0001493152-19-005081.txt : 20190410 0001493152-19-005081.hdr.sgml : 20190410 20190410090141 ACCESSION NUMBER: 0001493152-19-005081 CONFORMED SUBMISSION TYPE: 10-K PUBLIC DOCUMENT COUNT: 65 CONFORMED PERIOD OF REPORT: 20181231 FILED AS OF DATE: 20190410 DATE AS OF CHANGE: 20190410 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Medovex Corp. CENTRAL INDEX KEY: 0001591165 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 463312262 STATE OF INCORPORATION: NV FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 10-K SEC ACT: 1934 Act SEC FILE NUMBER: 001-36763 FILM NUMBER: 19740657 BUSINESS ADDRESS: STREET 1: 201 E KENNEDY BLVD STE 700 CITY: TAMPA STATE: FL ZIP: 33602 BUSINESS PHONE: 844-633-6839 MAIL ADDRESS: STREET 1: 201 E KENNEDY BLVD STE 700 CITY: TAMPA STATE: FL ZIP: 33602 FORMER COMPANY: FORMER CONFORMED NAME: SpineZ DATE OF NAME CHANGE: 20131105 10-K 1 form10-k.htm

 

 

 

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

FORM 10-K

(Mark One)

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

 

For the fiscal year ended December 31, 2018

 

OR

 

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

 

For the transition period from ________________ to ________________

 

Commission file number 001-36763

 

MEDOVEX CORP.

(Exact Name of Registrant as Specified in Its Charter)

 

Nevada   46-3312262
(State or Other Jurisdiction   (IRS Employer
of Incorporation or Organization)   Identification Number)
     
201 E Kennedy Blvd Suite 700    
Tampa, Florida   33602
(Address of Principal Executive Offices)   (Zip Code)

 

(844) 633-6839

 

(Registrant’s Telephone Number, Including Area Code)

 

3060 Royal Boulevard S, Ste. 150, Alpharetta, Georgia 30009

(Former name, former address and former fiscal year, if changed since last report)

 

Securities registered under section 12(b) of the Exchange Act: Common stock, par value $0.001 per share

 

Securities registered under section 12(g) of the Exchange Act: Not applicable

 

Indicate by check mark if the registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities Act. Yes   [  ] No   [X]

 

Indicate by check mark if the registrant is not required to file reports pursuant to Section 13 or Section 15(d) of the Act. Yes   [  ] No   [X]

 

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

 

Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Website, 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 if disclosure of delinquent filers pursuant to Item 405 of Regulation S-K (§229.405 of this chapter) is not contained herein, and will not be contained, to the best of the registrant’s knowledge, in definitive proxy or information statements incorporated by reference in Part III of this Form 10-K or any amendment to this Form 10-K. [  ]

 

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

 

  Large accelerated filer [  ]   Accelerated filer [  ]
  Non-accelerated filer [  ]   Smaller Reporting Company [X]
  (Do not check if smaller reporting company)   Emerging growth Company [X]

 

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 Act). Yes [  ] No [X]

 

The aggregate market value of the voting and non-voting common equity held by non-affiliates of the registrant, based upon the closing price of common stock on the last business day of the most recently completed second fiscal quarter, June 30, 2018, was $8,909,513. The aggregate market value of the voting and non-voting common equity held by non-affiliates of the registrant, based upon the closing price of common stock on March 18, 2019 was approximately $40,827,791. Shares of voting stock held by each executive officer, director and 10% stockholders have been excluded from this calculation. This determination of affiliate status is not necessarily a conclusive determination for other purposes.

 

As of March 18, 2019, 90,224,860 shares of the registrant’s common stock were outstanding. 

 

Documents incorporated by reference: None.

 

 

 

   
   

 

TABLE OF CONTENTS

 

    Page No. 
     
  PART I  
ITEM 1. BUSINESS 1
ITEM 1A. RISK FACTORS 7
ITEM 1B. UNRESOLVED STAFF COMMENTS 7
ITEM 2. PROPERTIES 7
ITEM 3. LEGAL PROCEEDINGS 7
ITEM 4. MINE SAFETY DISCLOSURE 7
     
  PART II  
ITEM 5. MARKET FOR REGISTRANT’S COMMON EQUITY, RELATED STOCKHOLDER MATTERS AND ISSUER PURCHASES OF EQUITY SECURITIES 8
ITEM 6. SELECTED FINANCIAL DATA 9
ITEM 7. MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS 9
ITEM 7A. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK 20
ITEM 8. FINANCIAL STATEMENTS AND SUPPLEMENTARY DATA 20
ITEM 9. CHANGES IN AND DISAGREEMENTS WITH ACCOUNTANTS ON ACCOUNTING AND FINANCIAL DISCLOSURE 21
ITEM 9A CONTROLS AND PROCEDURES 21
ITEM 9B. OTHER INFORMATION 22
     
  PART III  
ITEM 10. DIRECTORS, EXECUTIVE OFFICERS AND CORPORATE GOVERNANCE 22
ITEM 11. EXECUTIVE COMPENSATION 25
ITEM 12. SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT AND RELATED STOCKHOLDER MATTERS 26
ITEM 13. CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS, AND DIRECTOR INDEPENDENCE 27
ITEM 14. PRINCIPAL ACCOUNTANT FEES AND SERVICES 28
     
  PART IV  
ITEM 15. EXHIBITS AND FINANCIAL STATEMENT SCHEDULES 29
  SIGNATURES AND POWER OF ATTORNEY 30
  EXHIBIT INDEX 31

 

   
   

 

FORWARD-LOOKING INFORMATION

 

This Annual Report contains forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, and Section 21E of the Securities Exchange Act of 1934, as amended. These statements relate to future events or our future financial performance. We have attempted to identify forward-looking statements by terminology including “anticipates,” “believes,” “expects,” “can,” “continue,” “could,” “estimates,” “expects,” “intends,” “may,” “plans,” “potential,” “predict,” “should” or “will” or the negative of these terms or other comparable terminology. These statements are only predictions; uncertainties and other factors may cause our actual results, levels of activity, performance or achievements to be materially different from any future results, levels or activity, performance or achievements expressed or implied by these forward-looking statements. Although we believe that the expectations reflected in the forward-looking statements are reasonable, we cannot guarantee future results, levels of activity, performance or achievements. Our expectations are as of the date this Annual Report is filed, and we do not intend to update any of the forward-looking statements after the date this Annual Report is filed to confirm these statements to actual results, unless required by law.

 

This Annual Report also contains estimates and other statistical data made by independent parties and by us relating to market size and growth and other industry data. This data involves a number of assumptions and limitations, and you are cautioned not to give undue weight to such estimates. We have not independently verified the statistical and other industry data generated by independent parties and contained in this Annual Report and, accordingly, we cannot guarantee their accuracy or completeness, though we do generally believe the data to be reliable. In addition, projections, assumptions and estimates of our future performance and the future performance of the industries in which we operate are necessarily subject to a high degree of uncertainty and risk due to a variety of factors. Our actual results could differ materially from those anticipated in the forward-looking statements for many reasons, including, but not limited to, the possibility that we may fail to preserve our expertise in medical device development; that existing and potential distribution partners may opt to work with, or favor the products of, competitors if our competitors offer more favorable products or pricing terms; that we may be unable to maintain or grow sources of revenue; that changes in the distribution network composition may lead to decreases in query volumes; that we may be unable to attain and maintain profitability; that we may be unable to attract and retain key personnel; that we may not be able to effectively manage, or to increase, our relationships with international customers; that we may have unexpected increases in costs and expenses; or that one or more of the other risks described below in the section entitled “Risk Factors” and elsewhere in this Annual Report may occur. These and other factors could cause results to differ materially from those expressed in the estimates made by the independent parties and by us.

 

   
   

 

PART I

 

ITEM 1. BUSINESS

 

Overview

 

MedoveX was incorporated in Nevada on July 30, 2013 as SpineZ Corp. MedoveX is the parent company of Debride Inc., (“Debride”), which was incorporated under the laws of Florida on October 1, 2012 but did not commence operations until February 1, 2013. SpineZ Corp. changed its name to MedoveX Corp. and effected a 2-for-1 reverse split of its stock in March 2014.

 

The Company is in the business of designing and marketing proprietary medical devices for commercial use in the United States and Europe. The Company received CE marking in June 2017 for the DenerveX System and it is now commercially available throughout the European Union and several other countries that accept CE marking. The Company’s first sale of the DenerveX System occurred in July 2017. The Company still intends to seek approval for the DenerveX System from the Food & Drug Administration (“FDA”) in the United States.

 

In October 2018, the Company entered into an Asset Purchase Agreement (the “Asset Purchase Agreement”), and subsequently amended in January 2019 (the “APA Amendment”) with  Regenerative Medicine Solutions, LLC (“RMS”), Lung Institute LLC, RMS Lung Institute Management LLC, Cognitive Health Institute Tampa, LLC, RMS Shareholder, LLC and RMS Acquisition Corp. Pursuant to the terms of the Asset Purchase Agreement, the Company purchased all of the assets of RMS, Cognitive Health Institute Tampa, LLC, Lung Institute LLC and RMS Lung Institute Management LLC. The Company executed the Asset Purchase Agreement on January 8, 2019.

 

The DenerveX Device

 

Our first acquisition was the DenerveX device. We believe that the DenerveX device can be used to encompass several medical applications, including pain relief.

 

The Company acquired the DenerveX patent on January 31, 2013 from Scott Haufe, M.D. (“Dr. Haufe”), a former director of the Company, in exchange for 750,108 shares of common stock in the Company and a 1% royalty on all sales of any product sold based on the patent. In September 2013, we entered into a Co-Development Agreement with James Andrews, M.D. (“Dr. Andrews”), a former director of the Company, whereby Dr. Andrews committed to further evaluate the DenerveX device and to seek to make modifications and improvements to such technology. In exchange for such services, the Company agreed to pay Dr. Andrews a royalty equal to two (2%) percent of the DenerveX net sales during the five (5) year term of the Co-Development Agreement. Upon the termination of the term of the Co-Development Agreement, which has a minimum term of five (5) years, then the royalty payable to Dr. Andrews shall be reduced to one (1%) percent of DenerveX net sales after such termination of products covered by any U.S. patent on which Dr. Andrews is listed as a co-inventor; if any such patents are obtained. Such one (1%) percent royalty shall continue during the effectiveness of such patent. Pursuant to the Co-Development Agreement, Dr. Andrews agreed to assign any modifications or improvements to the DenerveX to the Company subject to the royalty rights described above. The Co-Development agreement with Dr. Andrews expired September 30, 2018,  and management has no intention to re-enter into this agreement.

 

We are marketing the product as a disposable, single-use kit which includes all components of the DenerveX device product. In addition to the DenerveX device itself, we have developed a dedicated Electro Surgical Generator, the DenerveX Pro-40, to power the DenerveX device.  There is currently no finished good product of the DenerveX device in inventory as commercial production  is currently on-hold. The Company anticipates the resumption of manufacturing in Q4 2019.

 

The generator is provided to customers agreeing to purchase the DenerveX device and cannot be used for any other purpose.

 

We accepted a proposal from Devicix, a third party design and development firm located in Minneapolis, Minnesota, in November 2013, to develop a prototype device. This proposal included a 5-phase development plan, culminating in the production ready prototype that could be used for validation purposes. We have recently completed the final stages of the build and test phase of the device, culminating in receiving CE marking to market the product in Europe. The DenerveX Kit and Pro-40 generator is now in commercial production. We anticipate very minimal, if any, additional build and test related expenses, which consists of product design verification activities, in the future as we launch the DenerveX System in Europe. Through December 31, 2018, we have incurred expenses of approximately $1,950,000 to Devicix.

 

 1 

 

 

In November 2014, we selected Nortech Systems Inc. (“Nortech”), a Minneapolis, Minnesota-based FDA registered contract manufacturer, to produce test DenerveX devices from the prototype supplied by Devicix for use in final development and non-clinical testing. The agreement with Nortech includes agreed upon per unit prices for delivery of the devices. Actual work on development of the final units began in November 2014. Through December 31, 2018, we have incurred expenses of approximately $997,000 to Nortech. Commercial production  of the DenerveX device is currently on-hold at Nortech. The Company anticipates the resumption of manufacturing in Q4 2019.

 

Also in November 2014, we engaged Bovie Medical Corporation (“Bovie”), a Delaware Corporation, to develop the Electro Surgical Generator and provide post production support services. Per our agreement with Bovie, we are invoiced based on deliverables produced by Bovie, which was originally supposed to amount to $295,000 upon completion of all the deliverables. Through December 31, 2018, we have incurred expenses of approximately $441,000 to Bovie for production services. The original $295,000 agreement was a base number along the pathway of development.

 

Additional requirements were incurred as the research and development process progressed and as a result certain prices increased and additional costs were incurred to further customize the DenerveX System.

 

Streamline, Inc. Divestiture

 

In May 2016, the Board of Directors authorized management to seek buyers for Streamline, Inc., (“Streamline”), the Company’s wholly owned subsidiary acquired in March 2015. The Company sold all Streamline related assets on December 7, 2016 (the “Closing”).

 

The transaction resulted in the immediate receipt of $500,000 in cash, and a $150,000 receivable to the Company due on or before January 1, 2018. The Company subsequently received the $150,000 per the terms of the asset purchase agreement on January 2, 2018.

 

The terms of the agreement also required that for each of the calendar years ending December 31, 2018 and December 31, 2019 (each such calendar year, a “Contingent Period”), a contingent payment in cash (each, a “Contingent Payment”) equal to five percent (5%) of the total net sales received by the acquiring party from the sale of “IV suspension system” products in excess of 100 units during each Contingent Period. Each such Contingent Payment is payable to the Company by the acquiring party by no later than March 31st of the subsequent year; provided, however, that the total aggregate amount of all Contingent Payments owed by the acquiring party to the Company for all Contingent Periods will not exceed $850,000. The Company is yet to receive any Contingent Payments and has no reason to expect it will receive any Contingent Payments.

 

Competition

 

Developing and commercializing new products is highly competitive. The market is characterized by extensive research and clinical efforts and rapid technological change. We face intense competition worldwide from medical device, biomedical technology and medical products and combination products companies, including major medical products companies. We may be unable to respond to technological advances through the development and introduction of new products. Most of our existing and potential competitors have substantially greater financial, marketing, sales, distribution, manufacturing and technological resources. These competitors may also be in the process of seeking FDA or other regulatory approvals, or patent protection, for new products. Our competitors may commercialize new products in advance of our products. Our products also face competition from numerous existing products and procedures, which currently are considered part of the standard of care. We believe that the principal competitive factors in our markets are:

 

  the quality of outcomes for medical conditions;
     
  acceptance by surgeons and the medical device market generally;
     
  ease of use and reliability;
     
  technical leadership and superiority;
     
  effective marketing and distribution;
     
  speed to market; and
     
  product price and qualification for coverage and reimbursement.

 

 2 

 

 

We will also compete in the marketplace to recruit qualified scientific, management and sales personnel, as well as in acquiring technologies and licenses complementary to our products or advantageous to our business.

 

We are aware of several companies that compete or are developing technologies in our current and future products areas. With regard to the DenerveX System, we believe that our principal competitors include device manufacturers Cosman Medical Inc., Stryker Corporation and Spembly Medical Systems. We may also face competition from developing, but potentially untested technologies such as Zyga’s GLYDER device. In order to compete effectively, our products will have to achieve widespread market acceptance, receive adequate insurance coverage and reimbursement, be cost effective and be simultaneously safe and effective.

 

Customers

 

Healthcare providers, physicians and third-party payors in the United States and elsewhere play a primary role in the recommendation and prescription of any products for which we obtain marketing approval.

 

We sell to local distributors in the countries where we currently sell the DenerveX System with the exception of Germany, where we sell directly to hospitals and providers . There is currently no finished goods product of the DenerveX device in inventory as commercial production  is currently on-hold. The Company anticipates the resumption of manufacturing in Q4 2019.

 

Intellectual Property

 

A key element of our success depends on our ability to identify and create proprietary medical device technologies. In order to proactively protect those proprietary technologies, we intend to continue to develop and enforce our intellectual property rights in patents, trademarks and copyrights, as available through registration in the United States and internationally, as well as through the use of trade secrets, domain names and contractual agreements such as confidentiality agreements and proprietary information agreements.

 

Currently, our intellectual property rights include the intellectual property acquired from Debride, Inc., which includes the U.S. Patent 8,167,879 B2 (the “Patent”). The Patent was originally filed in 2009 and was issued on May 1, 2012. We intend to leverage the Patent to the fullest extent possible through market development and prosecution of our rights under the Patent.

 

In addition, we have filed 33 additional US and International patents, of which 21 are pending, 8 are pending published, and 4 have been granted. These patents cover a total of 885 claims both in the United States and Internationally.

 

The term of individual patents depends upon the legal term of the patents in the countries in which they are obtained. In most countries in which we file, the patent term is 20 years from the earliest date of filing a non-provisional patent application. In the United States, a patent’s term may be shortened if a patent is terminally disclaimed over another patent or as a result of delays in patent prosecution by the patentee, and a patent’s term may be lengthened by patent term adjustment, which compensates a patentee for administrative delays by the U.S. Patent and Trademark Office in granting a patent.

 

We intend to continually re-assess and refine our intellectual property strategy in order to fortify our position in our market space in the United States and internationally. To that end, we are prepared to file additional patent applications should our intellectual property strategy require such filings and/or where we seek to adapt to competition or seize business opportunities.

 

Many biotechnology companies and academic institutions are competing with us in the medical device field and filing patent applications potentially relevant to our business. Internally, we have established business procedures designed to maintain the confidentiality of our proprietary information, including the use of confidentiality agreements with employees, independent contractors, consultants and companies with which we conduct business. Also, we generally require employees to assign patents and other intellectual property to us as a condition of employment with us.

 

In order to contend with the possibility of third party intellectual property conflicts, we review and assess the third-party intellectual property landscape for competitive and other developments that may inform or impact our intellectual property development and commercialization strategies. We may find it necessary or prudent to obtain licenses from third party intellectual property holders. Where licenses are readily available at reasonable cost, such licenses are considered a normal cost of doing business. In other instances, however, where a third party holds relevant property and is a direct competitor, a license might not be available on commercially reasonable terms or available at all. We will attempt to manage the risk that such third party intellectual property may pose by conducting, among other measures, freedom-to-operate studies to guide our early-stage research away from areas where we are likely to encounter obstacles in the form of third party intellectual property.

 

 3 

 

 

Government Regulations

 

Government authorities in the United States, at the federal, state and local level, and in other countries extensively regulate, among other things, the research, development, testing, manufacture, quality control, approval, labeling, packaging, storage, record-keeping, promotion, advertising, distribution, post-approval monitoring and reporting, marketing and export and import of products such as those we are developing. Any product that we develop must be approved by the FDA before they may be legally marketed in the United States and by the appropriate foreign regulatory agency before they may be legally marketed in foreign countries.

 

European Union and Other Country Approvals

 

The Company received CE marking in June 2017 for the DenerveX System. It can now be sold throughout the European Union and countries that accept CE Mark.

 

Aside from the European Union, we may seek regulatory approval for commercialization of the DenerveX System from Columbia, Peru, Argentina, Mexico, Turkey, Israel, New Zealand, Australia and other countries where the management of the Company deems it to be suitable for commercialization. The documentation required to accompany the CE Mark to obtain regulatory approval in the aforementioned countries may include copies of the ISO 13485 certification, the SGS certificate of approval and a statement of Good Manufacturing Practices (“GMP”).

 

FDA Regulation

 

The DenerveX System and any other product we may develop must be approved or cleared by the FDA before it is marketed in the United States. Before and after approval or clearance in the United States, our products are subject to extensive regulation by the FDA under the Federal Food, Drug, and Cosmetic Act and/or the Public Health Service Act, as well as by other regulatory bodies.

 

FDA regulations govern, among other things, the development, testing, manufacturing, labeling, safety, storage, record-keeping, market clearance or approval, advertising and promotion, import and export, marketing and sales, and distribution of medical devices and products.

 

In the United States, the FDA subjects medical products to rigorous review. If we do not comply with applicable requirements, we may be fined, the government may refuse to approve our marketing applications or to allow us to manufacture or market our products, and we may be criminally prosecuted. Failure to comply with the law could result in, among other things, warning letters, civil penalties, delays in approving or refusal to approve a product, product recall, product seizure, interruption of production, operating restrictions, suspension or withdrawal of product approval, injunctions, or criminal prosecution.

 

FDA Approval or Clearance of Medical Devices

 

In the United States, medical devices are subject to varying degrees of regulatory control and are classified in one of three classes depending on the extent of controls the FDA determines are necessary to reasonably ensure their safety and efficacy:

 

Class I: general controls, such as labeling and adherence to quality system regulations;
   
Class II: special controls, pre-market notification (often referred to as a 510(k) application), specific controls such as performance standards, patient registries, post market surveillance, additional controls such as labeling and adherence to quality system regulations; and
   
Class III: special controls and approval of a pre-market approval (“PMA”) application.

 

In general, the higher the classification, the greater the time and cost to obtain approval to market. There are no “standardized” requirements for approval, even within each class. For example, the FDA could grant 510(k) status, but require a human clinical trial, a typical requirement of a PMA. They could also initially assign a device Class III status, but end up approving a device as a 510(k) device if certain requirements are met. The range of the number and expense of the various requirements is significant. The quickest and least expensive pathway would be 510(k) clearance with a review of existing data. The longest and most expensive path would be a PMA with extensive randomized human clinical trials. We cannot predict how the FDA will classify the DenerveX device, nor predict what requirements will be placed upon us to obtain market approval or clearance, or even if they will allow marketing of the DenerveX device at all. However, we believe the pathway that will be required by the FDA will be somewhere between the two extremes described above.

 

 4 

 

 

We still intend to apply to the FDA for 510(k) clearance for our DenerveX device. However, it is very possible the FDA will deny this request and require the more expensive de novo classification process or possibly the PMA process. It is possible that the company may choose to directly pursue the de novo classification process without filing a 510K which could reduce the overall FDA review time. The Company has budgeted based on the assumption that the PMA process will be required.

 

To request marketing authorization by means of a 510(k) clearance, we must submit a pre-market notification demonstrating that the proposed device is substantially equivalent to another currently legally marketed medical device, has the same intended use, and is as safe and effective as a currently legally marketed device and does not raise different questions of safety and effectiveness than does a currently legally marketed device.

 

510(k) submissions generally include, among other things, a description of the device and its manufacturing, device labeling, medical devices to which the device is substantially equivalent, safety and biocompatibility information, and the results of performance testing.

 

In some cases, a 510(k) submission must include data from human clinical studies. We believe that other medical devices which have been approved by the FDA have many aspects that are substantially similar to the DenerveX device, which may make obtaining 510(k) clearance possible. Marketing may commence only when the FDA issues a clearance letter finding substantial equivalence.

 

After a device receives 510(k) clearance, any product modification that could significantly affect the safety or effectiveness of the product, or that would constitute a significant change in intended use, requires a new 510(k) clearance or, if the device would no longer be substantially equivalent, would require PMA. In addition, any additional claims the Company wished to make at a later date, such as the permanent relief of pain, may require a PMA. If the FDA determines that the product does not qualify for 510(k) clearance, they will issue a Not Substantially Equivalent letter, at which point the Company must submit and the FDA must approve a PMA or a de Novo classification before marketing can begin.

 

During the review of a 510(k) submission, the FDA may request more information or additional studies and may decide that the indications for which we seek approval or clearance should be limited. In addition, laws and regulations and the interpretation of those laws and regulations by the FDA may change in the future. We cannot foresee what effect, if any, such changes may have on us.

 

Clinical Trials of Medical Devices

 

One or more clinical trials may be necessary to support an FDA submission. Clinical studies of unapproved or un-cleared medical devices or devices being studied for uses for which they are not approved or cleared (investigational devices) must be conducted in compliance with FDA requirements. If an investigational device could pose a significant risk to patients, the sponsor company must submit an Investigational Device Exemption, or “IDE” application to the FDA prior to initiation of the clinical study. An IDE application must be supported by appropriate data, such as animal and laboratory test results, showing that it is safe to test the device on humans and that the testing protocol is scientifically sound. The IDE will automatically become effective 30 days after receipt by the FDA unless the FDA notifies the company that the investigation may not begin. Clinical studies of investigational devices may not begin until an institutional review board (“IRB”) has approved the study.

 

During any study, the sponsor must comply with the FDA’s IDE requirements. These requirements include investigator selection, trial monitoring, adverse event reporting, and record keeping. The investigators must obtain patient informed consent, rigorously follow the investigational plan and study protocol, control the disposition of investigational devices, and comply with reporting and record keeping requirements. We, the FDA, or the IRB at each institution at which a clinical trial is being conducted, may suspend a clinical trial at any time for various reasons, including a belief that the subjects are being exposed to an unacceptable risk. During the approval or clearance process, the FDA typically inspects the records relating to the conduct of one or more investigational sites participating in the study supporting the application.

 

 5 

 

 

Post-Approval Regulation of Medical Devices

 

After a device is cleared or approved for marketing, numerous and pervasive regulatory requirements continue to apply. These include:

 

the FDA Quality Systems Regulation (“QSR”), which governs, among other things, how manufacturers design, test, manufacture, exercise quality control over, and document manufacturing of their products;
   
labeling and claims regulations, which prohibit the promotion of products for unapproved or “off-label” uses and impose other restrictions on labeling; and
   
the Medical Device Reporting regulation, which requires reporting to the FDA of certain adverse experiences associated with use of the product.

 

We will continue to be subject to inspection by the FDA to determine our compliance with regulatory requirements.

 

Manufacturing cGMP Requirements

 

Manufacturers of medical devices are required to comply with FDA manufacturing requirements contained in the FDA’s current Good Manufacturing Practices (“cGMP”) set forth in the quality system regulations promulgated under section 520 of the Food, Drug and Cosmetic Act. cGMP regulations require, among other things, quality control and quality assurance as well as the corresponding maintenance of records and documentation. Failure to comply with statutory and regulatory requirements subjects a manufacturer to possible legal or regulatory action, including the seizure or recall of products, injunctions, consent decrees placing significant restrictions on or suspending manufacturing operations, and civil and criminal penalties. Adverse experiences with the product must be reported to the FDA and could result in the imposition of marketing restrictions through labeling changes or in product withdrawal. Product approvals may be withdrawn if compliance with regulatory requirements is not maintained or if problems concerning safety or efficacy of the product occur following the approval.

 

International Regulation

 

We are subject to regulations and product registration requirements in many foreign countries in which we may seek to sell our products, including in the areas of product standards, packaging requirements, labeling requirements, import and export restrictions and tariff regulations, duties and tax requirements. The time required to obtain clearance required by foreign countries may be longer or shorter than that required for FDA clearance, and requirements for licensing a product in a foreign country may differ significantly from FDA requirements.

 

European Good Manufacturing Practices

 

In the European Union, the manufacture of medical devices is subject to good manufacturing practice (“GMP”), as set forth in the relevant laws and guidelines of the European Union and its member states. Compliance with GMP is generally assessed by the competent regulatory authorities. Typically, quality system evaluation is performed by a Notified Body, which also recommends to the relevant competent authority for the European Community CE Marking of a device. The Competent Authority may conduct inspections of relevant facilities, and review manufacturing procedures, operating systems and personnel qualifications. In addition to obtaining approval for each product, in many cases each device manufacturing facility must be audited on a periodic basis by the Notified Body. Further inspections may occur over the life of the product.

 

Our third-party manufacturers have ISO certification which is generally one of the requirements for approval under the guidelines established in the European Union.

 

United States Anti-Kickback and False Claims Laws

 

In the United States, there are Federal and state anti-kickback laws that prohibit the payment or receipt of kickbacks, bribes or other remuneration intended to induce the purchase or recommendation of healthcare products and services. Violations of these laws can lead to civil and criminal penalties, including exclusion from participation in Federal healthcare programs. These laws are potentially applicable to manufacturers of products regulated by the FDA as medical devices, and hospitals, physicians and other potential purchasers of such products. Other provisions of Federal and state laws provide civil and criminal penalties for presenting, or causing to be presented, to third-party payers for reimbursement, claims that are false or fraudulent, or which are for items or services that were not provided as claimed. In addition, certain states have implemented regulations requiring medical device and pharmaceutical companies to report all gifts and payments of over $50 to medical practitioners. This does not apply to instances involving clinical trials.

 

 6 

 

 

Although we intend to structure our future business relationships with clinical investigators and purchasers of our products to comply with these and other applicable laws, it is possible that some of our business practices in the future could be subject to scrutiny and challenge by Federal or state enforcement officials under these laws.

 

Research, Product Development and Technical Operations Expense

 

Research and development costs and expenses consist primarily of fees paid to external service providers, laboratory testing, supplies, costs for facilities and equipment, and other costs for research and development activities. Research and development expenses are recorded in operating expenses in the period in which they are incurred. Estimates have been used in determining the expense liability of certain costs where services have been performed but not yet invoiced.

 

We monitor levels of performance under each significant contract for external service providers for activities through communications with the service providers to reflect the actual amount expended.

 

Employees

 

As of December 31, 2018, we had 6 total full-time employees. None of our employees are represented by a union and we believe our employee relations are good.

 

Available Information

 

Our website, www.MedoveX.com, provides access, without charge, to our annual report on Form 10-K, quarterly reports on Form 10-Q, current reports on Form 8-K, and all amendments to those reports as soon as reasonably practicable after such material is electronically filed with the Securities and Exchange Commission (“SEC”). The information provided on our website is not part of this report and is therefore not incorporated by reference unless such information is otherwise specifically referenced elsewhere in this report.

 

Materials filed by the Company with the SEC may be read and copied at the SEC’s Public Reference Room at 100 F Street, NE, Washington, D.C. 20549. Information on the operation of the Public Reference Room may be obtained by calling the SEC at 1-800-SEC-0330. The SEC also maintains a website at www.sec.gov that contains reports, proxy and information statements, and other information regarding our company that we file electronically with the SEC.

 

ITEM 1A. RISK FACTORS

 

Not applicable to smaller reporting companies.

 

ITEM 1B. UNRESOLVED STAFF COMMENTS

 

Not applicable to smaller reporting companies.

 

ITEM 2. PROPERTIES

 

The Company has a commercial building lease agreement with International Realty, LLC. The twenty-eight month lease, having commenced on September 1, 2018, provides for the lease by the Company of approximately 2,358 square feet of space in Alpharetta, GA. Base annual rent is initially set at approximately $3,095 per month with minimal increases each twelve months after the first year.

 

We believe our existing facilities are suitable for the Company’s operations.

 

ITEM 3. LEGAL PROCEEDINGS

 

None.

 

ITEM 4. MINE SAFETY DISCLOSURES

 

Not Applicable.

 

 7 

 

 

PART II

 

ITEM 5. MARKET FOR REGISTRANT’S COMMON EQUITY, RELATED STOCKHOLDER MATTERS AND ISSUER PURCHASES OF EQUITY SECURITIES

 

Market Information

 

The following table sets forth the range of high and low sales prices of the common stock on the OTCQB for each period indicated:

 

Market and Market Prices of Common Stock (per common share)

 

   2018 
By Quarter  High   Low 
First  $0.65   $0.36 
Second   0.58    0.37 
Third   0.51    0.32 
Fourth   0.51    0.27 

 

   2017 
By Quarter  High   Low 
First  $1.58   $1.04 
Second   1.48    0.84 
Third   1.26    0.84 
Fourth   1.19    0.47 

 

On March 18, 2019, the price per share of the Company’s common stock had a high of $0.55 per share, and a low of $0.51 per share. The Company had approximately 226 holders of record of common stock as of March 18, 2019.  

 

Dividends

 

We have not declared or paid any cash dividends on our common stock and presently intend to retain our future earnings, if any, to fund the development and growth of our business and, therefore, do not anticipate paying any cash dividends in the foreseeable future.

 

Securities Authorized for Issuance under Equity Compensation Plans

 

As of December 31, 2018, we have an outstanding aggregate of 557,282 options to purchase common stock under the Plan at a weighted average price of $2.78 per share to certain employees, consultants and our outside directors.

 

Recent Sales of Unregistered Securities; Uses of Proceeds from Registered Securities 

 

As previously disclosed on a current report on form 8-k dated October 15, 2018, in August and September 2018, the Company sold an aggregate of 15 Units (as defined below) and issued to its investors an aggregate of $750,000 in principal amount of convertible notes (the “Notes”) and 1,875,000 warrants (the “Warrants”) to purchase the common stock, resulting in total gross proceeds of $750,000 to the Company. The Notes sold therein are convertible into an aggregate of 1,875,000 shares of the common stock. Each Unit consists of (i) a 12% senior secured convertible Note, initially convertible into shares of the Company’s common stock, par value $0.001 per share at a conversion price equal to the lesser of (y) $0.40 or (z) ninety percent (90%) of the per share purchase price of any shares of the common stock or common stock equivalents issued in the next private placement of equity and/or debt securities completed by the Company, subject to adjustment (the “Conversion Price”) and (ii) a three-year warrant to purchase such number of shares of Company’s common stock equal to one hundred percent (100%) of the number of shares of common stock issuable upon conversion of the Notes. The Warrants are exercisable at $0.75 per share.

 

As previously disclosed on a current report on form 8-k dated October 18, 2018, on October 18, 2018, we entered into an Asset Purchase Agreement (the “Asset Purchase Agreement”), and subsequently an amendment to the Asset Purchase Agreement in January 2019 (the “APA Amendment”), with Regenerative Medicine Solutions, LLC (“RMS”), Lung Institute LLC, RMS Lung Institute Management LLC, Cognitive Health Institute Tampa, LLC, RMS Shareholder, LLC and RMS Acquisition Corp. (“Buyer”) (collectively, the “Parties”).

 

 8 

 

 

Pursuant to the terms of the Asset Purchase Agreement, as amended, Buyer shall purchase all of the assets of Regenerative Medicine Solutions LLC, Cognitive Health Institute Tampa, LLC, Lung Institute LLC and RMS Lung Institute Management LLC (collectively the “Sellers”). As consideration, Buyer shall issue to Sellers 39,772 shares of Series C Preferred Stock of the Company (“Series C Preferred Stock”), where each share of Series C Preferred Stock will convert into 1,000 shares of the common stock and shall combine to represent the right to convert into and acquire an aggregate of fifty-five percent (55%) of the outstanding common stock of the Company and (z) “Additional Exchange Shares” as defined by Section 2.05(f) of the Asset Purchase Agreement; and (ii) assume certain liabilities as provided in Section 2.03 of the Asset Purchase Agreement. In March 2019, the Company issued RMS the 39,772,498 shares of Common Stock upon the Conversion of the 39,772 shares of Series C Preferred Stock. The Company also issued RMS an additional 11,152,778 shares of Common Stock to RMS to compensate it for the additional dilution occurred in 2019.

 

As reported in Current Reports on Form 8-K filed by the Company, including those filed in the first quarter of 2019, the Company has sold an aggregate of $6,625,000 of 12% convertible notes and 16,562,500 warrants exercisable at $0.75 per share (the “Recent Financing”) of such convertible notes, $5,375,000 of the convertible notes have already been converted into an aggregate of 13,437,500 shares of Common Stock.

 

As previously disclosed on Form 8-K filed on April 5, 2019, the Company entered into SPA’s with additional investors which raised an additional $575,000 and brought the aggregate principal amount of capital raised in all the offerings since January 8, 2019 to $7,200,000.

 

ITEM 6. SELECTED FINANCIAL DATA

 

Not required for smaller reporting company.

 

ITEM 7. MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS.

 

Overview

 

MedoveX Corp. (the “Company” or “MedoveX”), was incorporated in Nevada on July 30, 2013 as SpineZ Corp. (“SpineZ”) and changed its name to MedoveX Corp. on March 20, 2014. MedoveX is the parent company of Debride Inc. (“Debride”), which was incorporated under the laws of the State of Florida on October 1, 2012. The Company is in the business of designing and marketing proprietary medical devices for commercial use in the United States and Europe. The Company received CE marking in June 2017 for the DenerveX System and it is now commercially available throughout the European Union and several other countries that accept CE marking. The Company’s first sale of the DenerveX System occurred in July 2017. The Company plans to seek approval for the DenerveX System from the Food & Drug Administration (“FDA”) in the United States.

 

In October 2018, the  Company entered into an Asset Purchase Agreement (the “Asset Purchase Agreement”), and subsequently an amendment to the Asset Purchase agreement in January 2019 (the “APA Amendment”), with Regenerative Medicine Solutions, LLC (“RMS”), Lung Institute LLC, RMS Lung Institute Management LLC, Cognitive Health Institute Tampa, LLC, RMS Shareholder, LLC and RMS Acquisition Corp. Pursuant to the terms of the Asset Purchase Agreement, the Company purchased all of the assets of RMS, Cognitive Health Institute Tampa, LLC, Lung Institute LLC and RMS Lung Institute Management LLC. The Company closed the Asset Purchase Agreement on January 8, 2019.

 

The DenerveX System 

 

Our first acquisition was the DenerveX device. We believe that the DenerveX device can be used to encompass several medical applications, including pain relief.

 

The Company acquired the DenerveX patent on January 31, 2013 from Scott Haufe, M.D. (“Dr. Haufe”), a former director of the Company, in exchange for 750,108 shares of common stock in the Company and a 1% royalty on all sales of any product sold based on the patent. In September 2013, we entered into a Co-Development Agreement with James Andrews, M.D. (“Dr. Andrews”), a former director of the Company, whereby Dr. Andrews committed to further evaluate the DenerveX device and to seek to make modifications and improvements to such technology. In exchange for such services, the Company agreed to pay Dr. Andrews a royalty equal to two (2%) percent of the DenerveX net sales during the five (5) year term of the Co-Development Agreement.

 

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Upon the termination of the term of the Co-Development Agreement, which has a minimum term of five (5) years, then the royalty payable to Dr. Andrews shall be reduced to one (1%) percent of DenerveX net sales after such termination of products covered by any U.S. patent on which Dr. Andrews is listed as a co-inventor; if any such patents are obtained. Such one (1%) percent royalty shall continue during the effectiveness of such patent. Pursuant to the Co-Development Agreement, Dr. Andrews agreed to assign any modifications or improvements to the DenerveX to the Company subject to the royalty rights described above. The Co-Development agreement with Dr. Andrews expired September 30, 2018. The company has no intention of re-entering the agreement with Dr. Andrews.

 

We are marketing the product as a disposable, single-use kit which includes all components of the DenerveX device product. In addition to the DenerveX device itself, we have developed a dedicated Electro Surgical Generator, the DenerveX Pro-40, to power the DenerveX device. Commercial production  of the DenerveX device is currently on-hold. The Company anticipates the resumption of manufacturing in Q4 2019.

