10-Q

UNITED STATES
SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

Form 10-Q

☒ QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the quarterly period ended September 30, 2023

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: 1-37897

RESHAPE LIFESCIENCES INC.

(Exact name of registrant as specified in its charter)

Delaware	26-1828101
(State or other jurisdiction of incorporation or organization)	(IRS Employer Identification No.)

18 Technology Dr, Suite 110, Irvine, California 92618
(Address of principal executive offices, including zip code)

(949) 429-6680
(Registrant’s telephone number, including area code)

Securities registered pursuant to Section 12(b) of the Act:

Title of Each Class	Trading Symbol	Name of Each Exchange on which Registered
Common stock, $0.001 par value per share	RSLS	The Nasdaq Capital Market

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  ☒    No  ☐

Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted 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 such files).    Yes  ☒    No  ☐

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

Large Accelerated Filer	☐	Accelerated Filer	☐
Non-accelerated Filer	☒	Smaller Reporting Company	☒
Emerging Growth Company	☐

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 Exchange Act).    Yes  ☐    No  ☒

As of November 3, 2023, 13,135,478 shares of the registrant’s Common Stock were outstanding.

INDEX

PART I – FINANCIAL INFORMATION
Item 1.	Condensed Consolidated Financial Statements (unaudited)	3
	Condensed Consolidated Balance Sheets as of September 30, 2023 and December 31, 2022	3
	Condensed Consolidated Statements of Operations for the three and nine months ended September 30, 2023 and 2022	4
	Condensed Consolidated Statements of Comprehensive Loss for the three and nine months ended September 30, 2023 and 2022	5
	Condensed Consolidated Statements of Stockholders’ Equity for the three and nine months ended September 30, 2023 and 2022	6
	Condensed Consolidated Statements of Cash Flows for the nine months ended September 30, 2023 and 2022	7
	Notes to Condensed Consolidated Financial Statements	8
Item 2.	Management’s Discussion and Analysis of Financial Condition and Results of Operations	19
Item 3.	Quantitative and Qualitative Disclosures About Market Risk	26
Item 4.	Controls and Procedures	26
PART II – OTHER INFORMATION
Item 1.	Legal Proceedings	27
Item 1A.	Risk Factors	28
Item 2.	Unregistered Sales of Equity Securities and Use of Proceeds	28
Item 3.	Defaults Upon Senior Securities	28
Item 4.	Mine Safety Disclosures	28
Item 5.	Other Information	28
Item 6.	Exhibits	29
SIGNATURES		30

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PART I – FINANCIAL INFORMATION

ITEM 1.        CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Unaudited)

RESHAPE LIFESCIENCES INC.

Condensed Consolidated Balance Sheets

(unaudited)

(dollars in thousands, except per share amounts)

	September 30,		December 31,
	2023		2022
ASSETS
Current assets:
Cash and cash equivalents	$	1,449	$	3,855
Restricted cash		100		100
Accounts and other receivables (net of allowance for doubtful accounts of $859 and $410 respectively)		2,153		2,180
Inventory		3,204		3,611
Prepaid expenses and other current assets		493		165
Total current assets		7,399		9,911
Property and equipment, net		70		698
Operating lease right-of-use assets		274		171
Deferred tax asset, net		55		56
Other intangible assets, net		—		260
Other assets		29		46
Total assets	$	7,827	$	11,142
LIABILITIES AND STOCKHOLDERS’ EQUITY
Current liabilities:
Accounts payable	$	1,462	$	1,926
Accrued and other liabilities		2,734		5,040
Warranty liability, current		163		344
Operating lease liabilities, current		110		171
Total current liabilities		4,469		7,481
Operating lease liabilities, noncurrent		175		—
Common stock warrant liability		100		—
Total liabilities		4,744		7,481
Commitments and contingencies (Note 13)
Stockholders’ equity:
Preferred stock, 10,000,000 shares authorized:
Series C convertible preferred stock, $0.001 par value; 95,388 shares issued and outstanding at September 30, 2023 and December 31, 2022		—		—
Common stock, $0.001 par value; 300,000,000 shares authorized at September 30, 2023 and December 31, 2022; 3,452,841 and 519,219 shares issued and outstanding at September 30, 2023 and December 31, 2022, respectively		3		1
Additional paid-in capital		637,050		627,935
Accumulated deficit		(633,876)		(624,187)
Accumulated other comprehensive loss		(94)		(88)
Total stockholders’ equity		3,083		3,661
Total liabilities and stockholders’ equity	$	7,827	$	11,142

See accompanying notes to Condensed Consolidated Financial Statements.

3

RESHAPE LIFESCIENCES INC.

Condensed Consolidated Statements of Operations

(unaudited)

(dollars in thousands, except per share amounts)

	Three Months Ended September 30,				Nine Months Ended September 30,
		2023		2022		2023		2022
Revenue	$	2,155	$	2,798	$	6,696	$	8,130
Cost of revenue		867		697		2,990		2,928
Gross profit		1,288		2,101		3,706		5,202
Operating expenses:
Sales and marketing		1,791		2,605		6,150		11,936
General and administrative		2,058		3,784		8,724		13,037
Research and development		542		583		1,576		2,075
Impairment of long-lived assets		777		7,429		777		7,429
(Gain) loss on disposal of assets, net		—		1		(33)		383
Total operating expenses		5,168		14,402		17,194		34,860
Operating loss		(3,880)		(12,301)		(13,488)		(29,658)
Other expense (income), net:
Interest income, net		(5)		(31)		(9)		(47)
Gain on changes in fair value of liability warrants		(412)		—		(3,850)		—
Loss on foreign currency exchange, net		68		279		47		467
Other		—		—		(8)		(9)
Loss before income tax provision		(3,531)		(12,549)		(9,668)		(30,069)
Income tax expense (benefit)		3		(363)		21		(324)
Net loss	$	(3,534)	$	(12,186)	$	(9,689)	$	(29,745)
Net loss per share - basic and diluted:
Net loss per share - basic and diluted	$	(1.02)	$	(27.01)	$	(3.45)	$	(73.79)
Shares used to compute basic and diluted net loss per share		3,452,672		451,202		2,809,748		403,122

See accompanying notes to Condensed Consolidated Financial Statements.

4

RESHAPE LIFESCIENCES INC.

Condensed Consolidated Statements of Comprehensive Loss

(unaudited)

(dollars in thousands)

	Three Months Ended September 30,				Nine Months Ended September 30,
		2023	2022		2023		2022
Net loss	$	(3,534)	$	(12,186)	$	(9,689)	$	(29,745)
Foreign currency translation adjustments		1		4		(6)		24
Other comprehensive income, net of tax		1		4		(6)		24
Comprehensive loss	$	(3,533)	$	(12,182)	$	(9,695)	$	(29,721)

See accompanying notes to Condensed Consolidated Financial Statements.

5

RESHAPE LIFESCIENCES INC.

Condensed Consolidated Statements of Stockholders’ Equity

(unaudited)

(dollars in thousands)

	Three Months Ended September 30, 2023
	Series C Convertible						Additional				Accumulated Other		Total
	Preferred Stock			Common Stock			Paid-in		Accumulated		Comprehensive		Stockholders’
	Shares	Amount		Shares	Amount		Capital		Deficit		Loss		Equity
Balance June 30, 2023	95,388	$	—	3,452,169	$	3	$	637,172	$	(630,342)	$	(95)	$	6,738
Net loss	—		—	—		—		—		(3,534)		—		(3,534)
Other comprehensive income, net of tax	—		—	—		—		—		—		1		1
Stock compensation	—		—	—		—		216		—		—		216
Common stock purchased	—		—	—		—		—		—		—		—
Equity issuance costs	—		—	—		—		(338)		—		—		(338)
Issuance of stock from RSUs	—		—	672		—		—		—		—		—
Exercise of warrants	—		—	—		—		—		—		—		—
Balance September 30, 2023	95,388	$	—	3,452,841	$	3	$	637,050	$	(633,876)	$	(94)	$	3,083

	Nine Months Ended September 30, 2023
	Series C Convertible						Additional				Accumulated Other		Total
	Preferred Stock			Common Stock			Paid-in		Accumulated		Comprehensive		Stockholders’
	Shares	Amount		Shares	Amount		Capital		Deficit		Loss		Equity
Balance December 31, 2022	95,388	$	—	519,219	$	1	$	627,935	$	(624,187)	$	(88)	$	3,661
Net loss	—		—	—		—		—		(9,689)		—		(9,689)
Other comprehensive income, net of tax	—		—	—		—		—		—		(6)		(6)
Issuance of common stock pursuant to reverse stock split	—		—	18,399		—		—		—		—		—
Stock compensation	—		—	—		—		656		—		—		656
Common stock purchased	—		—	1,476,395		1		894		—		—		895
Equity issuance costs	—		—	—		—		(247)		—		—		(247)
Issuance of stock from RSUs	—		—	2,340		—		—		—		—		—
Exercise of warrants	—		—	1,436,488		1		7,812		—		—		7,813
Balance September 30, 2023	95,388	$	—	3,452,841	$	3	$	637,050	$	(633,876)	$	(94)	$	3,083

	Three Months Ended September 30, 2022
	Series C Convertible						Additional				Accumulated		Total
	Preferred Stock			Common Stock			Paid-in		Accumulated		Comprehensive		Stockholders’
	Shares	Amount		Shares	Amount		Capital		Deficit		Income (Loss)		Equity
Balance June 30, 2022	95,388	$	—	392,598	$	—	$	626,380	$	(595,532)	$	(72)	$	30,776
Net loss	—		—	—		—		—		(12,186)		—		(12,186)
Other comprehensive income, net of tax	—		—	—		—		—		—		4		4
Stock compensation	—		—	—		—		359		—		—		359
Issuance of stock from RSUs	—		—	2,321		—		—		—		—		—
Exercise of warrants	—		—	57,000		—		—		—		—		—
Balance September 30, 2022	95,388	$	—	451,919	$	—	$	626,739	$	(607,718)	$	(68)	$	18,953

	Nine Months Ended September 30, 2022
	Series C Convertible						Additional				Accumulated Other		Total
	Preferred Stock			Common Stock			Paid-in		Accumulated		Comprehensive		Stockholders’
	Shares	Amount		Shares	Amount		Capital		Deficit		Loss		Equity
Balance December 31, 2021	95,388	$	—	356,641	$	—	$	622,399	$	(577,973)	$	(92)	$	44,334
Net loss	—		—	—		—		—		(29,745)		—		(29,745)
Other comprehensive income, net of tax	—		—	—		—		—		—		24		24
Stock compensation	—		—	—		—		1,848		—		—		1,848
Issuance of stock from RSUs	—		—	20,505		—		—		—		—		—
Exercise of warrants				74,773		—		2,492		—		—		2,492
Balance September 30, 2022	95,388	$	—	451,919	$	—	$	626,739	$	(607,718)	$	(68)	$	18,953

See accompanying Notes to Condensed Consolidated Financial Statements.

6

RESHAPE LIFESCIENCES INC.

Condensed Consolidated Statements of Cash Flows

(unaudited)

(dollars in thousands)

	Nine Months Ended September 30,
	2023		2022
Cash flows from operating activities:
Net loss	$	(9,689)	$	(29,745)
Adjustments to reconcile net loss to net cash used in operating activities:
Depreciation expense		114		271
Amortization of intangible assets		33		1,367
Impairment of long-lived assets		777		7,429
(Gain) loss on disposal of assets, net		(33)		383
Stock-based compensation		656		1,847
Bad debt expense		450		(72)
Provision for inventory excess and obsolescence		101		148
Deferred income tax		1		(368)
Gain on changes in fair value of liability warrants		(3,850)		—
Offering cost		298		—
Other noncash items		12		(21)
Change in operating assets and liabilities:
Accounts and other receivables		(422)		657
Inventory		307		(1,317)
Prepaid expenses and other current assets		(329)		696
Accounts payable and accrued liabilities		(2,764)		(51)
Warranty liability		(182)		(297)
Other		17		—
Net cash used in operating activities		(14,503)		(19,073)
Cash flows from investing activities:
Capital expenditures		(43)		(52)
Proceeds from sale of capital assets		33		39
Cash used in investing activities:		(10)		(13)
Cash flows from financing activities:
Proceeds from sale and issuance of securities		12,451		—
Payments of equity issuance costs		(338)		—
Proceeds from warrants exercised		—		2,492
Net cash provided by financing activities		12,113		2,492
Effect of currency exchange rate changes on cash and cash equivalents		(6)		24
Net decrease in cash, cash equivalents and restricted cash		(2,406)		(16,570)
Cash, cash equivalents and restricted cash at beginning of period		3,955		22,815
Cash, cash equivalents and restricted cash at end of period	$	1,549	$	6,245
Supplemental disclosure:
Cash paid for income taxes	$	2	$	—
Cash paid for interest		—		—
Noncash investing and financing activities:
Capital expenditures accruals	$	—	$	79

See accompanying notes to Condensed Consolidated Financial Statements.

7

ReShape Lifesciences Inc.

Notes to Condensed Consolidated Financial Statements

(dollars in thousands, except per share amounts; unaudited)

(1)  Basis of Presentation

The accompanying interim condensed consolidated financial statements and related disclosures of Reshape Lifesciences Inc. (the “Company” or “ReShape”) have been prepared pursuant to the rules and regulations of the Securities and Exchange Commission ("SEC") and should be read in conjunction with the consolidated financial statements and notes included in the Company’s Annual Report on Form 10-K for the year ended December 31, 2022, filed on April 17, 2023. Certain information and footnote disclosures normally included in financial statements prepared in accordance with generally accepted accounting principles in the United States of America ("GAAP") have been condensed or omitted.

In the opinion of management, the interim consolidated condensed financial statements reflect all adjustments considered necessary for a fair statement of the interim periods. All such adjustments are of a normal, recurring nature. The results of operations for the interim periods are not necessarily indicative of the results of operations to be expected for the full year.

Reverse Stock Split and Merger Exchange Ratio

On December 23, 2022, at the commencement of trading, the Company effected a 1-for-50 reverse stock split. Accordingly, all share and per share amounts for the periods presented in the accompanying consolidated financial statements and notes thereto have been adjusted retroactively, where applicable, to reflect the reverse stock split. No fractional shares were issued in connection with the reverse stock split.

Summary of Significant Accounting Policies

The Company’s significant accounting policies are described in Note 4 to its audited consolidated financial statements for the year ended December 31, 2022, which are included in the Company’s Annual Report on Form 10-K which was filed with the SEC on April 17, 2023.

Use of Estimates

The preparation of financial statements in conformity with GAAP requires management to make estimates and judgments that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities as of the date of the financial statements and the reported amounts of revenues and expenses during the reporting period. The Company bases its estimates on historical experience and on various other assumptions that are believed to be reasonable under the circumstances. Actual results may materially differ from these estimates. The Company reviews its estimates on an ongoing basis or as new information becomes available to ensure that these estimates appropriately reflect changes in its business.

Long-Lived Assets

We assess the potential impairment of long-lived assets, principally property and equipment and finite-lived intangible assets, whenever events or changes in circumstances indicate that the carrying value of the asset group may not be fully recoverable. If an indicator of impairment exists for any of its asset groups, an estimate of undiscounted future cash flows, over the life of the primary asset for each asset group is compared to that long-lived asset group's carrying value. If the carrying value of the asset group is greater than the estimated future undiscounted cash flow, the Company then determines the fair value of the assets, and if an asset is determined to be impaired, the impairment loss is measured by the excess of the carrying amount of the asset over its fair value.

During the quarter ended September 30, 2023, the Company determined the carrying value of the property, plant and equipment had been impaired due to the current financial condition of the Company and recognized a non-cash impairment charge of $0.5 million, which reduced the residual value of these assets to $0.1 million, on the consolidated

8

balance sheet as of September 30, 2023. The fair value was determined by estimating the amount the Company could receive if they were to sell the assets. In addition, the Company also impaired its remaining intangible assets, for further details see Note 4.

Fair Value of Financial Instruments

The carrying amounts of cash equivalents, accounts receivable, accounts payable and certain accrued and other liabilities approximate fair value due to their short-term maturities. Refer to Note 7 regarding fair value measurements and inputs of warrants.

Net Loss Per Share

The following table sets forth the potential shares of common stock that are not included in the calculation of diluted net loss per share because to do so would be anti-dilutive as of the end of each period presented:

	September 30,
	2023	2022
Stock options	17,634	22,819
Unvested restricted stock units	2,598	5,782
Convertible preferred stock	10	10
Warrants	1,632,514	139,047

Recent Accounting Pronouncements

New accounting standards adopted are discussed below.

In June 2016, the FASB issued Accounting Standards Update (“ASU”) No. 2016-13, Financial Instruments – Credit Losses (Topic 326): Measurement of Credit Losses on Financial Instruments, which is intended to provide financial statement users with more useful information about expected credit losses on financial assets held by a reporting entity at each reporting date. In May 2019, the FASB issued ASU No. 2019-05, which amended the new standard by providing targeted transition relief. The new guidance replaces the existing incurred loss impairment methodology with a methodology that requires consideration of a broader range of reasonable and supportable forward-looking information to estimate all expected credit losses. In November 2019, the FASB issued ASU No. 2019-11, which amended the new standard by providing additional clarification. This guidance became effective on January 1, 2023 and did not have a material impact to the consolidated financial statements.

(2)  Liquidity and Management’s Plans

The Company currently does not generate revenue sufficient to offset operating costs and anticipates such shortfalls to continue as the Company has modified its strategy to a metrics-driven approach through a sustainable and scalable business model, via a digital lead generation and re-engagement strategy. As of September 30, 2023, the Company had net working capital of approximately $2.9 million, primarily due to cash and cash equivalents and restricted cash of $1.5 million, and $2.2 million of accounts receivable. The Company has raised gross proceeds of $13.7 million between the public offerings that occurred on February 8, 2023, April 24, 2023 and October 3, 2023. Based on its available cash resources, the Company may not have sufficient cash on hand to fund its current operations for more than twelve months from the date of filing this Quarterly Report on Form 10-Q. This condition raises substantial doubt about the Company’s ability to continue as a going concern.

