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Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($)
9 Months Ended
Sep. 30, 2020
Sep. 30, 2019
CASH FLOWS FROM OPERATING ACTIVITIES    
Net loss $ (9,865,498) $ (7,951,505)
Adjustments to reconcile net loss to net cash used in operations:    
Depreciation 79,729 70,678
Stock-based compensation 411,192 740,304
Bad debt expense 29,839  
Non-cash interest expense, debt discount 218,803  
Amortization of original issue discount 161,869  
Loss on extinguishment of debt 696,436  
Change in fair value of derivative liabilities (122,706) (155,955)
Loss on disposal of asset 177 2,481
Other non-cash charges (2,326) 14,634
Changes in operating assets and liabilities:    
Accounts receivable 85,925 248,252
Inventories (324,234) (302,608)
Prepaid expenses and other current assets 30,020 (130,268)
Other assets 57,987 (2,000)
Accounts payable and accrued expenses 494,311 (191,120)
Deferred revenue 3,771 2,447
Other liabilities 165,889 (43,042)
Net cash used in operating activities (7,878,816) (7,697,702)
CASH FLOWS FROM INVESTING ACTIVITIES    
Purchases of equipment (30,294) (38,261)
Net cash used in investing activities (30,294) (38,261)
CASH FLOWS FROM FINANCING ACTIVITIES    
Repayment of debt (1,703,552)  
Payment of prepayment penalty on debt (255,533)  
Net settlement of vested restricted stock units to fund related employee statutory tax withholding (1,855) (80,321)
Proceeds from exercise of stock options 3 16
Proceeds from exercise of warrants 161,299  
Proceeds from issuance under at-market sales facility, net of offering costs 5,049,551  
Proceeds from public offering, net of offering costs 13,504,812 5,603,829
Proceeds from payment of grants 6,928  
Net cash provided by financing activities 16,761,653 5,523,524
Effect of foreign exchange rate changes on cash (417)  
Net increase (decrease) in cash, cash equivalents and restricted cash 8,852,126 (2,212,439)
Cash, cash equivalents and restricted cash, beginning of period 4,540,455 6,615,794
Cash, cash equivalents and restricted cash, end of period 13,392,581 4,403,355
SUPPLEMENTAL DISCLOSURE OF NON-CASH INVESTING AND FINANCING ACTIVITIES    
Inventory capitalized as sales demo equipment 2,743 17,715
Sales demo equipment transferred to rental inventory 2,514  
Issuance of warrants recorded as a derivative liability   $ 196,236
Deferred issuance costs to additional paid-in capital paid in prior period 161,253  
Issuance of common stock for debt $ 2,059,573