 

The generator is provided to customers agreeing to purchase the DenerveX device and cannot be used for any other purpose.

 

We accepted a proposal from Devicix, a Minneapolis, Minnesota third party design and development firm, in November 2013, to develop a prototype device. This proposal included a 5-phase development plan, culminating in the production ready prototype that could be used for validation purposes. We have recently completed the final stages of the build and test phase of the device, culminating in receiving CE marking to market the product in Europe. The DenerveX Kit and Pro-40 generator is now in commercial production.

 

We anticipate very minimal, if any, additional build and test related expenses, which consists of product design verification activities, in the future as we launch the DenerveX System in Europe. Through December 31, 2018, we have incurred expenses of approximately $1,950,000 to Devicix.

 

In November 2014, we selected Nortech Systems Inc. (“Nortech”), a Minneapolis, Minnesota based FDA registered contract manufacturer, to produce test DenerveX devices from the prototype supplied by Devicix for use in final development and non-clinical testing. The agreement with Nortech includes agreed upon per unit prices for delivery of the devices. Actual work on development of the final units began in November 2014. Through December 31, 2018, we have incurred expenses of approximately $997,000 to Nortech. We are now in commercial production.

 

Also in November 2014, we engaged Bovie Medical Corporation (“Bovie”), a Delaware Corporation, to develop the Electro Surgical Generator and provide post production support services. Per our agreement with Bovie, we are invoiced based on deliverables produced by Bovie, which was originally supposed to amount to $295,000 upon completion of all the deliverables. Through December 31, 2018, we have incurred expenses of approximately $441,000 to Bovie for production services. The original $295,000 agreement was a base number along the pathway of development. Additional requirements were incurred as the research and development process progressed and as a result certain prices increased and additional costs were incurred to further customize the DenerveX System. We are also in commercial production of the generator.

 

The Company has completed the final stages of the development and verification of the DenerveX Device and the DenerveX Pro-40 power generator as a system, and the DenerveX System is presently being manufactured and sold.

 

Regulatory Approval

 

The Company received CE marking in June 2017 for the DenerveX System. It can now be sold throughout the European Union and countries that accept CE Mark. In the future, the Company will seek marketing clearance from the FDA for commercialization of the DenerveX System in the US.

 

Aside from the European Union, we may seek regulatory approval for commercialization of the DenerveX System from Columbia, Peru, Argentina, Mexico, Turkey, Israel, New Zealand, Australia and other countries. The documentation required to accompany the CE Mark to obtain regulatory approval in the aforementioned countries may include copies of the ISO 13485 certification, the SGS certificate of approval and a statement of Good Manufacturing Practices (“GMP”).

 

Streamline, Inc. Divestiture

 

In May 2016, the Board of Directors authorized management to seek buyers for Streamline, Inc., (“Streamline”), the Company’s wholly owned subsidiary acquired in March 2015. The Company sold all Streamline related assets on December 7, 2016 (the “Closing”).

 

 10 

 

 

The transaction resulted in the immediate receipt of $500,000 in cash, and a $150,000 note receivable to the Company due on or before January 1, 2018. The Company subsequently received the $150,000 per the terms of the asset purchase agreement on January 2, 2018.

 

The terms of the agreement also required that for each of the calendar years ending December 31, 2018 and December 31, 2019 (each such calendar year, a “Contingent Period”), a contingent payment in cash (each, a “Contingent Payment”) equal to five percent (5%) of the total net sales received by the acquiring party from the sale of “IV suspension system” products in excess of 100 units during each Contingent Period.

 

Each such Contingent Payment is payable to the Company by the acquiring party by no later than March 31st of the subsequent year; provided, however, that the total aggregate amount of all Contingent Payments owed by the acquiring party to the Company for all Contingent Periods will not exceed $850,000. The Company is yet to receive any Contingent Payments and has no reason to expect it will receive any Contingent Payments.

 

Critical Accounting Policies and Estimates

 

Our discussion and analysis of our financial condition and results of operations are based on our consolidated financial statements, which we have prepared in accordance with United States generally accepted accounting principles. The preparation of these consolidated financial statements requires us to make estimates and assumptions that affect the reported amounts of assets and liabilities and the disclosure of contingent assets and liabilities at the date of the financial statements, as well as the reported amounts of revenues and expenses during the reporting periods.

 

On an ongoing basis, we evaluate our estimates and judgments, including those described in greater detail below.

 

We base our estimates on historical experience and on various other factors that we believe are reasonable under the circumstances, the results of which form the basis for making judgments about the carrying value of assets and liabilities that are not readily apparent from other sources. Actual results may differ from these estimates under different assumptions or conditions.

 

While our significant accounting policies are described in more detail in the notes to our consolidated financial statements included elsewhere in this report, we believe that the following accounting policies are the most critical to aid you in fully understanding and evaluating our financial condition and results of operations.

 

Fair Value Measurements

 

We measure certain non-financial assets at fair value on a non-recurring basis. These non-recurring valuations include evaluating assets such as long-lived assets and non-amortizing intangible assets for impairment; allocating value to assets in an acquired asset group; and applying accounting for business combinations.

 

We use the fair value measurement framework to value these assets and report the fair values in the periods in which they are recorded or written down.

 

The fair value measurement framework includes a fair value hierarchy that prioritizes observable and unobservable inputs used to measure fair values in their broad levels. These levels from highest to lowest priority are as follows:

 

  Level 1: Quoted prices (unadjusted) in active markets that are accessible at the measurement date for identical assets or liabilities;
     
  Level 2: Quoted prices in active markets for similar assets or liabilities or observable prices that are based on inputs not quoted on active markets, but corroborated by market data; and
     
  Level 3: Unobservable inputs or valuation techniques that are used when little or no market data is available.

 

The determination of fair value and the assessment of a measurement’s placement within the hierarchy requires judgment. Level 3 valuations often involve a higher degree of judgment and complexity. Level 3 valuations may require the use of various cost, market, or income valuation methodologies applied to unobservable management estimates and assumptions. Management’s assumptions could vary depending on the asset or liability valued and the valuation method used. Such assumptions could include: estimates of prices, earnings, costs, actions of market participants, market factors, or the weighting of various valuation methods. We may also engage external advisors to assist us in determining fair value, as appropriate.

 

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Although we believe that the recorded fair value of our financial instruments is appropriate at December 31, 2017, these fair values may not be indicative of net realizable value or reflective of future fair values.

 

Income Taxes

 

The Company uses the liability method of accounting for income taxes, which requires recognition of temporary differences between financial statement and income tax bases of assets and liabilities, measured by enacted tax rates. A valuation allowance is recorded to reduce deferred tax assets when necessary.

 

We file income tax returns in the U.S. federal jurisdiction and certain state jurisdictions. The tax years that could be subject to federal audit are 2015, 2016 and 2017.

 

Revenue Recognition and Sales Returns, Discounts and Allowances

 

We recognize revenue in accordance with generally accepted accounting principles as outlined in the Financial Accounting Standard Board’s (“FASB”) Accounting Standards Codification (“ASC”) 606, Revenue From Contracts with Customers, which requires that five basic criteria be met before revenue can be recognized: (i) identify the contract with the customer; (ii) identity the performance obligations in the contract; (iii) determine the transaction price; (iv) allocate the transaction price; and (v) recognize revenue when or as the entity satisfied a performance obligation.

 

The Company sells the DenerveX System through a combination of direct sales and independent distributors in international markets. The Company recognizes revenue when title to the goods and risk of loss transfers to customers, provided there are no material remaining performance obligations required of the Company or any matters of customer acceptance. We only record revenue when collectability is reasonably assured.

 

Revenue recognition occurs at the time product is shipped to customers from the third-party distribution warehouse located in Berlin, Germany. Our stocking distributors, who sell the products to their customers or sub-distributors, contractually take title to the products and assume all risks of ownership at the time of shipment. Our stocking distributors are obligated to pay us the contractually agreed upon invoice price within specified terms regardless of when, if ever, they sell the products.

 

Our direct customers do not have any contractual rights of return or exchange other than for defective product. A portion of the Company’s revenue is generated from inventory maintained at hospitals or physician’s offices.

 

The Company records estimated sales returns, discounts and allowances as a reduction of net sales in the same period revenue is recognized. The company does not have any estimated sales returns or allowances as of December 31, 2018. The Company recorded $9,484 in sales discounts for the year ended December 31, 2018.

 

Foreign Currency Transactions

 

The Company transacts some of its operating activities in foreign currencies, most notably the Euro. The Company also has certain assets and liabilities denominated in foreign currencies that are translated to US Dollars for reporting purposes as of and for the year ended December 31, 2018. These amounts are immaterial and are included in other income or expense for the years ended December 31, 2018 and 2017. Because of the immaterial effect noted above, we did not present a separate statement of other comprehensive income.

 

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Stock-Based Compensation

 

A summary of significant assumptions used to estimate the fair value of the equity awards granted in 2018 and 2017 follows:

 

Stock-based compensation expense for the years ended December 31, 2018 and 2017 includes both common stock and stock options granted to certain employees, consultants, and directors and has been recorded as general and administrative expenses. We follow the provisions of the ASC Topic 718, Compensation- Stock Compensation which requires the measurement and recognition of compensation expense for all stock-based payment awards made to employees and non-employee directors, including employee stock options.

 

Stock compensation expense based on the fair value on the grant date estimated in accordance with the provisions of ASC 718 is generally recognized as an expense over the requisite service period.

 

The stock grant prices and the option prices were set at the estimated fair value of the common stock on the date of grant using the market approach. Under the market approach, the fair value of the common stock was determined to be the value of the stock on the date of the grant.

 

We utilize the Black-Scholes valuation method to recognize compensation expense over the vesting period for stock options. The expected life represents the period that our stock option-based compensation awards are expected to be outstanding.

 

We use a simplified method provided in Securities and Exchange Commission release, Staff Accounting Bulletin No. 110, which averages an award’s weighted average vesting period and contractual term for “plain vanilla” share options. The expected volatility was estimated by analyzing the historic volatility of the Company’s stock and similar public biotech companies in an early stage of development.

 

The Company uses, and will continue to use in the future, the historic volatility of similar biotech companies until we have either a sufficient amount of historical information regarding the volatility of our own share price or other traded financial instruments are available to derive an implied volatility to support an estimate of expected volatility. No dividend payouts were assumed as we have not historically paid, and do not anticipate paying, dividends in the foreseeable future.

 

The risk-free rate of return reflects the weighted average interest rate offered for US treasury rates over the expected term of the options.

 

During 2018, 1,243,956  shares of common stock were granted. The Company did not grant any options to purchase shares of common stock during 2018.

 

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RESULTS OF OPERATIONS

Overview

 

We started operations late in 2013. We anticipate that our quarterly and annual results of operations will be impacted for the foreseeable future by several factors, including the ramp-up in sales of our prototype product in Europe, approval of the product by the Food & Drug Administration (“FDA”) in the United States, and the rate of adoption of our product by medical professionals. The Company received CE marking in June 2017 for the DenerveX System and it is now commercially available throughout the European Union and several other countries that accept CE marking. The Company’s first sale of the DenerveX System occurred in July 2017. Due to these factors, we believe that period to period comparisons of our results of operations are not a good indication of our future performance.

 

The following table sets forth our results of operation for the years ended December 31, 2018 and 2017:

 

 

   2018   2017 
Revenues, net of discount of $9,484 and $52, respectively  $818,211   $207,344 
Cost of Goods Sold   (502,789)   (162,837)
Gross Profit   315,422    44,507 
           
Operating Expenses:          
General and administrative   3,972,446    4,721,893 
Sales and marketing   808,223    865,377 
Research and development   204,690    491,076 
Loss on asset disposal   32,865     
Depreciation and amortization   23,915    27,100 
Total operating expenses   5,042,139    6,105,446 
           
Operating Loss   (4,726,717)   (6,060,939)
           
Other Income       957 
           
Other Expenses:          
Interest expense   162,200    395,332 
Foreign currency transaction loss   19,727     
Total Other Expenses   181,927    395,332 
           
Loss from Continuing Operations   (4,908,644)   (6,455,314)
           
Discontinued Operations          
Loss from discontinued operations       1,163 
Total Loss from Discontinued Operations       (1,163)
Net Loss  $(4,908,644)  $(6,456,477)
           
Dividend on outstanding Series B Preferred Stock  $(57,813)    
Deemed dividend on adjustment to exercise price on certain warrants   (107,697)    
Deemed dividend on beneficial conversion features   (403,719)    
Net Loss Attributable to Common Shareholders  $(5,477,873)    

 

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Revenue; Cost of Revenue and Gross Profit

 

The Company’s first sale of the DenerveX System occurred in July 2017. The Company recorded revenue for the year ended December 31, 2018 of $818,211, net of sales discounts.

 

The Company sells the DenerveX System through a combination of direct sales and independent distributors in international markets. The Company recognizes revenue at the time product is shipped to customers from the third-party distribution warehouse in Berlin, Germany. We believe this action satisfies the performance obligation as outlined in new revenue recognition standards.

 

The DenerveX Device is manufactured by Nortech in Minneapolis, MN and subsequently shipped to the third-party warehouse in packages of five units per one package. Our independent distributors then order the DenerveX Devices as single units at specified prices as outlined in their distribution agreements. The international distribution agreements also specify the pricing for which the independent distributor is to sell the DenerveX Device to their end-user customers.

 

The Pro-40 Generator is manufactured in Bulgaria and shipped to the third-party warehouse as single units. The generators are typically provided for use to customers at no cost, however, demo units can be purchased by customers for which the Company records revenue.

 

Our independent distribution customers place initial purchase orders for minimum stocking quantities of both the DenerveX Devices and Pro-40 Generators as agreed upon per their signed international distribution agreements. Subsequent stocking orders are required to be placed initially at specified dates and quantities based upon projected end-user sales volumes. Stocking orders thereafter are required to be placed quarterly based off actual end-user sales volumes.

 

Cost of sales as a percentage of revenue in 2018 was approximately 61% resulting in a gross profit margin of approximately 39%. Cost of sales as a percentage of revenue in 2017 was approximately 79% resulting in a gross profit margin of approximately 21 %.

 

Operating Expenses

 

We classify our operating expenses into five categories: research & development, sales & marketing, general & administrative expense, loss on asset disposal, and depreciation and amortization expense.

 

Research and Development Costs and Expenses

 

Research and development costs and expenses consist primarily of fees paid to external service providers, laboratory supplies, costs for facilities and equipment, and other costs for research and development activities.

 

Research and development expenses are recorded in operating expenses in the period in which they are incurred. Estimates have been used in determining the liability of certain costs where services have been performed but not yet invoiced.

 

We monitor levels of performance under each significant contract for external service providers, including the extent of patient enrollment and other activities through communications with the service providers to reflect the actual amount expended.

 

Advertising

 

During 2018, the Company incurred approximately $149,000 in advertising expenses compared to approximately $332,000 in 2017. Advertising expenses consists primarily of fees paid to vendors for tradeshows and consultants in correlation with the launch of the DenerveX in Europe.

 

General and Administrative Expenses

 

During 2018, the Company incurred approximately $2,162,000 in personnel costs, compared to approximately $1,850,000 in 2017. Professional fees were approximately $1,668,000 in 2018 and $1,651,000 in 2017 which consisted primarily of professional costs related to the development of the DenerveX System. Travel expenses were approximately $144,000 during 2018 and $299,000 in 2017.

 

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We anticipate an overall increase in our general and administrative expenses due to increases in wage expense with the addition of the Company’s new CEO, Bill Horne. We anticipate that other general and administrative expenses to remain at comparable rates in the future to support clinical trials, commercialization of our product candidate and continued costs of operating as a public company.

 

Depreciation & Amortization

 

Depreciation and amortization expense are recorded in the period in which they are incurred. During 2018, the Company recognized approximately $23,900 in depreciation expense, compared to approximately $27,100 in 2017.

 

Liquidity and Capital Resources

 

Since our inception, we have incurred losses and anticipate that we will continue to incur losses in the foreseeable future.

 

Through March 31, 2019, the Company has entered into SPA’s with investors which has brought the aggregate principal amount of capital raised in all the offerings since January 8, 2019 to $7,200,000.

 

While we expect our research and development costs for the DenerveX System to diminish, we also anticipate increased expenditures for clinical trials to obtain FDA approval of the DenerveX System as well as expenses related to the commercial launch of the DenerveX system. We will need additional cash to fully fund these  activities.

 

Our independent registered  public accounting firm has included an explanatory paragraph with respect to our ability to continue as a going concern in its report on our consolidated financial statements as of and for the years ended December 31, 2018 and 2017.

 

The presence of the going concern explanatory paragraph suggests that we may not have sufficient liquidity or minimum cash levels to operate the business.

 

Sources of Liquidity

 

Equity

 

Common Stock / Preferred Series A Stock

 

On July 14, 2017, the Company entered into a Securities Purchase Agreement with selected accredited investors whereby the Company sold an aggregate of 2,956,043 shares of common stock and 1,478,022 warrants to purchase common stock. The Offering resulted in $2,690,686 in gross proceeds to the Company. The placement agent collected $188,000 in total fees related to the offering. The common stock shares were sold at $0.91 per share which was the closing price of the Company’s common stock on July 13, 2017, the day prior to the agreement. Each warrant has an exercise price of $1.15 and is exercisable for a period of five years commencing six months from the date of issuance.

 

On February 26, 2018, the Company entered into a securities purchase agreement with selected accredited investors whereby the Company sold an aggregate of 770,000 shares of common stock and 385,000 warrants to purchase common stock. The offering resulted in $308,000 in gross proceeds to the Company. The warrants have a five-year term commencing six months from issuance with an exercise price of $0.75. The Company allocated $52,003 to the warrants and the remainder to the issuance of the common stock based on their relative fair values. The Company incurred $13,500 in legal expenses related to the offering.

 

On February 9, 2017, the Company entered into a Unit Purchase Agreement with selected accredited investors whereby the Company had the right to sell in a private placement a minimum of $3,000,000 and up to a maximum of $5,000,000 of Units. Each Unit had a purchase price of $100,000 and consisted of (i) 96,154 shares of the Company’s common stock, par value $0.001 per share at a purchase price of $1.04 per share, and (ii) a warrant to purchase 48,077 shares of common stock. Each warrant has an initial exercise price of $1.50 per share and is exercisable for a period of five (5) years from the date of issuance. Investors had the option to request shares of the Company’s Series A Convertible Preferred Stock (the “Series A Preferred Stock”) in lieu of common stock, on a basis of one share of preferred stock for every one hundred shares of common stock.

 

The offering resulted in gross proceeds of $3,022,000 and resulted in the issuance of an aggregate of 1,631,730 shares of common stock, 12,740 shares of Series A Preferred Stock and warrants to purchase 2,005,761 shares of common stock. The placement agent collected an aggregate of approximately $350,000 in total fees related to the offering and warrants to purchase an aggregate of 405,577 shares of common stock at a price of $1.50 per share.

 

Each share of Series A Preferred Stock may be converted into shares of fully paid and non-assessable shares of common stock at a rate of one hundred shares of the Company’s common stock for every share of Series A Preferred Stock.

 

Preferred Series B Stock

 

On May 1, 2018, the Company entered into a securities purchase agreement with selected accredited investors whereby the Company offered up to $1,000,000 in units. Each unit had a purchase price of $100,000 and consisted of (i) 1,000 shares of the Company’s 5% Series B Convertible Preferred Stock (the “Series B Shares”) and (ii) warrants to purchase 250,000 shares of the Company’s common stock, par value $0.001 per share. Each Series B Share is convertible at a conversion price of $0.40 per share. The conversion price has a feature that would adjust the conversion price downward if the company issues any common stock or common stock equivalents at a price less than $0.40 per share while the Series B shares are outstanding. The market value of the common stock on the date of the agreement was $0.44. The Series B Shares initially entitled the holders to a 5% adjustable annual dividend. The Series B Shares also have a feature that provides the holder the ability to adopt more favorable terms of subsequent financings while the Series B Shares are outstanding.

 

The Warrants are exercisable for a period of three (3) years from the date of issuance at an initial exercise price of $0.75 per share subject to downward adjustment if the Company issues any common stock or common stock equivalents at a price less than $0.75 per share while the warrants are outstanding.

 

 16 

 

 

As a result of the offering, the Company sold an aggregate of 8.25 Units and issued to the Investors an aggregate of 8,250 Series B Shares and 2,062,500 warrants to purchase common stock, resulting in total $825,000 gross proceeds to the Company. The Company incurred $5,000 in legal fees related to the offering, which resulted in $820,000 net cash received from the offering. The 8,250 Series B Shares sold in the Offering are initially convertible into an aggregate of 2,062,500 shares of Common Stock.

 

Of the net proceeds in the offering of $820,000, approximately $288,000 was first allocated to the warrants issued to investors based on their relative fair value. The Company recognized a beneficial conversion feature related to the Series B Shares of approximately $373,000, which was credited to additional paid-in capital, and the residual amount of approximately $159,000 was allocated to the Series B Shares. Because the Series B Shares can immediately be converted by the holder, the discount recognized by the allocation of proceeds to the beneficial conversion feature was immediately accreted and recognized as a deemed dividend to the preferred shareholders.

 

On August 1, 2018 the annual dividend rate on the Series B Shares was adjusted to 12%, which is equal to the same rate as the convertible debt issued in August and September 2018, pursuant to an adjustment provision in the Series B Shares which entitles the holders to receive a more beneficial annual dividend rate offered in any subsequent financings. The Company had accrued unpaid dividends in the amount of approximately $58,000 as of December 31, 2018, related to the Series B Shares.

 

On August 8, 2018, the Company completed the issuance of convertible debt at an initial conversion price of $0.40. Accordingly the exercise price on all of the warrants issued with the Series B Shares were adjusted downward to $0.40. In conjunction with the downward adjustment, the Company recorded a deemed dividend of approximately $108,000 representing the difference in the fair value of the warrants immediately before and after the adjustment to the exercise price.

 

Debt

 

Convertible Debenture

 

On January 31, 2018, the Company issued a 5% convertible debenture in exchange for $100,000. The debenture accrued interest at 5% per annum. Principal and interest were due on January 30, 2019. The debenture was convertible at the option of the holder into shares of the Company’s common stock at a conversion rate equivalent to 85% of the average closing price of the Company’s common stock for the 20 days preceding the conversion.

 

On April 26, 2018, the convertible debenture and unpaid accrued interest was converted into an aggregate of 266,301 shares of common stock, eliminating the Company’s debt obligation. Prior to the conversion, the Company recognized approximately $1,200 in interest expense related to the convertible debenture during the year ended December 31, 2018. The market value of the common stock on the date of the conversion was $0.40. This difference lead to an immaterial amount related to a beneficial conversion feature.

 

Convertible Notes

 

In August and September 2018, the Company entered into a securities purchase agreement with select accredited investors, whereby the Company offered up to $1,000,000 in units at a purchase price of $50,000 per unit. Each Unit consists of (i) a 12% senior secured convertible note, initially convertible into shares of the Company’s common stock, par value $0.001 per share, at a conversion price equal to the lesser of $0.40 or ninety percent (90%) of the per share purchase price of any shares of common stock or common stock equivalents issued in future private placements of equity and/or debt securities completed by the Company following this offering, and (ii) a three-year warrant to purchase such number of shares of the Company’s common stock equal to one hundred percent (100%) of the number of shares of common stock issuable upon conversion of the notes at $0.40. The Warrants are exercisable at a price equal to the lesser of $0.75 or ninety percent (90%) of the per share purchase price of any shares of common stock or common stock equivalents issued in future private placements of the debt and/or equity securities completed by the Company following the issuance of warrants. The notes are secured by all of the assets of the Company.

 

ASU 2017-11, Earnings per share (Topic 260), provided that when determining whether certain financial instruments should be classified as liability or equity instruments, a down round feature no longer precludes equity classification when assessing whether the instrument is indexed to an entity’s own stock. If a down round feature on the conversion option embedded in the note is triggered, the Company will evaluate whether a beneficial conversion feature exists, the Company will record the amount as a debt discount and will amortize it over the remaining term of the debt.

 

If the down round feature in the warrants is triggered, the Company will recognize the effect of the down round as a deemed dividend which will reduce the income available to common stockholders.

 

 17 

 

 

In the offering, the Company sold an aggregate of 15 units and issued to investors an aggregate of $750,000 in principal amount of convertible notes and 1,875,000 warrants to purchase common stock, resulting in total gross proceeds of $750,000 to the Company. If converted at $0.40 the convertible notes sold in the offering are convertible into an aggregate of 1,875,000 shares of common stock. The Company recorded the proceeds from the notes and the accompanying warrants, which accrete over the period the notes are outstanding, on a relative fair value basis of approximately $505,000 and $245,000, respectively. Accretion expense related to the discount on these convertible notes for the year ended December 31, 2018 was approximately $93,000. The Company recognized $33,700 in unpaid accrued interest expense related to the notes as of December 31, 2018.

 

Cash Flows

 

Net cash used in operating activities was approximately $2,341,000 during the year ended December 31, 2018, compared to approximately $5,590,000 in 2017. Net cash provided by investing activities was approximately $150,000 during the year ended December 31, 2018, compared to net cash used in investing activities of approximately $17,000 during the year ended December 31, 2017. Net cash provided by financing activities was approximately $1,993,000 during the year ended December 31, 2018, compared to approximately $4,959,000 in 2017.

 

The Company had approximately $47,000 and $245,000 of cash on hand at December 31, 2018 and 2017, respectively.

 

Results of Continued Operations

 

Year Ended December 31, 2018 Compared to the Year Ended December 31, 2017

 

The Company recorded  $827,695 and $502,789, respectively, in revenue and cost of goods sold for the year ended December 31, 2018. The Company recorded $207,396 and $162,837, respectively, in revenue and cost of goods sold for the year ended December 31, 2017.

 

Total operating expenses decreased approximately $1,063,000, or 18%, to approximately $5,042,000 for the year ended December 31, 2018, as compared to approximately $6,105,000 for the year ended December 31, 2017.

 

The Company experienced hardships in 2018 raising additional funds to maintain a sufficient level of working capital which is the primary reason for the decrease in operating expenses in 2018.

 

Funding Requirements

 

We anticipate our cash expenditures will remain consistent as diminishing research and development costs will be offset by the cost of clinical trials to obtain FDA approval and moving forward with the recent commercialization of the DenerveX System. We expect future cash flow expenditures to increase if the FDA requires a de novo regulatory path, instead of a 510(k) approval. We also continue to incur similar costs as we continue to operate as a publicly traded entity.

 

Subsequent to year-end, on January 8, 2019, the Company executed the Asset Purchase Agreement with RMS, as amended, by which the Company entered into a securities purchase agreement (the “SPA”) with select accredited investors and raised an aggregate amount of $2,000,000, with $1,800,000 received in cash and $200,000 by cancellation of debt.

 

Subsequent to the consummation of the Asset Purchase Agreement with RMS, the Company has raised an additional $5,200,000 with select accredited investors under the same SPA. Through March 31, 2019 the Company has raised an aggregate of $7,200,000 in convertible note financings.

 

The sale of additional equity or convertible debt securities would likely result in dilution to our current stockholders.

 

Off-Balance Sheet Arrangements

 

We do not have any off-balance sheet arrangements as defined in Regulation S-K Item 303(a)(4) during the periods presented, investments in special-purpose entities or undisclosed borrowings or debt. Additionally, we are not a party to any derivative contracts or synthetic leases.

 

 18 

 

 

Contractual Obligations and Commercial Commitments

 

The Company has long term contractual obligations for the two promissory notes issued to the Bank of North Dakota New Venture Capital Program and North Dakota Development Fund. Both Notes from the Bank of North Dakota New Venture Capital Program and North Dakota Development were assumed in conjunction with the consummation of the Streamline acquisition on March 25, 2015 and require combined monthly principal and interest payments of $5,661 into the third quarter of 2019.

 

The Company rents commercial office space in Alpharetta, GA. Base annual rent is currently set at $3,095 per month and the lease term ends December 31, 2020.

 

The Company has a consulting agreement with Jesse Crowne, a former Director and Co-Chairman of the Board of the Company, to provide business development consulting services for a fee of $13,333 per month through March 31, 2019.

 

The Company has a distribution center agreement with a logistics service provider in Berlin, Germany pursuant to which they shall manage and coordinate the DenerveX System products which the Company exports to the EU through June 2019.

 

The Company pays a fixed monthly fee of €6,900 (approximately $7,900) for all accounting, customs declarations, office support, logistics, warehousing and customer support services.

 

The Company issued to investors an aggregate of $750,000 in 12% senior secured convertible notes in August and September 2018. The notes are secured by all of the assets of the Company.

 

Changes in Board of Directors and Certain Officers

 

On October 9, 2018, William E. Horne, pursuant to agreement and subsequent modification, began serving as the Company’s President and Chief Executive Officer. The Employment Agreement is for a term of five (5) years subject to additional one year renewals. Mr. Jarrett Gorlin resigned as President and Chief Executive Officer upon the effectiveness of the Employment Agreement. There were no agreements between Mr. Gorlin and the Company.

 

On October 15, 2018, Directors Jarrett Gorlin, James R. Lawson, Randal R. Betz, John C. Thomas, Jr., James R. Andrews, Clyde A. Hennies, Jon Mogford, Scott Haufe and Jesse W. Crowne, this being all Board members except for Larry W. Papasan, tendered their resignations to Mr. Papasan, Co-Chairman of the Board. Mr. Papasan then invited newly appointed President and Chief Executive Officer, William E. Horne, to join the Board as Chairman. Mr. Horne accepted, and Mr. Papasan tendered his resignation to Mr. Horne, leaving Mr. Horne as the sole director of the Company.

 

On January 8, 2019, the Company appointed Raymond Monteleone and Michael Yurkowsky to serve as members of the Company’s Board.

 

On February 4, 2019, Jeremy Daniel was appointed as the Company’s new CFO and Charles Farrahar resigned such position.

 

Indemnification

 

We have agreements whereby we indemnify our officers and directors for certain events or occurrences while the officer or director is or was serving, at our request, in such capacity, to the maximum extent permitted under the laws of the State of Nevada.

 

The maximum potential amount of future payments we could be required to make under these indemnification agreements is unlimited. However, we maintain directors and officers insurance coverage that may contribute, up to certain limits, a portion of any future amounts paid for indemnification of directors and officers. We believe the estimated fair value of these indemnification agreements in excess of applicable insurance coverage is minimal. Historically, we have not incurred any losses or recorded any liabilities related to performance under these types of indemnities.

 

 19 

 

 

Additionally, in the normal course of business, we have made certain guarantees, indemnities and commitments under which we may be required to make payments in relation to certain transactions. These indemnities include intellectual property and other indemnities to our customers and distribution network partners in connection with the sales of our products, and indemnities to various lessors in connection with facility leases for certain claims arising from such facility or lease.

 

It is not possible to determine the maximum potential loss under these guarantees, indemnities and commitment due to our limited history of prior indemnification claims and the unique facts and circumstances involved in each particular provision.

 

Recently Adopted Accounting Standards

 

In February 2016, FASB issued ASU No. 2016-02, Leases (Topic 842). The core principle of Topic 842 is that a lessee should recognize the assets and liabilities that arise from leases. ASU 2016-02 is effective for public companies for annual reporting periods beginning after December 15, 2018, and interim periods within those fiscal years. The guidance may be adopted prospectively or retrospectively and early adoption is permitted. The Company is currently assessing the impact the adoption of ASU 2016-02 will have on its consolidated financial statements.

 

Jumpstart Our Business Startups Act of 2012

 

The JOBS Act permits an “emerging growth company” such as us to take advantage of an extended transition period to comply with new or revised accounting standards applicable to public companies.

 

We are choosing to “opt out” of this provision and, as a result, we will comply with new or revised accounting standards as required when they are adopted. This decision to opt out of the extended transition period under the JOBS Act is irrevocable.

 

ITEM 7A. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK

 

Not Applicable.

 

ITEM 8. FINANCIAL STATEMENTS AND SUPPLEMENTARY DATA

 

 20 

 

 

INDEX TO THE FINANCIAL STATEMENTS

 

 

Report of Independent Registered Public Accounting Firm F-2
   
Consolidated Balance Sheets as of December 31, 2018 and December 31, 2017 F-3
Consolidated Statements of Operations for the years ended December 31, 2018 and 2017 F-4
Consolidated Statement of Stockholders’ Equity (Deficit) for the years ended December 31, 2018 and 2017 F-5
Consolidated Statements of Cash Flows for the years ended December 31, 2018 and 2017 F-6
Notes to Consolidated Financial Statements F-7

 

 F-1 

 

 

REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM

 

To the Shareholders and Board of Directors

MedoveX Corp. and Subsidiaries

 

Opinion on the Consolidated Financial Statements

 

We have audited the accompanying consolidated balance sheets of MedoveX Corp and Subsidiaries (the “Company”) as of December 31, 2018 and 2017, and the related consolidated statements of operations, changes in stockholders’ equity (deficit) and cash flows for the years then ended (collectively referred to as the consolidated financial statements). In our opinion, the consolidated financial statements present fairly, in all material respects, the financial position of the Company as of December 31, 2018 and 2017, and the results of their operations and cash flows for the years then ended in conformity with accounting principles generally accepted in the United States of America.

 

Going Concern

 

The accompanying consolidated financial statements have been prepared assuming that the Company will continue as a going concern. As discussed in Note 12 to the consolidated financial statements, the Company has an accumulated deficit and has incurred significant operating losses and has a working capital deficit. These factors raise substantial doubt about the Company’s ability to continue as a going concern. Management’s plans in regard to this matter are also discussed in Note 12. The consolidated financial statements do not include any adjustments that might result from the outcome of this uncertainty.

 

Basis for Opinion

 

These consolidated financial statements are the responsibility of the Company’s management. Our responsibility is to express an opinion on the Company’s consolidated financial statements based on our audits. We are a public accounting firm registered with the Public Company Accounting Oversight Board (United States) (“PCAOB”) and are required to be independent with respect to the Company in accordance with the U.S. federal securities laws and the applicable rules and regulations of the Securities and Exchange Commission and the PCAOB.

 

We conducted our audits in accordance with the standards of the PCAOB. Those standards require that we plan and perform the audits to obtain reasonable assurance about whether the consolidated financial statements are free of material misstatement, whether due to error or fraud. The Company is not required to have, nor were we engaged to perform, an audit of its internal control over financial reporting. As part of our audits we are required to obtain an understanding of internal control over financial reporting but not for the purpose of expressing an opinion on the effectiveness of the Company’s internal control over financial reporting. Accordingly, we express no such opinion.

 

Our audits included performing procedures to assess the risks of material misstatement of the consolidated financial statements, whether due to error or fraud, and performing procedures that respond to those risks. Such procedures included examining, on a test basis, evidence regarding the amounts and disclosures in the consolidated financial statements. Our audits also included evaluating the accounting principles used and significant estimates made by management, as well as evaluating the overall presentation of the consolidated financial statements. We believe that our audits provide a reasonable basis for our opinion.

 

/s/ Frazier & Deeter, LLC

 

Atlanta, Georgia

April 10, 2019

 

We have served as the Company’s auditor since 2015.