The Company’s anticipated operations include plans to (i) grow sales and operations of the Company with the Lap-Band product line both domestically and internationally as well as to obtain cost savings synergies, (ii) introduce to the market place ReShapeCare and ReShape Marketplace as an extension, (iii) marketing efforts to increase brand recognition, create customer awareness and increase the patient demand, (iv) continue development of the Diabetes Bloc-Stem Neuromodulation (DBSN) device, (v) seek opportunities to leverage our intellectual property portfolio and custom development services to provide third-party sales and licensing opportunities, and (vi) explore and capitalize on synergistic opportunities to expand our portfolio and offer future minimally invasive treatments and therapies in the obesity continuum of care, including Lap-Band 2.0. The Company believes that it has the flexibility to manage the growth of its expenditures and operations depending on the amount of available cash flows, which could include reducing expenditures for marketing, clinical and product development activities.

9

The Company may be required to raise additional capital, however, there can be no assurance as to whether additional financing will be available on terms acceptable to the Company, if at all. If sufficient funds on acceptable terms are not available when needed, it would have a negative impact on the Company’s financial condition and could force the Company to delay, limit, reduce, or terminate product development or future commercialization efforts or grant rights to develop and market product candidates or testing products that the Company would otherwise plan to develop.

Therefore, the plans cannot be deemed probable of being implemented. As a result, the Company’s plans do not alleviate substantial doubt about our ability to continue as a going concern.

The accompanying financial statements have been prepared on a going concern basis, which contemplates the realization of assets and satisfaction of liabilities in the ordinary course of business. The financial statements do not include any adjustments relating to the recoverability and classification of recorded asset amounts or the amounts and classification of liabilities that might result from the outcome of the uncertainties described above.

COVID-19 Risk

The impact of COVID-19 has subsided substantially in the U.S. but continues to result in reduced activity levels outside of the U.S., such as continued restrictions on travel and business operations and advising or requiring individuals to limit or forego their time outside of their homes or places of business.

(3)  Supplemental Balance Sheet Information

Components of selected captions in the condensed consolidated balance sheets consisted of the following:

Inventory:

	September 30,		December 31,
	2023		2022
Raw materials	$	902	$	832
Sub-assemblies		1,053		864
Finished goods		1,249		1,915
Total inventory	$	3,204	$	3,611

Prepaid expenses and other current assets:

	September 30,		December 31,
	2023		2022
Prepaid insurance	$	259	$	78
Patents		38		—
Prepaid advertising and marketing		47		3
Taxes		55		—
Other current assets		94		84
Total prepaid expenses and other current assets	$	493	$	165

Accrued and other liabilities:

	September 30,		December 31,
	2023		2022
Payroll and benefits	$	1,014	$	1,829
Accrued legal settlements		400		1,775
Customer deposits		657		510
Taxes		54		119
Accrued professional		504		316
Other liabilities		105		491
Total accrued and other liabilities	$	2,734	$	5,040

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(4) Intangible Assets

The Company’s finite-lived intangible assets consists of developed technology, and trademarks and tradenames. The estimated useful lives of these finite-lived intangible assets is 10 years. The amortization expenses for the three months ended September 30, 2023 and 2022, were $11 thousand and $0.5 million, respectively, and the nine months ended September 30, 2023 and 2022, were $33 thousand and $1.4 million, respectively.

Impairment of In-Process Research and Development

During the quarter ended September 30, 2023, the Company determined the carrying value of the developed technology and trademarks/tradenames had been fully impaired due to the current financial condition of the Company and recognized a non-cash impairment charge of $0.2 million on the consolidated balance sheet as of September 30, 2023, which reduced the value of these assets to zero.

During the quarter ended September 30, 2022, the Company determined that it was stopping the clinical trials for the ReShape Vest and was closing out the previous trials that occurred, as significant additional clinical work and cost would be required to achieve regulatory approval for the ReShape Vest. As such, we determined the carrying value of the IPR&D asset was impaired and recognized a non-cash impairment charge of approximately $6.9 million on the condensed consolidated balance sheet as of September 30, 2022, which reduced the value of this asset to zero.

	December 31, 2022
	Weighted Average Useful Life (years)	Gross Carrying Amount		Accumulated Amortization		Net Book Value
Finite-lived intangible assets:
Developed technology	10.0	$	5,989	$	(5,805)	$	184
Trademarks/Tradenames	10.0		462		(386)		76
Total		$	6,451	$	(6,191)	$	260

(5) Leases

The Company had a noncancelable operating lease for office and warehouse space in San Clemente, which expired June 30, 2023. The Company also had an operating lease and warehouse space in Carlsbad, California, which expired June 30, 2022. On March 13, 2023, the Company entered into a lease for approximately 5,038 square feet of office and warehouse space at 18 Technology Drive, Suite 110, Irvine, California 92618 and relocated our principal executive offices from our former San Clemente, California location to the Irvine, California location. The Irvine California lease has a term of 36 months commencing on May 1, 2023.

The Company does not have any short-term leases or financing lease arrangements. Lease and non-lease components are accounted for separately.

Operating lease costs were $16 thousand and $0.1 million for the three months ended September 30, 2023 and 2022, respectively, and $0.3 million and $0.6 million for the nine months ended September 30, 2023 and 2022, respectively. Variable lease costs were not material.

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Supplemental information related to operating leases is as follows:

	September 30,		December 31,
Balance Sheet information	2023		2022
Operating lease ROU assets	$	274	$	171
Operating lease liabilities, current portion	$	110	$	171
Operating lease liabilities, long-term portion		175		—
Total operating lease liabilities	$	285	$	171
Cash flow information for the nine months ended September 30,	2023		2022
Cash paid for amounts included in the measurement of operating leases liabilities	$	201	$	473

Maturities of operating lease liabilities were as follows as of September 30, 2023:

Remainder of 2023		27
2024		111
2025		115
2026		59
Total lease payments		312
Less: imputed interest		27
Total lease liabilities	$	285
Weighted-average remaining lease term at end of period (in years)		2.7
Weighted-average discount rate at end of period		6.9	%

(6)  Equity

Common Stock Issued Related to Restricted Stock Units

During the three months ended September 30, 2023 and 2022, the Company issued 672 shares of common stock and 2,321 shares of common stock, respectively, subject to vesting of the restricted stock units. During the nine months ended September 30, 2023 and 2022, the Company issued 2,340 shares of common stock and 20,505 shares of common stock, respectively, subject to vesting of the restricted stock units. For further details see Note 10.

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April Securities Offering

On April 20, 2023, the Company entered into a Securities Purchase Agreement with a certain institutional investor, pursuant to which the Company agreed to issue and sell to the Investor in a registered direct offering  (i) 291,395 shares of the Company’s common stock, par value $0.001 per share, and (ii) pre-funded warrants to purchase an aggregate of 509,300 shares of Common Stock. Each share of common stock was sold at a price of $3.07 per share and each Pre-funded Warrant was sold at an offering price of $3.069 per share underlying such Pre-funded Warrants, for aggregate gross proceeds of approximately $2.5 million before deducting the placement agent’s fees and the offering expenses. The Company has been using the net proceeds of this offering to continue implementation of its growth strategies, for working capital and general corporate purposes. In addition, under the Purchase Agreement, the Company also agreed to issue and sell to the Investor in a concurrent private placement warrants to purchase an aggregate of 800,695 shares of common stock.

In connection with the Offering, the Company also agreed that certain existing warrants to purchase up to an aggregate of 164,656 shares of Common Stock that were issued to the Investor, at an exercise price of $15.00 per share, were amended effective upon the closing of the Offering so that the amended warrants have an exercise price of $3.07.

The Company’s exclusive placement agent in connection with the Offering, Maxim Group LLC, received a cash fee equal to 7.0% of the gross proceeds received by the Company from the sale of the securities in Offering, as well as reimbursement for certain expenses, and warrants to purchase up to 40,035 shares of Common Stock, which is equal to 5.0% of the aggregate amount of shares of Common Stock issued in the Offering, at an exercise price of $3.38 per share.

The offering closed April 24, 2023.

February Public Offering of Common Stock and Warrants

On February 8, 2023, the Company closed a public offering of 1,275,000 units, with each consisting of one share of its common stock, or one pre-funded warrant to purchase one share of its common stock, and one warrant to purchase one and one-half shares of its common stock. Each unit was sold at public offering price of $8.00. The warrants in the units are immediately exercisable at a price of $8.00 per share and expire five years from the date of issuance. Alternatively, each warrant can be exercised pursuant to the “alternative cashless exercise” provision, to which the holders would receive an aggregate number of shares of common stock equal the product of (x) the aggregate number of shares of common stock that would be issuable upon a cash exercise and (y) 0.50. For purposes of clarity, one common warrant to purchase one and one-half shares would be exercisable for 0.75 shares under this alternative cashless exercise provision. The shares of common stock (or pre-funded warrants in lieu thereof) and accompanying warrants were only purchasable together in this offering but were issued separately and immediately separable upon issuance. As of September 30, 2023, warrants to purchase 1,674,376 shares of common stock have been exercised under the alternative cashless exercise for a total of 835,313 shares of common stock.

Gross proceeds, before deducting underwriting discounts and commissions and estimated offering expenses, are approximately $10.2 million. The Company has been using the net proceeds of this offering to continue implementation of its growth strategies, for working capital and general corporate purposes.

The Company also granted the underwriters an option to purchase an additional 191,250 shares of common stock and/or additional warrants to purchase up to 286,875 shares of common stock, to cover over-allotments, of which Maxim Group LLC exercised its option to purchase additional warrants to purchase 286,875 shares of common stock.

(7) Warrants

On April 24, 2023, the Company completed a securities purchase offering in which three classes of warrants were issued. There were 800,695 common stock purchase warrants issued with an exercise price of $3.07. The common stock purchase warrants were valued at $1.5 million using the fair value approach at the time of issuance. The fair value of the common stock purchase warrants was determined using a Black Scholes option pricing model using a risk free rate of 3.558%, expected term of 5.5 years, expected dividends of zero and an expected volatility of 88.4%.

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In addition, one of the investors purchased 509,300 pre-funded warrants at a price of $3.069 per warrant. These warrants have an exercise price of $0.001 per share and do not expire. The pre-funded warrants were valued at $1.3 million using the fair value approach at the time of issuance. The fair value of the pre-funded warrants was determined using a Black Scholes option pricing model using a risk free rate of 3.558%, an expected term of 5.5 years, expected dividends of zero and expected volatility of 88.4%.

As part of the terms of the offering the Company issued 40,035 representative’s warrants with an exercise price of $3.38 per share and expiration date on April 24, 2028. The representative’s warrants were valued at $0.1 million using the fair value approach at the time of issuance. The fair value of the representative’s warrants was determined using a Black Scholes option pricing model using a risk free rate of 3.568%, an expected term of 5.0 years, expected dividends of zero and expected volatility of 96.3%.

On February 8, 2023, the Company completed a public offering in which three classes of warrants were issued. There were 2,199,375 common stock purchase warrants issued with an alternative cashless exercise provision. The alternative cashless exercise allows the holder to exercise one warrant share for 0.5 shares of common stock or exercise via the cash exercise price of $8.00 per share of common stock per warrant. The Company classifies these warrants as a liability, and the Company utilized a bifurcated Black-Scholes option pricing model to consider the cash exercise option and cashless exercise option. The bifurcated Black-Scholes option pricing model used an exercise price where the two exercise methods would be indifferent with market inputs of the stock price on the issuance, risk free interest rate, expected share price volatility and dividend yield. The Company calculates the fair value of the warrants at each reporting period and when a warrant is exercised, with the changes in fair value recognized in the statement of operations. Below is a summary of the initial inputs used in the bifurcated Black-Scholes option pricing model.

	Cash Exercise		Cashless Exercise
Stock Price	$	5.905	$	5.905
Exercise Price	$	16.00	$	0.00
Term (years)		5.00		5.00
Volatility		96.50%		96.50%
Risk Free Rate		3.784%		3.784%
Dividend Yield		0%		0%

The following table presents the changes in the fair value of warrant liabilities:

	Common Stock
	Purchase Warrants
Fair value as of February 8, 2023 (issuance date)	$	10,363
Fair value of liability warrants in excess of proceeds, at issuance		(164)
Exercises of liability warrants		(6,249)
Gain on changes in fair value of liability warrants		(3,850)
Fair value as of September 30, 2023	$	100

In addition, one of the investors purchased 90,000 pre-funded warrants at a price of $7.999 per warrant. These warrants have an exercise price of $0.0001 per share and do not expire. The pre-funded warrants were valued at $0.5 million using the fair value approach at the time of issuance. The fair value of the pre-funded warrants was determined using a Black Scholes option pricing model using a risk free rate of 3.784%, an expected term of 5.0 years, expected dividends of zero and expected volatility of 96.5%.

As part of the terms of the offering the Company issued 73,313 representative’s warrants with an exercise price of $8.80 per share and expiration date on February 3, 2028. The representative’s warrants were valued at $ $0.3 million using the fair value approach at the time of issuance. The fair value of the representative’s warrants was determined using a Black Scholes option pricing model using a risk free rate of 3.786%, an expected term of 4.99 years, expected dividends of zero and expected volatility of 96.5%.

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(8) Revenue Disaggregation and Operating Segments

The Company conducts operations worldwide and has sales in the following regions: United States, Australia, Europe and Rest of World. For the three and nine months ended September 30, 2023 and 2022, the Company primarily only sold the Lap-Band system. The following table presents the Company’s revenue disaggregated by geography:

	Three Months Ended				Nine Months Ended
	September 30,				September 30,
	2023		2022		2023		2022
United States	$	1,732	$	2,412	$	5,473	$	6,565
Australia		139		164		419		533
Europe		258		206		756		1,009
Rest of world		26		16		48		23
Total revenue	$	2,155	$	2,798	$	6,696	$	8,130

Operating Segments

The Company conducts operations worldwide and is managed in the following geographical regions: United States, Australia, Europe and the Rest of World (primarily in the Middle East). All regions sell the Lap-Band system, which consisted of nearly all our revenue and gross profit for the three and nine months ended September 30, 2023 and 2022. During the three and nine months ended September 30, 2023 and 2022, there was minimal revenue for ReShapeCare. There was no revenue or gross profit recorded for the DBSN device for the three and nine months ended September 30, 2023 and 2022 as this product is still in the development stage. There was also no revenue recorded for the Obalon line.

(9) Income Taxes

During the three months ended September 30, 2023 and 2022, the Company recorded income tax expense of $3 thousand and an income tax benefit of $0.4 million, respectively, and during the nine months ended September 30, 2023 and 2022, the Company recorded income tax expense of $21 thousand and an income tax benefit of $0.3 million. The income tax expense is related to minimum state taxes and projected Australian and Netherlands income, respectively. The income tax provisions for the three and nine months ended September 30, 2023, were calculated using the discrete year-to-date method. The effective tax rate differs from the statutory tax rate of 21% primarily due to the existence of valuation allowances against net deferred tax assets and current liabilities resulting from the estimated state income tax liabilities and foreign tax liability.

In assessing the realization of deferred tax assets, the Company considers whether it is more likely than not that some portion or all of the deferred tax assets will not be realized. The ultimate realization of deferred tax assets is dependent upon the generation of future taxable income during periods in which those temporary differences become deductible. Based on the level of historical losses, projections of losses in future periods and potential limitations pursuant to changes in ownership under Internal Revenue Code Section 382, the Company provided a valuation allowance at both September 30, 2023 and December 31, 2022.

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(10)  Stock-based Compensation

Stock-based compensation expense related to stock options and RSUs issued under the ReShape Lifesciences Inc. Second Amended and Restated 2003 Stock Incentive Plan (the “Plan”) for the three and nine months ended September 30, 2023 and 2022 were as follows:

	Three Months Ended				Nine Months Ended
	September 30,				September 30,
	2023		2022		2023		2022
Sales and marketing	$	30	$	23	$	89	$	239
General and administrative		128		269		384		1,363
Research and development		58		67		183		245
Total stock-based compensation expense	$	216	$	359	$	656	$	1,847

Stock Options

A summary of the status of the Company’s stock options as of September 30, 2023, and changes during the nine months ended September 30, 2023 are as follows:

				Weighted
		Weighted		Average	Aggregate
		Average		Remaining	Intrinsic
		Exercise Price		Contractual	Value
	Shares	Per Share		Life (years)	(in thousands)
Outstanding at December 31, 2022	21,416		311.65		$	—
Options granted	—		—
Options exercised	—		—
Options cancelled	(5,525)		150.62
Outstanding at September 30, 2023	15,891		367.63	7.7	$	—
Exercisable at September 30, 2023	12,366		449.37	7.5		—
Vested and expected to vest at September 30, 2023	15,891		367.63	7.7		—

There was no intrinsic value of the outstanding stock options at September 30, 2023. The unrecognized share-based expense at September 30, 2023 was $0.2 million, and will be recognized over a weighted average period of 1.9 years.

Stock option awards outstanding under the Company’s incentive plans have been granted at exercise prices that are equal to the market value of its common stock on the date of grant. Such options generally vest over a period of four years and expire at ten years after the grant date. The Company recognized compensation expense ratably over the vesting period. The Company uses a Black-Scholes option-pricing model to estimate the fair value of stock options granted, which requires the input of both subjective and objective assumptions as follows:

Expected Term – The estimate of expected term is based on the historical exercise behavior of grantees, as well as the contractual life of the options granted.

Expected Volatility – The expected volatility factor is based on the volatility of the Company’s common stock for a period equal to the term of the stock options.

Risk-free Interest Rate – The risk-free interest rate is determined using the implied yield for a traded zero-coupon U.S. Treasury bond with a term equal to the expected term of the stock options.

Expected Dividend Yield – The expected dividend yield is based on the Company’s historical practice of paying dividends on its common stock.

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Restricted Stock Units

A summary of the Company’s unvested RSUs award activity for the nine months ended September 30, 2023, is as follows:

		Weighted
		Average
		Grant Date
	Shares	Fair Value
Unvested RSUs at December 31, 2022	4,544	$	174.15
Granted	—		—
Vested (1)	(2,783)		196.28
Cancelled/Forfeited	—		—
Non-vested RSUs at September 30, 2023	1,761		139.17

(1) At September 30, 2023, there were 279 shares of common stock related to RSU awards that had vested and the shares were not distributed to the participants until October of 2023.

The fair value of each RSU is the closing stock price on the Nasdaq of the Company’s common stock on the date of grant. Upon vesting, a portion of the RSU award may be withheld to satisfy the statutory income tax withholding obligation. The remaining RSUs will be settled in shares of the Company’s common stock after the vesting period. The unrecognized compensation cost related to the RSUs at September 30, 2023 was $0.2 million and expected to be recognized over a period of 1.3 years.

