Financial Performance - Revenue increased by 2.2million,or41.58.4 million, or 65.5%, for the nine months ended September 30, 2024, compared to the same period in 2023, driven by sales of TriNav[238]. - Gross profit increased by 1.7million,or37.87.5 million, or 69.8%, for the nine months ended September 30, 2024, with gross margin increasing to 86.4% from 84.2%[241]. - Net losses amounted to 19.9millionfortheninemonthsendedSeptember30,2024,withcashandcashequivalentsofapproximately11.3 million at the same date[250]. Expenses - Cost of goods sold increased by 0.4million,or70.55.3 million, or 55.6%, for the three months ended September 30, 2024, primarily due to reduced clinical trial expenses[230]. - Sales and marketing expenses increased by 1.4million,or30.94.3 million, or 47.6%, for the three months ended September 30, 2024, due to prior period expenses related to the Business Combination[232]. - R&D expenses decreased by 7.3million,or33.38.1 million reduction in clinical trial expenses related to nelitolimod[242]. - Sales and marketing expenses increased by 7.4million,or64.76.6 million due to increased headcount[243]. - General and administrative expenses decreased by 4.2million,or23.912.4 million raised from the sale of 1,874,867 shares of common stock under the SEPA during the nine months ended September 30, 2024[200]. - The OrbiMed Credit Agreement provides for up to 50.0millioninseniorsecuredtermdebt,withaninitialcommitmentof25.0 million made available on April 30, 2024[201]. - Net cash used in operating activities was 35.1millionfortheninemonthsendedSeptember30,2024,comparedto41.4 million for the same period in 2023[252]. - Net cash provided by financing activities was 34.9millionfortheninemonthsendedSeptember30,2024,consistingof12.6 million from the sale of common stock and 22.4millionfromtheOrbiMedCreditAgreement[257].−Thecompanyexpectstorequiresubstantialadditionalfundingtosupportongoingoperationsandfuturecommercializationefforts,particularlyforTriNavandnelitolimod[259].ClinicalandProductDevelopment−TheTriNavInfusionSystemreceivedapermanentHCPCScodeeffectiveJanuary1,2024,allowingforreimbursementforproceduresinvolvingthedevice[192].−ThecompanylaunchedtheTriNavLVInfusionSystemandTriGuideGuidingCathetertoexpanditsaddressableliverembolizationmarket[193].−TriSalusisconductingPhase1andPhase1bclinicaltrialsfornelitolimod,withdatafromthepancreaticcancertrialexpectedin2025[195].−TheDELIVERprogramaimstoevaluatetheTriNavsystemacrosscomplexpatientpopulationstovalidatetheclinicaleffectsofthePEDDtechnology[208].−Thecompanyplanstoinitiatethe"PROTECT"clinicalstudytocomparetheTriNavapproachwithconventionalsurgicalmethods[209].BusinessTransactions−TheBusinessCombinationwithMedTechAcquisitionCorporationwascompletedonAugust10,2023,withanaggregateconsiderationof220.0 million[196]. - The expiration of the TPT payment program on December 31, 2023, may impact the pricing and gross margins of TriNav[199]. Accounting and Reporting - No significant changes in critical accounting policies during the nine months ended September 30, 2024, compared to the previous year[269]. - Critical accounting policies require greater judgment and estimates, which may lead to actual results differing from estimates[269]. - The company is classified as a smaller reporting company and is not required to provide additional market risk information[270].