 

 F-2 

 

 

MEDOVEX CORP. AND SUBSIDIARIES

CONSOLIDATED BALANCE SHEETS

 

   December 31, 2018   December 31, 2017 
Assets          
Current Assets          
Cash  $47,290   $245,026 
Accounts receivable   145,757    157,069 
Other receivables       86,888 
Inventory   131,455    294,714 
Prepaid expenses   46,153    204,532 
Short-term receivable       150,000 
Total Current Assets   370,655    1,138,229 
Property and Equipment, net of accumulated depreciation   30,393    87,173 
Deposits   2,751    2,751 
Total Assets  $403,799   $1,228,153 
Liabilities and Stockholders’ (Deficit) Equity          
Current Liabilities          
Interest payable  $103,709   $69,222 
Accounts payable   750,958    196,171 
Other payables   37,377     
Accounts payable to related parties   91,302    12,319 
Accrued payroll   451,207     
Accrued liabilities   210,846    64,000 
Notes payable, current portion   99,017    132,294 
Short-term note payable, net of debt discount   598,119     
Dividend payable   57,813     
Unearned revenue       1,048 
Total Current Liabilities   2,400,348    475,054 
Long-Term Liabilities          
Notes payable, net of current portion       38,990 
Deferred rent   267    688 
Total Long-Term Liabilities   267    39,678 
Total Liabilities   2,400,615    514,732 
Stockholders’ (Deficit) Equity          
Series A Preferred stock - $.001 par value: 500,000 shares authorized, 0 and 12,740 shares issued and outstanding at December 31,2018 and December 31, 2017, respectively       13 
Series B Preferred stock - $.001 par value: 10,000 shares authorized, 9,250 shares issued and outstanding at December 31, 2018, no shares issued and outstanding at December 31, 2017   9     
Common stock - $.001 par value: 49,500,000 shares authorized, 24,717,270 and 21,163,013 shares issued and outstanding at December 31, 2018 and December 31, 2017, respectively   24,717    21,163 
Additional paid-in capital   35,812,202    33,509,648 
Accumulated deficit   (37,833,744)   (32,817,403)
Total Stockholders’ (Deficit) Equity   (1,996,816)   713,421 
Total Liabilities and Stockholders’ Equity (Deficit)  $403,799   $1,228,153 

 

See notes to consolidated financial statements

 

 F-3 

 

 

MEDOVEX CORP. AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF OPERATIONS

 

 

  

For the year ended

December 31,

 
   2018   2017 
Revenues, net of discount of $9,484 and $52, respectively  $818,211   $207,344 
Cost of Goods Sold   (502,789)   (162,837)
Gross Profit   315,422    44,507 
           
Operating Expenses          
General and administrative   3,972,446    4,721,893 
Sales & Marketing   808,223    865,377 
Research and development   204,690    491,076 
Loss on asset disposal   32,865     
Depreciation and amortization   23,915    27,100 
Total Operating Expenses   5,042,139    6,105,446 
           
Operating Loss   (4,726,717)   (6,060,939)
           
Other Income       957 
           
Other Expenses          
Foreign currency transaction loss   19,727     
Interest expense   162,200    395,332 
Total Other Expenses   181,927    395,322 
           
Loss from Continuing Operations   (4,908,644)   (6,455,314)
           
Discontinued Operations          
Loss from discontinued operations       1,163 
Total Loss from Discontinued Operations       (1,163)
Net Loss   (4,908,644)  $(6,456,477)
           
Deemed dividend on outstanding Series B Preferred Stock   (57,813)    
Deemed dividend on adjustment to exercise price on certain warrants   (107,697)    
Deemed dividend on beneficial conversion features   (403,719)    
Net loss attributable to common shareholders   (5,477,873)    
Loss per share – Basic and Diluted          
Continued Operations  $(0.23)  $(0.34)
Discontinued Operations        
Net Loss per share  $(0.23)  $(0.34)
Weighted average outstanding shares used to compute basic and diluted net loss per share   23,458,305    19,142,795 

 

See notes to consolidated financial statements

 

 F-4 

 

 

MEDOVEX CORP. AND SUBSIDIARIES

CONSOLIDATED STATEMENT OF STOCKHOLDERS’ EQUITY (DEFICIT)

For the year ended December 31, 2018 and 2017

 

 

   Common Stock   Preferred Stock   Additional     

Total

Stockholder’

 
   Shares   Amount   Shares   Amount   Paid-in Capital  

Accumulated

 Deficit

   Equity (Deficit) 
Balance – December 31, 2016   14,855,181   $14,855       $   $25,898,054   $(26,360,926)  $(448,017)
Issuance of common stock in exchange for board of director fees in January 2017   173,912    174            239,826        240,000 
Issuance of common stock pursuant to a private placement completed in February 2017   1,631,730    1,632            1,207,032        1,208,664 
Issuance of preferred stock pursuant to a private placement completed in February 2017           12,740    13    943,673        943,686 
Issuance of warrants pursuant to a private placement completed in February 2017                   465,709        465,709 
Issuance of common stock pursuant to the conversion of a short term note in February 2017   165,865    166            145,753        145,919 
Issuance of preferred stock pursuant to the conversion of a short term note in February 2017           9,399    9    826,865        826,874 
Issuance of warrants pursuant to the conversion of a short term note in February 2017                   177,207        177,207 
Issuance of common stock pursuant to warrant cancellations in February 2017   200,000    200            207,800        208,000 
Issuance of common stock pursuant to preferred stock conversion in March 2017   414,663    415    (4,147)   (4)   (411)                        
Issuance of common stock pursuant to preferred stock conversion in April 2017   525,240    525    (5,252)   (5)   (520)        
Issuance of common stock pursuant to a private placement completed in July 2017   2,956,043    2,956            2,019,670        2,022,626 
Issuance of warrants pursuant to a private placement completed in July 2017                   446,561        446,561 
Issuance of common stock in exchange for board of director fees in October 2017   115,389    115            134,885        135,000 
Issuance of common stock in exchange for consulting services in October 2017   74,990    75            80,925        81,000 
Issuance of common stock in exchange for consulting services in December 2017   50,000    50            33,450        33,500 
Stock based compensation                   683,169        683,169 
Net loss                       (6,456,477)   (6,456,477)
Balance – December 31, 2017   21,163,013   $21,163    12,740   $13   $33,509,648   $(32,817,403)  $713,421 
Issuance of common stock pursuant to a private placement completed in February 2018   770,000    770            241,727        242,497 
Issuance of warrants pursuant to a private placement completed in February 2018                   52,003        52,003 
Issuance of warrants in connection with short-term debt in March 2018                   25,646        25,646 
Issuance of common stock pursuant to preferred series A stock conversion in March 2018   1,274,000    1,274    (12,740)   (13)   (1,261)        
Issuance of common stock pursuant to conversion of convertible debt in April 2018   266,301    266            100,928        101,194 
Issuance of preferred series B stock pursuant to a private placement completed in May 2018           8,250    8    158,565        158,573 
Issuance of warrants pursuant to a private placement completed in May 2018                   287,995        287,995 
Convertible preferred stock – beneficial conversion feature pursuant to a private placement completed in May 2018                   373,432        373,432 
Issuance of preferred stock pursuant to conversion of short-term debt in May 2018           1,000    1    35,674        35,674 
Issuance of warrants in connection with conversion of short-term debt in May 2018                   34,038        34,038 
Convertible preferred stock – beneficial conversion feature pursuant to conversion of short-term promissory note in May 2018                   30,287        30,287 
Issuance of warrants in connection with convertible debt in August 2018                   192,330        192,330 
Issuance of warrants in connection with convertible debt in September 2018                   52,246        52,246 
Issuance of common stock in exchange for consulting services in October 2018   75,000    75            23,925        24,000 
Issuance of common stock in exchange for board fees in October 2018   320,202    320            179,680        180,000 
Issuance of common stock pursuant to severance pay to a former office in October 2018   323,810    324            135,676        136,000 
Issuance of common stock pursuant to bonus compensation to certain officers and employees in October 2018   524,944    525            209,453        209,978 
Adjustment of exercise price of certain warrants                   107,697    (107,697)    
Stock based compensation                   120,326        120,326 
Dividends payable                   (57,813)       (57,813)
Net Loss                       (4,908,644)   (4,908,644)
Balance – December 31, 2018   24,717,270   $24,717    9,250   $9   $35,812,202   $(37,833,744)  $(1,996,816)

 

See notes to consolidated financial statements

 

 F-5 

 

 

MEDOVEX CORP. AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF CASH FLOWS

 

   Year Ended December 31, 
   2018   2017 
Cash Flows from Operating Activities          
Net loss  $(4,908,644)  $(6,456,477)
Adjustments to reconcile net loss to net cash used in operating activities:          
Depreciation and amortization   23,915    27,100 
Disposal loss   32,865     
Amortization of debt discount   118,340    31,773 
Debt conversion expense       355,985 
Stock based compensation   120,326    683,169 
Straight-line rent adjustment   (421)   (491)
Common stock issued for consulting services   24,000    114,500 
Common stock issued for bonuses   209,978     
Equity-based severance payments   136,000     
Equity-based directors fees   180,000     
Changes in operating assets and liabilities, net of effects of disposition:          
Accounts receivable   11,312    (157,069)
Other receivables   86,888    (86,888)
Prepaid expenses   158,379    229,632 
Inventory   163,259    (294,714)
Unearned revenue   (1,048)   1,048 
Accounts payable   554,787    (29,554)
Other payables   37,377     
Interest payable   34,487     
Accounts payable to related parties   78,983    12,319 
Accrued payroll   451,207     
Accrued liabilities   146,846    (20,800)
Net Cash Used in Operating Activities   (2,341,164)   (5,590,467)
Cash Flows from Investing Activities          
Proceeds from disposition of, net assets of Streamline Inc.   150,000     
Expenditures for property and equipment       (16,682)
Net Cash (Used in) Provided by Investing Activities   150,000    (16,682)
Cash Flows from Financing Activities          
Principal payments under note payable obligation   (171,072)   (127,885)
Proceeds from issuance of common stock and preferred stock, net of offering costs   

774,502

    3,838,671 
Proceeds from issuance of warrants, net of offering costs   610,220    1,248,575 
Proceeds from issuance of promissory notes   174,354     
Proceeds from issuance of convertible notes   605,424     
Net Cash Provided by Financing Activities   1,993,428    4,959,361 
Net Decrease in Cash   (197,736)   (647,788)
Cash - Beginning of period   245,026    892,814 
Cash - End of period  $47,290   $245,026 
Cash paid for interest  $

6,020

   $

7,161

 

Non-cash investing and financing activities

      
Finance agreement for insurance policy  $74,672   $69,343 
Conversion of note and accrued interest to common stock and preferred stock   101,194    826,874 
Conversion of short-term loan to common stock       145,919 
Issuance of warrants for conversion of note       177,207 
Issuance of common stock for consulting services   24,000    114,500 
Common stock issued for board of director fees   180,000    375,000 
Common stock issued for bonus compensation   209,978     
Common stock issued for severance   136,000     
Issuance of common stock for preferred stock conversion       940 
Issuance of common stock warrants for placement agent fees       153,688 
Issuance of warrants for promissory note   25,646     
Dividends accrued   57,813     

 

See notes to consolidated financial statements

 

 F-6 

 

 

Notes to consolidated financial statements

 

Note 1 - Organization

 

Description of Business

 

MedoveX Corp. (the “Company” or “MedoveX”), was incorporated in Nevada on July 30, 2013 as SpineZ Corp. (“SpineZ”) and changed its name to MedoveX Corp. on March 20, 2014. MedoveX is the parent company of Debride Inc. (“Debride”), which was incorporated under the laws of the State of Florida on October 1, 2012. The Company is in the business of designing and marketing proprietary medical devices for commercial use in the United States and Europe. The Company received CE marking in June 2017 for the DenerveX System and it is now commercially available throughout the European Union and several other countries that accept CE marking. The Company’s first sale of the DenerveX System occurred in July 2017. The Company plans to seek approval for the DenerveX System from the Food & Drug Administration (“FDA”) in the United States.

 

In October 2018, the Company entered into an Asset Purchase Agreement (the “Asset Purchase Agreement”) with Regenerative Medicine Solutions, LLC (“RMS”), Lung Institute LLC, RMS Lung Institute Management LLC, Cognitive Health Institute Tampa, LLC, RMS Shareholder, LLC and RMS Acquisition Corp. Pursuant to the terms of the Asset Purchase Agreement, the Company shall purchase all of the assets of RMS, Cognitive Health Institute Tampa, LLC, Lung Institute LLC and RMS Lung Institute Management LLC. The Company executed the Asset Purchase Agreement on January 8, 2019. (See Note 13)

 

Note 2 - Summary of Significant Accounting Policies

 

Basis of Presentation And Principles of Consolidation

 

The accompanying consolidated financial statements include the accounts of MedoveX Corp., its wholly-owned subsidiary, Debride, as well as its wholly owned subsidiary, Streamline Inc. (“Streamline”). All intercompany accounts and transactions have been eliminated in consolidation.

 

Use of Estimates

 

In preparing the financial statements, generally accepted accounting principles in the United States (“U.S. GAAP”) requires disclosure regarding estimates and assumptions used by management that affect the amounts reported in financial statements and accompanying notes. Actual results could differ from those estimates.

 

Cash

 

The Company considers all highly liquid investments with original maturities of three months or less to be cash equivalents. The Company’s cash balances at December 31, 2018 and 2017 consists of funds deposited in checking accounts with commercial banks.

 

Accounts Receivable, Sales Returns, Discounts and Allowances

 

Accounts receivable primarily represent amounts due from customers for which revenue has been recognized. Generally, the Company does not require collateral or any other security to support its receivables.

 

The Company records estimated sales returns, discounts and allowances as a reduction of net sales in the same period revenue is recognized. The allowance is estimated for trade accounts receivable based on the expected collectability of accounts receivable after considering the Company’s historical collection experience and the length of time an account is outstanding. The adequacy of this allowance is reviewed each reporting period and adjusted as necessary. As the Company only commenced sales in July 2017, all outstanding trade receivables were deemed collectable, thus, no allowance for doubtful accounts was recorded at December 31, 2018 and 2017.

 

Inventory

 

Inventories consist of only finished goods and are valued at the lower of cost or net realizable value, using the first-in, first-out (FIFO) method.

 

Property and Equipment

 

Property and equipment are stated at cost and are depreciated using the straight-line method over the estimated useful lives of the related assets, generally three to five years. Repairs and maintenance are expensed as incurred. Improvements and betterments, which extend the lives of the assets, are capitalized.

 

 F-7 

 

 

Other Payables

 

Other payables include value added tax (VAT) owed to the German tax authority. As a part conducting business in the European Union (“EU”), the Company’s sales transactions are taxed based on the value of the product. At the end of each reporting period, the Company calculates the value of all taxable sales then subtracts the sum of all taxable purchases and the VAT rate is applied to the difference.

 

Leases

 

The Company recognizes rent expense on a straight-line basis over the term of the lease. The lease term commences on the date the Company takes possession of or controls the physical use of the property. Deferred rent is included in non-current liabilities on the balance sheet.

 

Revenue Recognition

 

The Company has adopted the new 5-step revenue recognition process as promulgated by ASC 606, Revenue from Contracts with Customers (Topic 606), the core principle of which necessitates companies to recognize revenue when a customer obtains control rather than when companies have transferred substantially all risks and rewards of a good or service. The early adoption of ASC 606 was completed as of September 30, 2017, which was in the first year the Company generated revenue. The early adoption did not have any retrospective effect on prior year.

 

Identify the contract with the customer

 

Medovex has two types of customers: distributors, and individual customers.

 

Distributors:

 

The Company has distribution agreements with distributors located in Italy, Austria, Colombia, Scandinavia, Brazil, Israel, Australia, Turkey, Spain, Switzerland, Chile, Taiwan, Poland, Slovakia, the Czech Republic and the United Kingdom. For each distributor, a standardized distribution agreement is executed and is the definitive contract between the Company and the customer. Each distribution agreement details the pricing, order placement, stocking requirements, terms of payment, and shipping terms under which the DenerveX System will be shipped to the distributor. The distributor places orders for additional product, but all these orders are subject to the terms of the Distribution Agreement.

 

Direct Customers:

 

In Germany, all customers are direct hospitals and individual practitioners. Sales in Germany are solicited by and placed with third party contractors on behalf of Medovex. Medovex has sales agreements with each third party sales representative selling the DenerveX System. Each sales agreement details the price at which the DenerveX System must be sold to the customer. A purchase order from the customer is required before the Company will ship product to the customer. This purchase order contains all the terms and conditions of the sale and is considered the definitive contract for this type of sale.

 

Identify the performance obligation in the contract

 

Distributors, who sell the DenerveX System to their customers or sub-distributors, contractually take title to the products and assume all risks of ownership at the time of shipment. The Company has no further obligations once the product is shipped. Stocking distributors are obligated to pay the Company the contractually agreed upon invoice price within specified terms regardless of when, if ever, they sell the products. Since no right of return exists, the product is not considered consigned inventory. For direct sales to hospitals and practitioners in Germany, the obligation is met when the product is shipped. Our direct customers do not have any contractual rights of return or exchange other than for defective product or shipping error.

 

Determine the transaction price

 

DenerveX Kit:

 

The DenerveX kit consists of one Denervex handheld device, one K-Wire, one dilator, one tissue stabilizer, one portal tube and one portal driver. The product is marketed as a disposable, single-use kit which includes all of the components packaged together.

 

The transaction price for the DenerveX Kit is specifically outlined in the standardized distribution agreements for all distributors.

 

The transaction price for the DenerveX Kit is specifically outlined in the standardized sales rep agreements for all sales contractors.

 

Pro-40 Generators:

 

The DenerveX device requires a custom generator for power and cannot be used for any other purpose. For each initial order of the DenerveX Kit, a generator is provided to each customer at no charge. The Company does not recognize any revenue for the no-charge generator units. The units are removed from inventory and recognized as a cost of sales at the time of shipment. Customers may order demo generators, however, the Company charges a set price for these units.

 

 F-8 

 

 

Allocate the transaction price

 

In the Company’s case, all of the transaction price is recorded as revenue.

 

Recognize revenue when or as the entity satisfies a performance obligation

 

Revenue recognition occurs at the time product is shipped, FOB shipping, to all customers from the third-party distribution warehouse located in Berlin, Germany.

 

For Medovex, this is considered the point at which the customer gains control of the Denervex device and there are no remaining material performance obligations. If something abnormal were to happen to the product in transit, the matter would be handled with the carrier, however, the sale would remain intact.

 

Research and Development

 

Research and development costs are expensed as incurred.

 

Advertising

 

The Company expenses all sales and marketing costs as incurred. For the years ended December 31, 2018 and 2017, advertising costs were approximately $149,000 and $332,000, respectively.

 

Foreign Currency transactions

 

The Company transacts some of its operating activities in foreign currencies, most notably the Euro. The Company also has certain assets and liabilities denominated in foreign currencies that are translated to US Dollars for reporting purposes as of and for the year ended December 31, 2018. These amounts are immaterial and are included in other income or expense for the years ended December 31, 2018 and 2017. Because of the immaterial effect noted above, we did not present a separate statement of other comprehensive income.

 

Income Taxes

 

The Company uses the liability method of accounting for income taxes, which requires recognition of temporary differences between financial statement and income tax bases of assets and liabilities, measured by enacted tax rates. A valuation allowance is recorded to reduce deferred tax assets when necessary.

 

Stock-Based Compensation

 

The Company maintains a stock option incentive plan and accounts for stock-based compensation in accordance with ASC 718, Compensation - Stock Compensation. The Company recognizes share-based compensation expense, net of an estimated forfeiture rate, over the requisite service period of the award to employees and directors. As required by fair value provisions of share-based compensation, employee and non-employee share-based compensation expense recognized is calculated over the requisite service period of the awards and reduced for estimated forfeitures.

 

Loss per Share

 

Basic loss per share is computed on the basis of the weighted average number of shares outstanding for the reporting period. Diluted loss per share is computed on the basis of the weighted average number of common shares plus dilutive potential common shares outstanding using the treasury stock method. Any potentially dilutive securities are anti- dilutive due to the Company’s net losses. For the years presented, there is no difference between the basic and diluted net loss per share: 12,108,743 warrants and 557,282 common stock options outstanding were considered anti-dilutive and excluded for the year ended December 31, 2018. 7,402,910 warrants and 1,314,059 common stock options outstanding were considered anti-dilutive and excluded for the year ended December 31, 2017.

 

 F-9 

 

 

Discontinued Operations

 

As more fully described in Note 6, in May 2016, management was authorized to locate a buyer for Streamline Inc., the Company’s wholly owned subsidiary acquired in March 2015, by the Board of Directors. Streamline’s results of operations have been classified as discontinued operations for all periods presented.

 

Fair Value Measurements

 

The Company measures certain non-financial assets, liabilities, and equity issuances at fair value on a non-recurring basis. These non-recurring valuations include evaluating assets such as long-lived assets and non-amortizing intangible assets for impairment; allocating value to assets in an acquired asset group; and applying accounting for business combinations.

 

The Company uses the fair value measurement framework to value these assets and report the fair values in the periods in which they are recorded, adjusted above, or written down.

 

The fair value measurement framework includes a fair value hierarchy that prioritizes observable and unobservable inputs used to measure fair values in their broad levels. These levels from highest to lowest priority are as follows:

 

  Level 1: Quoted prices (unadjusted) in active markets that are accessible at the measurement date for identical assets or liabilities;
     
  Level 2: Quoted prices in active markets for similar assets or liabilities or observable prices that are based on inputs not quoted on active markets, but corroborated by market data; and
     
  Level 3: Unobservable inputs or valuation techniques that are used when little or no market data is available.

 

The determination of fair value and the assessment of a measurement’s placement within the hierarchy requires judgment. Level 3 valuations often involve a higher degree of judgment and complexity. Level 3 valuations may require the use of various cost, market, or income valuation methodologies applied to unobservable management estimates and assumptions. Management’s assumptions could vary depending on the asset or liability valued and the valuation method used. Such assumptions could include: estimates of prices, earnings, costs, actions of market participants, market factors, or the weighting of various valuation methods. The Company may also engage external advisors to assist us in determining fair value, as appropriate.

 

Although the Company believes that the recorded fair value of our financial instruments is appropriate, these fair values may not be indicative of net realizable value or reflective of future fair values.

 

Concentration of Credit Risk

 

Financial instruments, which potentially subject the Company to concentrations of credit risk, consist solely of cash. At times throughout the year, the Company may maintain certain US bank account balances in excess of FDIC insured limits. The Company may also maintain German bank account balances in excess of Germany’s deposit guarantee regulations within the framework of the German Banks’ Compensation Scheme. At December 31, 2018 and 2017, the Company did not have cash deposits that exceeded federally insured deposit limits in the US or Germany. The Company believes that its funds are deposited in high credit quality financial institutions. The Company has not experienced any losses in such accounts to date and believes it is not exposed to any significant credit risk associated with its cash deposits.

 

Recently Issued Accounting Pronouncements

 

The Company considers the applicability and impact of all ASUs issued, both effective and not yet effective.

 

In May 2014, the FASB issued ASU 2014-09, “Revenue Recognition - Revenue from Contracts with Customers” (ASU 2014-09) that requires companies to recognize revenue when a customer obtains control rather than when companies have transferred substantially all risks and rewards of a good or service. This update is effective for annual reporting periods beginning on or after December 15, 2017 and interim periods therein and requires expanded disclosures. The Company adopted the amendments of ASU 2014-09 effective quarter ended September 30, 2017. The adoption of this standard did not have a material impact on our consolidated financial statements.

 

In February 2016, FASB issued ASU No. 2016-02, Leases (Topic 842). The core principle of Topic 842 is that a lessee should recognize the assets and liabilities that arise from leases. ASU 2016-02 is effective for public companies for annual reporting periods beginning after December 15, 2018, and interim periods within those fiscal years. The guidance may be adopted prospectively or retrospectively and early adoption is permitted. The Company is currently assessing the impact the adoption of ASU 2016-02 will have on its consolidated financial statements.

 

 F-10 

 

 

Note 3 – Inventory

 

Inventories consist only of finished goods and are valued at the lower of cost or net realizable value, using the first-in, first-out (FIFO) method.

 

Inventories consisted of the following items as of December 31, 2018, and December 31, 2017:

 

   December 31, 2018   December 31, 2017 
Split Return Electrodes  $   $1,868 
Denervex device   5,205    111,596 
Pro-40 generator   126,250    181,250 
Total  $131,455   $294,714 

 

Note 4 - Property and Equipment

 

Property and equipment consists of the following:

 

   Useful Life  December 31, 2018   December 31, 2017 
Furniture and fixtures  5 years  $52,857   $67,777 
Computers and software  3 years   12,130    31,738 
Leasehold improvements  5 years       35,676 
       64,987    135,191 
Less accumulated depreciation      (34,594)   (48,018)
              
Total     $30,393   $87,173 

 

Depreciation and amortization expense amounted to $23,915 and $27,100 for the years ended December 31, 2018 and 2017, respectively.

 

The Company recognized a disposal loss of $32,865 for the year ended December 31, 2018. The disposal loss was the result of the resignation of Jarrett Gorlin, the Company’s former CEO. Mr. Gorlin’s severance agreement cancelled the current lease agreement and stated all furniture and equipment located at his office would remain in his possession.

 

Note 5 - Equity Transactions

 

Series B Preferred Stock Preferences

 

Voting Rights

 

Preferred Series B Stock holders have the right to receive notice of any meeting of holders of Common Stock or Series B Preferred Stock and to vote upon any matter submitted to a vote of the holders of Common Stock or Series B Preferred Stock. Each holder of Series B Preferred Stock shall vote on each matter submitted to them with the holders of Common Stock.

 

LIQUIDATION

 

Upon the liquidation, dissolution or winding up of the business of the Company, whether voluntary or involuntary, each holder of Series B Preferred Stock shall be entitled to receive, for each share thereof, out of assets of the Company legally available therefor, a preferential amount in cash equal to the stated value plus all accrued and unpaid dividends. All preferential amounts to be paid to the holders of Series B Preferred Stock in connection with such liquidation, dissolution or winding up shall be paid before the payment or setting apart for payment of any amount for, or the distribution of any assets of the Company’s to the holders of the Company’s Common Stock.

 

Common stock issuance

 

In November 2016, the Board authorized the issuance of shares of common stock to all Board members, both current and former, in an amount equivalent to $240,000, representing their accrued but unpaid directors’ fees as of December 31, 2016. In January 2017, the Company issued an aggregate of 173,912 shares at $1.38 per share, which was the average closing price of the Company’s stock during 2016, to fulfill this obligation. The closing price of the Company’s stock on January 17, 2017, the day the shares were issued, was $1.16 per share.

 

In August 2017, the Board authorized the issuance of shares of common stock to all Board members, both current and former, in an amount equivalent to $135,000, representing their accrued but unpaid directors’ fees as of September 30, 2017. In October 2017, the Company issued an aggregate of 115,389 shares at $1.17 per share, which was the average closing price of the Company’s stock through September 30, 2017, to fulfill this obligation. The closing price of the Company’s stock on October 30, 2017, the day the shares were issued, was $1.09 per share.

 

In August 2017, the Board authorized the issuance of up to 125,000 shares of common stock to a certain member of the Board of Directors and up to 175,000 shares of common stock to a certain consultant. At the inception of the agreement, 25% of the shares were issued to both the director and the consultant. In December 2017, 50,000 shares were issued to the consultant. In October 2018, the board member and consultant were issued an additional 75,000 vested shares. The 75,000 shares were valued at the performance completion date, August 16, 2018, at $0.32 per share, which was the closing price on that date. The Company recognized $24,000 and $115,000, respectively, in consulting expense with respect to the vested stock issuance at December 31, 2018 and 2017.

 

In October 2018, the Board authorized the issuance of shares of common stock to all Board members in an amount equivalent to $180,000, representing their accrued but unpaid directors’ fees as of September 30, 2018. Per Board resolution, the Company issued an aggregate of 320,202 shares at $0.56 per share to settle accrued unpaid director fees. The closing price of the Company’s stock on October 3, 2018, the day the shares were issued, was $0.40 per share.

 

 F-11 

 

 

In October 2018, the Board authorized the issuance of shares of common stock to Jarrett Gorlin in an amount equivalent to $136,000, representing 6 months’ severance pay. The Company issued an aggregate of 323,810 shares at $0.42 per share. The closing price of the Company’s stock on October 3, 2018, the day the shares were issued, was $0.40.

 

Stock-Based Compensation Plan

 

2013 Stock Option Incentive Plan

 

On October 14, 2013, shareholders approved the MedoveX Corp. 2013 Stock Incentive Plan (the “Plan”). Under the Plan, the Company may grant incentive stock options to employees and non-statutory stock options to employees, consultants, and directors for up to 1,150,000 shares of common stock. On November 10, 2016, shareholders approved a 500,000 share increase in the number of shares available for issuance under the Plan, from 1,150,000 to 1,650,000 shares. On October 28, 2017, shareholders approved a 1,000,000 share increase in the number of shares available for issuance under the Plan, from 1,650,000 to 2,650,000 shares.

 

The stock options are exercisable at a price equal to the market value on the date of the grant. The Plan gives full authority for granting options, determining the type of options granted, and determining the fair market value of the options to the Plan Administrator which is the Board of Directors.

 

The Company has the right, but not obligation, to repurchase any shares obtained through exercise of an option from terminated Plan participants. The Company has 90 days from the date of termination to exercise it’s repurchase right. The Company must pay the Fair Market Value (“FMV”) of the shares if the termination was for any reason other than for cause, or the option price (if less than FMV of the shares) if the termination is for cause. The FMV is determined by the Plan Administrator on the date of termination.

 

During 2017, the Company granted options to purchase 189,159 shares of common stock to certain employees. The options vest as follows: 25% on the date of grant and 25% on each of the next three anniversaries. The options granted were at the market value of the common stock on the date of the grant. No stock options were granted in 2018.

 

The Company utilizes the Black-Scholes valuation method to recognize compensation expense over the vesting period. The expected life represents the period that our stock-based compensation awards are expected to be outstanding.

 

The Company uses a simplified method provided in Securities and Exchange Commission release, Staff Accounting Bulletin No. 110, which averages an award’s weighted average vesting period and contractual term for “plain vanilla” share options. The expected volatility was estimated by analyzing the historic volatility of the Company’s stock and similar public biotech companies in an early stage of development.

 

No dividend payouts were assumed as the Company has not historically paid, and does not anticipate paying, dividends in the foreseeable future. The risk-free rate of return reflects the weighted average interest rate offered for US treasury rates over the expected term of the options.

 

For the years ended December 31, 2018 and 2017, the Company recognized approximately $120,000 and $683,000, respectively, as compensation expense with respect to stock options.

 

A summary of the Company’s share-based compensation activity and related information is as follows:

 

   Shares   Weighted
Average
Exercise
Price
  

Weighted
Average
Remaining

Term
(Years)

 
Outstanding at 12/31/2016   1,124,900   $2.15    9.0 
                
Granted   189,159   $1.17    9.10 
Exercised            
Cancelled            
Outstanding at 12/31/2017   1,314,059   $2.01    8.19 
                
Granted            
Exercised            
Cancelled   (756,777)  $1.44     
Outstanding at 12/31/2018   557,282   $2.78    6.99 
Exercisable at 12/31/2018   469,179   $3.08    6.84 

 

 F-12 

 

 

As of December 31, 2018, there were 88,103 shares of unvested stock. Unrecognized compensation cost amounts to approximately $30,000 as of December 31, 2018 and will be recognized as an expense on a straight-line basis over a remaining weighted average service period of 1.28 years. The fair value of vested share-based compensation at December 31, 2018 and 2017 was approximately $188,000 and $544,000, respectively.

 

Private Placements

 

On February 9, 2017, the Company entered into a Unit Purchase Agreement with selected accredited investors whereby the Company had the right to sell in a private placement a minimum of $3,000,000 and up to a maximum of $5,000,000 of units. Each Unit had a purchase price of $100,000 and consisted of (i) 96,154 shares of the Company’s common stock, par value $0.001 per share at a purchase price of $1.04 per share, and (ii) a warrant to purchase 48,077 shares of common stock. Each warrant has an initial exercise price of $1.50 per share and is exercisable for a period of five (5) years from the date of issuance. Investors had the option to request shares of the Company’s Series A Convertible Preferred Stock (the “Series A Preferred Stock”) in lieu of common stock, on a basis of one share of preferred stock for every one hundred shares of common stock.

 

The offering resulted in gross proceeds of $3,022,000 and resulted in the issuance of an aggregate of 1,631,730 shares of common stock,

12,740 shares of Series A Preferred Stock and warrants to purchase 2,005,761 shares of common stock. The placement agent collected an aggregate of approximately $350,000 in fees related to the offering and warrants to purchase an aggregate of 405,577 shares of common stock at a price of $1.50 per share.

 

Each share of Series A Preferred Stock may be converted into shares of fully paid and non-assessable shares of common stock at a rate of one hundred shares of the Company’s common stock for every share of Series A Preferred Stock.

 

On July 14, 2017, the Company entered into a Securities Purchase Agreement with selected accredited investors whereby the Company

sold an aggregate of 2,956,043 shares of common stock and 1,478,022 warrants to purchase common stock. The Offering resulted in

$2,690,686 in gross proceeds to the Company. The placement agent collected $188,000 in total fees related to the offering. The common

stock shares were sold at $0.91 per share which was the closing price of the Company’s common stock on July 13, 2017, the day prior to the agreement. Each warrant has an exercise price of $1.15 and is exercisable for a period of five years commencing six months from the date of issuance.

 

On February 26, 2018, the Company entered into a securities purchase agreement with selected accredited investors whereby the Company sold an aggregate of 770,000 shares of common stock and 385,000 warrants to purchase common stock. The offering resulted in $308,000 in gross proceeds to the Company. The warrants have a five-year term commencing six months from issuance with an exercise price of $0.75. The Company allocated $52,003 to the warrants and the remainder to the issuance of the common stock based on each instruments relative fair value. The Company incurred $13,500 in legal expenses related to the offering.

 

On May 1, 2018, the Company entered into a securities purchase agreement with selected accredited investors whereby the Company offered up to $1,000,000 in units. Each unit had a purchase price of $100,000 and consisted of (i) 1,000 shares of the Company’s 5% Series B Convertible Preferred Stock (the “Series B Shares”) and (ii) warrants to purchase 250,000 shares of the Company’s common stock, par value $0.001 per share. Each Series B Share is convertible at a conversion price of $0.40 per share. The conversion price has a feature that would adjust the conversion price downward if the company issues any common stock or common stock equivalents at a price less than $0.40 per share while the Series B shares are outstanding. The market value of the common stock on the date of the agreement was $0.44. The Series B Shares initially entitled the holders to a 5% adjustable annual dividend. The Series B Shares also have a feature that provides the holder the ability to adopt more favorable terms of subsequent financings while the Series B Shares are outstanding.

 

The Warrants are exercisable for a period of three (3) years from the date of issuance at an initial exercise price of $0.75 per share subject to downward adjustment if the Company issues any common stock or common stock equivalents at a price less than $0.75 per share while the warrants are outstanding.

 

As a result of the offering, the Company sold an aggregate of 8.25 Units and issued to the Investors an aggregate of 8,250 Series B Shares and 2,062,500 warrants to purchase common stock, resulting in total $825,000 gross proceeds to the Company. The Company incurred $5,000 in legal fees related to the offering, which resulted in $820,000 net cash received from the offering. The 8,250 Series B Shares sold in the Offering are initially convertible into an aggregate of 2,062,500 shares of Common Stock.

 

Of the net proceeds in the offering of $820,000, approximately $288,000 was first allocated to the warrants issued to investors based on their relative fair value. The Company recognized a beneficial conversion feature related to the Series B Shares of approximately $373,000, which was credited to additional paid-in capital, and the residual amount of approximately $159,000 was allocated to the Series B Shares. Because the Series B Shares can immediately be converted by the holder, the discount recognized by the allocation of proceeds to the beneficial conversion feature was immediately accreted and recognized as a dividend to the preferred shareholders.

 

 F-13 

 

 

On August 1, 2018 the annual dividend rate on the Series B Shares was adjusted to 12%, which is equal to the same rate as the convertible debt issued in August and September 2018, pursuant to an adjustment provision in the Series B Shares which entitles the holders to receive a more beneficial annual dividend rate offered in any subsequent financings. The Company had accrued unpaid dividends in the amount of approximately $58,000 as of December 31, 2018, related to the Series B Shares.

 

On August 8, 2018, the Company completed the issuance of convertible debt at an initial conversion price of $0.40. Accordingly the exercise price on all of the warrants issued with the Series B Shares were adjusted downward to $0.40. In conjunction with the downward adjustment, the Company recorded a deemed dividend of approximately $108,000 representing the difference in the fair value of the warrants immediately before and after the adjustment to the exercise price.

 

preferred Stock Conversion

 

On March 28, 2017, 4,147 shares of Series A Preferred Stock were converted into an aggregate of 414,663 restricted shares of authorized common stock, par value $0.001 per share.

 

On April 21, 2017, 5,252 shares of Series A Preferred Stock were converted into an aggregate of 525,240 restricted shares of authorized common stock, par value $0.001 per share.

 

On March 30, 2018, 12,740 shares of Series A Preferred Stock were converted into an aggregate of 1,274,000 restricted shares of authorized common stock, par value $0.001 per share.

 

CONVERTIBLE NOTES

 

In August and September 2018, the Company entered into a securities purchase agreement with select accredited investors, whereby the Company offered up to $1,000,000 in units at a purchase price of $50,000 per unit. Each Unit consists of (i) a 12% senior secured convertible note, initially convertible into shares of the Company’s common stock, par value $0.001 per share, at a conversion price equal to the lesser of $0.40 or ninety percent (90%) of the per share purchase price of any shares of common stock or common stock equivalents issued in future private placements of equity and/or debt securities completed by the Company following this offering, and (ii) a three-year warrant to purchase such number of shares of the Company’s common stock equal to one hundred percent (100%) of the number of shares of common stock issuable upon conversion of the notes at $0.40. The Warrants are exercisable at a price equal to the lesser of $0.75 or ninety percent (90%) of the per share purchase price of any shares of common stock or common stock equivalents issued in future private placements of the debt and/or equity securities completed by the Company following the issuance of warrants. The notes are secured by all of the assets of the Company.

 

ASU 2017-11, Earnings per share (Topic 260), provided that when determining whether certain financial instruments should be classified as liability or equity instruments, a down round feature no longer precludes equity classification when assessing whether the instrument is indexed to an entity’s own stock. If a down round feature on the conversion option embedded in the note is triggered, the Company will evaluate whether a beneficial conversion feature exists, the Company will record the amount as a debt discount and will amortize it over the remaining term of the debt.

 

If the down round feature in the warrants is triggered, the Company will recognize the effect of the down round as a deemed dividend,

which will reduce the income available to common stockholders.

 

In the offering, the Company sold an aggregate of 15 units and issued to investors an aggregate of $750,000 in principal amount of convertible notes and 1,875,000 warrants to purchase common stock, resulting in total gross proceeds of $750,000 to the Company. If converted at $0.40 the convertible notes sold in the offering are convertible into an aggregate of 1,875,000 shares of common stock. The Company recorded the proceeds from the notes and the accompanying warrants, which accrete over the period the notes are outstanding, on a relative fair value basis of approximately $505,000 and $245,000, respectively. Accretion expense related to the discount on these convertible notes for the year ended December 31, 2018 was approximately $93,000. The Company recognized $33,700 in unpaid accrued interest expense related to the notes as of December 31, 2018.

 

Debt Conversion

 

Short-Term Note Payable

 

On February 9, 2017, the Company’s $1,150,000 short-term note payable was converted into an aggregate of 165,865 shares of common stock and 9,399 shares of Series A Preferred Stock and warrants, eliminating the Company’s debt obligation. The debt was converted into shares at $1.04 per share, which was the offering price of the Company’s stock in the February private placement. Each share of Series A Preferred Stock may be converted into shares of fully paid and non-assessable shares of common stock at a rate of one hundred shares of the Company’s common stock for every share of Series A Preferred Stock.

 

 F-14 

 

 

As consideration for converting the debt, the noteholders’ agreed to receive common stock in lieu of the 200,000 warrants to purchase common stock that were issued in conjunction with the short-term loan. As a result, the 200,000 warrants were cancelled, and the Company issued to the noteholders’ an aggregate of 200,000 shares of common stock. The closing price of the Company’s stock on February 9, 2017, the day the shares were issued, was $1.04 per share. The fair value of the common stock issued was approximately $208,000.

 

Convertible Debenture

 

On April 26, 2018, the Company’s $100,000 5% convertible debenture and unpaid accrued interest of $1,194 was converted into an aggregate of 266,301 shares of common stock, eliminating the Company’s debt obligation. The debt was converted into shares at $0.38 per share, which was 85% of the average closing price of the Company’s stock during the twenty trading days immediately preceding the delivery of the notice of conversion. The market value of the common stock on the date of the conversion was $0.40. This difference noted above lead to an immaterial amount related to a beneficial conversion feature.

 

Promissory Note

 

On March 26, 2018 the Company issued a promissory note to Steve Gorlin, father of Jarrett Gorlin, the Company’s former CEO, for the principal amount of $200,000, plus interest, at a rate of five percent per year. The outstanding principal and all accrued but unpaid interest was originally due on May 15, 2018. The Company issued warrants to purchase an aggregate of 133,333 shares of common stock par value $.001 per share in conjunction with the promissory note to Mr. Gorlin. Each warrant has an exercise price of $0.75 and is exercisable for a period of five years commencing from the date of issuance. The balance of the loan was initially recorded net of discount for the warrants of approximately $26,000, based on their relative fair value, which was being accreted to its $200,000 face amount over the period the loan was outstanding.

 

On May 15, 2018, the Company entered into a modification agreement with Steve Gorlin whereby he agreed to convert $100,000 of the $200,000 outstanding promissory note into Series B Preferred Shares. The conversion of $100,000 was converted under the terms of the May 1, 2018 securities purchase agreement. The $100,000 conversion was converted into an aggregate of 1,000 shares of the Company’s Series B Preferred Shares and 250,000 warrants to purchase common stock, eliminating $100,000 of the Company’s $200,000 debt obligation.