(11)  Commitment and Contingencies

Litigation

On August 6, 2021, Cowen and Company, LLC filed a complaint against ReShape, as successor in interest to Obalon Therapeutics, in the Supreme Court of the State of New York based on an alleged breach of contract arising out of Cowen’s prior engagement as Obalon’s financial advisor. The complaint alleges that Cowen is entitled to be paid a $1.35 million fee in connection with ReShape’s merger with Obalon under the terms of Cowen’s engagement agreement with Obalon. The complaint also sought reimbursement of Cowen’s attorneys’ fees and interest in connection with its claim. On May 11, 2023, the Supreme Court of the State of New York issued the final judgement in favor of Cowen & Company in the amount of $1.35 million, plus interest at the statutory rate of 9% per annum from June 16, 2021 until judgement is paid in full, and reimbursement of $675,000 of Cowen’s attorneys’ fees, with $275,000 to be paid upfront, $200,000 paid after six months and $200,000 paid after 12 months. As of September 30, 2023, the Company has paid the $1.35 million judgement, including related interest, and first $275,000 installment of Cowen’s attorneys’ fees. At September 30, 2023, $400 thousand of attorneys’ fees were included as accrued expenses.

The Company is not aware of any pending or threatened litigation against it that could have a material adverse effect on the Company’s business, operating results or financial condition, other than what was disclosed above. The medical device industry in which the Company operates is characterized by frequent claims and litigation, including claims regarding patent and other intellectual property rights as well as improper hiring practices. As a result, the Company may be involved in various legal proceedings from time to time.

Product Liability Claims

The Company is exposed to product liability claims that are inherent in the testing, production, marketing and sale of medical devices. Management believes any losses that may occur from these matters are adequately covered by insurance, and the ultimate outcome of these matters will not have a material effect on the Company’s financial position or results of operations. The Company is not currently a party to any product liability litigation and is not aware of any pending or threatened product liability litigation that is reasonably possible to have a material adverse effect on the Company’s business, operating results or financial condition.

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(12)  Subsequent Events

Securities Offering

On October 3, 2023, the Company completed a Securities Purchase Agreement with certain investors pursuant to which the Company agreed to issue and sell to the investors (i) 1,770,000 shares of the Company’s common stock, par value $0.001 per share (the “Common Stock”), (ii) warrants to purchase up to 13,650,000 shares of Common Stock at an initial exercise price of $0.33 per share (the “Common Warrants”) and (iii) pre-funded warrants to purchase 7,330,000 shares of Common Stock at an exercise price of $0.001 per share. The securities were sold as part of units at a price of $0.33 per unit or, with respect to the units including pre-funded warrants, $0.329 per unit.

In connection with the offering, the Company also agreed that certain existing warrants to purchase up to an aggregate of 965,351 shares of Common Stock at an exercise price of $3.07 per share and warrants to purchase up to an aggregate of 382,500 shares of Common Stock at an exercise price of $8.00 per share that were previously issued to one of the investors, were amended effective upon the closing of the Offering so that the amended warrants have an exercise price of $0.33 per share.

The net proceeds from the offering were approximately $2.8 million, after deducting the placement agent fees and before deducting offering expenses.

The Company’s exclusive placement agent in connection with the offering, Maxim Group LLC, received a cash fee equal to up to 7.0% of the gross proceeds received by the Company from the sale of the securities in offering, as well as reimbursement for certain expenses, and warrants to purchase up to 455,000 shares of Common Stock, which is equal to 5.0% of the aggregate amount of shares of Common Stock (or Common Stock equivalents in the form of pre-funded warrants) issued in the offering, at an exercise price of $0.363 per share (the “Placement Agent Warrant”).

Employee Reduction

The Company remains committed to helping patients improve their lives through bariatric surgeries with the Lap-Band, while achieving profitability. To ensure its steadfast pursuit of this objective, the Company has taken many steps to reduce costs, through reduction of various operating expenses, such as adjusting our marketing strategy. On November 3, 2023, the Company made the difficult decision to reduce its workforce by approximately 23%, resulting in a projected annualized cost savings of approximately $1.2 million. The workforce reduction is part of the Company’s broader efforts to gain greater efficiencies throughout the organization, without impacting our revenue-generating strategies or the Company’s ability to continue delivering unparalleled quality and value to its customers.

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ITEM  2.       MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS 

The following discussion should be read in conjunction with the condensed consolidated financial statements and notes thereto appearing elsewhere in this Quarterly Report on Form 10-Q. 

Except for the historical information contained herein, the matters discussed in this “Management’s Discussion and Analysis of Financial Condition and Results of Operations,” are forward-looking statements that involve risks and uncertainties. In some cases, these statements may be identified by terminology such as “may,” “will,” “should,” “expects,” “could,” “intends,” “might,” “plans,” “anticipates,” “believes,” “estimates,” “predicts,” “potential,” or “continue,” or the negative of such terms and other comparable terminology. These statements involve known and unknown risks and uncertainties that may cause our results, level of activity, performance or achievements to be materially different from those expressed or implied by the forward-looking statements. Factors that may cause or contribute to such differences include, among others, those discussed in the “Risk Factors” section included in Item 1A of our most recent Annual Report on Form 10-K. 

Except as may be required by law, we undertake no obligation to update any forward-looking statement to reflect events after the date of this report. 

Overview

We are the premier global weight-loss solutions company, offering an integrated portfolio of proven products and services that manage and treat obesity and associated metabolic disease. Our primary operations are in the following geographical areas: United States, Australia and certain European and Middle Eastern countries. Our current portfolio includes the Lap-Band Adjustable Gastric Banding System, the ReShapeCare virtual health coaching program, the ReShape Marketplace, the Obalon Balloon System, and the Diabetes Bloc-Stim Neuromodulation device, a technology under development as a new treatment for type 2 diabetes mellitus. There has been no revenue recorded for the Obalon Balloon System, and there has been no revenue recorded for the Diabetes Bloc-Stim Neuromodulation as this product is still in the development stage.

Recent Developments

On March 13, 2023 we entered into a lease for approximately 5,038 square feet of office/warehouse space at 18 Technology Drive, Suite 110, Irvine, California 92618 and relocated our principal executive offices from our former San Clemente, California location to the Irvine, California location. The Irvine California lease has a term of 36 months and commenced on May 1, 2023.

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Results of Operations

The following table sets forth certain data from our unaudited consolidated statements of operations expressed as percentages of revenue (in thousands):

	Three Months Ended September 30,								Nine Months Ended September 30,
	2023				2022				2023				2022
Revenue	$	2,155	100.0	%	$	2,798	100.0	%	$	6,696	100.0	%	$	8,130	100.0	%
Cost of revenue		867	40.2	%		697	24.9	%		2,990	44.7	%		2,928	36.0	%
Gross profit		1,288	59.8	%		2,101	75.1	%		3,706	55.3	%		5,202	64.0	%
Operating expenses:
Sales and marketing		1,791	83.1	%		2,605	93.1	%		6,150	91.8	%		11,936	146.8	%
General and administrative		2,058	95.5	%		3,784	135.2	%		8,724	130.3	%		13,037	160.4	%
Research and development		542	25.2	%		583	20.8	%		1,576	23.5	%		2,075	25.5	%
Impairment of long-lived assets		777	36.1	%		7,429	265.5	%		777	11.6	%		7,429	91.4	%
(Gain) loss on disposal of assets, net		—	—	%		1	—	%		(33)	(0.5)	%		383	4.7	%
Total operating expenses		5,168	239.9	%		14,402	514.6	%		17,194	256.7	%		34,860	428.8	%
Operating loss		(3,880)	(180.1)	%		(12,301)	(439.5)	%		(13,488)	(201.4)	%		(29,658)	(364.8)	%
Other expense (income), net:
Interest income, net		(5)	(0.2)	%		(31)	(1.1)	%		(9)	(0.1)	%		(47)	(0.6)	%
Gain on changes in fair value of liability warrants		(412)	(19.1)	%		—	—	%		(3,850)	(57.5)	%		—	—	%
Loss on foreign currency exchange, net		68	3.2	%		279	10.0	%		47	0.7	%		467	5.7	%
Other		—	—	%		—	—	%		(8)	(0.1)	%		(9)	(0.1)	%
Loss before income tax provision		(3,531)	(164.0)	%		(12,549)	(448.4)	%		(9,668)	(144.4)	%		(30,069)	(369.8)	%
Income tax expense (benefit)		3	0.1	%		(363)	(13.0)	%		21	0.3	%		(324)	(4.0)	%
Net loss	$	(3,534)	(164.1)	%	$	(12,186)	(435.5)	%	$	(9,689)	(144.7)	%	$	(29,745)	(365.9)	%

Non-GAAP Disclosures

In addition to the financial information prepared in conformity with GAAP, we provide certain historical non-GAAP financial information. Management believes that these non-GAAP financial measures assist investors in making comparisons of period-to-period operating results.

Management believes that the presentation of this non-GAAP financial information provides investors with greater transparency and facilitates comparison of operating results across a broad spectrum of companies with varying capital structures, compensation strategies, and amortization methods, which provides a more complete understanding of our financial performance, competitive position, and prospects for the future. However, the non-GAAP financial measures presented in Form 10-Q have certain limitations in that they do not reflect all of the costs associated with the operations of our business as determined in accordance with GAAP. Therefore, investors should consider non-GAAP financial measures in addition to, and not a substitute for, or as superior to, measures of financial performance prepared in accordance with GAAP. Further, the non-GAAP financial measures presented by the Company may be different from similarly named non-GAAP financial measures used by other companies.

Adjusted EBITDA

Management uses adjusted EBITDA in its evaluation of the Company’s core results of operations and trends between fiscal periods and believes that these measures are important components of its internal performance measurement process. Adjusted EBITDA is defined as net loss before interest, taxes, depreciation and amortization, stock-based compensation, changes in fair value of liability warrants, and other one-time costs.

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The following table contains a reconciliation of GAAP net loss to Adjusted EBITDA net loss attributable to common stockholders for the three and nine months ended September 30, 2023 and 2022 (in thousands):

	Three Months Ended September 30,				Nine Months Ended September 30,
	2023		2022		2023		2022
GAAP net loss	$	(3,534)	$	(12,186)	$	(9,689)	$	(29,745)
Adjustments:
Interest income, net		(5)		(31)		(9)		(47)
Income tax expense (benefit)		3		(363)		21		(324)
Depreciation and amortization		50		543		147		1,638
Stock-based compensation expense		216		359		656		1,847
Impairment of long-lived assets		777		7,429		777		7,429
(Gain) loss on disposal of assets, net		—		1		(33)		—
Gain on changes in fair value of liability warrants		(412)		—		(3,850)		—
Adjusted EBITDA	$	(2,905)	$	(4,248)	$	(11,980)	$	(19,202)

Comparison of Results of Operations

Three months ended September 30, 2023 and September 30, 2022

Revenue. The following table summarizes our unaudited revenue by geographic location based on the location of customers for the three months ended September 30, 2023 and 2022, as well as the percentage of each location to total revenue and the amount of change and percentage of change (dollars in thousands):

	Three Months Ended September 30,								Amount		Percentage
	2023				2022				Change		Change
United States	$	1,732	80.4	%	$	2,412	86.2	%	$	(680)	(28.2)	%
Australia		139	6.5	%		164	5.9	%		(25)	(15.2)	%
Europe		258	12.0	%		206	7.4	%		52	25.2	%
Rest of world		26	1.1	%		16	0.5	%		10	62.5	%
Total revenue	$	2,155	100.0	%	$	2,798	100.0	%	$	(643)	(23.0)	%

Revenue totaled $2.2 million for the three months ended September 30, 2023, which represents a contraction of 23.0%, or $0.6 million compared to the same period in 2022. The primary reason is due to a decrease in sales volume throughout the US and Australia. During the three months ended September 30, 2023, the Company focused on its new strategies for marketing through a targeted digital media campaign near bariatric surgical centers, while reducing costs and increasing efficiencies. Our expectation is during the fourth quarter of 2023 and the beginning of 2024 these efforts will come to fruition and revenue will grow, as we continue to focus on increasing the demand for the Lap-Band system and our recently launched three new sizes of calibration tubes. Additionally, we are anticipating FDA approval for the LAP-BAND 2.0 early in 2024. Once FDA approval is received, we will launch the new LAP-BAND 2.0 and anticipate this will boost sales.

Cost of Goods Sold and Gross Profit. The following table summarizes our unaudited cost of revenue and gross profit for the three months ended September 30, 2023 and 2022, as well as the percentage compared to total revenue and amount of change and percentage of change (dollars in thousands):

	Three Months Ended September 30,								Amount		Percentage
	2023				2022				Change		Change
Revenue	$	2,155	100.0	%	$	2,798	100.0	%	$	(643)	(23.0)	%
Cost of revenue		867	40.2	%		697	24.9	%		170	24.4	%
Gross profit	$	1,288	59.8	%	$	2,101	75.1	%	$	(813)	(38.7)	%

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Gross Profit. Gross profit for the three months ended September 30, 2023, was $1.3 million, compared to $2.1 million for the same period in 2022, a decrease of $0.8 million. Gross profit as a percentage of total revenue for the three months ended September 30, 2023, was 59.8% compared to 75.1% for the same period in 2022. The decrease in gross profit percentage is due to the decrease in sales with related additional overhead costs, primarily related to payroll.

Operating Expense. The following table summarizes our unaudited operating expenses for the three months ended September 30, 2023 and 2022, as well as the percentage of total revenue and the amount of change and percentage of change (dollars in thousands):

	Three Months Ended September 30,								Amount		Percentage
	2023				2022				Change		Change
Sales and marketing	$	1,791	83.1	%	$	2,605	93.1	%	$	(814)	(31.2)	%
General and administrative		2,058	95.5	%		3,784	135.3	%		(1,726)	(45.6)	%
Research and development		542	25.2	%		583	20.8	%		(41)	(7.0)	%
Impairment of long-lived assets		777	36.1	%		7,429	265.5	%		(6,652)	(89.5)	%
(Gain) loss on disposal of assets, net		—	—	%		1	—	%		(1)	(100.0)	%
Total operating expenses	$	5,168	239.9	%	$	14,402	514.7	%	$	(9,234)	(64.1)	%

Sales and Marketing Expense. Sales and marketing expenses for the three months ended September 30, 2023, decreased by $0.8 million, or 31.2%, to $1.8 million, compared to $2.6 million for the same period in 2022. The decrease is primarily due to a decrease of $0.7 million in advertising and marketing expenses, including consulting and professional marketing services, as the Company has reevaluated its marketing approach and has moved to a targeted digital marketing campaign, resulting in a reduction of costs. We also had a reduction in payroll expenditure, including commissions and travel of $0.1 million, due to changes in sales personnel and lower sales.

General and Administrative Expense. General and administrative expenses for the three months ended September 30, 2023, decreased by $1.7 million, or 45.6%, to approximately $2.1 million, compared to $3.8 million for the same period in 2022. The decrease is primarily due to a reduction in payroll-related expenses, including a reduction in stock-based compensation expense of $0.9 million, due to changes within personnel. There was a reduction in intangible asset amortization of $0.4 million, as we impaired our finite intangible assets during the fourth quarter of 2022. We also had a decrease in rent and insurance of $0.2 million due to the lease of our former Carlsbad, CA location expiring. We had a reduction in professional services of approximately $0.3 million. These reductions were offset by an increase in bad debt expense of $0.3 million.

Research and Development Expense. Research and development expenses for the three months ended September 30, 2023, remained consistent with the same period in 2022, with a slight decrease primarily in clinical trials and professional services.

Nine months ended September 30, 2023 and September 30, 2022

Revenue. The following table summarizes our unaudited revenue by geographic location based on the location of customers for the nine months ended September 30, 2023 and 2022, as well as the percentage of each location to total revenue and the amount of change and percentage of change (dollars in thousands):

	Nine Months Ended September 30,								Amount		Percentage
	2023				2022				Change		Change
United States	$	5,473	81.7	%	$	6,565	80.8	%	$	(1,092)	(16.6)	%
Australia		419	6.3	%		533	6.6	%		(114)	(21.4)	%
Europe		756	11.3	%		1,009	12.3	%		(253)	(25.1)	%
Rest of world		48	0.7	%		23	0.3	%		25	108.7	%
Total revenue	$	6,696	100.0	%	$	8,130	100.0	%	$	(1,434)	(17.6)	%

Revenue totaled $6.7 million for the nine months ended September 30, 2023, which represents a contraction of 17.6%, or $1.4 million compared to the same period in 2022. The primary reason is due to a decrease in sales volume throughout the US, Europe and Australia. During the nine months ended September 30, 2023, the Company focused on

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its new strategies for marketing through a targeted digital media campaign near bariatric surgical centers, while reducing costs and increasing efficiencies. Our expectation is during the fourth quarter of 2023 and the beginning of 2024 these efforts will come to fruition and revenue will grow, as we continue to focus on increasing the demand for the Lap-Band system and our recently launched three new sizes of calibration tubes. Additionally, we are anticipating FDA approval for the LAP-BAND 2.0 early in 2024. Once FDA approval is received, we will launch the new LAP-BAND 2.0 and anticipate this will boost sales.

Cost of Goods Sold and Gross Profit. The following table summarizes our unaudited cost of revenue and gross profit for the nine months ended September 30, 2023 and 2022, as well as the percentage compared to total revenue and amount of change and percentage of change (dollars in thousands):

	Nine Months Ended September 30,								Amount		Percentage
	2023				2022				Change		Change
Revenue	$	6,696	100.0	%	$	8,130	100.0	%	$	(1,434)	(17.6)	%
Cost of revenue		2,990	44.7	%		2,928	36.0	%		62	2.1	%
Gross profit	$	3,706	55.3	%	$	5,202	64.0	%	$	(1,496)	(28.8)	%

Gross Profit. Gross profit for the nine months ended September 30, 2023 was $3.7 million, compared to $5.2 million for the same period in 2022, a decrease of $1.5 million. Gross profit as a percentage of total revenue for the nine months ended September 30, 2023, was 55.3% compared to 64.0% for the same period in 2022. The decrease in gross profit percentage is due to the decrease in sales and additional fixed costs.

