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BioSig Technologies(BSGM) - 2024 Q4 - Annual Report

Financial Performance and Funding - BioSig Technologies has generated minimal revenue to date, indicating operations are in an early commercialization stage[17]. - On March 7, 2024, the company issued a promissory note for $500,000 at a 12% interest rate, which was later converted into 348,624 shares of common stock[25][27]. - The company raised approximately $1,040,000 from the sale of 260,720 shares at $3.989 per share on January 12, 2024[28]. - A total of 4,403,166 ATM Shares were sold at an average price of $0.91 per share, generating gross proceeds of $4,019,063 from January 17, 2025, to April 14, 2025[34]. - The company incurred a net loss of $10.3 million and used $4.8 million in cash for operating activities for the year ended December 31, 2024[141]. - As of December 31, 2024, the company's cash and cash equivalents were approximately $0.1 million, which is insufficient to fund operations in the near future[148]. - The company expects to incur substantial additional operating expenses over the next several years as it focuses on marketing, commercialization, and customer development for its PURE EP product[144]. - Future revenue generation from the PURE EP and other products is uncertain and subject to market acceptance and competitive pressures[142]. - The company may need to raise additional funds through public or private equity offerings, debt financings, or corporate collaborations, which may not be on favorable terms[149]. Corporate Structure and Ownership - The company has a majority ownership of 69.08% in ViralClear Pharmaceuticals and 84.5% in BioSig AI Sciences as of April 14, 2025[18][19]. - ViralClear Pharmaceuticals, Inc. is currently dormant, with the company retaining 69.08% ownership as of April 14, 2025[97]. - BioSig AI Sciences, Inc. holds an 84.5% majority interest as of April 14, 2025, but its business operations are currently on hold due to lack of resources[100][101]. Intellectual Property and Patents - The patent portfolio includes 41 issued utility patents and 31 pending applications related to the PURE EP System, with additional patents focused on artificial intelligence[24]. - The company has signed three patent and know-how license agreements with Mayo Foundation, focusing on novel ablation therapy methods[104]. - The company currently holds 41 issued/allowed utility patents and has 31 additional U.S. and foreign utility patent applications pending related to its PURE EP System[206]. - The company has one U.S. patent and one pending application directed to artificial intelligence (AI), along with 30 issued worldwide design patents[206]. - The company plans to file additional patent applications to provide market exclusivity for its products, but cannot predict the outcome of these applications[207]. - The company faces risks related to the enforcement of its intellectual property rights, particularly in foreign jurisdictions where legal systems may not favor patent enforcement[209]. - The company relies on trade secret protection and confidentiality agreements to safeguard proprietary information, but these measures may not provide adequate protection[213]. - The company may face challenges from competitors who could successfully challenge its patent applications or produce similar products[214]. - If the company infringes upon third-party patents, it could face litigation and be prevented from selling its products[216]. Regulatory and Compliance Issues - The company is subject to various U.S. healthcare fraud and abuse laws, which impose civil and criminal penalties for false claims[131]. - The company must comply with Quality System Regulation (QSR) and other FDA requirements for medical device manufacturing[127]. - The company’s PURE EP product is affected by the European Union Medical Device Directive, which requires CE marking for commercial distribution[134]. - The medical device industry is highly regulated, and compliance with FDA regulations is essential for the company's operations and product marketing[162]. - The company may face increased compliance costs due to changing regulations, which could impact its ability to obtain or maintain regulatory approvals for its products[163]. - The company is classified as a "smaller reporting company," which may make it more challenging for investors to analyze its financial prospects due to reduced disclosure requirements[195]. - The company must navigate complex state healthcare laws that may impose broader restrictions than federal laws, increasing compliance risks[184]. - The company has identified a material weakness in its internal control over financial reporting, which could adversely affect its ability to report results accurately and timely[200]. - Remediation of the identified material weakness will require substantial effort throughout 2025 and beyond, with ongoing testing of the effectiveness of new and existing controls[202]. Market and Competitive Landscape - The global electrophysiology laboratory devices market is projected to grow at a CAGR of 15.1% from 2025 to 2030, reaching an estimated USD 12.9 billion in 2024[62]. - Atrial fibrillation (AF) affects nearly 40 million individuals globally, with an estimated 12.1 million cases in the U.S. by 2030, leading to significant healthcare impacts[65]. - The average selling price of competing electrophysiology recording systems is approximately $160,000, indicating a competitive market landscape[93]. - The competitive landscape in the EP market includes major players like GE and Medtronic, which possess greater resources and may develop superior products[167]. - The addressable market size estimate for the EP market may be inaccurate, potentially limiting future growth prospects[165]. Product Development and Clinical Trials - The PURE EP™ Platform aims to improve the quality of cardiac signal recordings, addressing limitations in current electrophysiology recording systems[75]. - Clinical evaluations showed a 75% overall improvement in intracardiac signal quality and an 83% improved confidence in interpreting complex signals compared to conventional sources[88]. - The PURE EP™ System has been tested in 24 pre-clinical studies, with 21 conducted at Mayo Clinic, validating its clinical effectiveness[82]. - The system's design allows for the acquisition of high-fidelity signals with minimal noise, enhancing the diagnostic value of cardiac signals[76]. - The PURE EP™ System has shown potential to reduce the need for multiple ablation procedures, improving patient outcomes[79]. - The company has completed one clinical trial, but further studies may not support the usefulness of its technology[139]. - The company relies on collaboration with Mayo Clinic for research and development of PURE EP's advanced features[140]. Operational Challenges and Workforce - The Company faced workforce reductions, laying off 42 employees in early 2024 due to funding issues, leaving only the CEO[51][53]. - The Company currently has 5 employees and 3 key consultants, with plans to hire 4-6 additional staff depending on funding[58]. - The company is highly dependent on key personnel, and their loss could adversely affect product development and operational efficiency[168]. Risks and Uncertainties - The company faces substantial doubt about its ability to continue as a going concern due to its development stage[139]. - The company expects to incur operating losses as it reverts to a development stage[139]. - The company faces risks related to the development and commercialization of its technology, including potential delays and the need for additional capital[151]. - Cybersecurity risks are a growing concern, with potential impacts on financial condition and operational integrity[179]. - The company may face product liability claims, which could result in significant financial liabilities and reputational damage[178]. - Violations of healthcare laws could result in substantial penalties, including exclusion from federal healthcare programs like Medicare and Medicaid, and reputational harm[186]. - Changes in U.S. healthcare legislation, such as the Healthcare Reform Law, could negatively impact the company's revenue and market for its products[191]. - Global economic uncertainty and geopolitical tensions could hinder the company's ability to raise capital and disrupt its supply chain for research and development[197].