 

Of the converted $100,000, approximately $34,000 was first allocated to the fair value of the warrants issued in conjunction with the conversion based on their relative fair value. The Company recognized a beneficial conversion feature related to the Series B Shares of approximately $30,000, which was credited to additional paid-in capital, and the residual amount of approximately $36,000 was allocated to the Series B Shares. Because the Series B Shares can immediately be converted by the holder, the discount recognized by the allocation of proceeds to the beneficial conversion feature was immediately accreted and recognized as a deemed dividend to the preferred shareholders.

 

On August 21, 2018, the Company paid back the remaining $100,000 plus unpaid accrued interest in the amount of $2,944, eliminating the Company’s debt obligation.

 

Note 6 – Commitments & Contingencies

 

Operating Leases

 

Office Space

 

Prior to the resignation of Jarrett Gorlin (“Mr. Gorlin”), the Company’s former Chief Executive Officer, the Company paid TAG Aviation (“TAG”), a company owned by Mr. Gorlin, for office space that was being used as the Company’s principal business location plus utilities (see “Related Party Transactions”) on a monthly basis. Base rental payments under the arrangement was $2,147 per month. Rent expense and utilities cost incurred by TAG amounted to approximately $34,555 for the year ended December 31, 2018, of which approximately $6,300 was included in accounts payable at December 31, 2018. Rent expense and utilities cost incurred by TAG amounted to approximately $34,600 for the years ended December 31, 2017. No future lease payments are required under this rental agreement at December 31, 2018.

 

On September 1, 2018, the Company extended the term of the lease agreement for the commercial building which originally commenced on August 1, 2015. The term of the new lease agreement is for two years four months commencing on September 1, 2018 and ending December 31, 2020. Base rent under the old lease agreement was $2,948 and base rent under the new agreement is $3,095. Total lease expense for the year ended December 31, 2018 was approximately $33,000 related to this lease, of which approximately $3,400 was included in accounts payable at December 31, 2018. Total lease expense for the year ended December 31, 2017 was approximately $35,000 related to this lease.

 

Future minimum lease payments under this rental agreement are approximately as follows:

 

For the year ended:

 

December 31, 2019   37,510 
December 31, 2020   38,635 
   $76,145 

 

 F-15 

 

 

Equipment

 

The Company had a non-cancelable 36-month operating lease agreement for equipment that was located at Mr. Gorlin’s office. The equipment remained with Mr. Gorlin after his resignation per the terms of his severance agreement. The Company has no further commitments under this operating lease agreement as of December 31, 2018.

 

Total lease expense for equipment was approximately $2,500 and $2,600, respectively, for the years ended December 31, 2018 and 2017, respectively.

 

Consulting Agreements

 

The Company has a modified agreement with Jesse Crowne, a former Director and Co-Chairman of the Board of the Company, to provide business development consulting services for a fee of $13,333 per month. The Company incurred $160,000 for the year ended December 31, 2018 related to this consulting agreement, of which $40,000 was included in accounts payable at December 31, 2018. The monthly consulting fee was increased from a rate of $9,167 beginning in January 2018. The Company incurred $110,000 for the year ended December 31, 2017, related to this consulting agreement.

 

The Company had a modified consulting agreement with a sales, marketing, and distribution consultant in Latin America at a fee of $7,000 per month through December 31, 2018. The Company terminated the agreement effective November 30, 2018. The Company incurred $77,000 for the year ending December 31, 2018, of which $14,000 was in accounts payable at December 31, 2018. The Company incurred $66,000 for the year ended December 31, 2017 related to this consulting agreement.

 

The Company had consulting agreements with a varying team of sales, marketing, and distribution consultants in Europe who provided consulting services for aggregate compensation amounting to approximately €21,000 (approximately $23,000) per month. The consulting agreements were cancelled by the Company effective November 30, 2018. The Company incurred approximately $263,000 and $238,000, respectively, for the years ended December 31, 2018 and 2017 related to these consulting agreements.

 

Generator development agreement

 

The Company is obligated to reimburse Bovie up to $295,000 for the development of the Pro-40 electrocautery generator. For the year ended December 31, 2018, the Company incurred approximately $19,000 under this agreement, of which $15,000 was included in accounts payable at December 31, 2018. For the year ended December 31, 2017, the Company incurred approximately $33,200 under this agreement. Through December 31, 2018, the Company has incurred approximately $441,000 for production services from Bovie. The original $295,000 agreement was a base number along the pathway of development. Additional requirements were incurred as the research and development process progressed and as a result certain prices increased and additional costs were incurred to further customize the DenerveX System. We are currently in production manufacturing of the generator.

 

Distribution center and logistic services agreement

 

The Company has a non-exclusive distribution center agreement with a logistics service provider in Berlin, Germany pursuant to which they manage and coordinate the DenerveX System products which the Company exports to the EU through June 2019. The Company originally paid a fixed monthly fee of €2,900 (approximately $3,500) for all accounting, customs declarations and office support, and a variable monthly fee ranging from €1,900 to €6,900 (approximately $2,300 to $8,300), based off volume of shipments, for logistics, warehousing and customer support services. Effective September 1, 2018, the fixed monthly fee was changed to €6,900 (approximately $7,900).

 

Total expenses paid for the distribution center and logistics agreement was approximately $142,000 for the year ended December 31, 2018, of which approximately $16,000 was included in accounts payable at December 31, 2018. Total expenses paid for the distribution center and logistics agreement was approximately $75,700 for the year ended December 21, 2017.

 

Co-Development Agreement

 

In September 2013, the Company executed a Co-Development Agreement with James R. Andrews, M.D. (“Dr. Andrews”) to further evaluate, test and advise on the development of products incorporating the use of the patented technology. In exchange for these services the Company was obligated to pay Dr. Andrews a royalty of 2% of revenues earned from applicable product sales over a period of 5 years. If Dr. Andrews was listed as inventor of any Improvement Patent on the DenerveX device during the 5-year term, he would have continued to receive a 1% royalty after the 2% royalty expired for the duration of the effectiveness of the Improvement Patent. The co-development agreement expired September 30, 2018.

 

The Company incurred approximately $13,000 in royalty expense under the co-development agreement for the year ended December 31, 2018, all of which is in accounts payable at December 31, 2018. The Company incurred approximately $1,000 in royalty expense under the co-development agreement for the year ended December 31, 2017, all of which was included in accounts payable at December 2017 and subsequently paid in 2018.

 

 F-16 

 

 

Patent Assignment and Contribution Agreements

 

On February 1, 2013, the Company issued 750,108 shares of common stock to Scott Haufe, M.D. (“Dr. Haufe”) pursuant to the terms of a Contribution and Royalty Agreement dated January 31, 2013 between the Company and Dr. Haufe. This agreement provides for the Company to pay Dr. Haufe royalties equal to 1% of revenues earned from sales of any and all products derived from the use of the DenerveX technology. Royalties are payable to Dr. Haufe within 30 days after the close of each calendar quarter based on actual cash collected from sales of applicable products. The royalty period expires on September 6, 2030.

 

The Company incurred approximately $8,700 in royalty expense under the Contribution and Royalty agreement for the year ended December 21, 2018, all of which is included in accounts payable at December 31, 2018. The Company incurred approximately $800 in royalty expense under the Contribution and Royalty agreement for the year ended December 21, 2017, all of which was included in accounts payable at December 31, 2017 and subsequently paid in 2018.

 

Streamline Inc. Asset Sale

 

The asset sale of Streamline Inc. resulted in the immediate receipt of $500,000 in cash in December 2016, and a $150,000 note receivable that was due to the Company on January 1, 2018. The $150,000 note receivable represents the non-contingent portion of the receivables due from the sale. The Company received the short-term receivable on January 2, 2018.

 

The terms of the sale also required that for each of the calendar years ending December 31, 2018 and December 31, 2019 (each such calendar year, a “Contingent Period”), a contingent payment in cash (each, a “Contingent Payment”) equal to five percent (5%) of the total net sales received by the acquiring party from the sale of “IV suspension system” products in excess of 100 units during each Contingent Period. Each such Contingent Payment is payable to the Company by the acquiring party by no later than March 31st of the subsequent year; provided, however, that the total aggregate amount of all Contingent Payments owed by the acquiring party to the Company for all Contingent Periods will not exceed $850,000. The Company is yet to receive any Contingent Payments and has no reason to expect it will receive any Contingent Payments.

 

The Company did not incur any Streamline related expenses for the year ended December 31, 2018. The Company recorded a nominal amount in Streamline related expenses for the year ended December 31, 2017.

 

Note 7 – Short Term Liabilities

 

Finance Agreement

 

The Company entered into a commercial insurance premium finance and security agreement in December 2017. The agreement finances the Company’s annual D&O insurance premium. Payments are due in quarterly installments of approximately $24,000 and carry an annual percentage interest rate of 5.98%.

 

The Company had paid the yearly premium in full and had no outstanding balance as of December 31, 2018 related to the agreement.

 

Promissory Notes

 

In conjunction with the consummation of the Streamline acquisition in March 2015, the Company assumed two promissory notes for approximately $135,000 and $125,000 payable to the Bank of North Dakota New Venture Capital Program and North Dakota Development Fund, both outside non-related parties. Assumption of the liabilities was not included as part of the asset purchase agreement that was executed in December 2016. Thus, the Company retained the promissory notes upon consummation of the divestiture.

 

Payments on both of the notes are due in aggregate monthly installments of approximately $5,700 and carry an interest rate of 5%. Both of the notes have a maturity date of August 1, 2019. The promissory notes had outstanding balances of approximately $103,000 and $104,000 at December 31, 2018 and December 31, 2017, respectively.

 

The Company incurred interest expense related to the notes for the years ended December 31, 2018 and 2017 in the amount of approximately $3,400 and $7,000, respectively. The Company had unpaid accrued interest in the amount of approximately $70,000 and $69,000 at December 31, 2018 and 2017, respectively, related to the notes.

 

Expected future payments related to the promissory notes as of December 31, 2018, are approximately as follows:

 

For the year ended:

 

2019   103,000 
   $103,000 

 

 F-17 

 

 

Convertible Debenture

 

On January 31, 2018, the Company issued a 5% convertible debenture in exchange for $100,000. The debenture accrued interest at 5% per annum. Principal and interest were due on January 30, 2019. The debenture was convertible at the option of the holder into shares of the Company’s common stock at a conversion rate equivalent to 85% of the average closing price of the Company’s common stock for the 20 days preceding the conversion.

 

On April 26, 2018, the convertible debenture and unpaid accrued interest was converted into an aggregate of 266,301 shares of common stock, eliminating the Company’s debt obligation (Note 5). Prior to the conversion, the Company recognized approximately $1,200 in interest expense related to the convertible debenture during the year ended December 31. 2018. The market value of the common stock on the date of the conversion was $0.40. This difference lead to an immaterial amount related to a beneficial conversion feature.

 

Convertible Notes

 

In August and September 2018, the Company entered into a securities purchase agreement with select accredited investors, whereby the Company offered up to $1,000,000 in units at a purchase price of $50,000 per unit. Each unit consists of a 12% senior secured convertible note and a three-year warrant to purchase shares of the Company’s common stock. The notes are secured by all of the assets of the Company. (See Note 5).

 

In the offering, the Company sold an aggregate of 15 units and issued to investors an aggregate of $750,000 in principal amount of convertible notes and 1,875,000 warrants to purchase common stock, resulting in total gross proceeds of $750,000 to the Company. The convertible notes sold in the offering are initially convertible into an aggregate of 1,875,000 shares of common stock but could convert into additional shares if the Company completes a down round financing during the term of the convertible notes. The Company recorded the proceeds from the notes and the accompanying warrants, which accrete over the period the notes are outstanding, on a relative fair value basis of $505,424 and $244,576, respectively. Accretion expense related to the discount on these convertible notes for the year ended December 31, 2018 was approximately $93,000. The Company recognized $33,700 in unpaid accrued interest expense related to the notes as of December 31, 2018.

 

Note 8 – Common Stock Warrants

 

Fair value measurement valuation techniques, to the extent possible, should maximize the use of observable inputs and minimize the use of unobservable inputs. The Company’s fair value measurements of all warrants are designated as Level 1 since all of the significant inputs are observable and quoted prices used for volatility were available in an active market.

 

A summary of the Company’s warrant issuance activity and related information as of December 31, 2017 and 2016 is as follows:

 

   Shares   Weighted Average Exercise Price   Weighted Average Remaining Contractual Life 
Outstanding at 12/31/2016   3,713,542   $2.19    3.8 
                
Issued   3,889,368   $1.37    4.3 
Cancelled   (200,000)  $1.625     
Outstanding at 12/31/2017   7,402,910   $1.77    3.5 
                
Issued   4,705,833    (1)(2)   2.7 
Outstanding at 12/31/2018   12,108,743   $1.38    2.6 
Exercisable at 12/31/2018   12,108,743   $1.38    2.6 

 

The fair value of all warrants issued are determined by using the Black-Scholes-Merton valuation technique and were assigned based on the relative fair value of both the common stock and the warrants issued.

 

 F-18 

 

 

The inputs used in the Black-Scholes-Merton valuation technique to value each of the warrants issued in 2018 as of their respective issue dates are as follows:

 

Event
Description
  Date  MDVX
Stock Price
   Exercise Price of Warrant   Grant Date Fair Value   Life of Warrant 

Risk Free Rate of

Return (%)

   Annualized Volatility Rate (%) 
Private placement  2/26/18  $0.51   $0.75   $0.20   5 years   2.60    55.91 
Short-term debt  3/26/18  $0.53   $0.75   $0.22   5 years   2.64    56.57 
Private placement  5/1/2018  $0.44    (1)  $0.24   3 years   2.66    103.29 
Debt conversion  5/15/2018  $0.39    (1)  $0.20   3 years   2.75    103.32 
Convertible notes  8/8/2018  $0.37    (2)  $0.19   3 years   2.68    104.37 
Convertible notes  9/28/2018  $0.40    (2)  $0.21   3 years   2.88    105.07 

 

(1)Warrants issued with the May 2018 private placement and debt conversion had an initial exercise price of $0.75 and contain a contingent feature which would adjust the exercise price of the warrant in the event the Company issues any shares of common stock or common stock equivalents in a private placement of equity or debt securities at a price less than $0.75 per share. On August 8, 2018, the Company completed the issuance of convertible debt at an initial conversion price of $0.40. Accordingly the exercise price on these warrants was adjusted downward to $0.40.

 

(2)Warrants issued with the August 8, 2018 and September 28, 2018 convertible notes have an initial exercise price of $0.75 and contain a contingent feature which would adjust the exercise price of the warrant in the event the Company issues any shares of common stock or common stock equivalents in a private placement of equity or debt securities at which 90% of the issuance price is less than $0.75.

 

The methods described above may produce a fair value calculation that may not be indicative of net realizable value or reflective of future fair values. Furthermore, the Company believes its valuation methods are appropriate and consistent with other market participants, the use of different methodologies or assumptions to determine the fair value of certain financial instruments could result in a different fair value measurement at the reporting date.

 

Note 9 - Income Taxes

 

The Company’s policy is to record interest and penalties on uncertain tax positions as a component of income tax expense. As of December 31, 2018, the Company has not incurred any interest or penalties relating to uncertain tax positions.

 

The Company’s evaluation was performed for the tax years ending December 31, 2017, 2016 and 2015, which remain subject to examination by major tax jurisdictions as of December 31, 2018. The Company’s tax year ending in December 31, 2014 is no longer subject to U.S. federal, state, and local, or non-US income tax examinations.

 

For the years ended December 31, 2018 and 2017, the Company has incurred net losses and, therefore, has no current income tax liability and recognized no income tax expense. The net deferred tax asset generated by these losses, which principally consist of start-up costs deferred for income tax purposes, is fully reserved as of December 31, 2018 and 2017 since it is more likely than not that the benefit will not be realized in future periods.

 

A reconciliation of the statutory federal income tax expense (benefit) to the effective tax is as follows:

 

   2018   2017 
Statutory rate – federal   21.0%   21.0%
State taxes, net of federal benefit   4.0    4.0 
           
Income tax benefit   25.0%   25.0%
Less valuation allowance   (25.0)   (25.0)
Total   0.00%   0.00%

 

The Company’s financial statements contain certain deferred tax assets which have arisen primarily as a result of losses incurred that are considered startup costs for tax purposes, as well as net deferred income tax assets resulting from other temporary differences related to certain reserves and differences between book and tax depreciation and amortization. We record a valuation allowance against our net deferred tax assets when we determine that based on the weight of available evidence, it is more likely than not that our net deferred tax assets will not be realized.

 

 F-19 

 

 

In our evaluation of the weight of available evidence, the Company considered recent reported losses as negative evidence which carried substantial weight. Therefore, the Company considered evidence related to the four sources of taxable income, to determine whether such positive evidence outweighed the negative evidence associated with the losses incurred. The positive evidence considered included:

 

  taxable income in prior carryback years, if carryback is permitted under the tax law;
     
   future reversals of existing taxable temporary differences;
     
  tax planning strategies; and
     
   future taxable income exclusive of reversing temporary differences and carryforwards.

 

During fiscal 2018 and 2017, the Company weighed all available positive and negative evidence and concluded the weight of the negative evidence of a cumulative loss continued to outweigh the positive evidence. Based on the conclusions reached, the Company maintained a full valuation allowance during 2018 and 2017.

 

Deferred tax assets and liabilities consist of the following at December 31:

 

   2018   2017 
Deferred Tax Assets:          
Start-up costs  $6,816,896   $5,566,520 
Share-based compensation   243,848    238,109 
Total Deferred Tax Assets   7,060,744    5,804,629 
Valuation Allowance   (7,060,744)   (5,804,629)
Net Deferred Tax Asset  $   $ 

 

The Company is required to file federal income tax returns and state income tax returns in the states of Florida, Georgia and Minnesota. There are no uncertain tax positions at December 31, 2018. The Company has not undergone any tax examinations since inception and is therefore not subject to examination by any applicable tax authorities.

 

Note 10 - Related-Party Transactions

 

Patent Assignment and Royalty Agreements

 

As described in Note 6, the Company has a Contribution and Royalty Agreement with Dr. Haufe, a former director of the Company.

 

Co-Development Agreement

 

As described in Note 6, the Company entered into a Co-Development Agreement with Dr. Andrews, a former director of the Company.

 

Operating Lease

 

As described in Note 6, the Company paid TAG, a company owned by Mr. Gorlin, for month to month rental of office space at Dekalb-Peachtree Airport in Atlanta Georgia plus cost of utilities. Rent payments under this arrangement were $2,147 per month. Rent expense and utilities cost incurred by TAG amounted to approximately $35,000 for the year ended December 31, 2018, of which approximately $6,300 was included in accounts payable at December 31, 2018. Rent expense and utilities cost incurred by TAG amounted to approximately $34,600 for the years ended December 31, 2017. No future lease payments are required under this rental agreement at December 31, 2018.

 

Consulting Expense

 

As described in Note 6, the Company paid $160,000 and $110,000, respectively, for the years ended December 31, 2018 and 2017, respectively, to Jesse Crowne, a former director and Co-Chairman of the Board of the Company, for business advisory services, of which $40,000 was included in accounts payable at December 31, 2018.

 

 F-20 

 

 

Note 11 - Research and Development

 

Devicix Prototype Manufacturing Agreement

 

In November 2013, the Company accepted a proposal from Devicix, a Minneapolis Minnesota based FDA registered contract medical device designer and developer, to develop a commercially viable prototype of its product that could be used to receive regulatory approval from the FDA and other international agencies for use on humans to relieve pain associated with Facet Joint Syndrome.

 

During 2018, the Company incurred approximately $101,000 of expense under this agreement, with approximately $69,000 of the amount in payables at December 31, 2018. During 2017, the Company incurred approximately $302,000 of expense under this agreement, with approximately $7,000 of the amount in payables at December 31, 2017 which was subsequently paid in 2018.

 

DenerveX Generator Manufacturing Agreement

 

The DenerveX device requires a custom electrocautery generator for power. As described in Note 7, in November 2014, the Company contracted with Bovie to customize one of their existing electrocautery generators for use with DenerveX Device, and then manufacture that unit on a commercial basis once regulatory approval for the DenerveX was obtained.

 

The Bovie agreement required a base $295,000 development fee to customize the unit, plus additional amounts if further customization was deemed necessary beyond predetermined estimates.

 

The Company incurred approximately $19,000 for the year ended December 31, 2018, of which $15,000 was included in accounts payable at December 31, 2018. The Company incurred approximately $33,000 for the year ended December 31, 2017. The manufacturing agreement is complete as of December 31, 2018, and the Company does not expect to incur any more expenses related to the agreement.

 

Nortech Manufacturing Agreement

 

In November 2014, the Company selected Nortech Systems Inc. (“Nortech”), a Minneapolis, Minnesota based FDA registered contract manufacturer, to produce 315 DenerveX devices from the prototype supplied by Devicix for use in final development and clinical trials. The agreement with Nortech includes agreed upon per unit prices for delivery of the devices. Actual work on development of the final units began in November 2014.

 

The Company incurred fees of approximately $106,000 to Nortech for the year ended December 31, 2018. The Company incurred fees of approximately $146,000 to Nortech for the year ended December 31, 2017, of which $40,000 was in accounts payable at December 31, 2017.

 

Note 12 – Liquidity, Going Concern and Management’s Plans

 

The Company incurred net losses of approximately $4,909,000 and $6,456,000 for the years ended December 31, 2018 and 2017, respectively. The Company will continue to incur losses until such time as it can sell a sufficient enough volume of the DenerveX System with margins sufficient to offset expenses.

 

To date, the Company’s primary source of funds has been from the issuance of debt and equity.

 

The Company anticipates cash expenditures will remain consistent as diminishing research and development costs will be offset by the cost of clinical trials to obtain FDA approval and moving forward with the recent commercialization of the DenerveX System. The Company expects future cash flow expenditures to increase if the FDA requires a de novo regulatory path, instead of a 510(k) approval. The Company also continues to incur similar costs as it continues to operate as a publicly traded entity.

 

Subsequent to year-end, on January 8, 2019, the Company executed the Asset Purchase Agreement with RMS, as amended, by which the Company entered into a securities purchase agreement (the “SPA”) with select accredited investors and raised an aggregate amount of $2,000,000, with $1,800,000 received in cash and $200,000 by cancellation of debt.

 

Subsequent to the consummation of the Asset Purchase Agreement with RMS, the Company has raised an additional $5,200,000 with select accredited investors under the same SPA. Through March 31, 2019 the Company has raised an aggregate of $7,200,000 in convertible note financings.

 

The financial statements do not include any adjustments to the carrying amounts of its assets or liabilities that might be necessary should the Company be unable to continue as a going concern.

 

 F-21 

 

 

Note 13 - Subsequent Events

 

As previously disclosed on a Form 8-K filed on October 18, 2018, the Company entered into an Asset Purchase Agreement (the “Asset Purchase Agreement”) with Regenerative Medicine Solutions, LLC (“RMS”), Lung Institute LLC (“Lung Institute”), RMS Lung Institute Management LLC (“RMS Management”), Cognitive Health Institute Tampa, LLC (“CHIT”), RMS Shareholder, LLC (“RMS Shareholder”) and RMS Acquisition Corp. (“RMS Acquisition”) (collectively, the “Parties”). On January 8, 2019, the Parties to the Asset Purchase Agreement entered into an amendment thereto (the “APA Amendment”) to, among other things, i) update the contracts assigned to and liabilities assumed by RMS Acquisition, ii) amend the number of Series C preferred stock of the Company (the “Series C Preferred Stock”) issued to RMS Shareholder from 30,119 shares to 39,772 shares, iii) revise the lists of material contracts, real estate leases, legal proceedings, employees of RMS Management and Lung Institute Tampa, iv) state that the Company shall enter into an employment agreement with James St. Louis, v) include two additional members, Michael Yurkowsky and Raymond Monteleone, to the board of directors of the Company (the “Board”), and vi) revise the patient treatment arrangement among the Parties after closing of the Asset Purchase Agreement.

 

In connection with the Asset Purchase Agreement and APA Amendment, on January 8, 2019, RMS, Lung Institute, RMS Management, CHIT and RMS Acquisition executed an assignment and assumption agreement (the “Assignment and Assumption Agreement”), pursuant to which RMS, Lung Institute, RMS Management and CHIT assigned and transferred to RMS Acquisition all the rights and interests in the Assigned Contracts as listed in the APA Amendment and RMS Acquisition assumed all the obligations and liabilities under the Assumed Liabilities as defined in the APA Amendment.

 

On January 8, 2019, the Company executed the Asset Purchase Agreement, as amended, by which the Company entered into a securities purchase agreement (the “SPA”) with four purchasers (the “Purchasers”) pursuant to which the four Purchasers invested in the Company an aggregate amount of $2,000,000, with $1,800,000 in cash and $200,000 by cancellation of debt as explained below, in exchange for forty (40) units (the “Units”), each consisting of a convertible note (the “Convertible Note”) with the principal amount of $50,000 and a warrant (the “Warrant”) to purchase common stock (the “Common Stock”) of the Company.

 

Pursuant to this SPA, the Company initially offered a minimum of $1,000,000 and a maximum of $6,000,000, and subsequently increased to a maximum of $8,000,000 (the “Maximum Amount”) of Units at a price of $50,000 per Unit until the earlier of i) the closing of the subscription of the Maximum Amount and ii) March 31, 2019 (the “Termination Date”), subject to the Company’s earlier termination at its discretion. The SPA includes the customary representations and warranties from the Company and purchasers. Steve Gorlin, the Company’s former Chairman of the Board, converted a $200,000 promissory note owed to him by the Company in exchange for four (4) Units on the same terms as all other Purchasers. Each Convertible Note offered by the Company as part of the Unit bears an interest rate of 12% per annum, has a principal amount of $50,000, shall mature in one year from the original issue date on January 8, 2019, and will be convertible into shares of Common Stock at a price of $0.40 subject to adjustment stated in the Convertible Note. Pursuant to the terms of the Convertible Note, each holder of the Convertible Notes shall not own more than 4.99% of the number of shares of Common Stock outstanding immediately after giving effect to the issuance of Common Stock issuable upon exercise of such Convertible Note. Upon default, the penalty interest rate of the Convertible Note shall rise to 18% per annum. In addition, pursuant to the SPA, the Company offers, as part of the Unit, Warrants to purchase the Common Stock at a price of $0.75 per share (the “Exercise Price”), subject to adjustments stated therein. The holder of each Warrant may purchase the number of shares of Common Stock equal to the number of shares of Common Stock issuable upon conversion of each Convertible Note while the Warrant is exercisable. The Warrants have a term of three years and shall be exercised in cash or on a cashless basis as described in the Warrant.

 

In March 2018, the Company issued RMS the 39,772,498 shares of Common Stock upon the Conversion of the 39,772 shares of Series C Preferred Stock. The Company also issued RMS an additional 11,152,778 shares of Common Stock to RMS to compensate it for the additional dilution occurred in the recent financing.

 

Through March 31, 2019, the Company has entered into other SPA’s under the same terms with additional purchasers, which has brought the aggregate principal amount of capital raised in the offerings to $7,200,000, as of that date.

 

 F-22 

 

 

ITEM 9. CHANGES IN AND DISAGREEMENTS WITH ACCOUNTANTS ON ACCOUNTING AND FINANCIAL DISCLOSURE

 

None.

 

ITEM 9A. CONTROLS AND PROCEDURES

 

Disclosure Controls and Procedures

 

We maintain disclosure controls and procedures designed to provide reasonable assurance that information required to be disclosed in reports filed under the Securities Exchange Act of 1934, as amended (the “Exchange Act”), is recorded, processed, summarized and reported within the specified time periods and accumulated and communicated to our management, including our principal executive officer and principal accounting officer, as appropriate to allow timely decisions regarding disclosure.

 

Our Chief Executive Officer (our “CEO”) and our Principal Accounting Officer (our “Controller”), evaluated the effectiveness of our disclosure controls and procedures (as defined in Rules 13a-15(e) and 15d-15(e) promulgated under the Exchange Act) as of December 31, 2018, the end of our fiscal year. In designing and evaluating disclosure controls and procedures, we recognize that any disclosure controls and procedures, no matter how well designed and operated, can only provide reasonable assurance of achieving the desired control objective. Based on the evaluation of our disclosure controls and procedures as of December 31, 2018, our CEO and Controller concluded that our disclosure controls and procedures were not effective.

 

In light of the conclusion that our internal disclosure controls were ineffective as of December 31, 2018, we have applied procedures and processes as necessary to ensure the reliability of our financial reporting in regard to this annual report. Accordingly, the Company believes, based on its knowledge, that: (i) this annual 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 they were made, not misleading with respect to the period covered by this report; and (ii) the financial statements, and other financial information included in this annual report, fairly present in all material respects our financial condition, results of operations and cash flows as of and for the periods presented in this annual report.

 

Management’s Report on Internal Control over Financial Reporting

 

Our management is responsible for establishing and maintaining effective internal control over financial reporting as defined in Rule 13a-15(f) under the Exchange Act.

 

Because of its inherent limitations, internal control over financial reporting is not intended to provide absolute assurance that a misstatement of our financial statements would be prevented or detected. Under the supervision of our CEO and Controller, the Company conducted an evaluation of the effectiveness of our internal control over financial reporting as of December 31, 2018 using the criteria established in Internal Control—Integrated Framework issued by the Committee of Sponsoring Organizations of the Treadway Commission (“COSO”) (2013 Framework).

 

A material weakness is a deficiency, or combination of deficiencies, in internal control over financial reporting, such that there is a reasonable possibility that a material misstatement of our annual or interim financial statements will not be prevented or detected on a timely basis. In our assessment of the effectiveness of internal control over financial reporting as of December 31, 2018, we determined that control deficiencies existed that constituted material weaknesses. Specifically, our Controller currently performs most of the accounting related functions

 

In order to obtain proper segregation of accounting related duties, additional personnel will need to be hired and duties allocated so this material weakness can be corrected.

 

Due to the fact the RMS Asset Purchase Agreement closed subsequent to yearend, the Company expects to be able to design and implement effective internal controls to address the material weaknesses that existed as of December 31, 2018.

 

Accordingly, we concluded that these material weaknesses resulted in a reasonable possibility that a material misstatement of the annual or interim financial statements will not be prevented or detected on a timely basis by the Company’s internal controls.

 

As a result of the material weaknesses described above, our CEO and Controller concluded that the Company did not maintain effective internal control over financial reporting as of December 31, 2018 based on criteria established in Internal Control— Integrated Framework issued by COSO (2013 Framework).

 

This annual report does not include an attestation report of the Company’s independent registered public accounting firm regarding internal controls over financial reporting because this is not required of the Company pursuant to Regulation SK Item 308(b).

 

 21 

 

 

Changes in internal control over financial reporting

 

During 2018, due to the Company’s financial condition, we terminated our Accounting Clerk, thus creating a lack of segregation of duties as it left only one person performing most of the financial functions thereby creating a material weakness in our internal controls.

 

ITEM 9B. OTHER INFORMATION

 

None.

 

PART III

 

ITEM 10. DIRECTORS, EXECUTIVE OFFICERS AND CORPORATE GOVERNANCE

 

Our board of directors consists of ten (3) members: William E. Horne, Raymond Monteleone and Michael Yurkowsky.

 

Our current executive officers are William E. Horne, Chief Executive Officer; Jeremy Daniel, Chief Financial Officer and Treasurer; and Jeffery Wright, Controller.

 

Directors and Executive Officers

 

The following table provides information as of April 1, 2019 as to each person who is, as of the filing hereof, a director and/or executive officer of the Company:

 

Name   Position(s)   Age
William E. Horne   Chief Executive Officer & Chairman of the Board   64
Jeremy Daniel   Chief Financial Officer   42
Raymond Monteleone   Director (1)   71
Michael Yurkowsky   Director   46
Jeffery Wright   Controller   36

 

(1) Chairman of audit committee

 

No Family Relationships

 

There is no family relationship between any director and executive officer or among any directors or executive officers.

 

 22 

 

 

Business Experience and Background of Directors and Executive Officers

 

BOARD OF DIRECTORS

 

William E. Horne

 

William “Bill” Horne is a founder and former Chief Executive Officer and Chairman of the Board of Laser Spine Institute. From 2005 to 2015, Horne served as the company’s CEO, expanding the homegrown organization from one facility with nine employees, to seven state-of-the-art surgery centers with more than 1,000 employees across six states, while driving annual revenues as high as $288M during his tenure. In his role as Chairman of the Board, he led the strategic direction of the company, which has made it possible for more than 75,000 patients to take back their lives from chronic pain with its minimally invasive spine procedures.

 

Raymond Monteleone

 

Raymond Monteleone, 71, serves managerial and consultative roles at several enterprises. Mr. Monteleone currently serves as the chairman and president of Paladin Global Partners, LLC since 2007; a board member and vice president of Dannelly, Monteleone & Associates, LLC since 2010; sits on the board of Chenmoore Engineering Inc. since 2015; is a managing member at Diner Investment Partners, LLC since 2016 and Uyona Management, LLC since 2013; a managing member and the chief financial officer at HBRE, LLC since 2013 and Horne Management, LLC since 2011; and the president at Monteleone & Associates Consulting, Inc. since 2005. Mr. Monteleone received a college degree from the New York Institute of Technology and an MBA degree from Florida Atlantic University.

 

A former partner with Arthur Young (now EY), Ray Monteleone joins Medovex after working closely with several large and small companies serving as board member and/or advisor, specializing in strategic planning, health care, tax and financial planning and corporate management. Mr. Monteleone previously held officer positions with Sensormatic Electronics Corporation, a billion dollar company listed in the New York Stock Exchange and was a member of the Board of Directors of Rexall Sundown, Inc., a large public entity. He also previously served as an officer working closely with the Board of Directors of Laser Spine Institute (“LSI”) and worked as deputy commissioner, chief operating officer, and chief financial officer with the Florida Department of Education. He attended an exclusive Arthur Young Harvard Business School program and earned his MBA from Florida Atlantic University. Considered an expert in financial analysis and business management, Monteleone is regularly featured as a lecturer at various universities and professional associations.

 

Michael Yurkowsky

 

Michael Yurkowsky operates his own family office, YP Holdings LLC, which has an investment portfolio of 50 private companies and participated in over 100 financing transactions with public companies since 2012. Previously Mr. Yurkowsky managed his own hedge fund and worked as a broker at several national broker-dealer firms.

 

Michael Yurkowsky comes to Medovex with more than 25 years of experience in financial services. Yurkowsky spent the first ten years of his career working as a broker with several national broker-dealers and as a licensed investment banker. He went on to start and manage his own hedge fund, specializing in debt arbitrage. In 2012, he opened his own family office, YP Holdings LLC, which has invested in more than 50 private companies and participated in more than 100 public company financing transactions. Throughout his career, Mr. Yurkowsky has served on multiple public and private boards and has been involved in several M&A transactions.

 

NON-DIRECTOR EXECUTIVE OFFICERS

 

Chief Financial Officer and Treasurer – Jeremy Daniel

 

Jeremy Daniel has been the Chief Financial Officer of Regenerative Medicine Solutions, LLC (“RMS”) since 2013. Prior to that, Mr. Daniel worked in the private sector in the accounting and finance field for the past twenty years. Mr. Jeremy Daniel is a Certified Public Accountant and received a college degree from the University of Cincinnati and an MBA degree from Xavier University. The Company currently does not have any employment agreement with Mr. Jeremy Daniel.

 

Controller and Principal Accounting Officer – Jeffery Wright

 

Mr. Wright is a Certified Public Accountant and previously served as our Chief Financial Officer and Treasurer from January 2015 through August 2017. Prior to joining the Company in December 2014, Mr. Wright was an audit senior at Ernst & Young within the Assurance Services division, where he had an opportunity to help manage audits of large ($2 billion to $10 billion annual revenue) publicly-traded companies. He also has experience auditing medium size ($2 million - $200 million annual revenue) privately-held companies in multiple industries with other accounting firms. Prior to his career in public accounting, Mr. Wright worked as a trading analyst in the retirement trust services department at Reliance Trust Company, managing the institutional trading desk to settle mutual fund transactions with the National Securities Clearing Corporation. Mr. Wright holds Master of Professional Accountancy and Bachelor of Business Administration degrees from the Georgia State University Robinson College of Business and is a member of the Georgia Society of Certified Public Accountants.

 

 23 

 

 

Liability and Indemnification of Directors and Officers

 

Our Articles of Incorporation provide that to the fullest extent permitted under Nevada law, our directors will not be personally liable to the Company or its stockholders for monetary damages for breach of the duty of care, breach of fiduciary duty or breach of any other duties as directors. Our Articles of Incorporation also provide for indemnification of our directors and officers by the Company to the fullest extent permitted by law. The Company maintains D&O insurance coverage.

 

Role of Board in Risk Oversight Process

 

Our board of directors has responsibility for the oversight of the Company’s risk management processes and, either as a whole or through its committees, regularly discusses with management our major risk exposures, their potential impact on our business and the steps we take to manage them. The risk oversight process includes receiving regular reports from board committees and members of senior management to enable our board to understand the company’s risk identification, risk management and risk mitigation strategies with respect to areas of potential material risk, including operations, finance, legal, regulatory, strategic and reputational risk.

 

The audit committee reviews information regarding liquidity and operations, and oversees our management of financial risks. Periodically, the audit committee reviews our policies with respect to risk assessment, risk management, loss prevention and regulatory compliance. Oversight by the audit committee includes direct communication with our external auditors, and discussions with management regarding significant risk exposures and the actions management has taken to limit, monitor or control such exposures. The compensation committee is responsible for assessing whether any of our compensation policies or programs has the potential to encourage excessive risk-taking. The nominating/corporate governance committee manages risks associated with the independence of the board, corporate disclosure practices, and potential conflicts of interest. While each committee is responsible for evaluating certain risks and overseeing the management of such risks, the entire board is regularly informed through committee reports about such risks. Matters of significant strategic risk are considered by our board as a whole.

 

Board Committees and Independence

 

Our board of directors has established an audit committee, a nominating and corporate governance committee and a compensation committee, each of which operates under a charter that has been approved by our board.

 

The following committees are in the process of being formulated; and selections of chairman to be finalized at the first quarterly board meeting in fiscal year 2019.

 

  Nominating and corporate governance committee
  Compensation committee

 

Mr. Ray Monteleone chairs the audit committee. The audit committee’s main function is to oversee our accounting and financial reporting processes, internal systems of control, independent registered public accounting firm relationships and the audits of our financial statements.