Operating Expense. The following table summarizes our unaudited operating expenses for the nine months ended September 30, 2023 and 2022, as well as the percentage of total revenue and the amount of change and percentage of change (dollars in thousands):

	Nine Months Ended September 30,								Amount		Percentage
	2023				2022				Change		Change
Sales and marketing	$	6,150	91.8	%	$	11,936	146.8	%	$	(5,786)	(48.5)	%
General and administrative		8,724	130.3	%		13,037	160.4	%		(4,313)	(33.1)	%
Research and development		1,576	23.5	%		2,075	25.5	%		(499)	(24.0)	%
Impairment of long-lived assets		777	11.6	%		7,429	91.4	%		(6,652)	(89.5)	%
(Gain) loss on disposal of assets, net		(33)	(0.5)	%		383.0	4.7	%		(416)	(108.6)	%
Total operating expenses	$	17,194	256.7	%	$	34,860	428.8	%	$	(17,666)	(50.7)	%

Sales and Marketing Expense. Sales and marketing expenses for the nine months ended September 30, 2023, decreased by $5.8 million, or 48.5%, to approximately $6.1 million, compared to $11.9 million for the same period in 2022. The decrease is primarily due to a decrease of $4.6 million in advertising and marketing expenses, including consulting and professional marketing services, as the Company has reevaluated its marketing approach and has moved to a targeted digital marketing campaign, resulting in a significant reduction of costs. We also had reductions in payroll expenditures, including commissions, travel and stock-based compensation of $1.1 million, due to changes in sales personnel and lower sales.

General and Administrative Expense. General and administrative expenses for the nine months ended September 30, 2023, decreased by $4.3 million, or 33.1%, to approximately $8.7 million, compared to $13.0 million for the same period in 2022. The decrease is primarily due to a reduction in legal related expenses due to the Company recording $2.0 million in litigation losses during the three months ended June 30, 2022. In addition, the Company had a reduction in payroll-related expenses including stock-based compensation expense of $2.4 million, due to changes within personnel. We had a decrease in intangible asset amortization of $1.3 million, as we impaired our finite intangible assets during the fourth quarter. We also had a decrease in rent and insurance of $0.7 million due to the lease of our former Carlsbad, CA location expiring. This was offset by an increase in audit and professional services of approximately $1.6 million, primarily due to the offerings we completed in February 2023 and April 2023. Additionally, we had an increase of $0.5 million in bad debt expense.

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Research and Development Expense. Research and development expenses for the nine months ended September 30, 2023, decreased by $0.5 million, or 24.0%, to $1.6 million, compared to $2.1 million for the same period in 2022. The decrease is primarily due to a decrease of $0.2 million in payroll expenses and a reduction of $0.1 million in consulting and clinical related expenses.

(Gain) Loss on Disposal of Assets, Net. Loss on disposal of assets decreased by approximately $0.4 million for the nine months ended September 30, 2023, compared to the same period in the prior year. During the nine months ended September 30, 2022, the Company disposed of $0.4 million of assets that were acquired from the merger with Obalon and during the nine months ended September 30, 2023, we sold approximately $30 thousand of fully depreciated assets during our relocation from San Clemente, CA to Irvine, CA.

Liquidity and Capital Resources

The accompanying condensed consolidated financial statements have been prepared assuming the Company will continue as a going concern. The Company currently does not generate revenue sufficient to offset operating costs and anticipates such shortfalls to continue as the Company has modified its strategy to a metrics-driven approach through a sustainable and scalable business model, via a digital lead generation and re-engagement strategy. As of September 30, 2023, the Company had net working capital of approximately $2.9 million, primarily due to cash and cash equivalents and restricted cash of $1.5 million. The Company’s principal source of liquidity as of September 30, 2023, consisted of approximately $1.5 million of cash and cash equivalents and restricted cash, and $2.2 million of accounts receivable. Based on its available cash resources, the Company may not have sufficient cash on hand to fund its current operations for more than twelve months from the date of filing this Quarterly Report on Form 10-Q. This condition raises substantial doubt about the Company’s ability to continue as a going concern. The Company believes in the viability of its business strategy and in its ability to raise additional funds, however, there can be no assurance to that effect.

The following table summarizes our change in cash and cash equivalents and restricted cash (in thousands):

	Nine Months Ended
	September 30,
	2023		2022
Net cash used in operating activities	$	(14,503)	$	(19,073)
Net cash used in investing activates		(10)		(13)
Net cash provided by financing activities		12,113		2,492
Effect of exchange rate changes		(6)		24
Net change in cash and cash equivalents and restricted cash	$	(2,406)	$	(16,570)

Net Cash Used in Operating Activities

Net cash used in operating activities from operations was $14.5 million and $19.1 million for the nine months ended September 30, 2023 and 2022, respectively. For the nine months ended September 30, 2023, net cash used in operating activities was primarily the result of our net loss of $8.9 million, partially offset by non-cash adjustments for stock-based compensation expense of $0.7 million, non-cash offering cost of $0.3 million and bad debt expense of approximately $0.5 million, offset by a negative cash impact related to gains recognized for changes in fair value of liability warrants of $3.9 million. We show a negative cash impact on accounts payable and accrued liabilities of $2.8 million, accounts receivable of $0.4 million, and prepaid expenses of $0.3 million. This was offset by a positive cash impact on inventory of $0.3 million.

For the nine months ended September 30, 2022, net cash used in operating activities was primarily the result of our net loss of $29.7 million, partially offset by non-cash adjustments for impairment of intangible assets of $7.4 million, stock-based compensation expense of $1.8 million, amortization of intangible assets of $1.4 million, depreciation expense of $0.3 million, provision for excess and obsolete inventory of $0.2 million and loss on disposal of assets of $0.4 million, offset by non-cash reduction of expense for deferred income tax of $0.4 million and bad debt expense of $0.1 million. We show a negative cash impact to inventory of $1.3 million, as the Company is building up its inventory to meet the expected increase in demand due to the marketing strategies, and warranty liability of $0.3 million. This was offset by a positive cash impact to accounts and other receivables of $0.7 million and prepaid expenses of $0.7 million.

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Net Cash (Used in) Provided by Investing Activities

Net cash (used in) and provided by investing activities for the nine months ended September 30, 2023 and 2022, was minimal.

Net Cash Provided by Financing Activities

Net cash provided by financing activities was $12.1 million for the nine months ended September 30, 2023, due to the proceeds received from the public offering completed during February 2023 and April 2023, less costs to complete the transaction and costs paid related to the October 2023 offering.

Net cash provided by financing activities was $2.5 million for the nine months ended September 30, 2022, due to the proceeds received from an exercise of warrants from an institutional investor.

Operating Capital and Capital Expenditure Requirements

The Company currently does not generate revenue sufficient to offset operating costs and anticipates such shortfalls to continue as the Company has modified its strategy. The Company’s anticipated operations include plans to (i) grow sales and operations of the Company with the Lap-Band product line both domestically and internationally as well as to obtain cost savings synergies, (ii) introduce to the market place ReShapeCare and ReShape Marketplace as an extension, (iii) ramp up a focused approach of marketing to increase brand recognition, create customer awareness and increase the patient demand, (iv) continue development of the DBSN device, (v) seek opportunities to leverage our intellectual property portfolio and custom development services to provide third-party sales and licensing opportunities, and (vi) explore and capitalize on synergistic opportunities to expand our portfolio and offer future minimally invasive treatments and therapies in the obesity continuum of care, including Lap-Band 2.0 and the Obalon Balloon System. The Company believes that it has the flexibility to manage the growth of its expenditures and operations depending on the amount of available cash flows, which could include reducing expenditures for marketing, clinical and product development activities.

Because of the numerous risks and uncertainties associated with the development of medical devices, such as our Diabetes Bloc-Stim Neuromodulation, we are unable to estimate the exact amounts of capital outlays and operating expenditures necessary to complete the development of the Diabetes Bloc-Stim Neuromodulation or other additional products and successfully deliver a commercial product to the market. Our future capital requirements will depend on many factors, including, but not limited to, the following:

● the cost and timing of establishing sales, marketing and distribution capabilities;

● the cost of establishing clinical and commercial supplies of our Diabetes Bloc-Stim Neuromodulation, and any product candidates;

● the rate of market acceptance of our Diabetes Bloc-Stim Neuromodulation, and any other product candidates;

● the cost of filing and prosecuting patent applications and defending and enforcing our patent and other intellectual property rights;

● the cost of defending, in litigation or otherwise, any claims that we infringe third-party patent or other intellectual property rights;

● the effect of competing products and market developments;

● the cost of explanting clinical devices;

● the terms and timing of any collaborative, licensing or other arrangements that we may establish;

● any revenue generated by sales of our Lap-Band, ReShapeCare, ReShape Marketplace, Obalon Balloon System, Diabetes Bloc-Stim Neuromodulation or our future products; including FDA approval on Lap-Band 2.0, which is expected before fiscal year-end 2023,

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● the scope, rate of progress, results and cost of our clinical trials and other research and development activities;

● the cost and timing of obtaining any further required regulatory approvals; and

● the extent to which we invest in products and technologies, although we currently have no commitments or agreements relating to any of these types of transactions.

Critical Accounting Policies and Estimates 

The condensed consolidated financial statements have been prepared in accordance with accounting principles generally accepted in the United States which require us to make estimates and assumptions that affect the reported amounts of assets and liabilities at the date of the condensed consolidated financial statements and revenues and expenses during the periods reported. Actual results could differ from those estimates. Information with respect to our critical accounting policies and estimates which we believe could have the most significant effect on our reported results and require subjective or complex judgments by management is contained in Item 7, “Management's Discussion and Analysis of Financial Condition and Results of Operations,” of our Annual Report on Form 10-K for the year ended December 31, 2022. There have been no significant changes from the information discussed therein. 

During the nine months ended September 30, 2023 there were no material changes to our significant accounting policies above, which are fully described in Note 4 to our consolidated financial statements included in our Annual Report on Form 10-K for the year ended December 31, 2022. 

Recent Accounting Pronouncements

See Note 1 to our condensed consolidated financial statements for a discussion of recent accounting pronouncements.

ITEM  3.       QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK

As a smaller reporting company, we are not required to provide disclosure pursuant to this item.

ITEM  4.       CONTROLS AND PROCEDURES

Evaluation of Disclosure Controls and Procedures

Rule 13a-15(e) under the Securities Exchange Act of 1934, as amended (the “Exchange Act”), defines the term “disclosure controls and procedures” as those controls and procedures designed to ensure that information required to be disclosed by a company in the reports that it files or submits under the Exchange Act is recorded, processed, summarized and reported within the time periods specified in the SEC’s rules and forms and that such information is accumulated and communicated to the company’s management, including its principal executive and principal financial officers, or persons performing similar functions, as appropriate to allow timely decisions regarding required disclosure. Our internal control system was designed to provide reasonable assurance to our management and board of directors regarding the preparation and fair presentation of published financial statements. All internal control systems, no matter how well designed, have inherent limitations. Therefore, even those systems determined to be effective can provide only reasonable assurance with respect to financial statement preparation and presentation. An internal control material weakness is a significant deficiency, or aggregation of deficiencies, that does not reduce to a relatively low level the risk that material misstatements in financial statements will be prevented or detected on a timely basis by employees in the normal course of their work. An internal control significant deficiency, or aggregation of deficiencies, is one that could result in a misstatement of the financial statements that is more than inconsequential. In making its assessment of internal control over financial reporting management used the criteria issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO) in Internal Control - Integrated Framework (2013). Our management assessed the effectiveness of our internal control over financial reporting as of September 30, 2023, and determined that our internal control over financial reporting was not effective at a reasonable assurance level due to the following material weakness in our internal control over financial reporting:

Control Environment: We had insufficient internal resources with appropriate accounting and finance knowledge and expertise to design, implement, document and operate effective internal controls around our financial reporting

26

process. The insufficient internal resources resulted in misstatements of our revenue recognition, stock based compensation, weighted average share calculation, disclosures of income taxes and expense cut off at period end.

Purchase Accounting: The Company did not design and maintain effective management review controls at a sufficient level of precision over the accounting for transactions related to the prepaid D&O insurance policy purchased in connection with the merger transaction in June 2021. This material weakness resulted in certain material corrections to the financial statements and in the restatement of the Company’s financial statements for the annual and interim consolidated financial statements for the year ended December 31, 2021, and the interim consolidated financial statements in the quarters in the year ended December 31, 2022.

Income Taxes: The Company did not design and maintain effective management review controls at a sufficient level of precision over the accounting for income taxes.

Journal entry access and review: The Company did not have effective processes to ensure that all journal entries were properly approved prior to being posted to the general ledger. Furthermore, a segregation of duties conflict is present as certain individuals have the ability to both prepare and post journal entries to the general ledger.

Information technology access and change management: A segregation of duties conflict is present as access and approval rights to the Company’s information technology systems are not reviewed on a timely basis. Furthermore, certain individuals have the ability to develop and deploy changes to production which could create a segregation of duties risk.

We are currently implementing our remediation plan to address the material weaknesses identified above. Such measures include:

● Hiring additional accounting personnel to ensure timely reporting of significant matters.

● Designing and implementing controls to formalize roles and review responsibilities to align with our team's skills and experience and designing and implementing formalized controls.

● Designing and implementing formal processes, policies and procedures supporting our financial close process.

● Design a formal review of a monthly journal entry report to ensure journal entries are appropriately approved within a timely manner.

Changes in Internal Control over Financial Reporting

Other than in connection with executing upon the continued implementation of the remediation measures referenced above, there have been no changes in our internal controls over financial reporting during the quarter ended September 30, 2023, that have materially affected, or are reasonably likely to materially affect, our internal controls over financial reporting.

PART II – OTHER INFORMATION

ITEM 1. LEGAL PROCEEDINGS

On August 6, 2021, Cowen and Company, LLC filed a complaint against ReShape, as successor in interest to Obalon Therapeutics, in the Supreme Court of the State of New York based on an alleged breach of contract arising out of Cowen’s prior engagement as Obalon’s financial advisor. The complaint alleges that Cowen is entitled to be paid a $1.35 million fee in connection with ReShape’s merger with Obalon under the terms of Cowen’s engagement agreement with Obalon. The complaint also sought reimbursement of Cowen’s attorneys’ fees and interest in connection with its claim. On May 11, 2023, the Supreme Court of the State of New York issued the final judgement in favor of Cowen & Company in the amount of $1.35 million, plus interest at the statutory rate of 9% per annum from June 16, 2021 until judgement is paid in full, and reimbursement of $675,000 of Cowen’s attorneys’ fees, with $275,000 to be paid upfront, $200,000 paid after six months and $200,000 paid after 12 months. As of September 30, 2023, the Company has paid the $1.35 million judgement, including related interest, and the first $275,000 installment of Cowen’s attorneys’ fees. At September 30, 2023, $400 thousand of attorneys’ fees were included as accrued expenses.

27

The Company is not aware of any pending or threatened litigation against it that could have a material adverse effect on the Company’s business, operating results or financial condition, other than what was disclosed above. The medical device industry in which the Company operates is characterized by frequent claims and litigation, including claims regarding patent and other intellectual property rights as well as improper hiring practices. As a result, the Company may be involved in various legal proceedings from time to time.

ITEM  1A.    RISK FACTORS

There have been no material changes to the risk factors set forth in Item 1A. “Risk Factors” of our 2022 Annual Report on Form 10-K filed on April 17, 2023.

ITEM  2.       UNREGISTERED SALES OF EQUITY SECURITIES AND USE OF PROCEEDS

Unregistered Sales of Equity Securities

None, except as described above in this Form 10-Q.

Uses of Proceeds from Sale of Registered Securities

None.

Purchases of Equity Securities

None.

ITEM  3.       DEFAULTS UPON SENIOR SECURITIES

None.

ITEM  4.       MINE SAFETY DISCLOSURES

Not applicable.

ITEM  5.       OTHER INFORMATION

Not applicable.

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ITEM  6.       EXHIBITS

Exhibit No.			Description
4.1		Form of Common Stock Purchase Warrant (incorporated by reference to Exhibit 4.1 Amendment No. 2 Registration Statement on Form S-1 filed by ReShape Lifesciences Inc. on September 27, 2023)
4.2		Form of Pre-funded Warrant (incorporated by reference to Exhibit 4.2 to Amendment No 1 to Registration Statement on Form S-1 filed by ReShape Lifesciences Inc. on September 12, 2023)
4.3		Form of Placement Agent Warrant (incorporated by reference to Exhibit 4.3 to the Company’s Current Report on Form 8-K filed with the Securities and Exchange Commission on October 5, 2023)
10.1	Exclusive License Agreement, dated September 19, 2023, by and between the Company and Biorad Medysis Pvt. Ltd. (incorporated by reference to Exhibit 10.1 to the Company’s Current Report on Form 8-K filed on September 22, 2023)
10.2		Form of Securities Purchase Agreement, dated September 29, 2023, by and between the Company and the Investor (incorporated by reference to Exhibit 10.1 to Amendment No. 1 to Registration Statement on Form S-1 filed by ReShape Lifesciences Inc. on September 12, 2023)
31.1**			Certification of Chief Executive Officer pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.
31.2**			Certification of Chief Financial 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 Chief Financial Officer pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.
101**			Financial statements from the Quarterly Report on Form 10-Q of the Company for the quarter ended September 30, 2023, formatted in Inline XBRL: (i) the Condensed Consolidated Balance Sheets, (ii) the Condensed Consolidated Statements of Operations, (iii) the Condensed Consolidated Statements of Stockholders’ Equity, (iv) the Condensed Consolidated Statements of Cash Flows and (v) the Notes to Condensed Consolidated Financial Statements.
104			Cover Page Interactive Data File (formatted as Inline XBRL and contained in Exhibit 101)

** Filed herewith.

29

SIGNATURES

Pursuant to the requirements 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.

	RESHAPE LIFESCIENCES INC.
	BY:	/S/ paul f. hickey
		Paul F. Hickey
		President and Chief Executive Officer
		(principal executive officer)
	BY:	/S/ thomas stankovich
		Thomas Stankovich
		Senior Vice President and Chief Financial Officer
		(principal financial and accounting officer)
Dated: November 8, 2023

30

EX-31.1

Exhibit 31.1

CERTIFICATION

I, Paul F. Hickey, certify that:

1. I have reviewed this Quarterly Report on Form 10-Q of ReShape Lifesciences Inc.;

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 consolidated 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.

/S/ paul F. hickey

Paul F. Hickey

President and Chief Executive Officer

Date: November 8, 2023

No

EX-31.2

Exhibit 31.2

CERTIFICATION

I, Thomas Stankovich certify that:

1. I have reviewed this Quarterly Report on Form 10-Q of ReShape Lifesciences Inc.;

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 consolidated 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.

