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Consolidated Statements of Cash Flows (Unaudited) - USD ($)
3 Months Ended
Mar. 31, 2019
Mar. 31, 2018
Cash flows from operating activities    
Net loss $ (2,749,000) $ (2,429,000)
Adjustments to reconcile net loss to net cash used in operating activities:    
Stock option compensation expense 352,000 320,000
Common stock issued in lieu of salary to officers and fees for services from vendors 206,000 196,000
Common stock issued for interest 25,000 165,000
Interest expense related to amortization of the discount on convertible notes payable and line of credit and deferred financing costs 851,000 635,000
Interest expense related to the fair value of warrants issued as consent for variable debt 54,000
Loss on extinguishment of debt 184,000
Deferred offering expense 4,000
Amortization and depreciation expense 16,000 10,000
Changes in assets and liabilities:    
Accounts receivable 47,000 (8,000)
Inventories (3,000)
Accounts payable and accrued expenses 129,000 127,000
Prepaid expenses and other current assets (16,000) (13,000)
Customer deposits 32,000
Net cash used in operating activities (869,000) (996,000)
Cash flows from investing activities    
Equipment purchases (19,000)
Net cash used in investing activities (19,000)
Cash flows from financing activities    
Proceeds from convertible notes payable 750,000 380,000
Proceeds from the sale of stock in Clyra Medical 110,000
Repayment of note payable (300,000)
Proceeds from sale of stock to Lincoln Park Capital 168,000
Proceeds from notes payable 170,000
Proceeds from line of credit 390,000
Net cash provided by financing activities 730,000 938,000
Net effect of foreign currency translation (4,000) 8,000
Net change in cash (143,000) (69,000)
Cash at beginning of year 655,000 990,000
Cash at end of period 512,000 921,000
Supplemental disclosures of cash flow information    
Interest 32,000
Income taxes 3,000
Non-cash investing and financing activities    
Fair value of warrants issued with convertible notes 1,061,000 282,000
Right of use, operating lease and liability 399,000
Deemed dividend 342,000 297,000
Conversion of Convertible Notes Payable into Common Stock [Member]    
Non-cash investing and financing activities    
Conversion of debt 220,000
Conversion of Convertible Notes Issued with Original Issue Discount [Member]    
Non-cash investing and financing activities    
Conversion of debt 217,000
Stock Issued for Financing Fee [Member]    
Non-cash investing and financing activities    
Fair value of stock issued $ 85,000