 

This committee’s responsibilities include, among other things:

 

  appointing, approving the compensation of and assessing the independence of our registered public accounting firm;
     
  overseeing the work of our independent registered public accounting firm, including through the receipt and consideration of reports from such firm;
     
  reviewing and discussing with management and the independent registered public accounting firm our annual and quarterly financial statements and related disclosures;
     
  monitoring our internal control over financial reporting, disclosure controls and procedures and code of business conduct and ethics;
     
  overseeing our internal audit function;
     
  overseeing our risk assessment and risk management policies;
     
  establishing policies regarding hiring employees from the independent registered public accounting firm and procedures for the receipt and retention of accounting related complaints and concerns;
     
  meeting independently with our internal auditing staff, independent registered public accounting firm and management;

 

  reviewing and approving or ratifying any related person transactions; and
     
  preparing the audit committee report required by the Securities and Exchange Commission, or SEC, rules.

 

 24 

 

 

All audit and non-audit services, other than de minimis non-audit services, to be provided to us by our independent registered public accounting firm must be approved in advance by our audit committee.

 

Our board of directors has determined that Ray Monteleone is an “audit committee financial expert” as defined in applicable SEC rules.

 

Code of Business Conduct and Ethics

 

We have adopted a written code of business conduct and ethics that applies to our directors, officers and employees, including our principal executive officer, principal financial officer, principal accounting officer or controller, or persons performing similar functions. A current copy of the code will be posted on the Corporate Governance section of our website, www.MedoveX.com.

 

In addition, we intend to post on our website all disclosures that are required by law or the listing standards of The NASDAQ Capital Market concerning any amendments to, or waivers from, any provision of the code. The reference to our website address does not constitute incorporation by reference of the information contained at or available through our website, and you should not consider it to be a part of this Annual Report.

 

Procedures for Security Holders to Recommend Nominees for Election as Directors

 

There have been no material changes to the procedures by which security holders may recommend nominees to the board of directors since the Company last described such procedures or any material changes thereto.

 

Company Policy as to Director Attendance at Annual Meetings of Stockholders

 

The Company’s policy encourages board members to attend annual meetings of stockholders.

 

Section 16(a) Beneficial Ownership Reporting Compliance

 

Section 16(a) of the Exchange Act requires each person who is a director or officer or beneficial owner of more than 10% of the common stock of the Company to file reports in connection with certain transactions. To the knowledge of the Company, based solely upon a review of forms or representations furnished to the Company during or with respect to the most recent completed fiscal year, there were a few isolated instances where the director purchased or received shares and was late filing under section 16(a). All of the required filings have now been made.

 

ITEM 11.EXECUTIVE COMPENSATION

 

Name & Position  Fiscal Year  

Salary

($)

  

Bonus 

($)

  

Stock Option

Awards ($)

  

All Other

Compensation

($)

  

Total 

($)

 
William E. Horne, CEO   2018    153,333    -    -    -    153,333 
    2017    -    -    -    -    - 
Jeremy Daniel, CFO   2018    -    -    -    -    - 
    2017    -    -    -    -    - 
Jeffery Wright, Controller   2018    140,000    -    -    -    140,000 
    2017    140,000    -    -    33,600    173,600 

 

The current annualized salaries of our executive officers are as follows:

 

Name & Position  Annual Salary 
William E. Horne, CEO  $650,000 
Jeremy Daniel, CFO  $200,000 
Jeffery Wright, Controller  $60,000 

 

 25 

 

 

Director Compensation

 

In October 2018, the Board authorized the issuance of shares of common stock to all former Board members in an amount equivalent to $180,000, representing their accrued but unpaid directors’ fees as of September 30, 2018. The Company issued an aggregate of 320,202 shares at $0.42 per share, which was the average closing price of the Company’s stock during the year through September 30, 2018, to fulfill this obligation. The closing price of the Company’s stock on October 3, 2018, the day the shares were issued, was $0.40 per share.

 

There are no arrangements or understandings between the Company and Mr. Michael Yurkowsky.

 

There are understandings between the Company and Mr. Raymond Monteleone as follows; $5,000 per quarter for Board of Director meetings, $5,000 per quarter as Audit Committee Chair, and $10,000 per month for advisory services.

 

ITEM 12.

SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT AND RELATED STOCKHOLDER MATTERS

 

The information is presented for each person we know to be a beneficial owner of 5% or more of our securities, each of our directors and executive officers, and our officers and directors as a group.

 

The percentage of common equity beneficially owned is based upon 24,717,271 shares of Common Stock issued and outstanding as of December 31, 2018. The shares of common stock issued to William E. Horne, the Company’s CEO, per his employment agreement were not outstanding as of December 31, 2018 and, therefore, not included in the below

 

The number of shares beneficially owned by each stockholder is determined under the rules issued by the Securities and Exchange Commission and includes voting or investment power with respect to such securities.

 

Under these rules, beneficial ownership includes any shares as to which the individual or entity has sale or shared voting power or investment power. Unless otherwise indicated, the address of all listed stockholders is c/o MEDOVEX, 3060 Royal Boulevard South Suite 150, Atlanta, Alpharetta 30022. Unless otherwise indicated each of the stockholders listed has sole voting and investment power with respect to the shares beneficially owned, subject to community property laws where applicable.

 

  

Number of Shares

Beneficially Owned(1)

  

Percentage of

common equity

beneficially owned

 
William E. Horne, Director and Officer       0.010%
Jeremy Daniel, Officer        
Raymond Monteleone, Director        
Michael Yurkowsky, Director   1,022,009    4.13%
Jeffery Wright, Officer   137,220(3)   0.006%
Officers and Directors as a Group (5 persons)          

 

(1) Beneficial ownership is determined in accordance with the rules of the Securities and Exchange Commission and includes voting or investment power with respect to shares beneficially owned and options exercisable within 60 days. Beneficial ownership is based on information furnished by the individuals or entities.

 

(2) Includes 76,129 shares pursuant to options exercisable within 60 days.

 

Equity Compensation Plan Information

 

In October 2013, the Company adopted the 2013 Stock Incentive Plan (the “Plan”).

 

The Plan is intended to secure for us and our stockholders the benefits arising from ownership of our Common Stock by individuals we employ or retain who will be responsible for the future growth of the enterprise. The Plan is also designed to help attract and retain superior personnel for positions of substantial responsibility, including advisory relationships where appropriate, and to provide individuals with an additional incentive to contribute to our success.

 

The “Administrator” of the Plan is the Compensation Committee of the Board; however, the Administrator may also delegate to one or more officers of the Company the authority to make most determinations otherwise reserved for decision by the Administrator. Under the Plan, the Administrator has the flexibility to determine eligible participants and the type and amount of awards to grant to eligible participants.

 

 26 

 

 

The Administrator may make the following types of grants under the Plan, each of which will be an “Award”:

 

qualified incentive stock options (“QISOs”);

   

nonqualified stock options; and

   
awards of restricted stock and/or restricted stock units.

 

Our officers, key employees, directors, consultants and other independent contractors or agents who are responsible for or contribute to our management, growth or profitability will be eligible for selection by the Administrator to participate in the Plan, provided, however, that QISOs may be granted only to our employees.

 

We authorized and reserved for issuance under the Plan an aggregate of 2,650,000 shares of our Common Stock. The Company did not grant any stock options in 2018. As of December 31, 2018, we have outstanding an aggregate of 1,314,059 options to purchase common stock at a weighted average price of $2.78 per share. In 2018 we granted an aggregate of 75,000 common stock shares from the Plan to certain outside consultants at the market price on the day of grant. If any of the awards granted under the Plan expire, terminate or are forfeited for any reason before they have been exercised, vested or issued in full, the unused shares allocable to or subject to those expired, terminated or forfeited awards will become available for further grants under the Plan.

 

ITEM 13. CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS, AND DIRECTOR INDEPENDENCE

 

The Company paid TAG Aviation (“TAG”), a company owned by former CEO Jarrett Gorlin, for executive office space in Atlanta Georgia at a rate of $2,147 per month plus related utilities. The rental rate was 90% of the amount billed to TAG Aviation by the owner of the property. There is no further commitment under this lease agreement.

 

Policies and Procedures for Related Person Transactions

 

Our board of directors has adopted written policies and procedures for the review of any transaction, arrangement or relationship in which we are a participant, the amount involved exceeds $120,000 and one of our executive officers, directors, director nominees or 5% stockholders, or their immediate family members, each of whom we refer to as a “related person,” has a direct or indirect material interest.

 

If a related person proposes to enter into such a transaction, arrangement or relationship, which we refer to as a “related person transaction,” the related person must report the proposed related person transaction to our Chief Executive Officer. The policy calls for the proposed related person transaction to be reviewed and, if deemed appropriate, approved by our audit committee. Whenever practicable, the reporting, review and approval will occur prior to entry into the transaction.

 

If advance review and approval is not practicable, the committee will review, and, in its discretion, may ratify the related person transaction. The policy also permits the chairman of the committee to review and, if deemed appropriate, approve proposed related person transactions that arise between committee meetings, subject to ratification by the committee at its next meeting. Any related person transactions that are ongoing in nature will be reviewed annually.

 

A related person transaction reviewed under the policy will be considered approved or ratified if it is authorized by the committee after full disclosure of the related person’s interest in the transaction. As appropriate for the circumstances, the committee will review and consider:

 

  the related person’s interest in the related person transaction;
     
  the approximate dollar value of the amount involved in the related person transaction;
     
 

the approximate dollar value of the amount of the related person’s interest in the transaction without regard to the amount of any profit or loss;

     
  whether the transaction was undertaken in the ordinary course of our business;
     
  whether the terms of the transaction are no less favorable to us than terms that could have been reached with an unrelated third party; and
     
  the purpose of, and the potential benefits to us of, the transaction.

 

 27 

 

 

The committee may approve or ratify the transaction only if the committee determines that, under all of the circumstances, the transaction is in our best interests. The committee may impose any conditions on the related person transaction that it deems appropriate.

 

In addition to the transactions that are excluded by the instructions to the SEC’s related person transaction disclosure rule, our board of directors has determined that the following transactions do not create a material direct or indirect interest on behalf of related persons and, therefore, are not related person transactions for purposes of this policy:

 

  interests arising solely from the related person’s position as an executive officer of another entity (whether or not the person is also a director of such entity) that is a participant in the transaction, where (i) the related person and all other related persons own in the aggregate less than a 10% equity interest in such entity, (ii) the related person and his or her immediate family members are not involved in the negotiation of the terms of the transaction and do not receive any special benefits as a result of the transaction and (iii) the amount involved in the transaction is less than the greater of $200,000 or 5% of the annual gross revenues of the company receiving payment under the transaction; and
     
  a transaction that is specifically contemplated by provisions of our charter or bylaws.

 

The policy provides that transactions involving compensation of executive officers shall be reviewed and approved by the compensation committee in the manner specified in its charter.

 

We did not have a written policy regarding the review and approval of related person transactions. Nevertheless, with respect to such transactions, it was our policy for our board of directors to consider the nature of and business reason for such transactions, how the terms of such transactions compared to those which might be obtained from unaffiliated third parties and whether such transactions were otherwise fair to and in the best interests of, or not contrary to, our best interests.

 

In addition, all related person transactions required prior approval, or later ratification, by our board of directors.

 

Stock Option Grants to Executive Officers and Directors

 

We authorized and reserved for issuance under the Plan an aggregate of 2,650,000 shares of our Common Stock. No stock options were issued under the Plan in 2018. In 2017 we granted an aggregate of 147,611, of options to purchase common stock to executive officers and directors. If any of the Awards granted under the Plan expire, terminate or are forfeited for any reason before they have been exercised, vested or issued in full, the unused shares allocable to or subject to those expired, terminated or forfeited awards will become available for further grants under the Plan.

 

Policies and Procedures for Approving Related Person Transactions

 

Our policy and procedure with respect to any related person transaction between the Company and any related person requiring disclosure under Item 404(a) of regulation S-K under the Exchange Act, is that the Company’s audit committee reviews all such transactions.

 

This review covers any material transaction, arrangement or relationship, or any series of similar transactions, arrangements or relationships, in which the Company was and is to be a participant, and a related party had or will have a direct or indirect material interest, including, purchases of goods or services by or from the related party or entities in which the related party has a material interest, indebtedness, guarantees of indebtedness and employment by the Company of a related party. The board of directors has adopted a written policy reflecting the policy and procedure identified above.

 

ITEM 14. PRINCIPAL ACCOUNTANT FEES AND SERVICES

 

The following is a summary of the fees billed to the Company by Frazier & Deeter, LLC for professional accounting services rendered for the fiscal years ended December 31, 2018 and 2017.

 

   Fiscal Year 2018   Fiscal Year 2017 
Audit fees  $108,000   $99,500 
Tax fees   3,000    11,000 
Other fees       2,500 
Total  $111,000   $113,000 

 

Audit fees consist of fees billed for services rendered for the audit of our financial statements and review of our financial statements included in our quarterly reports on Form 10–Q. Other fees consist of comfort letter service fees.

 

Tax fees consist of fees billed for professional services related to the preparation of our U.S. federal and state income tax returns.

 

Policy on Pre-Approval by Audit Committee of Services Performed by Independent Registered Public Accounting Firms

 

The policy of the audit committee is to pre-approve all audit and permissible non-audit services to be performed by the independent public accounting firm during the fiscal year. The audit committee pre-approves services by authorizing specific projects within the categories outlined above. The audit committee’s charter delegates to its Chair the authority to address any requests for pre-approval of services between audit committee meetings, and the Chair must report any pre-approval decisions to the audit committee at its next scheduled meeting. All of the services related to the fees described above were approved by the audit committee pursuant to the pre-approval provisions set forth in the applicable SEC rules and the audit committee’s charter.

 

 28 

 

 

PART IV

 

ITEM 15. EXHIBITS AND FINANCIAL STATEMENT SCHEDULES

 

(a)(1) Financial Statements. The following are filed as part of Item 15 of this Annual Report on Form 10-K:

 

Report of Independent Registered Public Accounting Firm: F-2
Frazier & Deeter, LLC
Consolidated Balance Sheets F-3
Consolidated Statements of Operations F-4
Consolidated Statements of Changes in Stockholders’ Equity (Deficit) F-5
Consolidated Statements of Cash Flows F-6
Notes to Consolidated Financial Statements F-7

 

(a)(3) Exhibits required by Item 601 of Regulation S-K. The information required by this Section (a)(3) of Item 15 of this Annual Report on Form 10-K is set forth on the exhibit index that follows the Signatures page hereof.

 

 29 

 

 

SIGNATURES

 

Pursuant to the requirements of Section 13 or 15(d) 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.

 

 

MEDOVEX CORP.

   
Date: April 10, 2019 By:

/s/ William E. Horne

    William E. Horne,
    Chief Executive Officer

 

Signature   Title   Date
         
/s/ William E. Horne   Chief Executive Officer and Chairman of the Board of Directors    
William E. Horne   (Principal Executive Officer)   April 10, 2019
         
/s/ Jeff Wright   Controller    
Jeff Wright   (Principal Financial and Accounting Officer)   April 10, 2019
         
/s/ Raymond Monteleone        
Raymond Monteleone   Director   April 10, 2019
         
/s/ Michael Yurkowsky        
Michael Yurkowsky   Director   April 10, 2019

 

 30 

 

 

EXHIBIT INDEX

 

Exhibits

 

Exhibit Number   Description
2.1   Agreement and Plan of Merger, dated September 16, 2013 among MedoveX Corp. f/k/a SpineZ Corp. and Debride Inc. (1)
2.2   Agreement and Plan of Merger, dated March 9, 2015 among MedoveX Corp. and Streamline, Inc. (2)
2.3   Asset Purchase Agreement, dated December 7, 2016, among MedoveX Corp., Streamline, Inc., Skytron, LLC and certain other parties thereto (3)
3.1   Articles of Incorporation of Spinez Corp. (1)
3.3   Bylaws of MedoveX Corp. (1)
4.1   Modification Agreement by and between the Company and Steve Gorlin dated January 25, 2016. (5)
4.2   Amendment to the Modification Agreement by and between the Company and Steve Gorlin dated February 16, 2016. (6)
4.3   Second Amendment to the Modification Agreement by and between the Company and Steve Gorlin dated March 25, 2016. (7)
4.4   Third Amendment to the Modification Agreement by and between the Company and Steve Gorlin dated November 1, 2016 (7)
4.5   Fourth Amendment to the Modification Agreement by and between the Company and Steve Gorlin dated November 30, 2016 (8)
10.1   2013 Stock Incentive Plan. (1)
10.6   Contribution and Royalty Agreement between MedoveX and Scott W. Haufe dated January 31, 2013. (1)
10.7   Co-Development Agreement between MedoveX Corp. and Dr. James Andrews dated September 30, 2013. (1)
10.9   Engineering Services Agreement between MedoveX Corp. and Devicix, LLC dated November 25, 2013. (1)
10.10   Form of Indemnification Agreement. (1)
10.13   Form of Common Stock Purchase Warrant (9)
10.14   Form of Unit Purchase Agreement between MedoveX Corp. and Investors (10)
10.15   Form of Registration Rights Agreement between MedoveX Corp. and Investors (10)
10.16   Private Placement Memorandum Supplement dated April 18, 2016 (10)
10.17   Form of Warrant (11)
10.18   Form of Unit Purchase Agreement (11)
10.19   Form of Registration Rights Agreement (11)
10.20   Form of Note (12)
10.21   Form of Warrant (12)
10.22   Form of Security Agreement (12)
10.23   Form of Warrant (4)
10.24   Form of Unit Purchase Agreement (4)
10.25   Form of Registration Rights Agreement (4)
10.26   Form of Common Stock Purchase Warrant issued by MedoveX Corporation to each of the Investors (13)
10.27   Form of Securities Purchase Agreement, by and between the Company and Investors (13)
10.28   Consulting Agreement, by and between MedoveX Corp. and CG# Consulting LLC, dated February 2, 2018 (14)
10.29   Form of Securities Purchase Agreement, by and between the Company and Investors (15)
10.30   Form of Warrant issued by MedoveX Corp. to each of the Investors (15)
RMS Agreements    
14   Business and Code of Ethics of MedoveX Corp. (1)
21.1   Subsidiaries of MedoveX Corp. *
24.1   Power of Attorney (included on signature page).*
31.1   Certification of Chief Executive Officer pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.*

 

 31 

 

 

31.2   Certification of Principal Financial and Accounting Officer pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.*
32.1   Certification of Chief Executive Officer pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.*
32.2   Certification of Principal Financial and Accounting Officer pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.*

 

(*) Filed herewith
(1) Incorporated by reference herein from the Registration Statement on Form S-1/A filed on September 8, 2014
(2) Incorporated by reference herein from the Current Report on Form 8-K filed on March 11, 2015.
(3) Incorporated by reference herein from the Current Report on Form 8-K filed on December 12, 2016.
(4) Incorporated by reference herein from the Current Report on Form 8-K filed on February 14, 2017.
(5) Incorporated by reference herein from the Current Report on Form 8-K filed on January 25, 2016.
(6) Incorporated by reference herein from the Current Report on Form 8-K filed on February 17, 2017.
(7) Incorporated by reference herein from the Current Report on Form 8-K filed on November 4, 2016
(8) Incorporated by reference herein from the Current Report on Form 8-K filed on December 6, 2016
(9) Incorporated by reference herein from the Current Report on Form 8-K filed on April 25, 2016
(10) Incorporated by reference herein from the Current Report on Form 8-K filed on May 5, 2016
(11) Incorporated by reference herein from the Current Report on Form 8-K filed on August 8, 2016
(12) Incorporated by reference herein from the Current Report on Form 8-K filed on September 19, 2016
(13) Incorporated by reference herein from the Current Report on Form 8-K filed on July 14, 2017
(14) Incorporated by reference herein from the Current Report on Form 8-K filed on February 6, 2018
(15) Incorporated by reference herein from the Current Report on Form 8-K filed on March 1, 2018
(1) Incorporated by reference herein from the Registration Statement on Form S-1/A filed on December 9, 2014.
(2) Incorporated by reference herein from the Current Report on Form 8-K filed on March 11, 2015.
(3) Incorporated by reference herein from the Current Report on Form 8-K filed on January 25, 2016.
(4) Incorporated by reference herein from the Current Report on Form 8-K filed on February 17, 2016.
(*) Filed herewith

 

ITEM 16. SUMMARY. NONE.

 

 32 

 

 

EX-21.1 2 ex21-1.htm

 

Exhibit 21.1

 

Name of Entity   Jurisdiction
Debride, Inc.   Florida
STML Merger Sub, Inc.   Minnesota

 

   

 

 

EX-31.1 3 ex31-1.htm

 

Exhibit 31.1

 

CERTIFICATION PURSUANT TO

 

SECTION 302 OF THE SARBANES-OXLEY ACT OF 2002

 

I, William E. Horne, certify that:

 

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

 

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

 

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

 

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

 

Date: April 10, 2019

 

/s/ William E. Horne  

William E. Horne,

 
Principal Executive Officer  

 

   

 

EX-31.2 4 ex31-2.htm

 

Exhibit 31.2

 

CERTIFICATION PURSUANT TO

 

SECTION 302 OF THE SARBANES-OXLEY ACT OF 2002

 

I, Jeff Wright, certify that:

 

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

 

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

 

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

 

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

 

Date: April 10, 2019

 

/s/ Jeff Wright  

Jeff Wright,

 
Principal Financial and Accounting Officer  

 

   

 

EX-32.1 5 ex32-1.htm

 

Exhibit 32.1

 

Certifications Pursuant to

18 U.S.C. Section 1350,

as Adopted Pursuant to

Section 906 of the Sarbanes-Oxley Act of 2002

 

I, William E. Horne, certify, pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, that the Annual Report of MedoveX Corp. on Form 10-K for the fiscal year ended December 31, 2018 fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934 and that information contained in such Annual Report on Form 10-K as amended fairly presents, in all material respects, the financial condition and results of operations of MedoveX Corp.

 

Date: April 10, 2019  
     
By: /s/ William E. Horne  
Name: William E. Horne  
Title: Principal Executive Officer  

 

This certification accompanies the Form 10-K to which it relates, is not deemed filed with the Securities and Exchange Commission and is not to be incorporated by reference into any filing of MedoveX Corp. under the Securities Act of 1933, as amended, or the Securities Exchange Act of 1934, as amended (whether made before or after the date of the Form 10-K), irrespective of any general incorporation language contained in such filing.

 

   

 

 

EX-32.2 6 ex32-2.htm

 

Exhibit 32.2

 

Certifications Pursuant to

18 U.S.C. Section 1350,

as Adopted Pursuant to

Section 906 of the Sarbanes-Oxley Act of 2002

 

I, Jeff Wright, certify, pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, that the Annual Report of MedoveX Corp. on Form 10-K for the fiscal year ended December 31, 2018 fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934 and that information contained in such Annual Report on Form 10-K as amended fairly presents, in all material respects, the financial condition and results of operations of MedoveX Corp.

 

Date: April 10, 2018  
     
By: /s/ Jeff Wright  
Name: Jeff Wright  
Title: Principal Financial and Accounting Officer  

 

This certification accompanies the Form 10-K to which it relates, is not deemed filed with the Securities and Exchange Commission and is not to be incorporated by reference into any filing of MedoveX Corp. under the Securities Act of 1933, as amended, or the Securities Exchange Act of 1934, as amended (whether made before or after the date of the Form 10-K), irrespective of any general incorporation language contained in such filing.

 

   

 

 

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Document and Entity Information - USD ($)
12 Months Ended
Dec. 31, 2018
Mar. 18, 2019
Jun. 30, 2018
Document And Entity Information      
Entity Registrant Name Medovex Corp.    
Entity Central Index Key 0001591165    
Document Type 10-K    
Document Period End Date Dec. 31, 2018    
Amendment Flag false    
Current Fiscal Year End Date --12-31    
Entity Well-known Seasoned Issuer No    
Entity Voluntary Filer No    
Entity Reporting Status Current Yes    
Entity Filer Category Non-accelerated Filer    
Entity Small Business Flag true    
Entity Emerging Growth Company true    
Entity Ex Transition Period false    
Entity Shell Company false    
Entity Public Float     $ 8,909,513
Entity Common Stock, Shares Outstanding   90,224,860  
Trading Symbol MDVX    
Document Fiscal Period Focus FY    
Document Fiscal Year Focus 2018    
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Consolidated Balance Sheets - USD ($)
Dec. 31, 2018
Dec. 31, 2017
Current Assets    
Cash $ 47,290 $ 245,026
Accounts receivable 145,757 157,069
Other receivables 86,888
Inventory 131,455 294,714
Prepaid expenses 46,153 204,532
Short-term receivable 150,000
Total Current Assets 370,655 1,138,229
Property and Equipment, net of accumulated depreciation 30,393 87,173
Deposits 2,751 2,751
Total Assets 403,799 1,228,153
Current Liabilities    
Interest payable 103,709 69,222
Accounts payable 750,958 196,171
Other payables 37,377
Accounts payable to related parties 91,302 12,319
Accrued payroll 451,207
Accrued liabilities 210,846 64,000
Notes payable, current portion 99,017 132,294
Short-term note payable, net of debt discount 598,119
Dividend payable 57,813
Unearned revenue 1,048
Total Current Liabilities 2,400,348 475,054
Long-Term Liabilities    
Notes payable, net of current portion 38,990
Deferred rent 267 688
Total Long-Term Liabilities 267 39,678
Total Liabilities 2,400,615 514,732
Stockholders' (Deficit) Equity    
Common stock - $.001 par value: 49,500,000 shares authorized, 24,717,270 and 21,163,013 shares issued and outstanding at December 31, 2018 and December 31, 2017, respectively 24,717 21,163
Additional paid-in capital 35,812,202 33,509,648
Accumulated deficit (37,833,744) (32,817,403)
Total Stockholders' (Deficit) Equity (1,996,816) 713,421
Total Liabilities and Stockholders' Equity (Deficit) 403,799 1,228,153
Series A Preferred Stock [Member]    
Stockholders' (Deficit) Equity    
Preferred stock value 13
Series B Preferred Stock [Member]    
Stockholders' (Deficit) Equity    
Preferred stock value $ 9
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Consolidated Balance Sheets (Parenthetical) - $ / shares
Dec. 31, 2018
Dec. 31, 2017
Common stock, par value $ 0.001 $ 0.001
Common stock, shares authorized 49,500,000 49,500,000
Common stock, shares issued 24,717,270 21,163,013
Common stock, shares outstanding 24,717,270 21,163,013
Series A Preferred Stock [Member]    
Preferred stock, par value $ 0.001 $ 0.001
Preferred stock, shares authorized 500,000 500,000
Preferred stock, shares issued 0 12,740
Preferred stock, shares outstanding 0 12,740
Series B Preferred Stock [Member]    
Preferred stock, par value $ 0.001 $ 0.001
Preferred stock, shares authorized 10,000 10,000
Preferred stock, shares issued 9,250
Preferred stock, shares outstanding 9,250
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Consolidated Statements of Operations - USD ($)
12 Months Ended
Dec. 31, 2018
Dec. 31, 2017
Income Statement [Abstract]    
Revenues, net of discount of $9,484 and $52, respectively $ 818,211 $ 207,344
Cost of Goods Sold (502,789) (162,837)
Gross Profit 315,422 44,507
Operating Expenses    
General and administrative 3,972,446 4,721,893
Sales & Marketing 808,223 865,377
Research and development 204,690 491,076
Loss on asset disposal 32,865
Depreciation and amortization 23,915 27,100
Total Operating Expenses 5,042,139 6,105,446
Operating Loss (4,726,717) (6,060,939)
Other Income 957
Other Expenses    
Foreign currency transaction loss 19,727
Interest expense 162,200 395,332
Total Other Expenses 181,927 395,322
Loss from Continuing Operations (4,908,644) (6,455,314)
Discontinued Operations    
Loss from discontinued operations 1,163
Total Loss from Discontinued Operations (1,163)
Net Loss (4,908,644) (6,456,477)
Deemed dividend on outstanding Series B Preferred Stock (57,813)
Deemed dividend on adjustment to exercise price on certain warrants (107,697)
Deemed dividend on beneficial conversion features (403,719)
Net loss attributable to common shareholders $ (5,477,873)
Loss per share - Basic and Diluted    
Continued Operations $ (0.23) $ (0.34)
Discontinued Operations
Net Loss per share $ (0.23) $ (0.34)
Weighted average outstanding shares used to compute basic and diluted net loss per share 23,458,305 19,142,795
XML 17 R5.htm IDEA: XBRL DOCUMENT v3.19.1
Consolidated Statements of Operations (Parenthetical) - USD ($)
12 Months Ended
Dec. 31, 2018
Dec. 31, 2017
Income Statement [Abstract]    
Discount allowed $ 9,484 $ 52
XML 18 R6.htm IDEA: XBRL DOCUMENT v3.19.1
Consolidated Statement of Stockholders' Equity (Deficit) - USD ($)
Common Stock [Member]
Preferred Stock [Member]
Additional Paid-in Capital [Member]
Accumulated Deficit [Member]
Total
Beginning Balance at Dec. 31, 2016 $ 14,855 $ 25,898,054 $ (26,360,926) $ (448,017)
Beginning Balance, Shares at Dec. 31, 2016 14,855,181      
Issuance of common stock in exchange for board of director fees in January 2017 $ 174 239,826 240,000
Issuance of common stock in exchange for board of director fees in January 2017, Shares 173,912      
Issuance of common stock pursuant to a private placement completed in February 2017 $ 1,632 1,207,032 1,208,664
Issuance of common stock pursuant to a private placement completed in February 2017, Shares 1,631,730      
Issuance of preferred stock pursuant to a private placement completed in February 2017 $ 13 943,673 943,686
Issuance of preferred stock pursuant to a private placement completed in February 2017, Shares 12,740      
Issuance of warrants pursuant to a private placement completed in February 2017 465,709 465,709
Issuance of common stock pursuant to the conversion of a short term note in February 2017 $ 166 145,753 145,919
Issuance of common stock pursuant to the conversion of a short term note in February 2017, Shares 165,865      
Issuance of preferred stock pursuant to the conversion of a short term note in February 2017 $ 9 826,865 826,874
Issuance of preferred stock pursuant to the conversion of a short term note in February 2017, Shares 9,399      
Issuance of warrants pursuant to the conversion of a short term note in February 2017 177,207 177,207
Issuance of common stock pursuant to warrant cancellations in February 2017 $ 200 207,800 208,000
Issuance of common stock pursuant to warrant cancellations in February 2017, Shares 200,000      
Issuance of common stock pursuant to preferred stock conversion in March 2017 $ 415 $ (4) (411)
Issuance of common stock pursuant to preferred stock conversion in March 2017, Shares 414,663 (4,147)      
Issuance of common stock pursuant to preferred stock conversion in April 2017 $ 525 $ (5) (520)
Issuance of common stock pursuant to preferred stock conversion in April 2017, Shares 525,240 (5,252)      
Issuance of common stock pursuant to a private placement completed in July 2017 $ 2,956 2,019,670 2,022,626
Issuance of common stock pursuant to a private placement completed in July 2017, Shares 2,956,043      
Issuance of warrants pursuant to a private placement completed in July 2017 446,561 446,561
Issuance of common stock in exchange for board of director Fees in October 2017 $ 115 134,885 135,000
Issuance of common stock in exchange for board of director Fees in October 2017, Shares 115,389      
Issuance of common stock in exchange for consulting services in October 2017 $ 75 80,925 81,000
Issuance of common stock in exchange for consulting services in October 2017, Shares 74,990      
Issuance of common stock in exchange for consulting services in December 2017 $ 50 33,450 33,500
Issuance of common stock in exchange for consulting services in December 2017, Shares 50,000      
Stock based compensation 686,169 686,169
Net loss (6,456,477) (6,456,477)
Ending Balance at Dec. 31, 2017 $ 21,163 $ 13 33,509,648 (32,817,403) 713,421
Ending Balance, shares at Dec. 31, 2017 21,163,013 12,740      
Issuance of common stock pursuant to a private placement completed in February 2018 $ 770 241,727 242,497
Issuance of common stock pursuant to a private placement completed in February 2018, shares 770,000      
Issuance of warrants pursuant to a private placement completed in February 2018 52,003 52,003
Issuance of warrants in connection with short-term debt in March 2018 25,646 25,646
Issuance of common stock pursuant to preferred series A stock conversion in March 2018 $ 1,274 $ (13) (1,261)
Issuance of common stock pursuant to preferred series A stock conversion in March 2018, shares 1,274,000 (12,740)      
Issuance of common stock pursuant to conversion of convertible debt in April 2018 $ 266 100,928 101,194
Issuance of common stock pursuant to conversion of convertible debt in April 2018, shares 266,301      
Issuance of preferred series B stock pursuant to a private placement completed in May 2018 $ 8 158,565 158,565
Issuance of preferred series B stock pursuant to a private placement completed in May 2018, shares 8,250      
Issuance of warrants pursuant to a private placement completed in May 2018 287,995 287,995
Convertible preferred stock - beneficial conversion feature pursuant to a private placement completed in May 2018 373,432 373,432
Issuance of preferred stock pursuant to conversion of short-term debt in May 2018 $ 1 35,674 35,674
Issuance of preferred stock pursuant to conversion of short-term debt in May 2018, shares 1,000      
Issuance of warrants pursuant to conversion of short-term debt in May 2018 34,038 34,038
Convertible preferred stock - beneficial conversion feature pursuant to conversion of short-term debt in May 2018 30,287 30,287
Issuance of warrants in connection with convertible debt in August 2018 192,330 192,330
Issuance of warrants in connection with short-term debt in September 2018 52,246 52,246
Issuance of common stock in exchange for consulting services in October 2018 $ 75 23,925 24,000
Issuance of common stock in exchange for consulting services in October 2018, shares 75,000      
Issuance of common stock in exchange for board fees in October 2018 $ 320 179,680 180,000
Issuance of common stock in exchange for board fees in October 2018, shares 320,202      
Issuance of common stock pursuant to severance pay to a former office in October 2018 $ 324 135,676 136,000
Issuance of common stock pursuant to severance pay to a former office in October 2018, shares 323,810      
Issuance of common stock pursuant to bonus compensation to certain officers and employees in October 2018 $ 525 209,453 209,978
Issuance of common stock pursuant to bonus compensation to certain officers and employees in October 2018, shares 524,944      
Adjustment of exercise price of certain warrants 107,697 (107,697)
Stock based compensation 120,326 120,326
Dividend payable (57,813) (57,813)
Net loss (4,908,644) (4,908,644)
Ending Balance at Dec. 31, 2018 $ 24,717 $ 9 $ 35,812,202 $ (37,833,744) $ (1,996,816)
Ending Balance, shares at Dec. 31, 2018 24,717,270 9,250      
XML 19 R7.htm IDEA: XBRL DOCUMENT v3.19.1
Consolidated Statements of Cash Flows - USD ($)
12 Months Ended
Dec. 31, 2018
Dec. 31, 2017
Cash Flows from Operating Activities    
Net loss $ (4,908,644) $ (6,456,477)
Adjustments to reconcile net loss to net cash used in operating activities:    
Depreciation and amortization 23,915 27,100
Disposal loss 32,865
Amortization of debt discount 118,340 31,773
Debt conversion expense 355,985
Stock based compensation 120,326 683,169
Straight-line rent adjustment (421) (491)
Common stock issued for consulting services 24,000 114,500
Common stock issued for bonuses 209,978
Equity-based severance payments 136,000
Equity-based directors fees 180,000
Changes in operating assets and liabilities, net of effects of disposition:    
Accounts receivable 11,312 (157,069)
Other receivables 86,888 (86,888)
Prepaid expenses 158,379 229,632
Inventory 163,259 (294,714)
Unearned revenue (1,048) 1,048
Accounts payable 554,787 (29,554)
Other payables 37,377
Interest payable 34,487
Accounts payable to related parties 78,983 12,319
Accrued payroll 451,207
Accrued liabilities 146,846 (20,800)
Net Cash Used in Operating Activities (2,341,164) (5,590,467)
Cash Flows from Investing Activities    
Proceeds from disposition of, net assets of Streamline Inc. 150,000
Expenditures for property and equipment (16,682)
Net Cash (Used in) Provided by Investing Activities 150,000 (16,682)
Cash Flows from Financing Activities    
Principal payments under note payable obligation (171,072) (127,885)
Proceeds from issuance of common stock and preferred stock, net of offering costs 774,502 3,838,671
Proceeds from issuance of warrants, net of offering costs 610,220 1,248,575
Proceeds from issuance of promissory notes 174,354
Proceeds from issuance of convertible notes 605,424
Net Cash Provided by Financing Activities 1,993,428 4,959,361
Net Decrease in Cash (197,736) (647,788)
Cash - Beginning of period 245,026 892,814
Cash - End of period 47,290 245,026
Cash paid for interest 6,020 7,161
Non-cash investing and financing activities    
Finance agreement for insurance policy 74,672 69,343
Conversion of note and accrued interest to common stock and preferred stock 101,194 826,874
Conversion of short-term loan to common stock 145,919
Issuance of warrants for conversion of note 177,207
Issuance of common stock for consulting services 24,000 114,500
Common stock issued for board of director fees 180,000 375,000
Common stock issued for bonus compensation 209,978
Common stock issued for severance 136,000
Issuance of common stock for preferred stock conversion 940
Issuance of common stock warrants for placement agent fees 153,688
Issuance of warrants for promissory note 25,646
Dividends accrued $ 57,813
XML 20 R8.htm IDEA: XBRL DOCUMENT v3.19.1
Organization
12 Months Ended
Dec. 31, 2018
Organization, Consolidation and Presentation of Financial Statements [Abstract]  
Organization

Note 1 - Organization

 

Description of Business

 

MedoveX Corp. (the “Company” or “MedoveX”), was incorporated in Nevada on July 30, 2013 as SpineZ Corp. (“SpineZ”) and changed its name to MedoveX Corp. on March 20, 2014. MedoveX is the parent company of Debride Inc. (“Debride”), which was incorporated under the laws of the State of Florida on October 1, 2012. The Company is in the business of designing and marketing proprietary medical devices for commercial use in the United States and Europe. The Company received CE marking in June 2017 for the DenerveX System and it is now commercially available throughout the European Union and several other countries that accept CE marking. The Company’s first sale of the DenerveX System occurred in July 2017. The Company plans to seek approval for the DenerveX System from the Food & Drug Administration (“FDA”) in the United States.