/s/ Thomas Stankovich

Thomas Stankovich

Chief Financial Officer, Senior Vice President, Finance

Date: November 8, 2023

EX-32.1

Exhibit 32.1

CERTIFICATION

Pursuant to the requirement set forth in Rule 13a-14(b) of the Securities Exchange Act of 1934, as amended (the Exchange Act), and Section 1350 of Chapter 63 of Title 18 of the United States Code (18 U.S.C. §1350), Paul F. Hickey, in his capacity as Chief Executive Officer of ReShape Lifesciences Inc., hereby certifies that, to the best of his knowledge:

1. The Company’s Quarterly Report on Form 10-Q for the quarter ended September 30, 2023 to which this Certification is attached as Exhibit 32.1 (the Report) fully complies with the requirements of Section 13(a) or 15(d) of the Exchange Act; and

2. The information contained in the Report fairly presents, in all material respects, the financial condition and the results of operations of ReShape Lifesciences Inc. as of, and for, the periods covered by the Report.

By:	/S/ paul F. hickey
	Paul F. Hickey
	President and Chief Executive Officer

Date: November 8, 2023

EX-32.2

Exhibit 32.2

CERTIFICATION

Pursuant to the requirement set forth in Rule 13a-14(b) of the Securities Exchange Act of 1934, as amended (the Exchange Act), and Section 1350 of Chapter 63 of Title 18 of the United States Code (18 U.S.C. §1350), Thomas Stankovich, in his capacity as Chief Financial Officer of ReShape Lifesciences Inc., hereby certifies that, to the best of his knowledge:

1. The Company’s Quarterly Report on Form 10-Q for the quarter ended September 30, 2023 to which this Certification is attached as Exhibit 32.2 (the Report) fully complies with the requirements of Section 13(a) or 15(d) of the Exchange Act; and

2. The information contained in the Report fairly presents, in all material respects, the financial condition and the results of operations of ReShape Lifesciences Inc. as of, and for, the periods covered by the Report.

By:	/s/ THOMAS STANKOVICH
	Thomas Stankovich
	Chief Financial Officer, Senior Vice President, Finance

Date: November 8, 2023

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Document and Entity Information - shares	9 Months Ended
	Sep. 30, 2023	Nov. 03, 2023
Document and Entity Information
Document Type	10-Q
Document Quarterly Report	true
Document Period End Date	Sep. 30, 2023
Document Transition Report	false
Entity File Number	1-37897
Entity Registrant Name	RESHAPE LIFESCIENCES INC.
Entity Incorporation, State or Country Code	DE
Entity Tax Identification Number	26-1828101
Entity Address, Address Line One	18 Technology Dr, Suite 110
Entity Address, City or Town	Irvine
Entity Address, State or Province	CA
Entity Address, Postal Zip Code	92618
City Area Code	949
Local Phone Number	429-6680
Title of 12(b) Security	Common stock, $0.001 par value per share
Trading Symbol	RSLS
Security Exchange Name	NASDAQ
Entity Current Reporting Status	Yes
Entity Interactive Data Current	Yes
Entity Filer Category	Non-accelerated Filer
Entity Small Business	true
Entity Emerging Growth Company	false
Entity Shell Company	false
Entity Common Stock, Shares Outstanding		13,135,478
Entity Central Index Key	0001427570
Current Fiscal Year End Date	--12-31
Document Fiscal Year Focus	2023
Document Fiscal Period Focus	Q3
Amendment Flag	false

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Condensed Consolidated Balance Sheets - USD ($) $ in Thousands	Sep. 30, 2023	Dec. 31, 2022
Current assets:
Cash and cash equivalents	$ 1,449	$ 3,855
Restricted cash	100	100
Accounts and other receivables (net of allowance for doubtful accounts of $859 and $410 respectively)	2,153	2,180
Inventory	3,204	3,611
Prepaid expenses and other current assets	493	165
Total current assets	7,399	9,911
Property and equipment, net	70	698
Operating lease right-of-use assets	274	171
Deferred tax asset, net	55	56
Other intangible assets, net	0	260
Other assets	29	46
Total assets	7,827	11,142
Current liabilities:
Accounts payable	1,462	1,926
Accrued and other liabilities	2,734	5,040
Warranty liability, current	163	344
Operating lease liabilities, current	110	171
Total current liabilities	4,469	7,481
Operating lease liabilities, noncurrent	175
Common stock warrant liability	100
Total liabilities	4,744	7,481
Commitments and contingencies (Note 13)
Stockholders' equity:
Common stock, $0.001 par value; 300,000,000 shares authorized at September 30, 2023 and December 31, 2022; 3,452,841 and 519,219 shares issued and outstanding at September 30, 2023 and December 31, 2022, respectively	3	1
Additional paid-in capital	637,050	627,935
Accumulated deficit	(633,876)	(624,187)
Accumulated other comprehensive loss	(94)	(88)
Total stockholders' equity	3,083	3,661
Total liabilities and stockholders' equity	7,827	11,142
Series C convertible preferred stock
Stockholders' equity:
Preferred stock

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Condensed Consolidated Balance Sheets (Parenthetical) - USD ($) $ in Thousands	Sep. 30, 2023	Dec. 31, 2022
Allowance for doubtful accounts	$ 859	$ 410
Common stock, par value (in dollars per share)	$ 0.001	$ 0.001
Common stock, shares authorized	300,000,000	300,000,000
Common stock, shares issued	3,452,841	519,219
Common stock, shares outstanding	3,452,841	519,219
Series C convertible preferred stock
Preferred stock, authorized	10,000,000	10,000,000
Preferred stock, par value (in dollars per share)	$ 0.001	$ 0.001
Preferred stock, issued	95,388	95,388
Preferred stock outstanding	95,388	95,388

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Condensed Consolidated Statements of Operations - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2023	Sep. 30, 2022	Sep. 30, 2023	Sep. 30, 2022
Condensed Consolidated Statements of Operations
Revenue	$ 2,155	$ 2,798	$ 6,696	$ 8,130
Cost of revenue	867	697	2,990	2,928
Gross profit	1,288	2,101	3,706	5,202
Operating expenses:
Sales and marketing	1,791	2,605	6,150	11,936
General and administrative	2,058	3,784	8,724	13,037
Research and development	542	583	1,576	2,075
Impairment of long-lived assets	777	7,429	777	7,429
(Gain) loss on disposal of assets, net		1	(33)	383
Total operating expenses	5,168	14,402	17,194	34,860
Operating loss	(3,880)	(12,301)	(13,488)	(29,658)
Other expense (income), net:
Interest income, net	(5)	(31)	(9)	(47)
Gain on changes in fair value of liability warrants	(412)		(3,850)
Loss on foreign currency exchange, net	68	279	47	467
Other			(8)	(9)
Loss before income tax provision	(3,531)	(12,549)	(9,668)	(30,069)
Income tax expense (benefit)	3	(363)	21	(324)
Net loss	$ (3,534)	$ (12,186)	$ (9,689)	$ (29,745)
Net loss per share - basic and diluted:
Net loss per share - basic (in dollars per share)	$ (1.02)	$ (27.01)	$ (3.45)	$ (73.79)
Net loss per share - diluted (in dollars per share)	$ (1.02)	$ (27.01)	$ (3.45)	$ (73.79)
Shares used to compute basic net loss per share (in shares)	3,452,672	451,202	2,809,748	403,122
Shares used to compute diluted net loss per share (in shares)	3,452,672	451,202	2,809,748	403,122

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Condensed Consolidated Statements of Comprehensive Loss - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2023	Sep. 30, 2022	Sep. 30, 2023	Sep. 30, 2022
Condensed Consolidated Statements of Comprehensive Loss
Net loss	$ (3,534)	$ (12,186)	$ (9,689)	$ (29,745)
Other comprehensive income (loss), net of tax:
Foreign currency translation adjustments	1	4	(6)	24
Other comprehensive income, net of tax	1	4	(6)	24
Comprehensive loss	$ (3,533)	$ (12,182)	$ (9,695)	$ (29,721)

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Condensed Consolidated Statements of Stockholders' Equity - USD ($) $ in Thousands	Preferred Stock Series C convertible preferred stock	Common Stock	Additional Paid-in Capital	Accumulated Deficit	Accumulated Other Comprehensive Loss	Total
Balance at Dec. 31, 2021			$ 622,399	$ (577,973)	$ (92)	$ 44,334
Balance (in shares) at Dec. 31, 2021	95,388	356,641
Changes in Stockholders' (Deficit) Equity
Net loss				(29,745)		(29,745)
Other comprehensive income, net of tax					24	24
Stock compensation			1,848			1,848
Issuance of stock from RSUs (in shares)		20,505
Exercise of warrants			2,492			2,492
Exercise of warrants, shares		74,773
Balance at Sep. 30, 2022			626,739	(607,718)	(68)	18,953
Balance (in shares) at Sep. 30, 2022	95,388	451,919
Balance at Jun. 30, 2022			626,380	(595,532)	(72)	30,776
Balance (in shares) at Jun. 30, 2022	95,388	392,598
Changes in Stockholders' (Deficit) Equity
Net loss				(12,186)		(12,186)
Other comprehensive income, net of tax					4	4
Stock compensation			359			359
Issuance of stock from RSUs (in shares)		2,321
Exercise of warrants, shares		57,000
Balance at Sep. 30, 2022			626,739	(607,718)	(68)	18,953
Balance (in shares) at Sep. 30, 2022	95,388	451,919
Balance at Dec. 31, 2022		$ 1	627,935	(624,187)	(88)	3,661
Balance (in shares) at Dec. 31, 2022	95,388	519,219
Changes in Stockholders' (Deficit) Equity
Net loss				(9,689)		(9,689)
Other comprehensive income, net of tax					(6)	(6)
Issuance of common stock pursuant to reverse stock split (in shares)		18,399
Stock compensation			656			656
Common stock purchased		$ 1	894			895
Common stock purchased (in shares)		1,476,395
Equity issuance costs			(247)			(247)
Issuance of stock from RSUs (in shares)		2,340
Exercise of warrants		$ 1	7,812			7,813
Exercise of warrants, shares		1,436,488
Balance at Sep. 30, 2023		$ 3	637,050	(633,876)	(94)	3,083
Balance (in shares) at Sep. 30, 2023	95,388	3,452,841
Balance at Jun. 30, 2023		$ 3	637,172	(630,342)	(95)	6,738
Balance (in shares) at Jun. 30, 2023	95,388	3,452,169
Changes in Stockholders' (Deficit) Equity
Net loss				(3,534)		(3,534)
Other comprehensive income, net of tax					1	1
Stock compensation			216			216
Equity issuance costs			(338)			(338)
Issuance of stock from RSUs (in shares)		672
Balance at Sep. 30, 2023		$ 3	$ 637,050	$ (633,876)	$ (94)	$ 3,083
Balance (in shares) at Sep. 30, 2023	95,388	3,452,841

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Condensed Consolidated Statements of Cash Flows - USD ($) $ in Thousands	9 Months Ended
	Sep. 30, 2023	Sep. 30, 2022
Cash flows from operating activities:
Net loss	$ (9,689)	$ (29,745)
Adjustments to reconcile net loss to net cash used in operating activities:
Depreciation expense	114	271
Amortization of intangible assets	33	1,367
Impairment of long-lived assets	777	7,429
(Gain) loss on disposal of assets, net	(33)	383
Stock-based compensation	656	1,847
Bad debt expense	450	(72)
Provision for inventory excess and obsolescence	101	148
Deferred income tax	1	(368)
Gain on changes in fair value of liability warrants	(3,850)
Offering cost	298
Other noncash items	12	(21)
Change in operating assets and liabilities:
Accounts and other receivables	(422)	657
Inventory	307	(1,317)
Prepaid expenses and other current assets	(329)	696
Accounts payable and accrued liabilities	(2,764)	(51)
Warranty liability	(182)	(297)
Other	17
Net cash used in operating activities	(14,503)	(19,073)
Cash flows from investing activities:
Capital expenditures	(43)	(52)
Proceeds from sale of capital assets	33	39
Cash used in investing activities:	(10)	(13)
Cash flows from financing activities:
Proceeds from sale and issuance of securities	12,451
Payments of equity issuance costs	(338)
Proceeds from warrants exercised		2,492
Net cash provided by financing activities	12,113	2,492
Effect of currency exchange rate changes on cash and cash equivalents	(6)	24
Net decrease in cash, cash equivalents and restricted cash	(2,406)	(16,570)
Cash, cash equivalents and restricted cash at beginning of period	3,955	22,815
Cash, cash equivalents and restricted cash at end of period	1,549	6,245
Supplemental disclosure:
Cash paid for income taxes	$ 2
Noncash investing and financing activities:
Capital expenditures accruals		$ 79

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Basis of Presentation

9 Months Ended

Sep. 30, 2023

Basis of Presentation

Basis of Presentation

(1)  Basis of Presentation

The accompanying interim condensed consolidated financial statements and related disclosures of Reshape Lifesciences Inc. (the “Company” or “ReShape”) have been prepared pursuant to the rules and regulations of the Securities and Exchange Commission ("SEC") and should be read in conjunction with the consolidated financial statements and notes included in the Company’s Annual Report on Form 10-K for the year ended December 31, 2022, filed on April 17, 2023. Certain information and footnote disclosures normally included in financial statements prepared in accordance with generally accepted accounting principles in the United States of America ("GAAP") have been condensed or omitted.

In the opinion of management, the interim consolidated condensed financial statements reflect all adjustments considered necessary for a fair statement of the interim periods. All such adjustments are of a normal, recurring nature. The results of operations for the interim periods are not necessarily indicative of the results of operations to be expected for the full year.

Reverse Stock Split and Merger Exchange Ratio

On December 23, 2022, at the commencement of trading, the Company effected a 1-for-50 reverse stock split. Accordingly, all share and per share amounts for the periods presented in the accompanying consolidated financial statements and notes thereto have been adjusted retroactively, where applicable, to reflect the reverse stock split. No fractional shares were issued in connection with the reverse stock split.

Summary of Significant Accounting Policies

The Company’s significant accounting policies are described in Note 4 to its audited consolidated financial statements for the year ended December 31, 2022, which are included in the Company’s Annual Report on Form 10-K which was filed with the SEC on April 17, 2023.

Use of Estimates

The preparation of financial statements in conformity with GAAP requires management to make estimates and judgments that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities as of the date of the financial statements and the reported amounts of revenues and expenses during the reporting period. The Company bases its estimates on historical experience and on various other assumptions that are believed to be reasonable under the circumstances. Actual results may materially differ from these estimates. The Company reviews its estimates on an ongoing basis or as new information becomes available to ensure that these estimates appropriately reflect changes in its business.

Long-Lived Assets

We assess the potential impairment of long-lived assets, principally property and equipment and finite-lived intangible assets, whenever events or changes in circumstances indicate that the carrying value of the asset group may not be fully recoverable. If an indicator of impairment exists for any of its asset groups, an estimate of undiscounted future cash flows, over the life of the primary asset for each asset group is compared to that long-lived asset group's carrying value. If the carrying value of the asset group is greater than the estimated future undiscounted cash flow, the Company then determines the fair value of the assets, and if an asset is determined to be impaired, the impairment loss is measured by the excess of the carrying amount of the asset over its fair value.

During the quarter ended September 30, 2023, the Company determined the carrying value of the property, plant and equipment had been impaired due to the current financial condition of the Company and recognized a non-cash impairment charge of $0.5 million, which reduced the residual value of these assets to $0.1 million, on the consolidated

balance sheet as of September 30, 2023. The fair value was determined by estimating the amount the Company could receive if they were to sell the assets. In addition, the Company also impaired its remaining intangible assets, for further details see Note 4.

Fair Value of Financial Instruments

The carrying amounts of cash equivalents, accounts receivable, accounts payable and certain accrued and other liabilities approximate fair value due to their short-term maturities. Refer to Note 7 regarding fair value measurements and inputs of warrants.

Net Loss Per Share

The following table sets forth the potential shares of common stock that are not included in the calculation of diluted net loss per share because to do so would be anti-dilutive as of the end of each period presented:

	September 30,
	2023	2022
Stock options	17,634	22,819
Unvested restricted stock units	2,598	5,782
Convertible preferred stock	10	10
Warrants	1,632,514	139,047

Recent Accounting Pronouncements

New accounting standards adopted are discussed below.

In June 2016, the FASB issued Accounting Standards Update (“ASU”) No. 2016-13, Financial Instruments – Credit Losses (Topic 326): Measurement of Credit Losses on Financial Instruments, which is intended to provide financial statement users with more useful information about expected credit losses on financial assets held by a reporting entity at each reporting date. In May 2019, the FASB issued ASU No. 2019-05, which amended the new standard by providing targeted transition relief. The new guidance replaces the existing incurred loss impairment methodology with a methodology that requires consideration of a broader range of reasonable and supportable forward-looking information to estimate all expected credit losses. In November 2019, the FASB issued ASU No. 2019-11, which amended the new standard by providing additional clarification. This guidance became effective on January 1, 2023 and did not have a material impact to the consolidated financial statements.

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Liquidity and Management's Plans

9 Months Ended

Sep. 30, 2023

Liquidity and Management's Plans

Liquidity and Management's Plans

(2)  Liquidity and Management’s Plans

The Company currently does not generate revenue sufficient to offset operating costs and anticipates such shortfalls to continue as the Company has modified its strategy to a metrics-driven approach through a sustainable and scalable business model, via a digital lead generation and re-engagement strategy. As of September 30, 2023, the Company had net working capital of approximately $2.9 million, primarily due to cash and cash equivalents and restricted cash of $1.5 million, and $2.2 million of accounts receivable. The Company has raised gross proceeds of $13.7 million between the public offerings that occurred on February 8, 2023, April 24, 2023 and October 3, 2023. Based on its available cash resources, the Company may not have sufficient cash on hand to fund its current operations for more than twelve months from the date of filing this Quarterly Report on Form 10-Q. This condition raises substantial doubt about the Company’s ability to continue as a going concern.

The Company’s anticipated operations include plans to (i) grow sales and operations of the Company with the Lap-Band product line both domestically and internationally as well as to obtain cost savings synergies, (ii) introduce to the market place ReShapeCare and ReShape Marketplace as an extension, (iii) marketing efforts to increase brand recognition, create customer awareness and increase the patient demand, (iv) continue development of the Diabetes Bloc-Stem Neuromodulation (DBSN) device, (v) seek opportunities to leverage our intellectual property portfolio and custom development services to provide third-party sales and licensing opportunities, and (vi) explore and capitalize on synergistic opportunities to expand our portfolio and offer future minimally invasive treatments and therapies in the obesity continuum of care, including Lap-Band 2.0. The Company believes that it has the flexibility to manage the growth of its expenditures and operations depending on the amount of available cash flows, which could include reducing expenditures for marketing, clinical and product development activities.

