ 35				$ 35
Royalty payment, percentage		5.50%				5.50%
Royalty description						The Company is required to pay a royalty of 30% of any sublicense fees it receives prior to receiving FDA approval and 25% of any sub-license fees it receives after FDA approval.
Maximum royalty payable on sale of combined products		5.50%
Cost of goods sold				$ 3,028	$ 2,564	$ 8,252	$ 7,569
One Supplier [Member]
Inventory purchased				700		$ 700
Cost of goods sold				$ 700
Supply Agreement [Member] | MiniFAB [Member]
Purchase commitment remaining minimum amount committed annual volume	annual volume of 4.5 million test cards or March 31, 2018
Minimum percentage of purchase	50.00%
Marketing Agreement [Member] | OcuHub Business Inc [Member]
Marketing fee payments due			Mar. 31, 2019
Annual marketing fee			$ 100
Marketing agreement, quarterly payments			$ 25

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Commitments and Contingencies - Schedule of Future Minimum Payments (Details) $ in Thousands	Sep. 30, 2017 USD ($)
2006 Agreement [Member]
2017	$ 35
2018	35
2019	35
2020	35
2021	35
Thereafter	210
Total	385
2003 Agreement [Member]
2017	35
2018	35
2019	35
2020	35
2021	35
Thereafter	210
Total	$ 385

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Subsequent Events (Details Narrative) - USD ($) $ / shares in Units, $ in Thousands		3 Months Ended		9 Months Ended
	Oct. 12, 2017	Sep. 30, 2017	Sep. 30, 2016	Sep. 30, 2017	Sep. 30, 2016	Dec. 31, 2016	Jun. 24, 2016
Common stock, shares authorized		9,500,000		9,500,000		9,500,000	9,500,000
Minimum revenue levels		$ 6,523	$ 7,223	$ 20,238	$ 20,893
Sale of equity					$ 15,457
Subsequent Event [Member] | Term Loan Agreement [Member]
Sale of equity	$ 7,000
Reduce the strike price	$ 1.50
Ownership percentage	1.22%
Subsequent Event [Member] | Minimum [Member]
Common stock, shares authorized	9,500,000
Subsequent Event [Member] | Minimum [Member] | Term Loan Agreement [Member] | 2017 [Member]
Minimum revenue levels	$ 25,000
Subsequent Event [Member] | Minimum [Member] | Term Loan Agreement [Member] | 2018 [Member]
Minimum revenue levels	25,000
Subsequent Event [Member] | Minimum [Member] | Term Loan Agreement [Member] | 2019 [Member]
Minimum revenue levels	38,000
Subsequent Event [Member] | Minimum [Member] | Term Loan Agreement [Member] | 2020 [Member]
Minimum revenue levels	$ 55,000
Subsequent Event [Member] | Maximum [Member]
Common stock, shares authorized	40,000,000
Subsequent Event [Member] | Maximum [Member] | Term Loan Agreement [Member] | 2017 [Member]
Minimum revenue levels	$ 31,000
Subsequent Event [Member] | Maximum [Member] | Term Loan Agreement [Member] | 2018 [Member]
Minimum revenue levels	36,000
Subsequent Event [Member] | Maximum [Member] | Term Loan Agreement [Member] | 2019 [Member]
Minimum revenue levels	45,000
Subsequent Event [Member] | Maximum [Member] | Term Loan Agreement [Member] | 2020 [Member]
Minimum revenue levels	$ 45,000