 

In October 2018, the Company entered into an Asset Purchase Agreement (the “Asset Purchase Agreement”) with Regenerative Medicine Solutions, LLC (“RMS”), Lung Institute LLC, RMS Lung Institute Management LLC, Cognitive Health Institute Tampa, LLC, RMS Shareholder, LLC and RMS Acquisition Corp. Pursuant to the terms of the Asset Purchase Agreement, the Company shall purchase all of the assets of RMS, Cognitive Health Institute Tampa, LLC, Lung Institute LLC and RMS Lung Institute Management LLC. The Company executed the Asset Purchase Agreement on January 8, 2019. (See Note 13)

XML 21 R9.htm IDEA: XBRL DOCUMENT v3.19.1
Summary of Significant Accounting Policies
12 Months Ended
Dec. 31, 2018
Accounting Policies [Abstract]  
Summary of Significant Accounting Policies

Note 2 - Summary of Significant Accounting Policies

 

Basis of Presentation And Principles of Consolidation

 

The accompanying consolidated financial statements include the accounts of MedoveX Corp., its wholly-owned subsidiary, Debride, as well as its wholly owned subsidiary, Streamline Inc. (“Streamline”). All intercompany accounts and transactions have been eliminated in consolidation.

 

Use of Estimates

 

In preparing the financial statements, generally accepted accounting principles in the United States (“U.S. GAAP”) requires disclosure regarding estimates and assumptions used by management that affect the amounts reported in financial statements and accompanying notes. Actual results could differ from those estimates.

 

Cash

 

The Company considers all highly liquid investments with original maturities of three months or less to be cash equivalents. The Company’s cash balances at December 31, 2018 and 2017 consists of funds deposited in checking accounts with commercial banks.

 

Accounts Receivable, Sales Returns, Discounts and Allowances

 

Accounts receivable primarily represent amounts due from customers for which revenue has been recognized. Generally, the Company does not require collateral or any other security to support its receivables.

 

The Company records estimated sales returns, discounts and allowances as a reduction of net sales in the same period revenue is recognized. The allowance is estimated for trade accounts receivable based on the expected collectability of accounts receivable after considering the Company’s historical collection experience and the length of time an account is outstanding. The adequacy of this allowance is reviewed each reporting period and adjusted as necessary. As the Company only commenced sales in July 2017, all outstanding trade receivables were deemed collectable, thus, no allowance for doubtful accounts was recorded at December 31, 2018 and 2017.

 

Inventory

 

Inventories consist of only finished goods and are valued at the lower of cost or net realizable value, using the first-in, first-out (FIFO) method.

 

Property and Equipment

 

Property and equipment are stated at cost and are depreciated using the straight-line method over the estimated useful lives of the related assets, generally three to five years. Repairs and maintenance are expensed as incurred. Improvements and betterments, which extend the lives of the assets, are capitalized.

 

Other Payables

 

Other payables include value added tax (VAT) owed to the German tax authority. As a part conducting business in the European Union (“EU”), the Company’s sales transactions are taxed based on the value of the product. At the end of each reporting period, the Company calculates the value of all taxable sales then subtracts the sum of all taxable purchases and the VAT rate is applied to the difference.

 

Leases

 

The Company recognizes rent expense on a straight-line basis over the term of the lease. The lease term commences on the date the Company takes possession of or controls the physical use of the property. Deferred rent is included in non-current liabilities on the balance sheet.

 

Revenue Recognition

 

The Company has adopted the new 5-step revenue recognition process as promulgated by ASC 606, Revenue from Contracts with Customers (Topic 606), the core principle of which necessitates companies to recognize revenue when a customer obtains control rather than when companies have transferred substantially all risks and rewards of a good or service. The early adoption of ASC 606 was completed as of September 30, 2017, which was in the first year the Company generated revenue. The early adoption did not have any retrospective effect on prior year.

 

Identify the contract with the customer

 

Medovex has two types of customers: distributors, and individual customers.

 

Distributors:

 

The Company has distribution agreements with distributors located in Italy, Austria, Colombia, Scandinavia, Brazil, Israel, Australia, Turkey, Spain, Switzerland, Chile, Taiwan, Poland, Slovakia, the Czech Republic and the United Kingdom. For each distributor, a standardized distribution agreement is executed and is the definitive contract between the Company and the customer. Each distribution agreement details the pricing, order placement, stocking requirements, terms of payment, and shipping terms under which the DenerveX System will be shipped to the distributor. The distributor places orders for additional product, but all these orders are subject to the terms of the Distribution Agreement.

 

Direct Customers:

 

In Germany, all customers are direct hospitals and individual practitioners. Sales in Germany are solicited by and placed with third party contractors on behalf of Medovex. Medovex has sales agreements with each third party sales representative selling the DenerveX System. Each sales agreement details the price at which the DenerveX System must be sold to the customer. A purchase order from the customer is required before the Company will ship product to the customer. This purchase order contains all the terms and conditions of the sale and is considered the definitive contract for this type of sale.

 

Identify the performance obligation in the contract

 

Distributors, who sell the DenerveX System to their customers or sub-distributors, contractually take title to the products and assume all risks of ownership at the time of shipment. The Company has no further obligations once the product is shipped. Stocking distributors are obligated to pay the Company the contractually agreed upon invoice price within specified terms regardless of when, if ever, they sell the products. Since no right of return exists, the product is not considered consigned inventory. For direct sales to hospitals and practitioners in Germany, the obligation is met when the product is shipped. Our direct customers do not have any contractual rights of return or exchange other than for defective product or shipping error.

 

Determine the transaction price

 

DenerveX Kit:

 

The DenerveX kit consists of one Denervex handheld device, one K-Wire, one dilator, one tissue stabilizer, one portal tube and one portal driver. The product is marketed as a disposable, single-use kit which includes all of the components packaged together.

 

The transaction price for the DenerveX Kit is specifically outlined in the standardized distribution agreements for all distributors.

 

The transaction price for the DenerveX Kit is specifically outlined in the standardized sales rep agreements for all sales contractors.

 

Pro-40 Generators:

 

The DenerveX device requires a custom generator for power and cannot be used for any other purpose. For each initial order of the DenerveX Kit, a generator is provided to each customer at no charge. The Company does not recognize any revenue for the no-charge generator units. The units are removed from inventory and recognized as a cost of sales at the time of shipment. Customers may order demo generators, however, the Company charges a set price for these units.

 

Allocate the transaction price

 

In the Company’s case, all of the transaction price is recorded as revenue.

 

Recognize revenue when or as the entity satisfies a performance obligation

 

Revenue recognition occurs at the time product is shipped, FOB shipping, to all customers from the third-party distribution warehouse located in Berlin, Germany.

 

For Medovex, this is considered the point at which the customer gains control of the Denervex device and there are no remaining material performance obligations. If something abnormal were to happen to the product in transit, the matter would be handled with the carrier, however, the sale would remain intact.

 

Research and Development

 

Research and development costs are expensed as incurred.

 

Advertising

 

The Company expenses all sales and marketing costs as incurred. For the years ended December 31, 2018 and 2017, advertising costs were approximately $149,000 and $332,000, respectively.

 

Foreign Currency transactions

 

The Company transacts some of its operating activities in foreign currencies, most notably the Euro. The Company also has certain assets and liabilities denominated in foreign currencies that are translated to US Dollars for reporting purposes as of and for the year ended December 31, 2018. These amounts are immaterial and are included in other income or expense for the years ended December 31, 2018 and 2017. Because of the immaterial effect noted above, we did not present a separate statement of other comprehensive income.

 

Income Taxes

 

The Company uses the liability method of accounting for income taxes, which requires recognition of temporary differences between financial statement and income tax bases of assets and liabilities, measured by enacted tax rates. A valuation allowance is recorded to reduce deferred tax assets when necessary.

 

Stock-Based Compensation

 

The Company maintains a stock option incentive plan and accounts for stock-based compensation in accordance with ASC 718, Compensation - Stock Compensation. The Company recognizes share-based compensation expense, net of an estimated forfeiture rate, over the requisite service period of the award to employees and directors. As required by fair value provisions of share-based compensation, employee and non-employee share-based compensation expense recognized is calculated over the requisite service period of the awards and reduced for estimated forfeitures.

 

Loss per Share

 

Basic loss per share is computed on the basis of the weighted average number of shares outstanding for the reporting period. Diluted loss per share is computed on the basis of the weighted average number of common shares plus dilutive potential common shares outstanding using the treasury stock method. Any potentially dilutive securities are anti- dilutive due to the Company’s net losses. For the years presented, there is no difference between the basic and diluted net loss per share: 12,108,743 warrants and 557,282 common stock options outstanding were considered anti-dilutive and excluded for the year ended December 31, 2018. 7,402,910 warrants and 1,314,059 common stock options outstanding were considered anti-dilutive and excluded for the year ended December 31, 2017.

 

Discontinued Operations

 

As more fully described in Note 6, in May 2016, management was authorized to locate a buyer for Streamline Inc., the Company’s wholly owned subsidiary acquired in March 2015, by the Board of Directors. Streamline’s results of operations have been classified as discontinued operations for all periods presented.

 

Fair Value Measurements

 

The Company measures certain non-financial assets, liabilities, and equity issuances at fair value on a non-recurring basis. These non-recurring valuations include evaluating assets such as long-lived assets and non-amortizing intangible assets for impairment; allocating value to assets in an acquired asset group; and applying accounting for business combinations.

 

The Company uses the fair value measurement framework to value these assets and report the fair values in the periods in which they are recorded, adjusted above, or written down.

 

The fair value measurement framework includes a fair value hierarchy that prioritizes observable and unobservable inputs used to measure fair values in their broad levels. These levels from highest to lowest priority are as follows:

 

  Level 1: Quoted prices (unadjusted) in active markets that are accessible at the measurement date for identical assets or liabilities;
     
  Level 2: Quoted prices in active markets for similar assets or liabilities or observable prices that are based on inputs not quoted on active markets, but corroborated by market data; and
     
  Level 3: Unobservable inputs or valuation techniques that are used when little or no market data is available.

 

The determination of fair value and the assessment of a measurement’s placement within the hierarchy requires judgment. Level 3 valuations often involve a higher degree of judgment and complexity. Level 3 valuations may require the use of various cost, market, or income valuation methodologies applied to unobservable management estimates and assumptions. Management’s assumptions could vary depending on the asset or liability valued and the valuation method used. Such assumptions could include: estimates of prices, earnings, costs, actions of market participants, market factors, or the weighting of various valuation methods. The Company may also engage external advisors to assist us in determining fair value, as appropriate.

 

Although the Company believes that the recorded fair value of our financial instruments is appropriate, these fair values may not be indicative of net realizable value or reflective of future fair values.

 

Concentration of Credit Risk

 

Financial instruments, which potentially subject the Company to concentrations of credit risk, consist solely of cash. At times throughout the year, the Company may maintain certain US bank account balances in excess of FDIC insured limits. The Company may also maintain German bank account balances in excess of Germany’s deposit guarantee regulations within the framework of the German Banks’ Compensation Scheme. At December 31, 2018 and 2017, the Company did not have cash deposits that exceeded federally insured deposit limits in the US or Germany. The Company believes that its funds are deposited in high credit quality financial institutions. The Company has not experienced any losses in such accounts to date and believes it is not exposed to any significant credit risk associated with its cash deposits.

 

Recently Issued Accounting Pronouncements

 

The Company considers the applicability and impact of all ASUs issued, both effective and not yet effective.

 

In May 2014, the FASB issued ASU 2014-09, “Revenue Recognition - Revenue from Contracts with Customers” (ASU 2014-09) that requires companies to recognize revenue when a customer obtains control rather than when companies have transferred substantially all risks and rewards of a good or service. This update is effective for annual reporting periods beginning on or after December 15, 2017 and interim periods therein and requires expanded disclosures. The Company adopted the amendments of ASU 2014-09 effective quarter ended September 30, 2017. The adoption of this standard did not have a material impact on our consolidated financial statements.

 

In February 2016, FASB issued ASU No. 2016-02, Leases (Topic 842). The core principle of Topic 842 is that a lessee should recognize the assets and liabilities that arise from leases. ASU 2016-02 is effective for public companies for annual reporting periods beginning after December 15, 2018, and interim periods within those fiscal years. The guidance may be adopted prospectively or retrospectively and early adoption is permitted. The Company is currently assessing the impact the adoption of ASU 2016-02 will have on its consolidated financial statements.

XML 22 R10.htm IDEA: XBRL DOCUMENT v3.19.1
Inventory
12 Months Ended
Dec. 31, 2018
Inventory Disclosure [Abstract]  
Inventory

Note 3 – Inventory

 

Inventories consist only of finished goods and are valued at the lower of cost or net realizable value, using the first-in, first-out (FIFO) method.

 

Inventories consisted of the following items as of December 31, 2018, and December 31, 2017:

 

    December 31, 2018     December 31, 2017  
Split Return Electrodes   $     $ 1,868  
Denervex device     5,205       111,596  
Pro-40 generator     126,250       181,250  
Total   $ 131,455     $ 294,714  

XML 23 R11.htm IDEA: XBRL DOCUMENT v3.19.1
Property and Equipment
12 Months Ended
Dec. 31, 2018
Property, Plant and Equipment [Abstract]  
Property and Equipment

Note 4 - Property and Equipment

 

Property and equipment consists of the following:

 

    Useful Life   December 31, 2018     December 31, 2017  
Furniture and fixtures   5 years   $ 52,857     $ 67,777  
Computers and software   3 years     12,130       31,738  
Leasehold improvements   5 years           35,676  
          64,987       135,191  
Less accumulated depreciation         (34,594 )     (48,018 )
                     
Total       $ 30,393     $ 87,173  

 

Depreciation and amortization expense amounted to $23,915 and $27,100 for the years ended December 31, 2018 and 2017, respectively.

 

The Company recognized a disposal loss of $32,865 for the year ended December 31, 2018. The disposal loss was the result of the resignation of Jarrett Gorlin, the Company’s former CEO. Mr. Gorlin’s severance agreement cancelled the current lease agreement and stated all furniture and equipment located at his office would remain in his possession.

XML 24 R12.htm IDEA: XBRL DOCUMENT v3.19.1
Equity Transactions
12 Months Ended
Dec. 31, 2018
Equity [Abstract]  
Equity Transactions

Note 5 - Equity Transactions

 

Series B Preferred Stock Preferences

 

Voting Rights

 

Preferred Series B Stock holders have the right to receive notice of any meeting of holders of Common Stock or Series B Preferred Stock and to vote upon any matter submitted to a vote of the holders of Common Stock or Series B Preferred Stock. Each holder of Series B Preferred Stock shall vote on each matter submitted to them with the holders of Common Stock.

 

LIQUIDATION

 

Upon the liquidation, dissolution or winding up of the business of the Company, whether voluntary or involuntary, each holder of Series B Preferred Stock shall be entitled to receive, for each share thereof, out of assets of the Company legally available therefor, a preferential amount in cash equal to the stated value plus all accrued and unpaid dividends. All preferential amounts to be paid to the holders of Series B Preferred Stock in connection with such liquidation, dissolution or winding up shall be paid before the payment or setting apart for payment of any amount for, or the distribution of any assets of the Company’s to the holders of the Company’s Common Stock.

 

Common stock issuance

 

In November 2016, the Board authorized the issuance of shares of common stock to all Board members, both current and former, in an amount equivalent to $240,000, representing their accrued but unpaid directors’ fees as of December 31, 2016. In January 2017, the Company issued an aggregate of 173,912 shares at $1.38 per share, which was the average closing price of the Company’s stock during 2016, to fulfill this obligation. The closing price of the Company’s stock on January 17, 2017, the day the shares were issued, was $1.16 per share.

 

In August 2017, the Board authorized the issuance of shares of common stock to all Board members, both current and former, in an amount equivalent to $135,000, representing their accrued but unpaid directors’ fees as of September 30, 2017. In October 2017, the Company issued an aggregate of 115,389 shares at $1.17 per share, which was the average closing price of the Company’s stock through September 30, 2017, to fulfill this obligation. The closing price of the Company’s stock on October 30, 2017, the day the shares were issued, was $1.09 per share.

 

In August 2017, the Board authorized the issuance of up to 125,000 shares of common stock to a certain member of the Board of Directors and up to 175,000 shares of common stock to a certain consultant. At the inception of the agreement, 25% of the shares were issued to both the director and the consultant. In December 2017, 50,000 shares were issued to the consultant. In October 2018, the board member and consultant were issued an additional 75,000 vested shares. The 75,000 shares were valued at the performance completion date, August 16, 2018, at $0.32 per share, which was the closing price on that date. The Company recognized $24,000 and $115,000, respectively, in consulting expense with respect to the vested stock issuance at December 31, 2018 and 2017.

 

In October 2018, the Board authorized the issuance of shares of common stock to all Board members in an amount equivalent to $180,000, representing their accrued but unpaid directors’ fees as of September 30, 2018. Per Board resolution, the Company issued an aggregate of 320,202 shares at $0.56 per share to settle accrued unpaid director fees. The closing price of the Company’s stock on October 3, 2018, the day the shares were issued, was $0.40 per share.

 

In October 2018, the Board authorized the issuance of shares of common stock to Jarrett Gorlin in an amount equivalent to $136,000, representing 6 months’ severance pay. The Company issued an aggregate of 323,810 shares at $0.42 per share. The closing price of the Company’s stock on October 3, 2018, the day the shares were issued, was $0.40.

 

Stock-Based Compensation Plan

 

2013 Stock Option Incentive Plan

 

On October 14, 2013, shareholders approved the MedoveX Corp. 2013 Stock Incentive Plan (the “Plan”). Under the Plan, the Company may grant incentive stock options to employees and non-statutory stock options to employees, consultants, and directors for up to 1,150,000 shares of common stock. On November 10, 2016, shareholders approved a 500,000 share increase in the number of shares available for issuance under the Plan, from 1,150,000 to 1,650,000 shares. On October 28, 2017, shareholders approved a 1,000,000 share increase in the number of shares available for issuance under the Plan, from 1,650,000 to 2,650,000 shares.

 

The stock options are exercisable at a price equal to the market value on the date of the grant. The Plan gives full authority for granting options, determining the type of options granted, and determining the fair market value of the options to the Plan Administrator which is the Board of Directors.

 

The Company has the right, but not obligation, to repurchase any shares obtained through exercise of an option from terminated Plan participants. The Company has 90 days from the date of termination to exercise it’s repurchase right. The Company must pay the Fair Market Value (“FMV”) of the shares if the termination was for any reason other than for cause, or the option price (if less than FMV of the shares) if the termination is for cause. The FMV is determined by the Plan Administrator on the date of termination.

 

During 2017, the Company granted options to purchase 189,159 shares of common stock to certain employees. The options vest as follows: 25% on the date of grant and 25% on each of the next three anniversaries. The options granted were at the market value of the common stock on the date of the grant. No stock options were granted in 2018.

 

The Company utilizes the Black-Scholes valuation method to recognize compensation expense over the vesting period. The expected life represents the period that our stock-based compensation awards are expected to be outstanding.

 

The Company uses a simplified method provided in Securities and Exchange Commission release, Staff Accounting Bulletin No. 110, which averages an award’s weighted average vesting period and contractual term for “plain vanilla” share options. The expected volatility was estimated by analyzing the historic volatility of the Company’s stock and similar public biotech companies in an early stage of development.

 

No dividend payouts were assumed as the Company has not historically paid, and does not anticipate paying, dividends in the foreseeable future. The risk-free rate of return reflects the weighted average interest rate offered for US treasury rates over the expected term of the options.

 

For the years ended December 31, 2018 and 2017, the Company recognized approximately $120,000 and $683,000, respectively, as compensation expense with respect to stock options.

 

A summary of the Company’s share-based compensation activity and related information is as follows:

 

    Shares     Weighted 
Average 
Exercise 
Price
   

Weighted 
Average 
Remaining

Term 
(Years)

 
Outstanding at 12/31/2016     1,124,900     $ 2.15       9.0  
                         
Granted     189,159     $ 1.17       9.10  
Exercised                  
Cancelled                  
Outstanding at 12/31/2017     1,314,059     $ 2.01       8.19  
                         
Granted                  
Exercised                  
Cancelled     (756,777 )   $ 1.44        
Outstanding at 12/31/2018     557,282     $ 2.78       6.99  
Exercisable at 12/31/2018     469,179     $ 3.08       6.84  

 

As of December 31, 2018, there were 88,103 shares of unvested stock. Unrecognized compensation cost amounts to approximately $30,000 as of December 31, 2018 and will be recognized as an expense on a straight-line basis over a remaining weighted average service period of 1.28 years. The fair value of vested share-based compensation at December 31, 2018 and 2017 was approximately $188,000 and $544,000, respectively.

 

Private Placements

 

On February 9, 2017, the Company entered into a Unit Purchase Agreement with selected accredited investors whereby the Company had the right to sell in a private placement a minimum of $3,000,000 and up to a maximum of $5,000,000 of units. Each Unit had a purchase price of $100,000 and consisted of (i) 96,154 shares of the Company’s common stock, par value $0.001 per share at a purchase price of $1.04 per share, and (ii) a warrant to purchase 48,077 shares of common stock. Each warrant has an initial exercise price of $1.50 per share and is exercisable for a period of five (5) years from the date of issuance. Investors had the option to request shares of the Company’s Series A Convertible Preferred Stock (the “Series A Preferred Stock”) in lieu of common stock, on a basis of one share of preferred stock for every one hundred shares of common stock.

 

The offering resulted in gross proceeds of $3,022,000 and resulted in the issuance of an aggregate of 1,631,730 shares of common stock,

12,740 shares of Series A Preferred Stock and warrants to purchase 2,005,761 shares of common stock. The placement agent collected an aggregate of approximately $350,000 in fees related to the offering and warrants to purchase an aggregate of 405,577 shares of common stock at a price of $1.50 per share.

 

Each share of Series A Preferred Stock may be converted into shares of fully paid and non-assessable shares of common stock at a rate of one hundred shares of the Company’s common stock for every share of Series A Preferred Stock.

 

On July 14, 2017, the Company entered into a Securities Purchase Agreement with selected accredited investors whereby the Company

sold an aggregate of 2,956,043 shares of common stock and 1,478,022 warrants to purchase common stock. The Offering resulted in

$2,690,686 in gross proceeds to the Company. The placement agent collected $188,000 in total fees related to the offering. The common

stock shares were sold at $0.91 per share which was the closing price of the Company’s common stock on July 13, 2017, the day prior to the agreement. Each warrant has an exercise price of $1.15 and is exercisable for a period of five years commencing six months from the date of issuance.

 

On February 26, 2018, the Company entered into a securities purchase agreement with selected accredited investors whereby the Company sold an aggregate of 770,000 shares of common stock and 385,000 warrants to purchase common stock. The offering resulted in $308,000 in gross proceeds to the Company. The warrants have a five-year term commencing six months from issuance with an exercise price of $0.75. The Company allocated $52,003 to the warrants and the remainder to the issuance of the common stock based on each instruments relative fair value. The Company incurred $13,500 in legal expenses related to the offering.

 

On May 1, 2018, the Company entered into a securities purchase agreement with selected accredited investors whereby the Company offered up to $1,000,000 in units. Each unit had a purchase price of $100,000 and consisted of (i) 1,000 shares of the Company’s 5% Series B Convertible Preferred Stock (the “Series B Shares”) and (ii) warrants to purchase 250,000 shares of the Company’s common stock, par value $0.001 per share. Each Series B Share is convertible at a conversion price of $0.40 per share. The conversion price has a feature that would adjust the conversion price downward if the company issues any common stock or common stock equivalents at a price less than $0.40 per share while the Series B shares are outstanding. The market value of the common stock on the date of the agreement was $0.44. The Series B Shares initially entitled the holders to a 5% adjustable annual dividend. The Series B Shares also have a feature that provides the holder the ability to adopt more favorable terms of subsequent financings while the Series B Shares are outstanding.

 

The Warrants are exercisable for a period of three (3) years from the date of issuance at an initial exercise price of $0.75 per share subject to downward adjustment if the Company issues any common stock or common stock equivalents at a price less than $0.75 per share while the warrants are outstanding.

 

As a result of the offering, the Company sold an aggregate of 8.25 Units and issued to the Investors an aggregate of 8,250 Series B Shares and 2,062,500 warrants to purchase common stock, resulting in total $825,000 gross proceeds to the Company. The Company incurred $5,000 in legal fees related to the offering, which resulted in $820,000 net cash received from the offering. The 8,250 Series B Shares sold in the Offering are initially convertible into an aggregate of 2,062,500 shares of Common Stock.

 

Of the net proceeds in the offering of $820,000, approximately $288,000 was first allocated to the warrants issued to investors based on their relative fair value. The Company recognized a beneficial conversion feature related to the Series B Shares of approximately $373,000, which was credited to additional paid-in capital, and the residual amount of approximately $159,000 was allocated to the Series B Shares. Because the Series B Shares can immediately be converted by the holder, the discount recognized by the allocation of proceeds to the beneficial conversion feature was immediately accreted and recognized as a dividend to the preferred shareholders.

 

On August 1, 2018 the annual dividend rate on the Series B Shares was adjusted to 12%, which is equal to the same rate as the convertible debt issued in August and September 2018, pursuant to an adjustment provision in the Series B Shares which entitles the holders to receive a more beneficial annual dividend rate offered in any subsequent financings. The Company had accrued unpaid dividends in the amount of approximately $58,000 as of December 31, 2018, related to the Series B Shares.

 

On August 8, 2018, the Company completed the issuance of convertible debt at an initial conversion price of $0.40. Accordingly the exercise price on all of the warrants issued with the Series B Shares were adjusted downward to $0.40. In conjunction with the downward adjustment, the Company recorded a deemed dividend of approximately $108,000 representing the difference in the fair value of the warrants immediately before and after the adjustment to the exercise price.

 

preferred Stock Conversion

 

On March 28, 2017, 4,147 shares of Series A Preferred Stock were converted into an aggregate of 414,663 restricted shares of authorized common stock, par value $0.001 per share.

 

On April 21, 2017, 5,252 shares of Series A Preferred Stock were converted into an aggregate of 525,240 restricted shares of authorized common stock, par value $0.001 per share.

 

On March 30, 2018, 12,740 shares of Series A Preferred Stock were converted into an aggregate of 1,274,000 restricted shares of authorized common stock, par value $0.001 per share.

 

CONVERTIBLE NOTES

 

In August and September 2018, the Company entered into a securities purchase agreement with select accredited investors, whereby the Company offered up to $1,000,000 in units at a purchase price of $50,000 per unit. Each Unit consists of (i) a 12% senior secured convertible note, initially convertible into shares of the Company’s common stock, par value $0.001 per share, at a conversion price equal to the lesser of $0.40 or ninety percent (90%) of the per share purchase price of any shares of common stock or common stock equivalents issued in future private placements of equity and/or debt securities completed by the Company following this offering, and (ii) a three-year warrant to purchase such number of shares of the Company’s common stock equal to one hundred percent (100%) of the number of shares of common stock issuable upon conversion of the notes at $0.40. The Warrants are exercisable at a price equal to the lesser of $0.75 or ninety percent (90%) of the per share purchase price of any shares of common stock or common stock equivalents issued in future private placements of the debt and/or equity securities completed by the Company following the issuance of warrants. The notes are secured by all of the assets of the Company.

 

ASU 2017-11, Earnings per share (Topic 260), provided that when determining whether certain financial instruments should be classified as liability or equity instruments, a down round feature no longer precludes equity classification when assessing whether the instrument is indexed to an entity’s own stock. If a down round feature on the conversion option embedded in the note is triggered, the Company will evaluate whether a beneficial conversion feature exists, the Company will record the amount as a debt discount and will amortize it over the remaining term of the debt.

 

If the down round feature in the warrants is triggered, the Company will recognize the effect of the down round as a deemed dividend,

which will reduce the income available to common stockholders.

 

In the offering, the Company sold an aggregate of 15 units and issued to investors an aggregate of $750,000 in principal amount of convertible notes and 1,875,000 warrants to purchase common stock, resulting in total gross proceeds of $750,000 to the Company. If converted at $0.40 the convertible notes sold in the offering are convertible into an aggregate of 1,875,000 shares of common stock. The Company recorded the proceeds from the notes and the accompanying warrants, which accrete over the period the notes are outstanding, on a relative fair value basis of approximately $505,000 and $245,000, respectively. Accretion expense related to the discount on these convertible notes for the year ended December 31, 2018 was approximately $93,000. The Company recognized $33,700 in unpaid accrued interest expense related to the notes as of December 31, 2018.

 

Debt Conversion

 

Short-Term Note Payable

 

On February 9, 2017, the Company’s $1,150,000 short-term note payable was converted into an aggregate of 165,865 shares of common stock and 9,399 shares of Series A Preferred Stock and warrants, eliminating the Company’s debt obligation. The debt was converted into shares at $1.04 per share, which was the offering price of the Company’s stock in the February private placement. Each share of Series A Preferred Stock may be converted into shares of fully paid and non-assessable shares of common stock at a rate of one hundred shares of the Company’s common stock for every share of Series A Preferred Stock.

 

As consideration for converting the debt, the noteholders’ agreed to receive common stock in lieu of the 200,000 warrants to purchase common stock that were issued in conjunction with the short-term loan. As a result, the 200,000 warrants were cancelled, and the Company issued to the noteholders’ an aggregate of 200,000 shares of common stock. The closing price of the Company’s stock on February 9, 2017, the day the shares were issued, was $1.04 per share. The fair value of the common stock issued was approximately $208,000.

 

Convertible Debenture

 

On April 26, 2018, the Company’s $100,000 5% convertible debenture and unpaid accrued interest of $1,194 was converted into an aggregate of 266,301 shares of common stock, eliminating the Company’s debt obligation. The debt was converted into shares at $0.38 per share, which was 85% of the average closing price of the Company’s stock during the twenty trading days immediately preceding the delivery of the notice of conversion. The market value of the common stock on the date of the conversion was $0.40. This difference noted above lead to an immaterial amount related to a beneficial conversion feature.

 

Promissory Note

 

On March 26, 2018 the Company issued a promissory note to Steve Gorlin, father of Jarrett Gorlin, the Company’s former CEO, for the principal amount of $200,000, plus interest, at a rate of five percent per year. The outstanding principal and all accrued but unpaid interest was originally due on May 15, 2018. The Company issued warrants to purchase an aggregate of 133,333 shares of common stock par value $.001 per share in conjunction with the promissory note to Mr. Gorlin. Each warrant has an exercise price of $0.75 and is exercisable for a period of five years commencing from the date of issuance. The balance of the loan was initially recorded net of discount for the warrants of approximately $26,000, based on their relative fair value, which was being accreted to its $200,000 face amount over the period the loan was outstanding.

 

On May 15, 2018, the Company entered into a modification agreement with Steve Gorlin whereby he agreed to convert $100,000 of the $200,000 outstanding promissory note into Series B Preferred Shares. The conversion of $100,000 was converted under the terms of the May 1, 2018 securities purchase agreement. The $100,000 conversion was converted into an aggregate of 1,000 shares of the Company’s Series B Preferred Shares and 250,000 warrants to purchase common stock, eliminating $100,000 of the Company’s $200,000 debt obligation.

 

Of the converted $100,000, approximately $34,000 was first allocated to the fair value of the warrants issued in conjunction with the conversion based on their relative fair value. The Company recognized a beneficial conversion feature related to the Series B Shares of approximately $30,000, which was credited to additional paid-in capital, and the residual amount of approximately $36,000 was allocated to the Series B Shares. Because the Series B Shares can immediately be converted by the holder, the discount recognized by the allocation of proceeds to the beneficial conversion feature was immediately accreted and recognized as a deemed dividend to the preferred shareholders.

 

On August 21, 2018, the Company paid back the remaining $100,000 plus unpaid accrued interest in the amount of $2,944, eliminating the Company’s debt obligation.

XML 25 R13.htm IDEA: XBRL DOCUMENT v3.19.1
Commitments & Contingencies
12 Months Ended
Dec. 31, 2018
Commitments and Contingencies Disclosure [Abstract]  
Commitments & Contingencies

Note 6 – Commitments & Contingencies

 

Operating Leases

 

Office Space

 

Prior to the resignation of Jarrett Gorlin (“Mr. Gorlin”), the Company’s former Chief Executive Officer, the Company paid TAG Aviation (“TAG”), a company owned by Mr. Gorlin, for office space that was being used as the Company’s principal business location plus utilities (see “Related Party Transactions”) on a monthly basis. Base rental payments under the arrangement was $2,147 per month. Rent expense and utilities cost incurred by TAG amounted to approximately $34,555 for the year ended December 31, 2018, of which approximately $6,300 was included in accounts payable at December 31, 2018. Rent expense and utilities cost incurred by TAG amounted to approximately $34,600 for the years ended December 31, 2017. No future lease payments are required under this rental agreement at December 31, 2018.

 

On September 1, 2018, the Company extended the term of the lease agreement for the commercial building which originally commenced on August 1, 2015. The term of the new lease agreement is for two years four months commencing on September 1, 2018 and ending December 31, 2020. Base rent under the old lease agreement was $2,948 and base rent under the new agreement is $3,095. Total lease expense for the year ended December 31, 2018 was approximately $33,000 related to this lease, of which approximately $3,400 was included in accounts payable at December 31, 2018. Total lease expense for the year ended December 31, 2017 was approximately $35,000 related to this lease.

 

Future minimum lease payments under this rental agreement are approximately as follows:

 

For the year ended:

 

December 31, 2019     37,510  
December 31, 2020     38,635  
    $ 76,145  

 

Equipment

 

The Company had a non-cancelable 36-month operating lease agreement for equipment that was located at Mr. Gorlin’s office. The equipment remained with Mr. Gorlin after his resignation per the terms of his severance agreement. The Company has no further commitments under this operating lease agreement as of December 31, 2018.

 

Total lease expense for equipment was approximately $2,500 and $2,600, respectively, for the years ended December 31, 2018 and 2017, respectively.

 

Consulting Agreements

 

The Company has a modified agreement with Jesse Crowne, a former Director and Co-Chairman of the Board of the Company, to provide business development consulting services for a fee of $13,333 per month. The Company incurred $160,000 for the year ended December 31, 2018 related to this consulting agreement, of which $40,000 was included in accounts payable at December 31, 2018. The monthly consulting fee was increased from a rate of $9,167 beginning in January 2018. The Company incurred $110,000 for the year ended December 31, 2017, related to this consulting agreement.

 

The Company had a modified consulting agreement with a sales, marketing, and distribution consultant in Latin America at a fee of $7,000 per month through December 31, 2018. The Company terminated the agreement effective November 30, 2018. The Company incurred $77,000 for the year ending December 31, 2018, of which $14,000 was in accounts payable at December 31, 2018. The Company incurred $66,000 for the year ended December 31, 2017 related to this consulting agreement.

 

The Company had consulting agreements with a varying team of sales, marketing, and distribution consultants in Europe who provided consulting services for aggregate compensation amounting to approximately €21,000 (approximately $23,000) per month. The consulting agreements were cancelled by the Company effective November 30, 2018. The Company incurred approximately $263,000 and $238,000, respectively, for the years ended December 31, 2018 and 2017 related to these consulting agreements.

 

Generator development agreement

 

The Company is obligated to reimburse Bovie up to $295,000 for the development of the Pro-40 electrocautery generator. For the year ended December 31, 2018, the Company incurred approximately $19,000 under this agreement, of which $15,000 was included in accounts payable at December 31, 2018. For the year ended December 31, 2017, the Company incurred approximately $33,200 under this agreement. Through December 31, 2018, the Company has incurred approximately $441,000 for production services from Bovie. The original $295,000 agreement was a base number along the pathway of development. Additional requirements were incurred as the research and development process progressed and as a result certain prices increased and additional costs were incurred to further customize the DenerveX System. We are currently in production manufacturing of the generator.

 

Distribution center and logistic services agreement

 

The Company has a non-exclusive distribution center agreement with a logistics service provider in Berlin, Germany pursuant to which they manage and coordinate the DenerveX System products which the Company exports to the EU through June 2019. The Company originally paid a fixed monthly fee of €2,900 (approximately $3,500) for all accounting, customs declarations and office support, and a variable monthly fee ranging from €1,900 to €6,900 (approximately $2,300 to $8,300), based off volume of shipments, for logistics, warehousing and customer support services. Effective September 1, 2018, the fixed monthly fee was changed to €6,900 (approximately $7,900).

 

Total expenses paid for the distribution center and logistics agreement was approximately $142,000 for the year ended December 31, 2018, of which approximately $16,000 was included in accounts payable at December 31, 2018. Total expenses paid for the distribution center and logistics agreement was approximately $75,700 for the year ended December 21, 2017.

 

Co-Development Agreement

 

In September 2013, the Company executed a Co-Development Agreement with James R. Andrews, M.D. (“Dr. Andrews”) to further evaluate, test and advise on the development of products incorporating the use of the patented technology. In exchange for these services the Company was obligated to pay Dr. Andrews a royalty of 2% of revenues earned from applicable product sales over a period of 5 years. If Dr. Andrews was listed as inventor of any Improvement Patent on the DenerveX device during the 5-year term, he would have continued to receive a 1% royalty after the 2% royalty expired for the duration of the effectiveness of the Improvement Patent. The co-development agreement expired September 30, 2018.

 

The Company incurred approximately $13,000 in royalty expense under the co-development agreement for the year ended December 31, 2018, all of which is in accounts payable at December 31, 2018. The Company incurred approximately $1,000 in royalty expense under the co-development agreement for the year ended December 31, 2017, all of which was included in accounts payable at December 2017 and subsequently paid in 2018.

  

Patent Assignment and Contribution Agreements

 

On February 1, 2013, the Company issued 750,108 shares of common stock to Scott Haufe, M.D. (“Dr. Haufe”) pursuant to the terms of a Contribution and Royalty Agreement dated January 31, 2013 between the Company and Dr. Haufe. This agreement provides for the Company to pay Dr. Haufe royalties equal to 1% of revenues earned from sales of any and all products derived from the use of the DenerveX technology. Royalties are payable to Dr. Haufe within 30 days after the close of each calendar quarter based on actual cash collected from sales of applicable products. The royalty period expires on September 6, 2030.

 

The Company incurred approximately $8,700 in royalty expense under the Contribution and Royalty agreement for the year ended December 21, 2018, all of which is included in accounts payable at December 31, 2018. The Company incurred approximately $800 in royalty expense under the Contribution and Royalty agreement for the year ended December 21, 2017, all of which was included in accounts payable at December 31, 2017 and subsequently paid in 2018.

 

Streamline Inc. Asset Sale

 

The asset sale of Streamline Inc. resulted in the immediate receipt of $500,000 in cash in December 2016, and a $150,000 note receivable that was due to the Company on January 1, 2018. The $150,000 note receivable represents the non-contingent portion of the receivables due from the sale. The Company received the short-term receivable on January 2, 2018.

 

The terms of the sale also required that for each of the calendar years ending December 31, 2018 and December 31, 2019 (each such calendar year, a “Contingent Period”), a contingent payment in cash (each, a “Contingent Payment”) equal to five percent (5%) of the total net sales received by the acquiring party from the sale of “IV suspension system” products in excess of 100 units during each Contingent Period. Each such Contingent Payment is payable to the Company by the acquiring party by no later than March 31st of the subsequent year; provided, however, that the total aggregate amount of all Contingent Payments owed by the acquiring party to the Company for all Contingent Periods will not exceed $850,000. The Company is yet to receive any Contingent Payments and has no reason to expect it will receive any Contingent Payments.