The Company may be required to raise additional capital, however, there can be no assurance as to whether additional financing will be available on terms acceptable to the Company, if at all. If sufficient funds on acceptable terms are not available when needed, it would have a negative impact on the Company’s financial condition and could force the Company to delay, limit, reduce, or terminate product development or future commercialization efforts or grant rights to develop and market product candidates or testing products that the Company would otherwise plan to develop.

Therefore, the plans cannot be deemed probable of being implemented. As a result, the Company’s plans do not alleviate substantial doubt about our ability to continue as a going concern.

The accompanying financial statements have been prepared on a going concern basis, which contemplates the realization of assets and satisfaction of liabilities in the ordinary course of business. The financial statements do not include any adjustments relating to the recoverability and classification of recorded asset amounts or the amounts and classification of liabilities that might result from the outcome of the uncertainties described above.

COVID-19 Risk

The impact of COVID-19 has subsided substantially in the U.S. but continues to result in reduced activity levels outside of the U.S., such as continued restrictions on travel and business operations and advising or requiring individuals to limit or forego their time outside of their homes or places of business.

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Supplemental Balance Sheet Information

9 Months Ended

Sep. 30, 2023

Supplemental Balance Sheet Information

Supplemental Balance Sheet Information

(3)  Supplemental Balance Sheet Information

Components of selected captions in the condensed consolidated balance sheets consisted of the following:

Inventory:

	September 30,		December 31,
	2023		2022
Raw materials	$	902	$	832
Sub-assemblies		1,053		864
Finished goods		1,249		1,915
Total inventory	$	3,204	$	3,611

Prepaid expenses and other current assets:

	September 30,		December 31,
	2023		2022
Prepaid insurance	$	259	$	78
Patents		38		—
Prepaid advertising and marketing		47		3
Taxes		55		—
Other current assets		94		84
Total prepaid expenses and other current assets	$	493	$	165

Accrued and other liabilities:

	September 30,		December 31,
	2023		2022
Payroll and benefits	$	1,014	$	1,829
Accrued legal settlements		400		1,775
Customer deposits		657		510
Taxes		54		119
Accrued professional		504		316
Other liabilities		105		491
Total accrued and other liabilities	$	2,734	$	5,040

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Intangible Assets

9 Months Ended

Sep. 30, 2023

Intangible Assets

Intangible Assets

(4) Intangible Assets

The Company’s finite-lived intangible assets consists of developed technology, and trademarks and tradenames. The estimated useful lives of these finite-lived intangible assets is 10 years. The amortization expenses for the three months ended September 30, 2023 and 2022, were $11 thousand and $0.5 million, respectively, and the nine months ended September 30, 2023 and 2022, were $33 thousand and $1.4 million, respectively.

Impairment of In-Process Research and Development

During the quarter ended September 30, 2023, the Company determined the carrying value of the developed technology and trademarks/tradenames had been fully impaired due to the current financial condition of the Company and recognized a non-cash impairment charge of $0.2 million on the consolidated balance sheet as of September 30, 2023, which reduced the value of these assets to zero.

During the quarter ended September 30, 2022, the Company determined that it was stopping the clinical trials for the ReShape Vest and was closing out the previous trials that occurred, as significant additional clinical work and cost would be required to achieve regulatory approval for the ReShape Vest. As such, we determined the carrying value of the IPR&D asset was impaired and recognized a non-cash impairment charge of approximately $6.9 million on the condensed consolidated balance sheet as of September 30, 2022, which reduced the value of this asset to zero.

	December 31, 2022
	Weighted Average Useful Life (years)	Gross Carrying Amount		Accumulated Amortization		Net Book Value
Finite-lived intangible assets:
Developed technology	10.0	$	5,989	$	(5,805)	$	184
Trademarks/Tradenames	10.0		462		(386)		76
Total		$	6,451	$	(6,191)	$	260

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Leases

9 Months Ended

Sep. 30, 2023

Leases

Leases

(5) Leases

The Company had a noncancelable operating lease for office and warehouse space in San Clemente, which expired June 30, 2023. The Company also had an operating lease and warehouse space in Carlsbad, California, which expired June 30, 2022. On March 13, 2023, the Company entered into a lease for approximately 5,038 square feet of office and warehouse space at 18 Technology Drive, Suite 110, Irvine, California 92618 and relocated our principal executive offices from our former San Clemente, California location to the Irvine, California location. The Irvine California lease has a term of 36 months commencing on May 1, 2023.

The Company does not have any short-term leases or financing lease arrangements. Lease and non-lease components are accounted for separately.

Operating lease costs were $16 thousand and $0.1 million for the three months ended September 30, 2023 and 2022, respectively, and $0.3 million and $0.6 million for the nine months ended September 30, 2023 and 2022, respectively. Variable lease costs were not material.

Supplemental information related to operating leases is as follows:

	September 30,		December 31,
Balance Sheet information	2023		2022
Operating lease ROU assets	$	274	$	171
Operating lease liabilities, current portion	$	110	$	171
Operating lease liabilities, long-term portion		175		—
Total operating lease liabilities	$	285	$	171
Cash flow information for the nine months ended September 30,	2023		2022
Cash paid for amounts included in the measurement of operating leases liabilities	$	201	$	473

Maturities of operating lease liabilities were as follows as of September 30, 2023:

Remainder of 2023		27
2024		111
2025		115
2026		59
Total lease payments		312
Less: imputed interest		27
Total lease liabilities	$	285
Weighted-average remaining lease term at end of period (in years)		2.7
Weighted-average discount rate at end of period		6.9	%

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Equity

9 Months Ended

Sep. 30, 2023

Equity

Equity

(6)  Equity

Common Stock Issued Related to Restricted Stock Units

During the three months ended September 30, 2023 and 2022, the Company issued 672 shares of common stock and 2,321 shares of common stock, respectively, subject to vesting of the restricted stock units. During the nine months ended September 30, 2023 and 2022, the Company issued 2,340 shares of common stock and 20,505 shares of common stock, respectively, subject to vesting of the restricted stock units. For further details see Note 10.

April Securities Offering

On April 20, 2023, the Company entered into a Securities Purchase Agreement with a certain institutional investor, pursuant to which the Company agreed to issue and sell to the Investor in a registered direct offering  (i) 291,395 shares of the Company’s common stock, par value $0.001 per share, and (ii) pre-funded warrants to purchase an aggregate of 509,300 shares of Common Stock. Each share of common stock was sold at a price of $3.07 per share and each Pre-funded Warrant was sold at an offering price of $3.069 per share underlying such Pre-funded Warrants, for aggregate gross proceeds of approximately $2.5 million before deducting the placement agent’s fees and the offering expenses. The Company has been using the net proceeds of this offering to continue implementation of its growth strategies, for working capital and general corporate purposes. In addition, under the Purchase Agreement, the Company also agreed to issue and sell to the Investor in a concurrent private placement warrants to purchase an aggregate of 800,695 shares of common stock.

In connection with the Offering, the Company also agreed that certain existing warrants to purchase up to an aggregate of 164,656 shares of Common Stock that were issued to the Investor, at an exercise price of $15.00 per share, were amended effective upon the closing of the Offering so that the amended warrants have an exercise price of $3.07.

The Company’s exclusive placement agent in connection with the Offering, Maxim Group LLC, received a cash fee equal to 7.0% of the gross proceeds received by the Company from the sale of the securities in Offering, as well as reimbursement for certain expenses, and warrants to purchase up to 40,035 shares of Common Stock, which is equal to 5.0% of the aggregate amount of shares of Common Stock issued in the Offering, at an exercise price of $3.38 per share.

The offering closed April 24, 2023.

February Public Offering of Common Stock and Warrants

On February 8, 2023, the Company closed a public offering of 1,275,000 units, with each consisting of one share of its common stock, or one pre-funded warrant to purchase one share of its common stock, and one warrant to purchase one and one-half shares of its common stock. Each unit was sold at public offering price of $8.00. The warrants in the units are immediately exercisable at a price of $8.00 per share and expire five years from the date of issuance. Alternatively, each warrant can be exercised pursuant to the “alternative cashless exercise” provision, to which the holders would receive an aggregate number of shares of common stock equal the product of (x) the aggregate number of shares of common stock that would be issuable upon a cash exercise and (y) 0.50. For purposes of clarity, one common warrant to purchase one and one-half shares would be exercisable for 0.75 shares under this alternative cashless exercise provision. The shares of common stock (or pre-funded warrants in lieu thereof) and accompanying warrants were only purchasable together in this offering but were issued separately and immediately separable upon issuance. As of September 30, 2023, warrants to purchase 1,674,376 shares of common stock have been exercised under the alternative cashless exercise for a total of 835,313 shares of common stock.

Gross proceeds, before deducting underwriting discounts and commissions and estimated offering expenses, are approximately $10.2 million. The Company has been using the net proceeds of this offering to continue implementation of its growth strategies, for working capital and general corporate purposes.

The Company also granted the underwriters an option to purchase an additional 191,250 shares of common stock and/or additional warrants to purchase up to 286,875 shares of common stock, to cover over-allotments, of which Maxim Group LLC exercised its option to purchase additional warrants to purchase 286,875 shares of common stock.

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Warrants

9 Months Ended

Sep. 30, 2023

Warrants

Warrants

(7) Warrants

On April 24, 2023, the Company completed a securities purchase offering in which three classes of warrants were issued. There were 800,695 common stock purchase warrants issued with an exercise price of $3.07. The common stock purchase warrants were valued at $1.5 million using the fair value approach at the time of issuance. The fair value of the common stock purchase warrants was determined using a Black Scholes option pricing model using a risk free rate of 3.558%, expected term of 5.5 years, expected dividends of zero and an expected volatility of 88.4%.

In addition, one of the investors purchased 509,300 pre-funded warrants at a price of $3.069 per warrant. These warrants have an exercise price of $0.001 per share and do not expire. The pre-funded warrants were valued at $1.3 million using the fair value approach at the time of issuance. The fair value of the pre-funded warrants was determined using a Black Scholes option pricing model using a risk free rate of 3.558%, an expected term of 5.5 years, expected dividends of zero and expected volatility of 88.4%.

As part of the terms of the offering the Company issued 40,035 representative’s warrants with an exercise price of $3.38 per share and expiration date on April 24, 2028. The representative’s warrants were valued at $0.1 million using the fair value approach at the time of issuance. The fair value of the representative’s warrants was determined using a Black Scholes option pricing model using a risk free rate of 3.568%, an expected term of 5.0 years, expected dividends of zero and expected volatility of 96.3%.

On February 8, 2023, the Company completed a public offering in which three classes of warrants were issued. There were 2,199,375 common stock purchase warrants issued with an alternative cashless exercise provision. The alternative cashless exercise allows the holder to exercise one warrant share for 0.5 shares of common stock or exercise via the cash exercise price of $8.00 per share of common stock per warrant. The Company classifies these warrants as a liability, and the Company utilized a bifurcated Black-Scholes option pricing model to consider the cash exercise option and cashless exercise option. The bifurcated Black-Scholes option pricing model used an exercise price where the two exercise methods would be indifferent with market inputs of the stock price on the issuance, risk free interest rate, expected share price volatility and dividend yield. The Company calculates the fair value of the warrants at each reporting period and when a warrant is exercised, with the changes in fair value recognized in the statement of operations. Below is a summary of the initial inputs used in the bifurcated Black-Scholes option pricing model.

	Cash Exercise		Cashless Exercise
Stock Price	$	5.905	$	5.905
Exercise Price	$	16.00	$	0.00
Term (years)		5.00		5.00
Volatility		96.50%		96.50%
Risk Free Rate		3.784%		3.784%
Dividend Yield		0%		0%

The following table presents the changes in the fair value of warrant liabilities:

	Common Stock
	Purchase Warrants
Fair value as of February 8, 2023 (issuance date)	$	10,363
Fair value of liability warrants in excess of proceeds, at issuance		(164)
Exercises of liability warrants		(6,249)
Gain on changes in fair value of liability warrants		(3,850)
Fair value as of September 30, 2023	$	100

In addition, one of the investors purchased 90,000 pre-funded warrants at a price of $7.999 per warrant. These warrants have an exercise price of $0.0001 per share and do not expire. The pre-funded warrants were valued at $0.5 million using the fair value approach at the time of issuance. The fair value of the pre-funded warrants was determined using a Black Scholes option pricing model using a risk free rate of 3.784%, an expected term of 5.0 years, expected dividends of zero and expected volatility of 96.5%.

As part of the terms of the offering the Company issued 73,313 representative’s warrants with an exercise price of $8.80 per share and expiration date on February 3, 2028. The representative’s warrants were valued at $ $0.3 million using the fair value approach at the time of issuance. The fair value of the representative’s warrants was determined using a Black Scholes option pricing model using a risk free rate of 3.786%, an expected term of 4.99 years, expected dividends of zero and expected volatility of 96.5%.

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Revenue Disaggregation and Operating Segments

9 Months Ended

Sep. 30, 2023

Revenue Disaggregation and Operating Segments

Revenue Disaggregation and Operating Segments

(8) Revenue Disaggregation and Operating Segments

The Company conducts operations worldwide and has sales in the following regions: United States, Australia, Europe and Rest of World. For the three and nine months ended September 30, 2023 and 2022, the Company primarily only sold the Lap-Band system. The following table presents the Company’s revenue disaggregated by geography:

	Three Months Ended				Nine Months Ended
	September 30,				September 30,
	2023		2022		2023		2022
United States	$	1,732	$	2,412	$	5,473	$	6,565
Australia		139		164		419		533
Europe		258		206		756		1,009
Rest of world		26		16		48		23
Total revenue	$	2,155	$	2,798	$	6,696	$	8,130

Operating Segments

The Company conducts operations worldwide and is managed in the following geographical regions: United States, Australia, Europe and the Rest of World (primarily in the Middle East). All regions sell the Lap-Band system, which consisted of nearly all our revenue and gross profit for the three and nine months ended September 30, 2023 and 2022. During the three and nine months ended September 30, 2023 and 2022, there was minimal revenue for ReShapeCare. There was no revenue or gross profit recorded for the DBSN device for the three and nine months ended September 30, 2023 and 2022 as this product is still in the development stage. There was also no revenue recorded for the Obalon line.

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Income Taxes

9 Months Ended

Sep. 30, 2023

Income Taxes

Income Taxes

(9) Income Taxes

During the three months ended September 30, 2023 and 2022, the Company recorded income tax expense of $3 thousand and an income tax benefit of $0.4 million, respectively, and during the nine months ended September 30, 2023 and 2022, the Company recorded income tax expense of $21 thousand and an income tax benefit of $0.3 million. The income tax expense is related to minimum state taxes and projected Australian and Netherlands income, respectively. The income tax provisions for the three and nine months ended September 30, 2023, were calculated using the discrete year-to-date method. The effective tax rate differs from the statutory tax rate of 21% primarily due to the existence of valuation allowances against net deferred tax assets and current liabilities resulting from the estimated state income tax liabilities and foreign tax liability.

In assessing the realization of deferred tax assets, the Company considers whether it is more likely than not that some portion or all of the deferred tax assets will not be realized. The ultimate realization of deferred tax assets is dependent upon the generation of future taxable income during periods in which those temporary differences become deductible. Based on the level of historical losses, projections of losses in future periods and potential limitations pursuant to changes in ownership under Internal Revenue Code Section 382, the Company provided a valuation allowance at both September 30, 2023 and December 31, 2022.

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Stock-based Compensation

9 Months Ended

Sep. 30, 2023

Stock-based Compensation

Stock-based Compensation

(10)  Stock-based Compensation

Stock-based compensation expense related to stock options and RSUs issued under the ReShape Lifesciences Inc. Second Amended and Restated 2003 Stock Incentive Plan (the “Plan”) for the three and nine months ended September 30, 2023 and 2022 were as follows:

	Three Months Ended				Nine Months Ended
	September 30,				September 30,
	2023		2022		2023		2022
Sales and marketing	$	30	$	23	$	89	$	239
General and administrative		128		269		384		1,363
Research and development		58		67		183		245
Total stock-based compensation expense	$	216	$	359	$	656	$	1,847

Stock Options

A summary of the status of the Company’s stock options as of September 30, 2023, and changes during the nine months ended September 30, 2023 are as follows:

				Weighted
		Weighted		Average	Aggregate
		Average		Remaining	Intrinsic
		Exercise Price		Contractual	Value
	Shares	Per Share		Life (years)	(in thousands)
Outstanding at December 31, 2022	21,416		311.65		$	—
Options granted	—		—
Options exercised	—		—
Options cancelled	(5,525)		150.62
Outstanding at September 30, 2023	15,891		367.63	7.7	$	—
Exercisable at September 30, 2023	12,366		449.37	7.5		—
Vested and expected to vest at September 30, 2023	15,891		367.63	7.7		—

There was no intrinsic value of the outstanding stock options at September 30, 2023. The unrecognized share-based expense at September 30, 2023 was $0.2 million, and will be recognized over a weighted average period of 1.9 years.

Stock option awards outstanding under the Company’s incentive plans have been granted at exercise prices that are equal to the market value of its common stock on the date of grant. Such options generally vest over a period of four years and expire at ten years after the grant date. The Company recognized compensation expense ratably over the vesting period. The Company uses a Black-Scholes option-pricing model to estimate the fair value of stock options granted, which requires the input of both subjective and objective assumptions as follows:

Expected Term – The estimate of expected term is based on the historical exercise behavior of grantees, as well as the contractual life of the options granted.

Expected Volatility – The expected volatility factor is based on the volatility of the Company’s common stock for a period equal to the term of the stock options.

Risk-free Interest Rate – The risk-free interest rate is determined using the implied yield for a traded zero-coupon U.S. Treasury bond with a term equal to the expected term of the stock options.

Expected Dividend Yield – The expected dividend yield is based on the Company’s historical practice of paying dividends on its common stock.

