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Consolidated Statements of Cash Flows - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
Cash flows from operating activities:      
Net loss $ (38,831) $ (37,841) $ (46,664)
Adjustments to reconcile net loss to net cash used in operating activities:      
Depreciation expense 630 632 428
Noncash interest expense 529 609 599
Noncash loss on extinguishment of debt 888    
Amortization of intangible assets 380 380 380
Net changes in operating lease ROU assets and liabilities 302 (99) (49)
Inventory excess and obsolescence charge 2,360 2,955 1,414
Stock-based compensation expense 3,796 4,362 5,032
Income tax expense (benefit) 230 (144)  
Gain on disposal of fixed assets     (12)
Gain on sale of product line   (7,580)  
Change in operating assets and liabilities:      
Accounts receivable, net (110) (762) (3,058)
Inventory (503) (2,972) (2,718)
Prepaid expenses and other current and long-term assets 133 227 (81)
Accounts payable 141 482 11
Accrued expenses and other current and long-term liabilities 1,760 (1,809) 4,177
Foreign currency transaction loss 76 (35) (316)
Net cash used in operating activities (28,219) (41,595) (40,857)
Cash flows from investing activities:      
Purchase of property and equipment (448) (989) (611)
Proceeds from the sale of product line 1,294 5,440  
Proceeds from the sale of property and equipment     12
Net cash provided by (used in) investing activities 846 4,451 (599)
Cash flows from financing activities:      
Proceeds from sale of common stock and pre-funded warrants, net 11,823 42,919 46,341
Proceeds from issuance of long-term debt and warrants 60,000    
Repayment of long-term debt (42,420)    
Payment of debt financing costs (3,554)    
Proceeds from exercise of stock options 1 226 127
Payment of withholding taxes related to stock-based compensation to employees (205) (369) (289)
Proceeds from issuance of common stock under the employee stock purchase plan 105 281 88
Net cash provided by financing activities 25,750 43,057 46,267
Effect of exchange rate on cash and cash equivalents (217) 28 164
Net (decrease) increase in cash and cash equivalents and restricted cash (1,840) 5,941 4,975
Cash and cash equivalents and restricted cash, beginning of year 52,935 46,994 42,019
Cash and cash equivalents and restricted cash, end of year 51,095 52,935 46,994
Supplemental disclosure of cash flow information:      
Cash paid during the period for interest 4,716 $ 4,071 4,624
Supplemental disclosures of noncash investing and financing activities:      
Property and equipment in accounts payable and accrued expenses and other current liabilities 66   119
Operating lease ROU asset exchanged for operating lease liabilities     $ 895
Offering costs in accrued expenses and other current liabilities 247    
Issuance of common stock warrants in connection with credit facility $ 1,413