 

The Company did not incur any Streamline related expenses for the year ended December 31, 2018. The Company recorded a nominal amount in Streamline related expenses for the year ended December 31, 2017.

XML 26 R14.htm IDEA: XBRL DOCUMENT v3.19.1
Short Term Liabilities
12 Months Ended
Dec. 31, 2018
Debt Disclosure [Abstract]  
Short Term Liabilities

Note 7 – Short Term Liabilities

 

Finance Agreement

 

The Company entered into a commercial insurance premium finance and security agreement in December 2017. The agreement finances the Company’s annual D&O insurance premium. Payments are due in quarterly installments of approximately $24,000 and carry an annual percentage interest rate of 5.98%.

 

The Company had paid the yearly premium in full and had no outstanding balance as of December 31, 2018 related to the agreement.

 

Promissory Notes

 

In conjunction with the consummation of the Streamline acquisition in March 2015, the Company assumed two promissory notes for approximately $135,000 and $125,000 payable to the Bank of North Dakota New Venture Capital Program and North Dakota Development Fund, both outside non-related parties. Assumption of the liabilities was not included as part of the asset purchase agreement that was executed in December 2016. Thus, the Company retained the promissory notes upon consummation of the divestiture.

 

Payments on both of the notes are due in aggregate monthly installments of approximately $5,700 and carry an interest rate of 5%. Both of the notes have a maturity date of August 1, 2019. The promissory notes had outstanding balances of approximately $103,000 and $104,000 at December 31, 2018 and December 31, 2017, respectively.

 

The Company incurred interest expense related to the notes for the years ended December 31, 2018 and 2017 in the amount of approximately $3,400 and $7,000, respectively. The Company had unpaid accrued interest in the amount of approximately $70,000 and $69,000 at December 31, 2018 and 2017, respectively, related to the notes.

 

Expected future payments related to the promissory notes as of December 31, 2018, are approximately as follows:

 

For the year ended:

 

2019     103,000  
    $ 103,000  

 

Convertible Debenture

 

On January 31, 2018, the Company issued a 5% convertible debenture in exchange for $100,000. The debenture accrued interest at 5% per annum. Principal and interest were due on January 30, 2019. The debenture was convertible at the option of the holder into shares of the Company’s common stock at a conversion rate equivalent to 85% of the average closing price of the Company’s common stock for the 20 days preceding the conversion.

 

On April 26, 2018, the convertible debenture and unpaid accrued interest was converted into an aggregate of 266,301 shares of common stock, eliminating the Company’s debt obligation (Note 5). Prior to the conversion, the Company recognized approximately $1,200 in interest expense related to the convertible debenture during the year ended December 31. 2018. The market value of the common stock on the date of the conversion was $0.40. This difference lead to an immaterial amount related to a beneficial conversion feature.

 

Convertible Notes

 

In August and September 2018, the Company entered into a securities purchase agreement with select accredited investors, whereby the Company offered up to $1,000,000 in units at a purchase price of $50,000 per unit. Each unit consists of a 12% senior secured convertible note and a three-year warrant to purchase shares of the Company’s common stock. The notes are secured by all of the assets of the Company. (See Note 5).

 

In the offering, the Company sold an aggregate of 15 units and issued to investors an aggregate of $750,000 in principal amount of convertible notes and 1,875,000 warrants to purchase common stock, resulting in total gross proceeds of $750,000 to the Company. The convertible notes sold in the offering are initially convertible into an aggregate of 1,875,000 shares of common stock but could convert into additional shares if the Company completes a down round financing during the term of the convertible notes. The Company recorded the proceeds from the notes and the accompanying warrants, which accrete over the period the notes are outstanding, on a relative fair value basis of $505,424 and $244,576, respectively. Accretion expense related to the discount on these convertible notes for the year ended December 31, 2018 was approximately $93,000. The Company recognized $33,700 in unpaid accrued interest expense related to the notes as of December 31, 2018.

XML 27 R15.htm IDEA: XBRL DOCUMENT v3.19.1
Common Stock Warrants
12 Months Ended
Dec. 31, 2018
Equity [Abstract]  
Common Stock Warrants

Note 8 – Common Stock Warrants

 

Fair value measurement valuation techniques, to the extent possible, should maximize the use of observable inputs and minimize the use of unobservable inputs. The Company’s fair value measurements of all warrants are designated as Level 1 since all of the significant inputs are observable and quoted prices used for volatility were available in an active market.

 

A summary of the Company’s warrant issuance activity and related information as of December 31, 2017 and 2016 is as follows:

 

    Shares     Weighted Average Exercise Price     Weighted Average Remaining Contractual Life  
Outstanding at 12/31/2016     3,713,542     $ 2.19       3.8  
                         
Issued     3,889,368     $ 1.37       4.3  
Cancelled     (200,000 )   $ 1.625        
Outstanding at 12/31/2017     7,402,910     $ 1.77       3.5  
                         
Issued     4,705,833       (1)(2)       2.7  
Outstanding at 12/31/2018     12,108,743     $ 1.38       2.6  
Exercisable at 12/31/2018     12,108,743     $ 1.38       2.6  

 

The fair value of all warrants issued are determined by using the Black-Scholes-Merton valuation technique and were assigned based on the relative fair value of both the common stock and the warrants issued.

 

The inputs used in the Black-Scholes-Merton valuation technique to value each of the warrants issued in 2018 as of their respective issue dates are as follows:

 

Event 
Description
  Date   MDVX 
Stock Price
    Exercise Price of Warrant     Grant Date Fair Value     Life of Warrant  

Risk Free Rate of

Return (%)

    Annualized Volatility Rate (%)  
Private placement   2/26/18   $ 0.51     $ 0.75     $ 0.20     5 years     2.60       55.91  
Short-term debt   3/26/18   $ 0.53     $ 0.75     $ 0.22     5 years     2.64       56.57  
Private placement   5/1/2018   $ 0.44       (1 )   $ 0.24     3 years     2.66       103.29  
Debt conversion   5/15/2018   $ 0.39       (1 )   $ 0.20     3 years     2.75       103.32  
Convertible notes   8/8/2018   $ 0.37       (2 )   $ 0.19     3 years     2.68       104.37  
Convertible notes   9/28/2018   $ 0.40       (2 )   $ 0.21     3 years     2.88       105.07  

 

(1)Warrants issued with the May 2018 private placement and debt conversion had an initial exercise price of $0.75 and contain a contingent feature which would adjust the exercise price of the warrant in the event the Company issues any shares of common stock or common stock equivalents in a private placement of equity or debt securities at a price less than $0.75 per share. On August 8, 2018, the Company completed the issuance of convertible debt at an initial conversion price of $0.40. Accordingly the exercise price on these warrants was adjusted downward to $0.40.

 

(2)Warrants issued with the August 8, 2018 and September 28, 2018 convertible notes have an initial exercise price of $0.75 and contain a contingent feature which would adjust the exercise price of the warrant in the event the Company issues any shares of common stock or common stock equivalents in a private placement of equity or debt securities at which 90% of the issuance price is less than $0.75.

 

The methods described above may produce a fair value calculation that may not be indicative of net realizable value or reflective of future fair values. Furthermore, the Company believes its valuation methods are appropriate and consistent with other market participants, the use of different methodologies or assumptions to determine the fair value of certain financial instruments could result in a different fair value measurement at the reporting date.

XML 28 R16.htm IDEA: XBRL DOCUMENT v3.19.1
Income Taxes
12 Months Ended
Dec. 31, 2018
Income Tax Disclosure [Abstract]  
Income Taxes

Note 9 - Income Taxes

 

The Company’s policy is to record interest and penalties on uncertain tax positions as a component of income tax expense. As of December 31, 2018, the Company has not incurred any interest or penalties relating to uncertain tax positions.

 

The Company’s evaluation was performed for the tax years ending December 31, 2017, 2016 and 2015, which remain subject to examination by major tax jurisdictions as of December 31, 2018. The Company’s tax year ending in December 31, 2014 is no longer subject to U.S. federal, state, and local, or non-US income tax examinations.

 

For the years ended December 31, 2018 and 2017, the Company has incurred net losses and, therefore, has no current income tax liability and recognized no income tax expense. The net deferred tax asset generated by these losses, which principally consist of start-up costs deferred for income tax purposes, is fully reserved as of December 31, 2018 and 2017 since it is more likely than not that the benefit will not be realized in future periods.

 

A reconciliation of the statutory federal income tax expense (benefit) to the effective tax is as follows:

 

    2018     2017  
Statutory rate – federal     21.0 %     21.0 %
State taxes, net of federal benefit     4.0       4.0  
                 
Income tax benefit     25.0 %     25.0 %
Less valuation allowance     (25.0 )     (25.0 )
Total     0.00 %     0.00 %

 

The Company’s financial statements contain certain deferred tax assets which have arisen primarily as a result of losses incurred that are considered startup costs for tax purposes, as well as net deferred income tax assets resulting from other temporary differences related to certain reserves and differences between book and tax depreciation and amortization. We record a valuation allowance against our net deferred tax assets when we determine that based on the weight of available evidence, it is more likely than not that our net deferred tax assets will not be realized.

 

In our evaluation of the weight of available evidence, the Company considered recent reported losses as negative evidence which carried substantial weight. Therefore, the Company considered evidence related to the four sources of taxable income, to determine whether such positive evidence outweighed the negative evidence associated with the losses incurred. The positive evidence considered included:

 

  taxable income in prior carryback years, if carryback is permitted under the tax law;
     
  future reversals of existing taxable temporary differences;
     
  tax planning strategies; and
     
  future taxable income exclusive of reversing temporary differences and carryforwards.

 

During fiscal 2018 and 2017, the Company weighed all available positive and negative evidence and concluded the weight of the negative evidence of a cumulative loss continued to outweigh the positive evidence. Based on the conclusions reached, the Company maintained a full valuation allowance during 2018 and 2017.

 

Deferred tax assets and liabilities consist of the following at December 31:

 

    2018     2017  
Deferred Tax Assets:                
Start-up costs   $ 6,816,896     $ 5,566,520  
Share-based compensation     243,848       238,109  
Total Deferred Tax Assets     7,060,744       5,804,629  
Valuation Allowance     (7,060,744 )     (5,804,629 )
Net Deferred Tax Asset   $     $  

 

The Company is required to file federal income tax returns and state income tax returns in the states of Florida, Georgia and Minnesota. There are no uncertain tax positions at December 31, 2018. The Company has not undergone any tax examinations since inception and is therefore not subject to examination by any applicable tax authorities.

XML 29 R17.htm IDEA: XBRL DOCUMENT v3.19.1
Related-Party Transactions
12 Months Ended
Dec. 31, 2018
Related Party Transactions [Abstract]  
Related-Party Transactions

Note 10 - Related-Party Transactions

 

Patent Assignment and Royalty Agreements

 

As described in Note 6, the Company has a Contribution and Royalty Agreement with Dr. Haufe, a former director of the Company.

 

Co-Development Agreement

 

As described in Note 6, the Company entered into a Co-Development Agreement with Dr. Andrews, a former director of the Company.

 

Operating Lease

 

As described in Note 6, the Company paid TAG, a company owned by Mr. Gorlin, for month to month rental of office space at Dekalb-Peachtree Airport in Atlanta Georgia plus cost of utilities. Rent payments under this arrangement were $2,147 per month. Rent expense and utilities cost incurred by TAG amounted to approximately $35,000 for the year ended December 31, 2018, of which approximately $6,300 was included in accounts payable at December 31, 2018. Rent expense and utilities cost incurred by TAG amounted to approximately $34,600 for the years ended December 31, 2017. No future lease payments are required under this rental agreement at December 31, 2018.

 

Consulting Expense

 

As described in Note 6, the Company paid $160,000 and $110,000, respectively, for the years ended December 31, 2018 and 2017, respectively, to Jesse Crowne, a former director and Co-Chairman of the Board of the Company, for business advisory services, of which $40,000 was included in accounts payable at December 31, 2018.

XML 30 R18.htm IDEA: XBRL DOCUMENT v3.19.1
Research and Development
12 Months Ended
Dec. 31, 2018
Research and Development [Abstract]  
Research and Development

Note 11 - Research and Development

 

Devicix Prototype Manufacturing Agreement

 

In November 2013, the Company accepted a proposal from Devicix, a Minneapolis Minnesota based FDA registered contract medical device designer and developer, to develop a commercially viable prototype of its product that could be used to receive regulatory approval from the FDA and other international agencies for use on humans to relieve pain associated with Facet Joint Syndrome.

 

During 2018, the Company incurred approximately $101,000 of expense under this agreement, with approximately $69,000 of the amount in payables at December 31, 2018. During 2017, the Company incurred approximately $302,000 of expense under this agreement, with approximately $7,000 of the amount in payables at December 31, 2017 which was subsequently paid in 2018.

 

DenerveX Generator Manufacturing Agreement

 

The DenerveX device requires a custom electrocautery generator for power. As described in Note 7, in November 2014, the Company contracted with Bovie to customize one of their existing electrocautery generators for use with DenerveX Device, and then manufacture that unit on a commercial basis once regulatory approval for the DenerveX was obtained.

 

The Bovie agreement required a base $295,000 development fee to customize the unit, plus additional amounts if further customization was deemed necessary beyond predetermined estimates.

 

The Company incurred approximately $19,000 for the year ended December 31, 2018, of which $15,000 was included in accounts payable at December 31, 2018. The Company incurred approximately $33,000 for the year ended December 31, 2017. The manufacturing agreement is complete as of December 31, 2018, and the Company does not expect to incur any more expenses related to the agreement.

 

Nortech Manufacturing Agreement

 

In November 2014, the Company selected Nortech Systems Inc. (“Nortech”), a Minneapolis, Minnesota based FDA registered contract manufacturer, to produce 315 DenerveX devices from the prototype supplied by Devicix for use in final development and clinical trials. The agreement with Nortech includes agreed upon per unit prices for delivery of the devices. Actual work on development of the final units began in November 2014.

 

The Company incurred fees of approximately $106,000 to Nortech for the year ended December 31, 2018. The Company incurred fees of approximately $146,000 to Nortech for the year ended December 31, 2017, of which $40,000 was in accounts payable at December 31, 2017.

XML 31 R19.htm IDEA: XBRL DOCUMENT v3.19.1
Liquidity, Going Concern and Management's Plans
12 Months Ended
Dec. 31, 2018
Organization, Consolidation and Presentation of Financial Statements [Abstract]  
Liquidity, Going Concern and Management's Plans

Note 12 – Liquidity, Going Concern and Management’s Plans

 

The Company incurred net losses of approximately $4,909,000 and $6,456,000 for the years ended December 31, 2018 and 2017, respectively. The Company will continue to incur losses until such time as it can sell a sufficient enough volume of the DenerveX System with margins sufficient to offset expenses.

 

To date, the Company’s primary source of funds has been from the issuance of debt and equity.

 

The Company anticipates cash expenditures will remain consistent as diminishing research and development costs will be offset by the cost of clinical trials to obtain FDA approval and moving forward with the recent commercialization of the DenerveX System. The Company expects future cash flow expenditures to increase if the FDA requires a de novo regulatory path, instead of a 510(k) approval. The Company also continues to incur similar costs as it continues to operate as a publicly traded entity.

 

Subsequent to year-end, on January 8, 2019, the Company executed the Asset Purchase Agreement with RMS, as amended, by which the Company entered into a securities purchase agreement (the “SPA”) with select accredited investors and raised an aggregate amount of $2,000,000, with $1,800,000 received in cash and $200,000 by cancellation of debt.

 

Subsequent to the consummation of the Asset Purchase Agreement with RMS, the Company has raised an additional $5,200,000 with select accredited investors under the same SPA. Through March 31, 2019 the Company has raised an aggregate of $7,200,000 in convertible note financings.

 

The financial statements do not include any adjustments to the carrying amounts of its assets or liabilities that might be necessary should the Company be unable to continue as a going concern.

XML 32 R20.htm IDEA: XBRL DOCUMENT v3.19.1
Subsequent Events
12 Months Ended
Dec. 31, 2018
Subsequent Events [Abstract]  
Subsequent Events

Note 13 - Subsequent Events

 

As previously disclosed on a Form 8-K filed on October 18, 2018, the Company entered into an Asset Purchase Agreement (the “Asset Purchase Agreement”) with Regenerative Medicine Solutions, LLC (“RMS”), Lung Institute LLC (“Lung Institute”), RMS Lung Institute Management LLC (“RMS Management”), Cognitive Health Institute Tampa, LLC (“CHIT”), RMS Shareholder, LLC (“RMS Shareholder”) and RMS Acquisition Corp. (“RMS Acquisition”) (collectively, the “Parties”). On January 8, 2019, the Parties to the Asset Purchase Agreement entered into an amendment thereto (the “APA Amendment”) to, among other things, i) update the contracts assigned to and liabilities assumed by RMS Acquisition, ii) amend the number of Series C preferred stock of the Company (the “Series C Preferred Stock”) issued to RMS Shareholder from 30,119 shares to 39,772 shares, iii) revise the lists of material contracts, real estate leases, legal proceedings, employees of RMS Management and Lung Institute Tampa, iv) state that the Company shall enter into an employment agreement with James St. Louis, v) include two additional members, Michael Yurkowsky and Raymond Monteleone, to the board of directors of the Company (the “Board”), and vi) revise the patient treatment arrangement among the Parties after closing of the Asset Purchase Agreement.

 

In connection with the Asset Purchase Agreement and APA Amendment, on January 8, 2019, RMS, Lung Institute, RMS Management, CHIT and RMS Acquisition executed an assignment and assumption agreement (the “Assignment and Assumption Agreement”), pursuant to which RMS, Lung Institute, RMS Management and CHIT assigned and transferred to RMS Acquisition all the rights and interests in the Assigned Contracts as listed in the APA Amendment and RMS Acquisition assumed all the obligations and liabilities under the Assumed Liabilities as defined in the APA Amendment.

 

On January 8, 2019, the Company executed the Asset Purchase Agreement, as amended, by which the Company entered into a securities purchase agreement (the “SPA”) with four purchasers (the “Purchasers”) pursuant to which the four Purchasers invested in the Company an aggregate amount of $2,000,000, with $1,800,000 in cash and $200,000 by cancellation of debt as explained below, in exchange for forty (40) units (the “Units”), each consisting of a convertible note (the “Convertible Note”) with the principal amount of $50,000 and a warrant (the “Warrant”) to purchase common stock (the “Common Stock”) of the Company.

 

Pursuant to this SPA, the Company initially offered a minimum of $1,000,000 and a maximum of $6,000,000, and subsequently increased to a maximum of $8,000,000 (the “Maximum Amount”) of Units at a price of $50,000 per Unit until the earlier of i) the closing of the subscription of the Maximum Amount and ii) March 31, 2019 (the “Termination Date”), subject to the Company’s earlier termination at its discretion. The SPA includes the customary representations and warranties from the Company and purchasers. Steve Gorlin, the Company’s former Chairman of the Board, converted a $200,000 promissory note owed to him by the Company in exchange for four (4) Units on the same terms as all other Purchasers. Each Convertible Note offered by the Company as part of the Unit bears an interest rate of 12% per annum, has a principal amount of $50,000, shall mature in one year from the original issue date on January 8, 2019, and will be convertible into shares of Common Stock at a price of $0.40 subject to adjustment stated in the Convertible Note. Pursuant to the terms of the Convertible Note, each holder of the Convertible Notes shall not own more than 4.99% of the number of shares of Common Stock outstanding immediately after giving effect to the issuance of Common Stock issuable upon exercise of such Convertible Note. Upon default, the penalty interest rate of the Convertible Note shall rise to 18% per annum. In addition, pursuant to the SPA, the Company offers, as part of the Unit, Warrants to purchase the Common Stock at a price of $0.75 per share (the “Exercise Price”), subject to adjustments stated therein. The holder of each Warrant may purchase the number of shares of Common Stock equal to the number of shares of Common Stock issuable upon conversion of each Convertible Note while the Warrant is exercisable. The Warrants have a term of three years and shall be exercised in cash or on a cashless basis as described in the Warrant.

 

In March 2018, the Company issued RMS the 39,772,498 shares of Common Stock upon the Conversion of the 39,772 shares of Series C Preferred Stock. The Company also issued RMS an additional 11,152,778 shares of Common Stock to RMS to compensate it for the additional dilution occurred in the recent financing.

 

Through March 31, 2019, the Company has entered into other SPA’s under the same terms with additional purchasers, which has brought the aggregate principal amount of capital raised in the offerings to $7,200,000, as of that date.

XML 33 R21.htm IDEA: XBRL DOCUMENT v3.19.1
Summary of Significant Accounting Policies (Policies)
12 Months Ended
Dec. 31, 2018
Accounting Policies [Abstract]  
Basis of Presentation and Principles of Consolidation

Basis of Presentation And Principles of Consolidation

 

The accompanying consolidated financial statements include the accounts of MedoveX Corp., its wholly-owned subsidiary, Debride, as well as its wholly owned subsidiary, Streamline Inc. (“Streamline”). All intercompany accounts and transactions have been eliminated in consolidation.

Use of Estimates

Use of Estimates

 

In preparing the financial statements, generally accepted accounting principles in the United States (“U.S. GAAP”) requires disclosure regarding estimates and assumptions used by management that affect the amounts reported in financial statements and accompanying notes. Actual results could differ from those estimates.

Cash

Cash

 

The Company considers all highly liquid investments with original maturities of three months or less to be cash equivalents. The Company’s cash balances at December 31, 2018 and 2017 consists of funds deposited in checking accounts with commercial banks.

Accounts Receivable, Sales Returns, Discounts and Allowances

Accounts Receivable, Sales Returns, Discounts and Allowances

 

Accounts receivable primarily represent amounts due from customers for which revenue has been recognized. Generally, the Company does not require collateral or any other security to support its receivables.

 

The Company records estimated sales returns, discounts and allowances as a reduction of net sales in the same period revenue is recognized. The allowance is estimated for trade accounts receivable based on the expected collectability of accounts receivable after considering the Company’s historical collection experience and the length of time an account is outstanding. The adequacy of this allowance is reviewed each reporting period and adjusted as necessary. As the Company only commenced sales in July 2017, all outstanding trade receivables were deemed collectable, thus, no allowance for doubtful accounts was recorded at December 31, 2018 and 2017.

Inventory

Inventory

 

Inventories consist of only finished goods and are valued at the lower of cost or net realizable value, using the first-in, first-out (FIFO) method.

Property and Equipment

Property and Equipment

 

Property and equipment are stated at cost and are depreciated using the straight-line method over the estimated useful lives of the related assets, generally three to five years. Repairs and maintenance are expensed as incurred. Improvements and betterments, which extend the lives of the assets, are capitalized.

Other Payables

Other Payables

 

Other payables include value added tax (VAT) owed to the German tax authority. As a part conducting business in the European Union (“EU”), the Company’s sales transactions are taxed based on the value of the product. At the end of each reporting period, the Company calculates the value of all taxable sales then subtracts the sum of all taxable purchases and the VAT rate is applied to the difference.

Leases

Leases

 

The Company recognizes rent expense on a straight-line basis over the term of the lease. The lease term commences on the date the Company takes possession of or controls the physical use of the property. Deferred rent is included in non-current liabilities on the balance sheet.

Revenue Recognition

Revenue Recognition

 

The Company has adopted the new 5-step revenue recognition process as promulgated by ASC 606, Revenue from Contracts with Customers (Topic 606), the core principle of which necessitates companies to recognize revenue when a customer obtains control rather than when companies have transferred substantially all risks and rewards of a good or service. The early adoption of ASC 606 was completed as of September 30, 2017, which was in the first year the Company generated revenue. The early adoption did not have any retrospective effect on prior year.

 

Identify the contract with the customer

 

Medovex has two types of customers: distributors, and individual customers.

 

Distributors:

 

The Company has distribution agreements with distributors located in Italy, Austria, Colombia, Scandinavia, Brazil, Israel, Australia, Turkey, Spain, Switzerland, Chile, Taiwan, Poland, Slovakia, the Czech Republic and the United Kingdom. For each distributor, a standardized distribution agreement is executed and is the definitive contract between the Company and the customer. Each distribution agreement details the pricing, order placement, stocking requirements, terms of payment, and shipping terms under which the DenerveX System will be shipped to the distributor. The distributor places orders for additional product, but all these orders are subject to the terms of the Distribution Agreement.

 

Direct Customers:

 

In Germany, all customers are direct hospitals and individual practitioners. Sales in Germany are solicited by and placed with third party contractors on behalf of Medovex. Medovex has sales agreements with each third party sales representative selling the DenerveX System. Each sales agreement details the price at which the DenerveX System must be sold to the customer. A purchase order from the customer is required before the Company will ship product to the customer. This purchase order contains all the terms and conditions of the sale and is considered the definitive contract for this type of sale.

 

Identify the performance obligation in the contract

 

Distributors, who sell the DenerveX System to their customers or sub-distributors, contractually take title to the products and assume all risks of ownership at the time of shipment. The Company has no further obligations once the product is shipped. Stocking distributors are obligated to pay the Company the contractually agreed upon invoice price within specified terms regardless of when, if ever, they sell the products. Since no right of return exists, the product is not considered consigned inventory. For direct sales to hospitals and practitioners in Germany, the obligation is met when the product is shipped. Our direct customers do not have any contractual rights of return or exchange other than for defective product or shipping error.

 

Determine the transaction price

 

DenerveX Kit:

 

The DenerveX kit consists of one Denervex handheld device, one K-Wire, one dilator, one tissue stabilizer, one portal tube and one portal driver. The product is marketed as a disposable, single-use kit which includes all of the components packaged together.

 

The transaction price for the DenerveX Kit is specifically outlined in the standardized distribution agreements for all distributors.

 

The transaction price for the DenerveX Kit is specifically outlined in the standardized sales rep agreements for all sales contractors.

 

Pro-40 Generators:

 

The DenerveX device requires a custom generator for power and cannot be used for any other purpose. For each initial order of the DenerveX Kit, a generator is provided to each customer at no charge. The Company does not recognize any revenue for the no-charge generator units. The units are removed from inventory and recognized as a cost of sales at the time of shipment. Customers may order demo generators, however, the Company charges a set price for these units.

 

Allocate the transaction price

 

In the Company’s case, all of the transaction price is recorded as revenue.

 

Recognize revenue when or as the entity satisfies a performance obligation

 

Revenue recognition occurs at the time product is shipped, FOB shipping, to all customers from the third-party distribution warehouse located in Berlin, Germany.

 

For Medovex, this is considered the point at which the customer gains control of the Denervex device and there are no remaining material performance obligations. If something abnormal were to happen to the product in transit, the matter would be handled with the carrier, however, the sale would remain intact.

Research and Development

Research and Development

 

Research and development costs are expensed as incurred.

Advertising

Advertising

 

The Company expenses all sales and marketing costs as incurred. For the years ended December 31, 2018 and 2017, advertising costs were approximately $149,000 and $332,000, respectively.

Foreign Currency Transactions

Foreign Currency transactions

 

The Company transacts some of its operating activities in foreign currencies, most notably the Euro. The Company also has certain assets and liabilities denominated in foreign currencies that are translated to US Dollars for reporting purposes as of and for the year ended December 31, 2018. These amounts are immaterial and are included in other income or expense for the years ended December 31, 2018 and 2017. Because of the immaterial effect noted above, we did not present a separate statement of other comprehensive income.

Income Taxes

Income Taxes

 

The Company uses the liability method of accounting for income taxes, which requires recognition of temporary differences between financial statement and income tax bases of assets and liabilities, measured by enacted tax rates. A valuation allowance is recorded to reduce deferred tax assets when necessary.

Stock-Based Compensation

Stock-Based Compensation

 

The Company maintains a stock option incentive plan and accounts for stock-based compensation in accordance with ASC 718, Compensation - Stock Compensation. The Company recognizes share-based compensation expense, net of an estimated forfeiture rate, over the requisite service period of the award to employees and directors. As required by fair value provisions of share-based compensation, employee and non-employee share-based compensation expense recognized is calculated over the requisite service period of the awards and reduced for estimated forfeitures.

Loss Per Share

Loss per Share

 

Basic loss per share is computed on the basis of the weighted average number of shares outstanding for the reporting period. Diluted loss per share is computed on the basis of the weighted average number of common shares plus dilutive potential common shares outstanding using the treasury stock method. Any potentially dilutive securities are anti- dilutive due to the Company’s net losses. For the years presented, there is no difference between the basic and diluted net loss per share: 12,108,743 warrants and 557,282 common stock options outstanding were considered anti-dilutive and excluded for the year ended December 31, 2018. 7,402,910 warrants and 1,314,059 common stock options outstanding were considered anti-dilutive and excluded for the year ended December 31, 2017.

Discontinued Operations

Discontinued Operations

 

As more fully described in Note 6, in May 2016, management was authorized to locate a buyer for Streamline Inc., the Company’s wholly owned subsidiary acquired in March 2015, by the Board of Directors. Streamline’s results of operations have been classified as discontinued operations for all periods presented.

Fair Value Measurements

Fair Value Measurements

 

The Company measures certain non-financial assets, liabilities, and equity issuances at fair value on a non-recurring basis. These non-recurring valuations include evaluating assets such as long-lived assets and non-amortizing intangible assets for impairment; allocating value to assets in an acquired asset group; and applying accounting for business combinations.

 

The Company uses the fair value measurement framework to value these assets and report the fair values in the periods in which they are recorded, adjusted above, or written down.

 

The fair value measurement framework includes a fair value hierarchy that prioritizes observable and unobservable inputs used to measure fair values in their broad levels. These levels from highest to lowest priority are as follows:

 

  Level 1: Quoted prices (unadjusted) in active markets that are accessible at the measurement date for identical assets or liabilities;
     
  Level 2: Quoted prices in active markets for similar assets or liabilities or observable prices that are based on inputs not quoted on active markets, but corroborated by market data; and
     
  Level 3: Unobservable inputs or valuation techniques that are used when little or no market data is available.

 

The determination of fair value and the assessment of a measurement’s placement within the hierarchy requires judgment. Level 3 valuations often involve a higher degree of judgment and complexity. Level 3 valuations may require the use of various cost, market, or income valuation methodologies applied to unobservable management estimates and assumptions. Management’s assumptions could vary depending on the asset or liability valued and the valuation method used. Such assumptions could include: estimates of prices, earnings, costs, actions of market participants, market factors, or the weighting of various valuation methods. The Company may also engage external advisors to assist us in determining fair value, as appropriate.

 

Although the Company believes that the recorded fair value of our financial instruments is appropriate, these fair values may not be indicative of net realizable value or reflective of future fair values.

Goodwill and Impairment of Long-lived Assets

Goodwill And Impairment of Long-Lived Assets

 

Goodwill is the excess of the purchase price over the fair value of net assets of acquired businesses. Goodwill is tested for impairment annually or whenever an event occurs or circumstances change that would indicate that the carrying amount may be impaired. The test for impairment requires us to make several estimates about fair value. Our estimates associated with the goodwill impairment test are considered critical due to the amount of goodwill recorded on our consolidated balance sheets and the judgment required in determining fair value.

 

Other intangible assets include trademarks and purchased technology. Intangible assets with a definite life are amortized on a straight-line basis, as appropriate, with estimated useful lives ranging from five to seven years, and are tested for impairment whenever events or changes in circumstances indicate that the carrying amount of an intangible asset may not be recoverable.

 

Definite-lived intangible assets are tested for impairment annually or whenever events or changes in circumstances indicate that the carrying amount of an intangible asset may not be recoverable.

Concentration of Credit Risk

Concentration of Credit Risk

 

Financial instruments, which potentially subject the Company to concentrations of credit risk, consist solely of cash. At times throughout the year, the Company may maintain certain US bank account balances in excess of FDIC insured limits. The Company may also maintain German bank account balances in excess of Germany’s deposit guarantee regulations within the framework of the German Banks’ Compensation Scheme. At December 31, 2018 and 2017, the Company did not have cash deposits that exceeded federally insured deposit limits in the US or Germany. The Company believes that its funds are deposited in high credit quality financial institutions. The Company has not experienced any losses in such accounts to date and believes it is not exposed to any significant credit risk associated with its cash deposits.

Recently Issued Accounting Pronouncements

Recently Issued Accounting Pronouncements

 

The Company considers the applicability and impact of all ASUs issued, both effective and not yet effective.

 

In May 2014, the FASB issued ASU 2014-09, “Revenue Recognition - Revenue from Contracts with Customers” (ASU 2014-09) that requires companies to recognize revenue when a customer obtains control rather than when companies have transferred substantially all risks and rewards of a good or service. This update is effective for annual reporting periods beginning on or after December 15, 2017 and interim periods therein and requires expanded disclosures. The Company adopted the amendments of ASU 2014-09 effective quarter ended September 30, 2017. The adoption of this standard did not have a material impact on our consolidated financial statements.

 

In February 2016, FASB issued ASU No. 2016-02, Leases (Topic 842). The core principle of Topic 842 is that a lessee should recognize the assets and liabilities that arise from leases. ASU 2016-02 is effective for public companies for annual reporting periods beginning after December 15, 2018, and interim periods within those fiscal years. The guidance may be adopted prospectively or retrospectively and early adoption is permitted. The Company is currently assessing the impact the adoption of ASU 2016-02 will have on its consolidated financial statements.

XML 34 R22.htm IDEA: XBRL DOCUMENT v3.19.1
Inventory (Tables)
12 Months Ended
Dec. 31, 2018
Inventory Disclosure [Abstract]  
Schedule of Inventory

Inventories consisted of the following items as of December 31, 2018, and December 31, 2017:

 

    December 31, 2018     December 31, 2017  
Split Return Electrodes   $     $ 1,868  
Denervex device     5,205       111,596  
Pro-40 generator     126,250       181,250  
Total   $ 131,455     $ 294,714  

XML 35 R23.htm IDEA: XBRL DOCUMENT v3.19.1
Property and Equipment (Tables)
12 Months Ended
Dec. 31, 2018
Property, Plant and Equipment [Abstract]  
Schedule of Property and Equipment

Property and equipment consists of the following:

 

    Useful Life   December 31, 2018     December 31, 2017  
Furniture and fixtures   5 years   $ 52,857     $ 67,777  
Computers and software   3 years     12,130       31,738  
Leasehold improvements   5 years           35,676  
          64,987       135,191  
Less accumulated depreciation         (34,594 )     (48,018 )
                     
Total       $ 30,393     $ 87,173  

XML 36 R24.htm IDEA: XBRL DOCUMENT v3.19.1
Equity Transactions (Tables)
12 Months Ended
Dec. 31, 2018
Nonmonetary Transactions [Abstract]  
Summary of Share-based Compensation Activity

A summary of the Company’s share-based compensation activity and related information is as follows:

 

    Shares     Weighted 
Average 
Exercise 
Price
   

Weighted 
Average 
Remaining

Term 
(Years)

 
Outstanding at 12/31/2016     1,124,900     $ 2.15       9.0  
                         
Granted     189,159     $ 1.17       9.10  
Exercised                  
Cancelled                  
Outstanding at 12/31/2017     1,314,059     $ 2.01       8.19  
                         
Granted                  
Exercised                  
Cancelled     (756,777 )   $ 1.44        
Outstanding at 12/31/2018     557,282     $ 2.78       6.99  
Exercisable at 12/31/2018     469,179     $ 3.08       6.84  

XML 37 R25.htm IDEA: XBRL DOCUMENT v3.19.1
Commitments & Contingencies (Tables)
12 Months Ended
Dec. 31, 2018
Commitments and Contingencies Disclosure [Abstract]  
Schedule of Operating Leases

Future minimum lease payments under this rental agreement are approximately as follows:

 

For the year ended:

 

December 31, 2019     37,510  
December 31, 2020     38,635  
    $ 76,145  

XML 38 R26.htm IDEA: XBRL DOCUMENT v3.19.1
Short Term Liabilities (Tables)
12 Months Ended
Dec. 31, 2018
Debt Disclosure [Abstract]  
Schedule of Future Payments Related to the Promissory Notes

Expected future payments related to the promissory notes as of December 31, 2018, are approximately as follows:

 

For the year ended:

 

2019     103,000  
    $ 103,000  

XML 39 R27.htm IDEA: XBRL DOCUMENT v3.19.1
Common Stock Warrants (Tables)
12 Months Ended
Dec. 31, 2018
Equity [Abstract]  
Summary of Warrant Activity

A summary of the Company’s warrant issuance activity and related information as of December 31, 2017 and 2016 is as follows:

 

    Shares     Weighted Average Exercise Price     Weighted Average Remaining Contractual Life  
Outstanding at 12/31/2016     3,713,542     $ 2.19       3.8  
                         
Issued     3,889,368     $ 1.37       4.3  
Cancelled     (200,000 )   $ 1.625        
Outstanding at 12/31/2017     7,402,910     $ 1.77       3.5  
                         
Issued     4,705,833       (1)(2)       2.7  
Outstanding at 12/31/2018     12,108,743     $ 1.38       2.6  
Exercisable at 12/31/2018     12,108,743     $ 1.38       2.6  

Schedule of Assumptions for Warrants

The inputs used in the Black-Scholes-Merton valuation technique to value each of the warrants issued in 2018 as of their respective issue dates are as follows:

 

Event 
Description
  Date   MDVX 
Stock Price
    Exercise Price of Warrant     Grant Date Fair Value     Life of Warrant  

Risk Free Rate of

Return (%)

    Annualized Volatility Rate (%)  
Private placement   2/26/18   $ 0.51     $ 0.75     $ 0.20     5 years     2.60       55.91  
Short-term debt   3/26/18   $ 0.53     $ 0.75     $ 0.22     5 years     2.64       56.57  
Private placement   5/1/2018   $ 0.44       (1 )   $ 0.24     3 years     2.66       103.29  
Debt conversion   5/15/2018   $ 0.39       (1 )   $ 0.20     3 years     2.75       103.32  
Convertible notes   8/8/2018   $ 0.37       (2 )   $ 0.19     3 years     2.68       104.37  
Convertible notes   9/28/2018   $ 0.40       (2 )   $ 0.21     3 years     2.88       105.07  

 

(1)Warrants issued with the May 2018 private placement and debt conversion had an initial exercise price of $0.75 and contain a contingent feature which would adjust the exercise price of the warrant in the event the Company issues any shares of common stock or common stock equivalents in a private placement of equity or debt securities at a price less than $0.75 per share. On August 8, 2018, the Company completed the issuance of convertible debt at an initial conversion price of $0.40. Accordingly the exercise price on these warrants was adjusted downward to $0.40.