Restricted Stock Units

A summary of the Company’s unvested RSUs award activity for the nine months ended September 30, 2023, is as follows:

		Weighted
		Average
		Grant Date
	Shares	Fair Value
Unvested RSUs at December 31, 2022	4,544	$	174.15
Granted	—		—
Vested (1)	(2,783)		196.28
Cancelled/Forfeited	—		—
Non-vested RSUs at September 30, 2023	1,761		139.17

(1) At September 30, 2023, there were 279 shares of common stock related to RSU awards that had vested and the shares were not distributed to the participants until October of 2023.

The fair value of each RSU is the closing stock price on the Nasdaq of the Company’s common stock on the date of grant. Upon vesting, a portion of the RSU award may be withheld to satisfy the statutory income tax withholding obligation. The remaining RSUs will be settled in shares of the Company’s common stock after the vesting period. The unrecognized compensation cost related to the RSUs at September 30, 2023 was $0.2 million and expected to be recognized over a period of 1.3 years.

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Commitment and Contingencies

9 Months Ended

Sep. 30, 2023

Commitment and Contingencies

Commitment and Contingencies

(11)  Commitment and Contingencies

Litigation

On August 6, 2021, Cowen and Company, LLC filed a complaint against ReShape, as successor in interest to Obalon Therapeutics, in the Supreme Court of the State of New York based on an alleged breach of contract arising out of Cowen’s prior engagement as Obalon’s financial advisor. The complaint alleges that Cowen is entitled to be paid a $1.35 million fee in connection with ReShape’s merger with Obalon under the terms of Cowen’s engagement agreement with Obalon. The complaint also sought reimbursement of Cowen’s attorneys’ fees and interest in connection with its claim. On May 11, 2023, the Supreme Court of the State of New York issued the final judgement in favor of Cowen & Company in the amount of $1.35 million, plus interest at the statutory rate of 9% per annum from June 16, 2021 until judgement is paid in full, and reimbursement of $675,000 of Cowen’s attorneys’ fees, with $275,000 to be paid upfront, $200,000 paid after six months and $200,000 paid after 12 months. As of September 30, 2023, the Company has paid the $1.35 million judgement, including related interest, and first $275,000 installment of Cowen’s attorneys’ fees. At September 30, 2023, $400 thousand of attorneys’ fees were included as accrued expenses.

The Company is not aware of any pending or threatened litigation against it that could have a material adverse effect on the Company’s business, operating results or financial condition, other than what was disclosed above. The medical device industry in which the Company operates is characterized by frequent claims and litigation, including claims regarding patent and other intellectual property rights as well as improper hiring practices. As a result, the Company may be involved in various legal proceedings from time to time.

Product Liability Claims

The Company is exposed to product liability claims that are inherent in the testing, production, marketing and sale of medical devices. Management believes any losses that may occur from these matters are adequately covered by insurance, and the ultimate outcome of these matters will not have a material effect on the Company’s financial position or results of operations. The Company is not currently a party to any product liability litigation and is not aware of any pending or threatened product liability litigation that is reasonably possible to have a material adverse effect on the Company’s business, operating results or financial condition.

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Subsequent Events

9 Months Ended

Sep. 30, 2023

Subsequent Events

Subsequent Events

(12)  Subsequent Events

Securities Offering

On October 3, 2023, the Company completed a Securities Purchase Agreement with certain investors pursuant to which the Company agreed to issue and sell to the investors (i) 1,770,000 shares of the Company’s common stock, par value $0.001 per share (the “Common Stock”), (ii) warrants to purchase up to 13,650,000 shares of Common Stock at an initial exercise price of $0.33 per share (the “Common Warrants”) and (iii) pre-funded warrants to purchase 7,330,000 shares of Common Stock at an exercise price of $0.001 per share. The securities were sold as part of units at a price of $0.33 per unit or, with respect to the units including pre-funded warrants, $0.329 per unit.

In connection with the offering, the Company also agreed that certain existing warrants to purchase up to an aggregate of 965,351 shares of Common Stock at an exercise price of $3.07 per share and warrants to purchase up to an aggregate of 382,500 shares of Common Stock at an exercise price of $8.00 per share that were previously issued to one of the investors, were amended effective upon the closing of the Offering so that the amended warrants have an exercise price of $0.33 per share.

The net proceeds from the offering were approximately $2.8 million, after deducting the placement agent fees and before deducting offering expenses.

The Company’s exclusive placement agent in connection with the offering, Maxim Group LLC, received a cash fee equal to up to 7.0% of the gross proceeds received by the Company from the sale of the securities in offering, as well as reimbursement for certain expenses, and warrants to purchase up to 455,000 shares of Common Stock, which is equal to 5.0% of the aggregate amount of shares of Common Stock (or Common Stock equivalents in the form of pre-funded warrants) issued in the offering, at an exercise price of $0.363 per share (the “Placement Agent Warrant”).

Employee Reduction

The Company remains committed to helping patients improve their lives through bariatric surgeries with the Lap-Band, while achieving profitability. To ensure its steadfast pursuit of this objective, the Company has taken many steps to reduce costs, through reduction of various operating expenses, such as adjusting our marketing strategy. On November 3, 2023, the Company made the difficult decision to reduce its workforce by approximately 23%, resulting in a projected annualized cost savings of approximately $1.2 million. The workforce reduction is part of the Company’s broader efforts to gain greater efficiencies throughout the organization, without impacting our revenue-generating strategies or the Company’s ability to continue delivering unparalleled quality and value to its customers.

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Basis of Presentation (Policies)

9 Months Ended

Sep. 30, 2023

Basis of Presentation

Basis of Presentation

(1)  Basis of Presentation

The accompanying interim condensed consolidated financial statements and related disclosures of Reshape Lifesciences Inc. (the “Company” or “ReShape”) have been prepared pursuant to the rules and regulations of the Securities and Exchange Commission ("SEC") and should be read in conjunction with the consolidated financial statements and notes included in the Company’s Annual Report on Form 10-K for the year ended December 31, 2022, filed on April 17, 2023. Certain information and footnote disclosures normally included in financial statements prepared in accordance with generally accepted accounting principles in the United States of America ("GAAP") have been condensed or omitted.

In the opinion of management, the interim consolidated condensed financial statements reflect all adjustments considered necessary for a fair statement of the interim periods. All such adjustments are of a normal, recurring nature. The results of operations for the interim periods are not necessarily indicative of the results of operations to be expected for the full year.

Reverse Stock Split and Merger Exchange Ratio

Reverse Stock Split and Merger Exchange Ratio

On December 23, 2022, at the commencement of trading, the Company effected a 1-for-50 reverse stock split. Accordingly, all share and per share amounts for the periods presented in the accompanying consolidated financial statements and notes thereto have been adjusted retroactively, where applicable, to reflect the reverse stock split. No fractional shares were issued in connection with the reverse stock split.

Use of Estimates

Use of Estimates

The preparation of financial statements in conformity with GAAP requires management to make estimates and judgments that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities as of the date of the financial statements and the reported amounts of revenues and expenses during the reporting period. The Company bases its estimates on historical experience and on various other assumptions that are believed to be reasonable under the circumstances. Actual results may materially differ from these estimates. The Company reviews its estimates on an ongoing basis or as new information becomes available to ensure that these estimates appropriately reflect changes in its business.

Long-Lived Assets

Long-Lived Assets

We assess the potential impairment of long-lived assets, principally property and equipment and finite-lived intangible assets, whenever events or changes in circumstances indicate that the carrying value of the asset group may not be fully recoverable. If an indicator of impairment exists for any of its asset groups, an estimate of undiscounted future cash flows, over the life of the primary asset for each asset group is compared to that long-lived asset group's carrying value. If the carrying value of the asset group is greater than the estimated future undiscounted cash flow, the Company then determines the fair value of the assets, and if an asset is determined to be impaired, the impairment loss is measured by the excess of the carrying amount of the asset over its fair value.

During the quarter ended September 30, 2023, the Company determined the carrying value of the property, plant and equipment had been impaired due to the current financial condition of the Company and recognized a non-cash impairment charge of $0.5 million, which reduced the residual value of these assets to $0.1 million, on the consolidated

balance sheet as of September 30, 2023. The fair value was determined by estimating the amount the Company could receive if they were to sell the assets. In addition, the Company also impaired its remaining intangible assets, for further details see Note 4.

Fair Value of Financial Instruments

Fair Value of Financial Instruments

The carrying amounts of cash equivalents, accounts receivable, accounts payable and certain accrued and other liabilities approximate fair value due to their short-term maturities. Refer to Note 7 regarding fair value measurements and inputs of warrants.

Net Loss Per Share

Net Loss Per Share

The following table sets forth the potential shares of common stock that are not included in the calculation of diluted net loss per share because to do so would be anti-dilutive as of the end of each period presented:

	September 30,
	2023	2022
Stock options	17,634	22,819
Unvested restricted stock units	2,598	5,782
Convertible preferred stock	10	10
Warrants	1,632,514	139,047

Recent Accounting Pronouncements

Recent Accounting Pronouncements

New accounting standards adopted are discussed below.

In June 2016, the FASB issued Accounting Standards Update (“ASU”) No. 2016-13, Financial Instruments – Credit Losses (Topic 326): Measurement of Credit Losses on Financial Instruments, which is intended to provide financial statement users with more useful information about expected credit losses on financial assets held by a reporting entity at each reporting date. In May 2019, the FASB issued ASU No. 2019-05, which amended the new standard by providing targeted transition relief. The new guidance replaces the existing incurred loss impairment methodology with a methodology that requires consideration of a broader range of reasonable and supportable forward-looking information to estimate all expected credit losses. In November 2019, the FASB issued ASU No. 2019-11, which amended the new standard by providing additional clarification. This guidance became effective on January 1, 2023 and did not have a material impact to the consolidated financial statements.

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Basis of Presentation (Tables)

9 Months Ended

Sep. 30, 2023

Basis of Presentation

Schedule of anti-dilutive securities

The following table sets forth the potential shares of common stock that are not included in the calculation of diluted net loss per share because to do so would be anti-dilutive as of the end of each period presented:

	September 30,
	2023	2022
Stock options	17,634	22,819
Unvested restricted stock units	2,598	5,782
Convertible preferred stock	10	10
Warrants	1,632,514	139,047

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Supplemental Balance Sheet Information (Tables)

9 Months Ended

Sep. 30, 2023

Supplemental Balance Sheet Information

Schedule of components of inventory

	September 30,		December 31,
	2023		2022
Raw materials	$	902	$	832
Sub-assemblies		1,053		864
Finished goods		1,249		1,915
Total inventory	$	3,204	$	3,611

Schedule of components of prepaid expenses and other current assets

	September 30,		December 31,
	2023		2022
Prepaid insurance	$	259	$	78
Patents		38		—
Prepaid advertising and marketing		47		3
Taxes		55		—
Other current assets		94		84
Total prepaid expenses and other current assets	$	493	$	165

Schedule of components of accrued and other liabilities

	September 30,		December 31,
	2023		2022
Payroll and benefits	$	1,014	$	1,829
Accrued legal settlements		400		1,775
Customer deposits		657		510
Taxes		54		119
Accrued professional		504		316
Other liabilities		105		491
Total accrued and other liabilities	$	2,734	$	5,040

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Intangible Assets (Tables)

9 Months Ended

Sep. 30, 2023

Intangible Assets

Summary of identifiable intangible assets

	December 31, 2022
	Weighted Average Useful Life (years)	Gross Carrying Amount		Accumulated Amortization		Net Book Value
Finite-lived intangible assets:
Developed technology	10.0	$	5,989	$	(5,805)	$	184
Trademarks/Tradenames	10.0		462		(386)		76
Total		$	6,451	$	(6,191)	$	260

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Leases (Tables)

9 Months Ended

Sep. 30, 2023

Leases

Schedule of supplemental information related to operating leases

	September 30,		December 31,
Balance Sheet information	2023		2022
Operating lease ROU assets	$	274	$	171
Operating lease liabilities, current portion	$	110	$	171
Operating lease liabilities, long-term portion		175		—
Total operating lease liabilities	$	285	$	171
Cash flow information for the nine months ended September 30,	2023		2022
Cash paid for amounts included in the measurement of operating leases liabilities	$	201	$	473

Schedule of maturities of operating lease liabilities

Remainder of 2023		27
2024		111
2025		115
2026		59
Total lease payments		312
Less: imputed interest		27
Total lease liabilities	$	285
Weighted-average remaining lease term at end of period (in years)		2.7
Weighted-average discount rate at end of period		6.9	%

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Warrants (Tables)

9 Months Ended

Sep. 30, 2023

Schedule of changes in the fair value of warrant liabilities

	Common Stock
	Purchase Warrants
Fair value as of February 8, 2023 (issuance date)	$	10,363
Fair value of liability warrants in excess of proceeds, at issuance		(164)
Exercises of liability warrants		(6,249)
Gain on changes in fair value of liability warrants		(3,850)
Fair value as of September 30, 2023	$	100

Black-Scholes model

Schedule of warrant assumptions used to calculate fair value

	Cash Exercise		Cashless Exercise
Stock Price	$	5.905	$	5.905
Exercise Price	$	16.00	$	0.00
Term (years)		5.00		5.00
Volatility		96.50%		96.50%
Risk Free Rate		3.784%		3.784%
Dividend Yield		0%		0%

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Revenue Disaggregation and Operating Segments (Tables)

9 Months Ended

Sep. 30, 2023

Revenue Disaggregation and Operating Segments

Schedule of revenue disaggregated by geography

	Three Months Ended				Nine Months Ended
	September 30,				September 30,
	2023		2022		2023		2022
United States	$	1,732	$	2,412	$	5,473	$	6,565
Australia		139		164		419		533
Europe		258		206		756		1,009
Rest of world		26		16		48		23
Total revenue	$	2,155	$	2,798	$	6,696	$	8,130

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Stock-based Compensation (Tables)

9 Months Ended

Sep. 30, 2023

Stock-based Compensation

Schedule of stock-based compensation expense

	Three Months Ended				Nine Months Ended
	September 30,				September 30,
	2023		2022		2023		2022
Sales and marketing	$	30	$	23	$	89	$	239
General and administrative		128		269		384		1,363
Research and development		58		67		183		245
Total stock-based compensation expense	$	216	$	359	$	656	$	1,847

Summary of stock option activity

				Weighted
		Weighted		Average	Aggregate
		Average		Remaining	Intrinsic
		Exercise Price		Contractual	Value
	Shares	Per Share		Life (years)	(in thousands)
Outstanding at December 31, 2022	21,416		311.65		$	—
Options granted	—		—
Options exercised	—		—
Options cancelled	(5,525)		150.62
Outstanding at September 30, 2023	15,891		367.63	7.7	$	—
Exercisable at September 30, 2023	12,366		449.37	7.5		—
Vested and expected to vest at September 30, 2023	15,891		367.63	7.7		—

Summary of unvested RSUs award activity

		Weighted
		Average
		Grant Date
	Shares	Fair Value
Unvested RSUs at December 31, 2022	4,544	$	174.15
Granted	—		—
Vested (1)	(2,783)		196.28
Cancelled/Forfeited	—		—
Non-vested RSUs at September 30, 2023	1,761		139.17

(1) At September 30, 2023, there were 279 shares of common stock related to RSU awards that had vested and the shares were not distributed to the participants until October of 2023.

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Basis of Presentation - Long-Lived Assets (Details) - Property, plant and equipment $ in Millions	3 Months Ended
	Sep. 30, 2023 USD ($)
Property, Plant and Equipment [Line Items]
Non-cash impairment charge	$ 0.5
Residual value of these assets	$ 0.1

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Basis of Presentation - (Details)		9 Months Ended
	Dec. 23, 2022	Sep. 30, 2023 shares	Sep. 30, 2022 shares
Anti-dilutive securities
Reverse stock split ratio	0.02
Stock options
Anti-dilutive securities
Anti-dilutive securities (in shares)		17,634	22,819
Unvested restricted stock units
Anti-dilutive securities
Anti-dilutive securities (in shares)		2,598	5,782
Convertible preferred stock
Anti-dilutive securities
Anti-dilutive securities (in shares)		10	10
Warrants
Anti-dilutive securities
Anti-dilutive securities (in shares)		1,632,514	139,047

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Liquidity and Management Plans (Details) - USD ($) $ in Thousands	8 Months Ended	9 Months Ended
	Oct. 03, 2023	Sep. 30, 2023	Dec. 31, 2022	Sep. 30, 2022	Dec. 31, 2021
Liquidity and Management Plans
Net working capital		$ 2,900
Cash and cash equivalents and restricted cash		1,549	$ 3,955	$ 6,245	$ 22,815
Accounts receivable		2,153	$ 2,180
Gross proceeds from issuance of shares		$ 12,451
Public Offering [Member]
Liquidity and Management Plans
Gross proceeds from issuance of shares	$ 13,700

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Supplemental Balance Sheet Information (as Restated) (Details) - USD ($) $ in Thousands	Sep. 30, 2023	Dec. 31, 2022
Inventory:
Raw materials	$ 902	$ 832
Sub-assemblies	1,053	864
Finished goods	1,249	1,915
Total inventory	3,204	3,611
Prepaid expenses and other current assets:
Prepaid insurance	259	78
Patents	38
Prepaid advertising and marketing	47	3
Taxes	55
Other current assets	94	84
Total prepaid expenses and other current assets	493	165
Accrued and other liabilities:
Payroll and benefits	1,014	1,829
Accrued legal settlements	400	1,775
Customer deposits	657	510
Taxes	54	119
Accrued professional	504	316
Other liabilities	105	491
Total accrued and other liabilities	$ 2,734	$ 5,040

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Intangible Assets (Details) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2023	Sep. 30, 2022	Sep. 30, 2023	Sep. 30, 2022	Dec. 31, 2022
Intangible Assets
Gross Carrying Amount					$ 6,451
Accumulated amortization					(6,191)
Total finite-lived intangible assets	$ 0		$ 0		$ 260
Amortization expense	11	$ 500	33	$ 1,367
Impairment of long-lived assets	777	7,429	$ 777	7,429
Developed technology
Intangible Assets
Weighted Average Useful Life (years)					10 years
Gross Carrying Amount					$ 5,989
Accumulated amortization					(5,805)
Total finite-lived intangible assets					$ 184
Trademarks/Tradenames
Intangible Assets
Weighted Average Useful Life (years)					10 years
Gross Carrying Amount					$ 462
Accumulated amortization					(386)
Total finite-lived intangible assets					$ 76
In-process research and development
Intangible Assets
Impairment of long-lived assets	$ 200	6,900
Indefinite-lived intangible assets		$ 0		$ 0
Maximum
Intangible Assets
Weighted Average Useful Life (years)	10 years		10 years

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Leases - Supplemental Information (Details) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2023 USD ($)	Sep. 30, 2022 USD ($)	Sep. 30, 2023 USD ($)	Sep. 30, 2022 USD ($)	Mar. 13, 2023 ft²	Dec. 31, 2022 USD ($)
Leases
Operating lease costs	$ 16	$ 100	$ 300	$ 600
Balance Sheet information related to operating leases
Operating lease ROU assets	274		274			$ 171
Operating lease liabilities, current portion	110		110			171
Operating lease liabilities, long-term portion	175		175
Total operating lease liabilities	$ 285		285			$ 171
Cash flow information related to operating leases
Cash paid for amounts included in the measurement of operating leases liabilities			$ 201	$ 473
Office and warehouse space in Irvine
Leases
Area of land | ft²					5,038
Lease term					36 months

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Leases - Maturities of Liabilities (Details) - USD ($) $ in Thousands	Sep. 30, 2023	Dec. 31, 2022
Maturities of operating lease liabilities
Remainder of 2023	$ 27
2024	111
2025	115
2026	59
Total lease payments	312
Less: imputed interest	27
Total lease liabilities	$ 285	$ 171
Weighted-average remaining lease term at end of period (in years)	2 years 8 months 12 days
Weighted-average discount rate at end of period	6.90%

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Equity (Details) $ / shares in Units, $ in Millions				3 Months Ended		9 Months Ended
	Apr. 24, 2023 $ / shares shares	Apr. 20, 2023 USD ($) $ / shares shares	Feb. 08, 2023 $ / shares shares	Sep. 30, 2023 $ / shares shares	Sep. 30, 2022 shares	Sep. 30, 2023 USD ($) $ / shares shares	Sep. 30, 2022 shares	Dec. 31, 2022 $ / shares
Equity
Shares issued upon vesting of restricted stock units				672	2,321	2,340	20,505
Offering price (in dollars per share) | $ / shares		$ 3.07
Common stock, par value (in dollars per share) | $ / shares				$ 0.001		$ 0.001		$ 0.001
Warrant exercise price (in dollars per share) | $ / shares		3.07
Pre Funded Warrants
Equity
Warrant exercise price (in dollars per share) | $ / shares		$ 3.069
Proceeds from issuance of common stock warrant liabilities | $		$ 2.5
Common stock warrants with alternative cashless exercise
Equity
Warrants, cashless exercise provision, shares, multiplier			0.50
Aggregate number of shares issued from exercise of warrants						835,313
Exercise of warrants, shares						1,674,376
Private placement warrants
Equity
Common stock purchased (in shares)		800,695
Amended warrants
Equity
Warrant exercise price (in dollars per share) | $ / shares		$ 15.00
Amended warrants | Maximum
Equity
Number of shares in exchange of warrant exercise		164,656
Public offering
Equity
Number of units issued			1,275,000
Offering price (in dollars per share) | $ / shares			$ 8.00
Warrant exercise price (in dollars per share) | $ / shares			$ 8.00
Warrants term			5 years
Gross proceeds from issuance of shares | $						$ 10.2
Public offering | Pre Funded Warrants
Equity
Number of warrants for each unit			1
Number of securities called by each warrant			1
Warrant exercise price (in dollars per share) | $ / shares			$ 0.0001
Public offering | Public warrants
Equity
Number of warrants for each unit			1
Number of securities called by each warrant			1.5
Public offering | Common stock warrants with alternative cashless exercise
Equity
Number of securities called by each warrant			0.5
Warrant exercise price (in dollars per share) | $ / shares			$ 8.00
Over-allotment option
Equity
Cash fee, as a percentage of gross proceeds		7.00%
Warrants issued, as a percentage of aggregate common shares		5.00%
Warrant exercise price (in dollars per share) | $ / shares		$ 3.38
Common stock purchased (in shares)			191,250
Number of shares in exchange of warrant exercise		40,035	286,875
Exercise of warrants, shares			286,875
Registered direct offering
Equity
Common stock, par value (in dollars per share) | $ / shares		$ 0.001
Warrant exercise price (in dollars per share) | $ / shares	$ 3.07
Common stock purchased (in shares)		291,395
Registered direct offering | Pre Funded Warrants
Equity
Warrant exercise price (in dollars per share) | $ / shares	$ 0.001
Number of shares in exchange of warrant exercise	509,300	509,300
Registered direct offering | Private placement warrants
Equity
Common stock purchased (in shares)	800,695
Common Stock
Equity
Common stock purchased (in shares)						1,476,395
Exercise of warrants, shares					57,000	1,436,488	74,773
Common Stock | Public offering
Equity
Number of shares for each unit			1
Common Stock | Public offering | Common stock warrants with alternative cashless exercise
Equity
Number of securities called by each warrant			0.75

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Warrants (Details) $ / shares in Units, $ in Millions	Apr. 24, 2023 USD ($) Y item $ / shares shares	Apr. 20, 2023 $ / shares shares	Feb. 08, 2023 USD ($) Y item $ / shares shares
Warrants
Exercise price of warrants (in dollars per share)		$ 3.07
Private placement warrants
Warrants
Common stock purchased (in shares) | shares		800,695
Pre Funded Warrants
Warrants
Exercise price of warrants (in dollars per share)		$ 3.069
Public offering
Warrants
Number of classes of warrants issued | item			3
Exercise price of warrants (in dollars per share)			$ 8.00
Public offering | Common stock warrants with alternative cashless exercise
Warrants
Number of warrants issued | shares			2,199,375
Number of securities called by each warrant | shares			0.5
Exercise price of warrants (in dollars per share)			$ 8.00
Public offering | Pre Funded Warrants
Warrants
Number of investors | item			1
Number of warrants issued | shares			90,000
Price per warrant			$ 7.999
Number of securities called by each warrant | shares			1
Exercise price of warrants (in dollars per share)			$ 0.0001
Fair value portion of warrants | $			$ 0.5
Public offering | Pre Funded Warrants | Risk Free Rate
Warrants
Warrant fair value measurement inputs			0.03784
Public offering | Pre Funded Warrants | Expected term
Warrants
Warrant fair value measurement inputs | Y			5.0
Public offering | Pre Funded Warrants | Expected dividends
Warrants
Warrant fair value measurement inputs			0
Public offering | Pre Funded Warrants | Volatility
Warrants
Warrant fair value measurement inputs			0.965
Public offering | Representative's warrants
Warrants
Number of warrants issued | shares			73,313
Exercise price of warrants (in dollars per share)			$ 8.80
Fair value portion of warrants | $			$ 0.3
Public offering | Representative's warrants | Risk Free Rate
Warrants
Warrant fair value measurement inputs			0.03786
Public offering | Representative's warrants | Expected term
Warrants
Warrant fair value measurement inputs | Y			4.99
Public offering | Representative's warrants | Expected dividends
Warrants
Warrant fair value measurement inputs			0
Public offering | Representative's warrants | Volatility
Warrants
Warrant fair value measurement inputs			0.965
Registered direct offering
Warrants
Number of classes of warrants issued | item	3
Common stock purchased (in shares) | shares		291,395
Exercise price of warrants (in dollars per share)	$ 3.07
Fair value portion of warrants | $	$ 1.5
Registered direct offering | Risk Free Rate
Warrants
Warrant fair value measurement inputs	3.558
Registered direct offering | Expected term
Warrants
Warrant fair value measurement inputs | Y	5.5
Registered direct offering | Expected dividends
Warrants
Warrant fair value measurement inputs	0
Registered direct offering | Volatility
Warrants
Warrant fair value measurement inputs	88.4
Registered direct offering | Private placement warrants
Warrants
Common stock purchased (in shares) | shares	800,695
Registered direct offering | Pre Funded Warrants
Warrants
Number of shares in exchange of warrant exercise | shares	509,300	509,300
Number of investors | item	1
Price per warrant	$ 3.069
Exercise price of warrants (in dollars per share)	$ 0.001
Fair value portion of warrants | $	$ 1.3
Registered direct offering | Pre Funded Warrants | Risk Free Rate
Warrants
Warrant fair value measurement inputs	3.558
Registered direct offering | Pre Funded Warrants | Expected term
Warrants
Warrant fair value measurement inputs	5.5
Registered direct offering | Pre Funded Warrants | Expected dividends
Warrants
Warrant fair value measurement inputs	0
Registered direct offering | Pre Funded Warrants | Volatility
Warrants
Warrant fair value measurement inputs	88.4
Registered direct offering | Representative's warrants
Warrants
Number of shares in exchange of warrant exercise | shares	40,035
Exercise price of warrants (in dollars per share)	$ 3.38
Fair value portion of warrants | $	$ 0.1
Registered direct offering | Representative's warrants | Risk Free Rate
Warrants
Warrant fair value measurement inputs	0.03568
Registered direct offering | Representative's warrants | Expected term
Warrants
Warrant fair value measurement inputs	5.0
Registered direct offering | Representative's warrants | Expected dividends
Warrants
Warrant fair value measurement inputs	0
Registered direct offering | Representative's warrants | Volatility
Warrants
Warrant fair value measurement inputs	0.963

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Warrants - Black-Scholes Option Pricing Model (Details) - Black Scholes Model [Member]	Feb. 08, 2023
Stock Price | Cash exercise
Class of Warrant or Right [Line Items]
Warrant fair value measurement inputs	0.05905
Stock Price | Cashless exercise
Class of Warrant or Right [Line Items]
Warrant fair value measurement inputs	0.05905
Exercise Price | Cash exercise
Class of Warrant or Right [Line Items]
Warrant fair value measurement inputs	0.1600
Exercise Price | Cashless exercise
Class of Warrant or Right [Line Items]
Warrant fair value measurement inputs	0.0000
Term (years) | Cash exercise
Class of Warrant or Right [Line Items]
Warrant fair value measurement inputs	0.0500
Term (years) | Cashless exercise
Class of Warrant or Right [Line Items]
Warrant fair value measurement inputs	0.0500
Volatility | Cash exercise
Class of Warrant or Right [Line Items]
Warrant fair value measurement inputs	0.9650
Volatility | Cashless exercise
Class of Warrant or Right [Line Items]
Warrant fair value measurement inputs	0.9650
Risk Free Rate | Cash exercise
Class of Warrant or Right [Line Items]
Warrant fair value measurement inputs	0.03784
Risk Free Rate | Cashless exercise
Class of Warrant or Right [Line Items]
Warrant fair value measurement inputs	0.03784
Dividend Yield | Cash exercise
Class of Warrant or Right [Line Items]
Warrant fair value measurement inputs	0
Dividend Yield | Cashless exercise
Class of Warrant or Right [Line Items]
Warrant fair value measurement inputs	0

XML

Warrants - Fair Value of Warrant Liabilities (Details) - Common Stock Purchase Warrants $ in Thousands	8 Months Ended
	Sep. 30, 2023 USD ($)
Class of Warrant or Right [Line Items]
Fair value as of February 8, 2023 (issuance date)	$ 10,363
Fair value of liability warrants in excess of proceeds, at issuance	(164)
Exercises of liability warrants	(6,249)
Gain on changes in fair value of liability warrants	(3,850)
Fair value as of September 30, 2023	$ 100

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Revenue Disaggregation and Operating Segments (Details) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2023	Sep. 30, 2022	Sep. 30, 2023	Sep. 30, 2022
Revenue Recognition
Total revenue	$ 2,155	$ 2,798	$ 6,696	$ 8,130
United States
Revenue Recognition
Total revenue	1,732	2,412	5,473	6,565
Australia
Revenue Recognition
Total revenue	139	164	419	533
Europe
Revenue Recognition
Total revenue	258	206	756	1,009
Rest of world
Revenue Recognition
Total revenue	26	16	48	23
Obalon line
Revenue Recognition
Total revenue	0	0	0	0
Reshape vest and diabetes bloc-stim neuromodulation products
Revenue Recognition
Total revenue	$ 0	$ 0	$ 0	$ 0

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Income Taxes (Details) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2023	Sep. 30, 2022	Sep. 30, 2023	Sep. 30, 2022
Income Taxes
Income tax expense	$ 3	$ (363)	$ 21	$ (324)
U.S. federal income tax rate (as a percent)			21.00%

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Stock-based Compensation - Stock-based compensation expense (Details) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2023	Sep. 30, 2022	Sep. 30, 2023	Sep. 30, 2022
Compensation expense recognized
Total stock-based compensation expense	$ 216	$ 359	$ 656	$ 1,847
Sales and marketing
Compensation expense recognized
Total stock-based compensation expense	30	23	89	239
General and administrative
Compensation expense recognized
Total stock-based compensation expense	128	269	384	1,363
Research and development
Compensation expense recognized
Total stock-based compensation expense	$ 58	$ 67	$ 183	$ 245

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Stock-based Compensation - Stock Option Activity (Details) - Stock options $ / shares in Units, $ in Thousands	9 Months Ended
	Sep. 30, 2023 USD ($) $ / shares shares
Shares
Shares outstanding, Beginning balance (in shares) | shares	21,416
Shares, Options cancelled (in shares) | shares	(5,525)
Shares outstanding, Ending balance (in shares) | shares	15,891
Shares, Exercisable (in shares) | shares	12,366
Shares, Vested and expected to vest (in shares) | shares	15,891
Weighted Average Exercise Price Per Share
Weighted Average Exercise Price Per Share, Outstanding, Beginning balance (in dollars per share) | $ / shares	$ 311.65
Weighted Average Exercise Price Per Share, Options cancelled (in dollars per share) | $ / shares	150.62
Weighted Average Exercise Price Per Share, Outstanding, Ending balance (in dollars per share) | $ / shares	367.63
Weighted Average Exercise Price Per Share, Exercisable (in dollars per share) | $ / shares	449.37
Weighted Average Exercise Price Per Share, Vested and expected to vest (in dollars per share) | $ / shares	$ 367.63
Weighted Average Remaining Contractual Life
Weighted Average Remaining Contractual Life Outstanding	7 years 8 months 12 days
Weighted Average Remaining Contractual Life, Exercisable	7 years 6 months
Weighted Average Remaining Contractual Life, Vested and expected to vest	7 years 8 months 12 days
Aggregate Intrinsic Value
Aggregate Intrinsic Value Outstanding (in dollars) | $	$ 0
Additional disclosures
Unrecognized share-based expenses | $	$ 200
Weighted average recognition period	1 year 10 months 24 days
Vesting period	4 years
Option expiration period	10 years

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Stock-based Compensation - Restricted Stock Units (Details) - Restricted stock units $ / shares in Units, $ in Millions	9 Months Ended
	Sep. 30, 2023 USD ($) $ / shares shares
Shares
Shares Unvested RSUs, Beginning balance (in shares)	4,544
Shares, Vested (in shares)	(2,783)
Shares Non-vested RSUs, Ending balance (in shares)	1,761
Weighted Average Grant Date Fair Value
Weighted Average Grant Date Fair Value, Unvested RSUs, Beginning balance (in dollars per share) | $ / shares	$ 174.15
Weighted Average Grant Date Fair Value, Vested (in dollars per share) | $ / shares	196.28
Weighted Average Grant Date Fair Value, Non-vested RSUs, Ending balance (in dollars per share) | $ / shares	$ 139.17
Additional disclosures
Vested and undistributed	279
Unrecognized compensation costs | $	$ 0.2
Recognition period	1 year 3 months 18 days

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Commitments and Contingencies (Details) - Cowen and Company - USD ($)			9 Months Ended
	May 11, 2023	Aug. 06, 2021	Sep. 30, 2023
Litigation
Service fees sought		$ 1,350,000
Agreed settlement amount	$ 1,350,000
Litigation settlement, interest percent	9.00%
Litigation settlement, attorney fees payable	$ 675,000
Litigation settlement, attorney fees to be paid up front	275,000
Litigation settlement, attorney fees to be paid after six months	200,000
Litigation settlement, attorney fees to be paid after twelve months	$ 200,000
Payment for legal judgment			$ 1,350,000
Litigation settlement first installment amount paid			275,000
Litigation settlement, accrual for attorney fees			$ 400,000

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Subsequent Events (Details) - USD ($)	Nov. 03, 2023	Oct. 03, 2023	Apr. 20, 2023	Feb. 08, 2023	Sep. 30, 2023	Dec. 31, 2022
Subsequent Events
Common stock, par value (in dollars per share)					$ 0.001	$ 0.001
Warrant exercise price (in dollars per share)			$ 3.07
Over-allotment option
Subsequent Events
Issuance of stock (in shares)				191,250
Number of shares in exchange of warrant exercise			40,035	286,875
Warrant exercise price (in dollars per share)			$ 3.38
Cash fee, as a percentage of gross proceeds			7.00%
Warrants issued, as a percentage of aggregate common shares			5.00%
Pre Funded Warrants
Subsequent Events
Warrant exercise price (in dollars per share)			$ 3.069
Amended warrants
Subsequent Events
Warrant exercise price (in dollars per share)			$ 15.00
Subsequent Event
Subsequent Events
Workforce reduction percentage	23.00%
Projected annualized cost savings from workforce reduction	$ 1,200,000
Subsequent Event | Over-allotment option
Subsequent Events
Number of shares in exchange of warrant exercise		455,000
Cash fee, as a percentage of gross proceeds		7.00%
Warrants issued, as a percentage of aggregate common shares		5.00%
Subsequent Event | Purchase Agreement
Subsequent Events
Issuance of stock (in shares)		1,770,000
Common stock, par value (in dollars per share)		$ 0.001
Share issue price		$ 0.33
Net proceeds from issuance of stock		$ 2.8
Subsequent Event | Purchase Agreement | Over-allotment option
Subsequent Events
Warrant exercise price (in dollars per share)		$ 0.363
Subsequent Event | Common warrants | Purchase Agreement
Subsequent Events
Number of shares in exchange of warrant exercise		13,650,000
Warrant exercise price (in dollars per share)		$ 0.33
Subsequent Event | Pre Funded Warrants | Purchase Agreement
Subsequent Events
Number of shares in exchange of warrant exercise		7,330,000
Warrant exercise price (in dollars per share)		$ 0.001
Share issue price		$ 0.329
Subsequent Event | Amended warrants | Purchase Agreement
Subsequent Events
Issuance of stock (in shares)		965,351
Share issue price		$ 3.07
Subsequent Event | Amended warrants | Purchase Agreement | One of the investors
Subsequent Events
Issuance of stock (in shares)		382,500
Share issue price		$ 8.00