 

(2)Warrants issued with the August 8, 2018 and September 28, 2018 convertible notes have an initial exercise price of $0.75 and contain a contingent feature which would adjust the exercise price of the warrant in the event the Company issues any shares of common stock or common stock equivalents in a private placement of equity or debt securities at which 90% of the issuance price is less than $0.75.

XML 40 R28.htm IDEA: XBRL DOCUMENT v3.19.1
Income Taxes (Tables)
12 Months Ended
Dec. 31, 2018
Income Tax Disclosure [Abstract]  
Schedule of Components of Income Tax Expense (Benefit)

A reconciliation of the statutory federal income tax expense (benefit) to the effective tax is as follows:

 

    2018     2017  
Statutory rate – federal     21.0 %     21.0 %
State taxes, net of federal benefit     4.0       4.0  
                 
Income tax benefit     25.0 %     25.0 %
Less valuation allowance     (25.0 )     (25.0 )
Total     0.00 %     0.00 %

Schedule of Deferred Tax Assets and Liabilities

Deferred tax assets and liabilities consist of the following at December 31:

 

    2018     2017  
Deferred Tax Assets:                
Start-up costs   $ 6,816,896     $ 5,566,520  
Share-based compensation     243,848       238,109  
Total Deferred Tax Assets     7,060,744       5,804,629  
Valuation Allowance     (7,060,744 )     (5,804,629 )
Net Deferred Tax Asset   $     $  

XML 41 R29.htm IDEA: XBRL DOCUMENT v3.19.1
Organization (Details Narrative)
12 Months Ended
Dec. 31, 2018
State of incorporation Nevada
Date of incorporation Jul. 30, 2013
Debride Inc. [Member]  
State of incorporation Florida
Date of incorporation Oct. 01, 2012
XML 42 R30.htm IDEA: XBRL DOCUMENT v3.19.1
Summary of Significant Accounting Policies (Details Narrative) - USD ($)
12 Months Ended
Dec. 31, 2018
Dec. 31, 2017
Allowance for doubtful accounts
Advertising costs $ 149,000 $ 332,000
Warrant [Member]    
Antidilutive securities excluded from computation of earnings per shares 12,108,743 7,402,910
Common Stock [Member]    
Antidilutive securities excluded from computation of earnings per shares 557,282 1,314,059
Minimum [Member]    
Property plant and equipment useful life 3 years  
Maximum [Member]    
Property plant and equipment useful life 5 years  
XML 43 R31.htm IDEA: XBRL DOCUMENT v3.19.1
Inventory - Schedule of Inventory (Details) - USD ($)
Dec. 31, 2018
Dec. 31, 2017
Inventory $ 131,455 $ 294,714
Split Return Electrodes [Member]    
Inventory 1,868
Denervex Device [Member]    
Inventory 5,205 111,596
Pro-40 Generator [Member]    
Inventory $ 126,250 $ 181,250
XML 44 R32.htm IDEA: XBRL DOCUMENT v3.19.1
Property and Equipment (Details Narrative) - USD ($)
12 Months Ended
Dec. 31, 2018
Dec. 31, 2017
Property, Plant and Equipment [Abstract]    
Depreciation and amortization $ 23,915 $ 27,100
Loss on asset disposal $ 32,865
XML 45 R33.htm IDEA: XBRL DOCUMENT v3.19.1
Property and Equipment - Schedule of Property and Equipment (Details) - USD ($)
12 Months Ended
Dec. 31, 2018
Dec. 31, 2017
Property and equipment $ 64,987 $ 135,191
Less accumulated depreciation (34,594) (48,018)
Property and Equipment, net 30,393 87,173
Furniture and Fixtures [Member]    
Property and equipment $ 52,857 67,777
Useful Life 5 years  
Computers and Software [Member]    
Property and equipment $ 12,130 31,738
Useful Life 3 years  
Leasehold Improvements [Member]    
Property and equipment $ 35,676
Useful Life 5 years  
XML 46 R34.htm IDEA: XBRL DOCUMENT v3.19.1
Equity Transactions (Details Narrative) - USD ($)
1 Months Ended 12 Months Ended
Aug. 08, 2018
Aug. 02, 2018
May 15, 2018
May 01, 2018
Apr. 26, 2018
Mar. 30, 2018
Mar. 26, 2018
Feb. 26, 2018
Jul. 14, 2017
Apr. 21, 2017
Mar. 28, 2017
Feb. 09, 2017
Oct. 14, 2013
Oct. 30, 2018
Sep. 30, 2018
Aug. 31, 2018
Aug. 31, 2017
Aug. 30, 2017
Jan. 31, 2017
Nov. 30, 2016
Dec. 31, 2018
Dec. 31, 2017
Oct. 03, 2018
Sep. 28, 2018
Aug. 21, 2018
Aug. 16, 2018
Oct. 28, 2017
Jan. 17, 2017
Nov. 10, 2016
Number of shares issued                           320,202   75,000                          
Shares issued price per share                           $ 0.56                 $ 0.40     $ 0.32   $ 1.16  
Proceeds from issuance of common stock $ 108,000                         $ 180,000             $ 774,502 $ 3,838,671              
Consulting expenses                                         $ 24,000 115,000              
Non vested options outstanding                                         88,103                
Unrecognized stock-based compensation                                         $ 30,000                
Weighted average period                                         1 year 3 months 11 days                
Stock based compensation vested amount                                         $ 188,000 $ 544,000              
Common stock par value           $ 0.001       $ 0.001 $ 0.001                   $ 0.001 $ 0.001              
Legal expenses                                         $ 13,500                
Common stock conversion price, per share $ 0.40                                                        
Proceeds from issuance of warrants                                         610,220 $ 1,248,575              
Unpaid accrued interest                                                 $ 100,000        
Debt conversion of convertible debt     $ 100,000                                     145,919              
Debt principal amount                                         $ 103,000 $ 104,000              
Debt obligations                                                 $ 2,944        
Series B [Member]                                                          
Number of warrants issued to purchase common shares     250,000                                                    
Beneficial conversion feature of preferred stock     $ 30,000                                                    
Debt conversion, shares     1,000                                                    
Debt conversion of convertible debt     $ 36,000                                                    
Debt obligations     200,000                                                    
Short-term Note Payable [Member]                                                          
Common stock conversion price, per share                       $ 1.04                                  
Short-term note payable                       $ 1,150,000                                  
5% Convertible Debenture [Member]                                                          
Common stock conversion price, per share         $ 0.38                               $ 0.40                
Conversion of common stock, percentage         85.00%                                                
Debt conversion, shares         266,301                                                
Unpaid accrued interest         $ 1,194                                                
Debt conversion of convertible debt         $ 100,000                                                
Restricted Common Stock [Member]                                                          
Conversion of stock shares converted           1,274,000       525,240 414,663                                    
Series A Preferred Stock [Member]                                                          
Conversion of stock shares converted           12,740       5,252 4,147                                    
Series B Convertible Preferred Stock [Member]                                                          
Dividend rate   12.00%                                                      
Debt conversion of convertible debt     100,000                                                    
Common Stock [Member]                                                          
Number of common stock shares issued for services                                         320,202                
Conversion of stock shares converted         266,301                                 414,663              
Debt conversion, shares                                           165,865              
Debt conversion of convertible debt                                           $ 166              
Common Stock [Member] | Short-term Note Payable [Member]                                                          
Conversion of stock shares converted                       165,865                                  
Warrant [Member]                                                          
Warrant, exercise price 0.75                                             $ 0.75          
Common stock conversion price, per share 0.40                                                        
Debt conversion of convertible debt     34,000                                                    
Series A Preferred Stock and Warrant [Member] | Short-term Note Payable [Member]                                                          
Conversion of stock shares converted                       9,399                                  
Promissory Note [Member]                                                          
Common stock par value             $ .001                                            
Number of warrants issued to purchase common shares             133,333                                            
Warrant, exercise price             $ 0.75                                            
Debt conversion of convertible debt     200,000                                                    
Debt principal amount             $ 200,000                           $ 200,000                
Debt maturity date             May 15, 2018                                            
Loan balance                                         26,000                
Unit Purchase Agreement [Member]                                                          
Number of shares issued                       96,154                                  
Shares issued price per share                       $ 1.04                                  
Number of option granted to purchase                       100,000                                  
Proceeds from issuance of private placement                                         $ 3,022,000                
Common stock par value                       $ 0.001                                  
Number of warrants issued to purchase common shares                       48,077                 2,005,761                
Warrant, exercise price                       $ 1.50                                  
Warrant term                       5 years                                  
Unit Purchase Agreement [Member] | Series A Preferred Stock [Member]                                                          
Number of shares issued                                         12,740                
Unit Purchase Agreement [Member] | Common Stock [Member]                                                          
Number of shares issued                                         1,631,730                
Securities Purchase Agreement [Member]                                                          
Proceeds from issuance of private placement                 $ 2,690,686                                        
Number of warrants issued to purchase common shares                 1,478,022                                        
Warrant, exercise price                 $ 1.15                                        
Warrant term                 5 years                                        
Private placement fees relating to offering                 $ 188,000                                        
Number of common stock shares sold, value                 $ 2,956,043                                        
Sale of stock price per share                 $ 0.91                                        
Securities Purchase Agreement [Member] | Accredited Investors [Member]                                                          
Proceeds from issuance of common stock       $ 100,000                                                  
Common stock issued percentage                             100.00% 100.00%                          
Proceeds from issuance of private placement               $ 308,000                                          
Common stock par value                             $ 0.001 $ 0.001                          
Number of common stock shares sold               770,000                         8.25                
Number of warrants issued to purchase common shares               385,000                         2,062,500                
Warrant, exercise price       $ 0.75       $ 0.75             $ 0.75 $ 0.75                          
Warrant term       3 years       5 years             3 years 3 years                          
Number of common stock shares sold, value       $ 1,000,000                     $ 1,000,000 $ 1,000,000                          
Sale of stock price per share                             $ 50,000 $ 50,000                          
Allocation of warrants               52,003                                          
Legal expenses               $ 13,500                         $ 5,000                
Common stock conversion price, per share                             $ 0.40 $ 0.40                          
Proceeds from issuance of warrants                                         825,000                
Net cash received from offering                                         $ 820,000                
Conversion of common stock, percentage                             12.00% 12.00%                          
Purchase price of common stock percentage                             90.00% 90.00%                          
Securities Purchase Agreement [Member] | Investors [Member]                                                          
Number of common stock shares sold                                         15                
Number of warrants issued to purchase common shares                                         1,875,000                
Number of common stock shares sold, value                                         $ 750,000                
Common stock conversion price, per share                                         $ 0.40                
Proceeds from issuance of warrants                                         $ 750,000                
Debt conversion, shares                                         1,875,000                
Fair value of warrants                                         $ 505,000                
Proceeds from notes                                         245,000                
Accretion expense                                         93,000                
Unpaid accrued interest                                         $ 33,700                
Securities Purchase Agreement [Member] | Series B Convertible Preferred Stock [Member] | Accredited Investors [Member]                                                          
Number of shares issued                                         159,000                
Number of common stock shares sold       1,000                                 8,250                
Dividend rate       5.00%                                                  
Conversion of stock shares converted                                         2,062,500                
Beneficial conversion feature of preferred stock                                         $ 373,000                
Unpaid dividends                                         $ 58,000                
Securities Purchase Agreement [Member] | Common Stock [Member] | Accredited Investors [Member]                                                          
Number of warrants issued to purchase common shares       250,000                                                  
Warrant, exercise price       $ 0.001                                                  
Common stock conversion price, per share       0.40                                                  
Market value of common stock       $ 0.44                                                  
Securities Purchase Agreement [Member] | Warrant [Member] | Accredited Investors [Member]                                                          
Number of warrants issued to purchase common shares                                         288,000                
May 1, 2018 Securities Purchase Agreement [Member]                                                          
Debt conversion of convertible debt     $ 100,000                                                    
Maximum [Member] | Warrant [Member]                                                          
Warrant, exercise price $ 0.75                                             $ 0.75          
Maximum [Member] | Unit Purchase Agreement [Member]                                                          
Proceeds from issuance of private placement                       $ 5,000,000                                  
Minimum [Member] | Unit Purchase Agreement [Member]                                                          
Proceeds from issuance of private placement                       3,000,000                                  
2013 Stock Option Incentive Plan [Member]                                                          
Stock options authorized incentive plan                                                     1,000,000   500,000
Compensation expense                                         $ 120,000 $ 683,000              
2013 Stock Option Incentive Plan [Member] | Maximum [Member]                                                          
Shares available for grant                                                     2,650,000   1,650,000
2013 Stock Option Incentive Plan [Member] | Minimum [Member]                                                          
Shares available for grant                                                     1,650,000   1,150,000
Board of Directors [Member]                                                          
Number of common stock issued value                                       $ 240,000                  
Number of shares issued                                     173,912                    
Shares issued price per share                                     $ 1.38                    
Number of common stock shares issued for services                                   125,000                      
Common stock issued percentage                                   25.00%                      
Certain Consultant [Member]                                                          
Number of common stock shares issued for services                                 175,000                        
Common stock issued percentage                                 25.00%                        
Consultant [Member]                                                          
Number of common stock shares issued for services                                           50,000              
Number of vested options shares                           75,000                              
Jarrett Gorlin [Member]                                                          
Number of shares issued                           323,810                              
Shares issued price per share                           $ 0.42                 $ 0.40            
Proceeds from issuance of common stock                           $ 136,000                              
Employees, Consultants, and Directors [Member] | 2013 Stock Option Incentive Plan [Member] | Maximum [Member]                                                          
Plan option grant                         1,150,000                                
Employees [Member] | 2013 Stock Option Incentive Plan [Member]                                                          
Number of option granted to purchase                                         189,159              
Percentage for option vested                                           25.00%              
Percentage for option vested, description                                           The options vest as follows: 25% on the date of grant and 25% on each of the next three anniversaries.              
Placement Agent [Member] | Unit Purchase Agreement [Member]                                                          
Number of warrants issued to purchase common shares                                         405,577                
Warrant, exercise price                                         $ 1.50                
Private placement fees relating to offering                                         $ 350,000                
Noteholders [Member] | Short-term Note Payable [Member]                                                          
Number of common stock issued value                       $ 208,000                                  
Number of shares issued                       200,000                                  
Shares issued price per share                       $ 1.04                                  
Number of warrants issued to purchase common shares                       20,000                                  
Number of warrant were cancelled                       200,000                                  
XML 47 R35.htm IDEA: XBRL DOCUMENT v3.19.1
Equity Transactions - Summary of Stock Option Activity (Details) - $ / shares
12 Months Ended
Dec. 31, 2018
Dec. 31, 2017
Equity [Abstract]    
Number Of Shares Options Outstanding Beginning Balance 1,314,059 1,124,900
Number Of Options Granted 189,159
Number Of Options Exercised
Number Of Options Cancelled (756,777)
Number Of Shares Options Outstanding Ending Balance 557,282 1,314,059
Number Of Shares Options Exercisable 469,179  
Weighted Average Exercise Price Outstanding Beginning Balance $ 2.01 $ 2.15
Weighted Average Exercise Price Granted 1.17
Weighted Average Exercise Price Exercised
Weighted Average Exercise Price Cancelled 1.44
Weighted Average Exercise Price Outstanding Ending Balance 2.78 $ 2.01
Weighted Average Exercise Price Exercisable $ 3.08  
Weighted Average Remaining Term (years) Outstanding, Beginning 8 years 2 months 8 days 9 years
Weighted Average Remaining Term (years) Outstanding, Granted   9 years 1 month 6 days
Weighted Average Remaining Term (years) Outstanding, Ending 6 years 11 months 26 days 8 years 2 months 8 days
Weighted Average Remaining Term (years) Exercisable 6 years 10 months 3 days  
XML 48 R36.htm IDEA: XBRL DOCUMENT v3.19.1
Commitments & Contingencies (Details Narrative)
1 Months Ended 12 Months Ended
Sep. 02, 2018
USD ($)
Sep. 02, 2018
EUR (€)
Jan. 02, 2018
USD ($)
Feb. 01, 2013
shares
Oct. 30, 2018
shares
Aug. 31, 2018
shares
Jan. 31, 2018
USD ($)
Dec. 31, 2016
USD ($)
Sep. 30, 2013
Dec. 31, 2018
USD ($)
Dec. 31, 2018
EUR (€)
Dec. 31, 2017
USD ($)
Accounts payable                   $ 37,377  
Lease expense                       35,000
Accounts payable                   750,958   196,171
Number of common stock shares issued | shares         320,202 75,000            
TAG Aviation LLC [Member]                        
Base rent                   35,000   34,600
Accounts payable                   6,300    
Streamline Inc. [Member]                        
Proceeds from sale of assets               $ 500,000        
Contingent description     The terms of the sale also required that for each of the calendar years ending December 31, 2018 and December 31, 2019 (each such calendar year, a "Contingent Period"), a contingent payment in cash (each, a "Contingent Payment") equal to five percent (5%) of the total net sales received by the acquiring party from the sale of "IV suspension system" products in excess of 100 units during each Contingent Period.                  
Contingent payments     $ 850,000                  
Streamline Inc. [Member] | Notes Receivable [Member]                        
Proceeds from sale of assets     $ 150,000                  
Sales, Marketing, and Distribution Consultant One [Member]                        
Payments for consulting services                   263,000   238,000
Old Lease Agreement [Member]                        
Base rent                   2,948    
New Lease Agreement [Member]                        
Base rent                   3,095    
Accounts payable                   $ 3,400    
Agreement, term                   2 years 4 months 2 years 4 months  
Lease expense                   $ 33,000    
Non-cancellable 36 Month Operating Lease Agreement [Member]                        
Lease expense                   2,500   2,600
Consulting Agreement [Member]                        
Consulting fees                   13,333    
Payments for consulting services                   160,000   110,000
Accounts payable                   40,000    
Increase in consulting fees             $ 9,167          
Consulting Agreement [Member] | Sales, Marketing, and Distribution Consultant [Member]                        
Accounts payable                   14,000    
Payments for consulting services                   77,000   66,000
Consulting Agreement [Member] | Sales, Marketing, and Distribution Consultant [Member] | Through December 31, 2018 [Member]                        
Payments for consulting services                   7,000    
Consulting Agreement [Member] | Sales, Marketing, and Distribution Consultant One [Member]                        
Payments for consulting services                   23,000    
Consulting Agreement [Member] | Sales, Marketing, and Distribution Consultant One [Member] | EURO [Member]                        
Payments for consulting services | €                     € 21,000  
Generator Development Agreement [Member]                        
Payment to bovie                   441,000    
Original amount for pathway development                   295,000    
Generator Development Agreement [Member] | Pro-40 Electrocautery Generator [Member]                        
Accounts payable                   15,000    
Payment to bovie                   19,000   33,000
Generator Development Agreement [Member] | Pro-40 Electrocautery Generator [Member] | Maximum [Member]                        
Payment to bovie                   295,000    
Distribution Center and Logistic Services Agreement [Member]                        
Accounts payable                   16,000    
Monthly fees $ 7,900                 3,500    
Total expenses                   142,000   75,700
Distribution Center and Logistic Services Agreement [Member] | Maximum [Member]                        
Monthly fees                   8,300    
Distribution Center and Logistic Services Agreement [Member] | Minimum [Member]                        
Monthly fees                   2,300    
Distribution Center and Logistic Services Agreement [Member] | EURO [Member]                        
Monthly fees | €   € 6,900                 2,900  
Distribution Center and Logistic Services Agreement [Member] | EURO [Member] | Maximum [Member]                        
Monthly fees | €                     6,900  
Distribution Center and Logistic Services Agreement [Member] | EURO [Member] | Minimum [Member]                        
Monthly fees | €                     € 1,900  
Co-Development Agreement [Member]                        
Agreement, description                 In exchange for these services the Company was obligated to pay Dr. Andrews a royalty of 2% of revenues earned from applicable product sales over a period of 5 years. If Dr. Andrews was listed as inventor of any Improvement Patent on the DenerveX device during the 5-year term, he would have continued to receive a 1% royalty after the 2% royalty expired for the duration of the effectiveness of the Improvement Patent. The co-development agreement expired September 30, 2018.      
Royalty expense                   13,000   1,000
Patent Assignment and Contribution Agreement [Member] | Scott Haufe [Member]                        
Agreement, description       This agreement provides for the Company to pay Dr. Haufe royalties equal to 1% of revenues earned from sales of any and all products derived from the use of the DenerveX technology. Royalties are payable to Dr. Haufe within 30 days after the close of each calendar quarter based on actual cash collected from sales of applicable products.                
Royalty expense                   8,700   800
Number of common stock shares issued | shares       750,108                
Royalty expiration       Sep. 06, 2030                
Operating Leases [Member]                        
Base rent                   2,147   $ 34,600
Accounts payable                   6,300    
Operating Leases [Member] | TAG Aviation LLC [Member]                        
Base rent                   $ 34,555    
XML 49 R37.htm IDEA: XBRL DOCUMENT v3.19.1
Commitments & Contingencies - Schedule of Operating Leases (Details)
Dec. 31, 2018
USD ($)
Commitments and Contingencies Disclosure [Abstract]  
December 31, 2019 $ 37,510
December 31, 2020 38,635
Total $ 76,145
XML 50 R38.htm IDEA: XBRL DOCUMENT v3.19.1
Short Term Liabilities (Details Narrative) - USD ($)
1 Months Ended 12 Months Ended
May 01, 2018
Apr. 26, 2018
Feb. 26, 2018
Jan. 31, 2018
Jul. 14, 2017
Sep. 30, 2018
Aug. 31, 2018
Mar. 31, 2015
Dec. 31, 2018
Dec. 31, 2017
Aug. 08, 2018
Debt instrument face amount                 $ 103,000 $ 104,000  
Unpaid accrued interest                 70,000 69,000  
Proceeds from debt                 605,424  
Market value of common stock                     $ 0.40
Proceeds from warrants                 610,220 $ 1,248,575  
Common Stock [Member]                      
Conversion of stock shares converted   266,301               414,663  
Number of shares issued on conversion                   165,865  
5% Convertible Debenture [Member]                      
Debt instrument interest rate       5.00%              
Debt instrument maturity date       Jan. 30, 2019              
Proceeds from debt       $ 100,000              
Debt conversion percentage       85.00%              
Convertible Debenture [Member]                      
Interest expense                 $ 1,200    
Market value of common stock                 $ 0.40    
Promissory Note One [Member]                      
Debt instrument face amount               $ 135,000      
Monthly installment amount               $ 5,700      
Debt instrument interest rate               5.00%      
Debt instrument maturity date               Aug. 01, 2019      
Promissory Note Two [Member]                      
Debt instrument face amount               $ 125,000      
Monthly installment amount               $ 5,700      
Debt instrument interest rate               5.00%      
Debt instrument maturity date               Aug. 01, 2019      
Promissory Note [Member]                      
Interest expense                 $ 3,400 $ 7,000  
Finance Agreement [Member]                      
Insurance premium finance payments due                 $ 24,000    
Insurance premium finance annual percentage                 5.98%    
Securities Purchase Agreement [Member]                      
Number of common stock shares sold, value         $ 2,956,043            
Sale of stock price per share         $ 0.91            
Warrant term         5 years            
Securities Purchase Agreement [Member] | Accredited Investors [Member]                      
Unpaid accrued interest                 $ 33,700    
Market value of common stock           $ 0.40 $ 0.40        
Number of common stock shares sold, value $ 1,000,000         $ 1,000,000 $ 1,000,000        
Sale of stock price per share           $ 50,000 $ 50,000        
Conversion of common stock, percentage           12.00% 12.00%        
Warrant term 3 years   5 years     3 years 3 years        
Number of units sold     770,000           8.25    
Warrants to purchase shares of common stock                 1,875,000    
Proceeds from warrants                 $ 825,000    
Securities Purchase Agreement [Member] | Investors [Member]                      
Market value of common stock                 $ 0.40    
Number of common stock shares sold, value                 $ 750,000    
Number of units sold                 15    
Number of shares issued on conversion                 1,875,000    
Proceeds from warrants                 $ 750,000    
Fair value of warrants                 505,000    
Proceeds from the notes                 244,576    
Accretion expense                 $ 93,000    
XML 51 R39.htm IDEA: XBRL DOCUMENT v3.19.1
Short Term Liabilities - Schedule of Future Payments Related to the Promissory Notes (Details)
Dec. 31, 2018
USD ($)
Debt Disclosure [Abstract]  
December 31, 2019 $ 103,000
Total $ 103,000
XML 52 R40.htm IDEA: XBRL DOCUMENT v3.19.1
Common Stock Warrants - Summary of Warrant Activity (Details) - $ / shares
12 Months Ended
Dec. 31, 2018
Dec. 31, 2017
Equity [Abstract]    
Number Of Shares, Warrants Outstanding Beginning 7,402,910 3,713,542
Number Of Shares, Warrants Issued 4,705,833 3,889,368
Number Of Shares, Warrants Cancelled   (200,000)
Number Of Shares, Warrants Outstanding Ending 12,108,743 7,402,910
Number Of Shares, Warrants Exercisable Ending 12,108,743  
Weighted Average Exercise Price Outstanding $ 1.77 $ 2.19
Weighted Average Exercise Price Warrants Issued [1],[2] 1.37
Weighted Average Exercise Price Warrants Cancelled   1.625
Weighted Average Exercise Price Outstanding 1.38 $ 1.77
Weighted Average Exercise Price Exercisable $ 1.38  
Weighted Average Remaining Contractual Life Warrants Outstanding, Beginning 3 years 3 months 19 days 3 years 9 months 18 days
Weighted Average Remaining Contractual Life Warrants Outstanding, Issued 2 years 8 months 12 days 4 years 3 months 19 days
Weighted Average Remaining Contractual Life Warrants Outstanding Ending 2 years 7 months 6 days 3 years 6 months
Weighted Average Remaining Contractual Life Warrants Exercisable 2 years 7 months 6 days  
[1] Warrants issued with the August 8, 2018 and September 28, 2018 convertible notes have an initial exercise price of $0.75 and contain a contingent feature which would adjust the exercise price of the warrant in the event the Company issues any shares of common stock or common stock equivalents in a private placement of equity or debt securities at which 90% of the issuance price is less than $0.75.
[2] Warrants issued with the May 2018 private placement and debt conversion had an initial exercise price of $0.75 and contain a contingent feature which would adjust the exercise price of the warrant in the event the Company issues any shares of common stock or common stock equivalents in a private placement of equity or debt securities at a price less than $0.75 per share. On August 8, 2018, the Company completed the issuance of convertible debt at an initial conversion price of $0.40. Accordingly the exercise price on these warrants was adjusted downward to $0.40.
XML 53 R41.htm IDEA: XBRL DOCUMENT v3.19.1
Common Stock Warrants - Summary of Warrant Activity (Details) (Parenthetical) - $ / shares
Sep. 28, 2018
Aug. 08, 2018
Dec. 31, 2018
Conversion price per share   $ 0.40  
Warrant [Member]      
Warrant initial exercise price $ 0.75 0.75  
Conversion price per share   0.40  
Warrant adjusted downward per share   $ 0.40  
Warrant equity percentage 90.00% 90.00%  
Maximum [Member] | Warrant [Member]      
Warrant initial exercise price $ 0.75 $ 0.75  
May 2018 Private Placement [Member]      
Warrant initial exercise price     $ 0.75
May 2018 Private Placement [Member] | Maximum [Member]      
Warrant initial exercise price     $ 0.75
XML 54 R42.htm IDEA: XBRL DOCUMENT v3.19.1
Common Stock Warrants - Schedule of Assumptions for Warrants (Details)
12 Months Ended
Dec. 31, 2018
$ / shares
Private Placement 2/26/18 [Member]  
MDVX Stock Price $ 0.51
Exercise Price of Warrant 0.75
Private Placement 2/26/18 [Member] | Measurement Input, Grant Date Fair Value [Member]  
Fair value assumptions, measurement input, exercise price $ 0.20
Private Placement 2/26/18 [Member] | Measurement Input, Expected Term [Member]  
Fair value assumptions, measurement input, term 5 years
Private Placement 2/26/18 [Member] | Measurement Input, Risk Free Interest Rate [Member]  
Fair value assumptions, measurement input, percentage 2.60%
Private Placement 2/26/18 [Member] | Measurement Input, Price Volatility [Member]  
Fair value assumptions, measurement input, percentage 55.91%
Short-term Debt 3/26/18 [Member]  
MDVX Stock Price $ 0.53
Exercise Price of Warrant 0.75
Short-term Debt 3/26/18 [Member] | Measurement Input, Grant Date Fair Value [Member]  
Fair value assumptions, measurement input, exercise price $ 0.22
Short-term Debt 3/26/18 [Member] | Measurement Input, Expected Term [Member]  
Fair value assumptions, measurement input, term 5 years
Short-term Debt 3/26/18 [Member] | Measurement Input, Risk Free Interest Rate [Member]  
Fair value assumptions, measurement input, percentage 2.64%
Short-term Debt 3/26/18 [Member] | Measurement Input, Price Volatility [Member]  
Fair value assumptions, measurement input, percentage 56.57%
Private Placement 5/1/18 [Member]  
MDVX Stock Price $ 0.44
Exercise Price of Warrant [1]
Private Placement 5/1/18 [Member] | Measurement Input, Grant Date Fair Value [Member]  
Fair value assumptions, measurement input, exercise price $ 0.24
Private Placement 5/1/18 [Member] | Measurement Input, Expected Term [Member]  
Fair value assumptions, measurement input, term 3 years
Private Placement 5/1/18 [Member] | Measurement Input, Risk Free Interest Rate [Member]  
Fair value assumptions, measurement input, percentage 2.66%
Private Placement 5/1/18 [Member] | Measurement Input, Price Volatility [Member]  
Fair value assumptions, measurement input, percentage 103.29%
Debt Conversion 5/15/18 [Member]  
MDVX Stock Price $ 0.39
Exercise Price of Warrant [1]
Debt Conversion 5/15/18 [Member] | Measurement Input, Grant Date Fair Value [Member]  
Fair value assumptions, measurement input, exercise price $ 0.20
Debt Conversion 5/15/18 [Member] | Measurement Input, Expected Term [Member]  
Fair value assumptions, measurement input, term 3 years
Debt Conversion 5/15/18 [Member] | Measurement Input, Risk Free Interest Rate [Member]  
Fair value assumptions, measurement input, percentage 2.75%
Debt Conversion 5/15/18 [Member] | Measurement Input, Price Volatility [Member]  
Fair value assumptions, measurement input, percentage 103.32%
Convertible Notes 8/8/2018 [Member]  
MDVX Stock Price $ 0.37
Exercise Price of Warrant [2]
Convertible Notes 8/8/2018 [Member] | Measurement Input, Grant Date Fair Value [Member]  
Fair value assumptions, measurement input, exercise price $ 0.19
Convertible Notes 8/8/2018 [Member] | Measurement Input, Expected Term [Member]  
Fair value assumptions, measurement input, term 3 years
Convertible Notes 8/8/2018 [Member] | Measurement Input, Risk Free Interest Rate [Member]  
Fair value assumptions, measurement input, percentage 2.68%
Convertible Notes 8/8/2018 [Member] | Measurement Input, Price Volatility [Member]  
Fair value assumptions, measurement input, percentage 104.37%
Convertible Notes 9/28/2018 [Member]  
MDVX Stock Price $ 0.40
Exercise Price of Warrant [2]
Convertible Notes 9/28/2018 [Member] | Measurement Input, Grant Date Fair Value [Member]  
Fair value assumptions, measurement input, exercise price $ 0.21
Convertible Notes 9/28/2018 [Member] | Measurement Input, Expected Term [Member]  
Fair value assumptions, measurement input, term 3 years
Convertible Notes 9/28/2018 [Member] | Measurement Input, Risk Free Interest Rate [Member]  
Fair value assumptions, measurement input, percentage 2.88%
Convertible Notes 9/28/2018 [Member] | Measurement Input, Price Volatility [Member]  
Fair value assumptions, measurement input, percentage 105.07%
[1] Warrants issued with the May 2018 private placement and debt conversion had an initial exercise price of $0.75 and contain a contingent feature which would adjust the exercise price of the warrant in the event the Company issues any shares of common stock or common stock equivalents in a private placement of equity or debt securities at a price less than $0.75 per share. On August 8, 2018, the Company completed the issuance of convertible debt at an initial conversion price of $0.40. Accordingly the exercise price on these warrants was adjusted downward to $0.40.
[2] Warrants issued with the August 8, 2018 and September 28, 2018 convertible notes have an initial exercise price of $0.75 and contain a contingent feature which would adjust the exercise price of the warrant in the event the Company issues any shares of common stock or common stock equivalents in a private placement of equity or debt securities at which 90% of the issuance price is less than $0.75.
XML 55 R43.htm IDEA: XBRL DOCUMENT v3.19.1
Income Taxes - Schedule of Components of Income Tax Expense (Benefit) (Details)
12 Months Ended
Dec. 31, 2018
Dec. 31, 2017
Income Tax Disclosure [Abstract]    
Statutory rate - federal 21.00% 21.00%
State taxes, net of federal benefit 4.00% 4.00%
Income tax benefit 25.00% 25.00%
Less valuation allowance (25.00%) (25.00%)
Total 0.00% 0.00%
XML 56 R44.htm IDEA: XBRL DOCUMENT v3.19.1
Income Taxes - Schedule of Deferred Tax Assets and Liabilities (Details) - USD ($)
Dec. 31, 2018
Dec. 31, 2017
Income Tax Disclosure [Abstract]    
Start-up costs $ 6,816,896 $ 5,566,520
Share-based compensation 243,848 238,109
Total Deferred Tax Assets 7,060,744 5,804,629
Valuation Allowance (7,060,744) (5,804,629)
Net Deferred Tax Asset
XML 57 R45.htm IDEA: XBRL DOCUMENT v3.19.1
Related-Party Transactions (Details Narrative) - USD ($)
12 Months Ended
Dec. 31, 2018
Dec. 31, 2017
Accounts payable $ 37,377
Consulting expenses 24,000 115,000
Jesse Crowne [Member]    
Accounts payable 40,000  
Consulting expenses 160,000 110,000
TAG Aviation LLC [Member]    
Rent expense 35,000 $ 34,600
Accounts payable 6,300  
Mr. Gorlin [Member] | TAG Aviation LLC [Member]    
Rent expense $ 2,147  
XML 58 R46.htm IDEA: XBRL DOCUMENT v3.19.1
Research and Development (Details Narrative) - USD ($)
12 Months Ended
Dec. 31, 2018
Dec. 31, 2017
Research and Development expenses $ 204,690 $ 491,076
Accounts payable 37,377
Devicix Prototype Manufacturing Agreement [Member]    
Research and Development expenses 101,000 302,000
Accounts payable 69,000 7,000
Denervex Generator Manufacturing Agreement [Member]    
Research and Development expenses 19,000 33,000
Accounts payable 15,000  
Development fees 295,000  
Nortech Manufacturing Agreement [Member]    
Research and Development expenses $ 106,000 146,000
Accounts payable   $ 40,000
XML 59 R47.htm IDEA: XBRL DOCUMENT v3.19.1
Liquidity, Going Concern and Management's Plans (Details Narrative) - USD ($)
12 Months Ended
Dec. 31, 2018
Dec. 31, 2017
Net loss $ 4,908,644 $ 6,456,477
Aggregate amount of debt 103,000 $ 104,000
Asset Purchase Agreement [Member]    
Aggregate amount of debt 5,200,000  
January 8, 2019 [Member] | Asset Purchase Agreement [Member]    
Aggregate amount of debt 2,000,000  
Proceeds from debt 1,800,000  
Cancellation of debt 200,000  
March 31, 2019 [Member] | Asset Purchase Agreement [Member]    
Aggregate amount of debt $ 7,200,000  
XML 60 R48.htm IDEA: XBRL DOCUMENT v3.19.1
Subsequent Events (Details Narrative) - USD ($)
1 Months Ended 12 Months Ended
Jan. 08, 2019
May 15, 2018
Oct. 30, 2018
Aug. 31, 2018
Mar. 31, 2018
Dec. 31, 2017
Mar. 31, 2019
Dec. 31, 2018
Aug. 08, 2018
Jul. 14, 2017
Number of shares issued     320,202 75,000            
Debt instrument face amount           $ 104,000   $ 103,000    
Debt instrument converted value   $ 100,000       $ 145,919        
Conversion price per share                 $ 0.40  
RMS Acquisition Corp [Member]                    
Number of shares issued         39,772,498          
Additional common stock issued         11,152,778          
RMS Acquisition Corp [Member] | Series C Preferred Stock [Member]                    
Conversion of stock, shares         39,772          
Asset Purchase Agreement [Member]                    
Debt instrument face amount               $ 5,200,000    
Securities Purchase Agreement [Member]                    
Warrant, exercise price                   $ 1.15
Warrant term                   5 years
Subsequent Event [Member] | Asset Purchase Agreement [Member] | RMS Acquisition Corp [Member] | Series C Preferred Stock [Member] | Minimum [Member]                    
Number of shares issued 30,119                  
Subsequent Event [Member] | Asset Purchase Agreement [Member] | RMS Acquisition Corp [Member] | Series C Preferred Stock [Member] | Maximum [Member]                    
Number of shares issued 39,772                  
Subsequent Event [Member] | Securities Purchase Agreement [Member]                    
Debt instrument face amount             $ 7,200,000      
Number of common stock shares sold 50,000                  
Proceeds from initially offering $ 8,000,000                  
Subsequent Event [Member] | Securities Purchase Agreement [Member] | Convertible Note [Member]                    
Debt instrument face amount $ 50,000                  
Debt interest rate 12.00%                  
Debt maturity term 1 year                  
Conversion price per share $ 0.40                  
Percentage for common stock outstanding 4.99%                  
Penalty interest rate 18.00%                  
Warrant, exercise price $ 0.75                  
Warrant term 3 years                  
Subsequent Event [Member] | Securities Purchase Agreement [Member] | Four Purchasers [Member]                    
Debt instrument face amount $ 2,000,000                  
Proceeds from debt 1,800,000                  
Cancellation of debt $ 200,000                  
Number of common stock shares sold 40                  
Subsequent Event [Member] | Securities Purchase Agreement [Member] | Four Purchasers [Member] | Convertible Note [Member]                    
Debt instrument face amount $ 50,000                  
Subsequent Event [Member] | Securities Purchase Agreement [Member] | Former Chairman [Member]                    
Number of common stock shares sold 4                  
Debt instrument converted value $ 200,000                  
Subsequent Event [Member] | Securities Purchase Agreement [Member] | Minimum [Member]                    
Proceeds from initially offering 1,000,000                  
Subsequent Event [Member] | Securities Purchase Agreement [Member] | Maximum [Member]                    
Proceeds from initially offering $ 6,000,000                  
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