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A. Selected Financial Data.
[Reserved]
B. Capitalization and Indebtedness.
Not applicable.
C. Reasons for the Offer and Use of Proceeds.
Not applicable.
D. Risk Factors.
Our business faces significant
risks. You should carefully consider the risks described below, together with all of the other information in this annual report on Form
20-F. The risks described below are not the only risks facing us. Additional risks and uncertainties not currently known to us or that
we currently deem to be immaterial may also materially and adversely affect our business operations. If any of these risks actually occurs,
our business and financial condition could suffer and the price of our Ordinary Shares could decline. This report also contains forward-looking
statements that involve risks and uncertainties. Our results could materially differ from those anticipated in these forward-looking
statements, as a result of certain factors including the risks described below and elsewhere in this report and our other Securities
and Exchange Commission, or SEC, filings. See “Cautionary Note Regarding Forward-Looking Statements” above.
Risks Related to Our Financial Condition and Capital Requirements
Our management has concluded that there are conditions that raise substantial
doubt about our ability to continue as a going concern, which could prevent us from obtaining new financing on reasonable terms or at
all.
Since our inception, we have accumulated losses of $120,436 thousand
as of December 31, 2025. In the year ended December 31, 2025, we generated losses of $15,057 thousand and negative cash flows from operating
activities of $14,574 thousand. We expect that we will continue to generate substantial operating losses and fund our operations primarily
through the utilization of current financial resources, sales of our products, and additional equity or debt financing. These conditions
raise substantial doubts about our ability to continue as a going concern. Our plan involves raising funds from existing shareholders
and potential investors or lenders. There is no assurance, however, that such funding would be available to us, that it could be obtained
on favorable terms, or that we will be provided with sufficient funds to continue to develop and commercialize our products.
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We have a limited operating history and
we have incurred significant operating losses since our inception and anticipate that we will incur continued losses for the foreseeable
future.
We are a medical device company
with a limited operating history. To date, we have focused on developing our first commercial product for tumor cryoablation, the ProSense
system and our new XSense system, collecting clinical data, obtaining regulatory approvals in different geographical territories and
indications and initiated our commercialization effort. We have funded our operations to date primarily through raising capital on Nasdaq,
private offerings, minimal sales of our ProSense system and its components, including affiliated needles, or CryoProbes, guiding needles,
or Introducers and other products, which we collectively refer to as disposables, loans, convertible loans and royalty-bearing grants
that we received from the Israeli Innovation Authority, or the IIA, formerly known as the Office of the Chief Scientist of the Ministry
of Economy and Industry.
We have only a limited operating
history upon which you can evaluate our business and prospects. In addition, we have limited experience and have not yet demonstrated
an ability to successfully overcome many of the risks and uncertainties frequently encountered by companies in new and rapidly evolving
fields, particularly in the medical device industry. To date, we have generated minimal revenues from the sale of our ProSense system
and its disposables (see “Item 5. Operating and Financial Review and Prospects” for additional information). We have
incurred losses in each year since our inception, including operating losses of $15,094 thousand and $15,696 thousand for the years ended
December 31, 2025 and 2024, respectively. As of December 31, 2025, we had an accumulated deficit of $120,436 thousand. Substantially
all of our operating losses resulted from costs incurred in connection with our development of our technology, business development and
commercialization and from general and administrative costs associated with our operations.
Until we generate significant revenues, if ever, we expect to satisfy
our future cash needs through debt or equity financing. We cannot be certain that additional funding will be available to us on acceptable
terms, if at all. If funds are not available, we may be required to delay, reduce the scope of, or eliminate research or development plans
for, or commercialization efforts with respect to our products.
Our research and development
expenses may increase in connection with our planned expanded research and development efforts, including those conducted in connection
with the continued development and improvement of our existing and next-generation technologies, the development of new types of CryoProbes,
our post-market surveillance study for ProSense in the treatment of low-risk breast cancer in women aged 70 and above, other product
development and clinical activities.
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In addition, as we seek to
expand the commercial adoption of our ProSense system and pursue additional regulatory authorizations where applicable, including potential
expansion of the FDA authorization for breast cancer treatment to broader patient populations, and additional regulatory approvals where
required for our XSense and future products, we will likely incur significant outsourced manufacturing expenses, increased sales and
marketing costs, research and development costs, including those related to our post-market surveillance study, as well as costs related
to obtaining medical coverage and reimbursement for our procedures, particularly in the United States. Although our XSense system has
received general 510(k) clearance, we may seek additional regulatory authorizations for specific indications, including breast cancer,
and we expect that we will continue to incur significant research and development expenses as we seek to improve our technology and effectively
compete with our competitors and as we seek additional approvals for their use in different indications and marketing and commercialization
costs.
Furthermore, in addition
to such operating expenses, we expect to incur costs associated with operating as a public company subject to the rules and regulations
of the SEC, which we estimate will be at least one million dollars annually. As a result, we expect to continue to incur significant
and increasing operating losses for the foreseeable future. Because of the numerous risks and uncertainties associated with developing
a medical device, we are unable to predict the extent of any future losses or when we will become profitable, if at all.
The regulatory marketing
approvals that we currently have may be insufficient to generate significant revenue. Therefore, we expect to continue to incur significant
losses until we are able to meaningfully commercialize our ProSense system, XSense or future systems, which we may not be successful
in achieving. We anticipate that our expenses will increase substantially if and as we:
● continue the research and development of our technology;
● respond to technological advances or competitive developments in our field;
● seek additional regulatory authorizations where required for our medical devices, including potential FDA authorization for specific indications such as breast cancer for our XSense system;
● subject to the receipt of the applicable regulatory approvals (to the extent not already obtained), establish and expand a sales, marketing, and distribution infrastructure to commercialize our FDA-authorized ProSense system and other systems and their disposables;
● fulfill our post-market surveillance obligations to the FDA, including enrolling the required number of patients at the required rate in connection with the FDA's marketing authorization for ProSense in the treatment of low-risk breast cancer in women aged 70 and above;
● seek to identify, assess, acquire, license, and/or develop other medical device companies or technologies and subsequent generations of our current medical devices;
● seek to maintain, protect, and expand our intellectual property portfolio;
● seek to attract and retain skilled personnel;
● create additional infrastructure to support our operations as a public company and our product development and planned future commercialization efforts; and
● experience any delays or encounter issues with respect to any of the above, including, but not limited to, failed studies, complex results, safety issues or other regulatory challenges that require longer follow-up of existing studies or additional supportive studies in order to pursue marketing approval.
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The amount of any future
operating losses will depend, in part, on the rate of our future expenditures and our ability to obtain funding through sales, equity
or debt financings, strategic collaborations or grants. Even if we obtain and maintain applicable regulatory approvals to market our
ProSense system or any future products, including the XSense systems, to the extent not already obtained, our future revenues will depend
on the market size (geographic and indication-specific) in which any such product receives approval or clearance and our ability to achieve
sufficient market acceptance, competition, pricing, and reimbursement from third-party payors for our ProSense, XSense and other systems
or any future product candidates. Further, the operating losses that we incur may fluctuate significantly from quarter to quarter and
year to year, such that a period-to-period comparison of our results of operations may not be a good indication of our future performance.
Other unanticipated costs may also arise.
We have generated minimal revenues from
product sales and may never be profitable, even after receiving, and if we receive, additional regulatory approvals to commercialize
our products in additional geographical territories and indications.
Our system and its disposables
are approved for marketing in a limited number of jurisdictions and for use in treatment of certain indications. While we have received
marketing authorization for ProSense for the treatment of low-risk breast cancer in women aged 70 and above and hold other regulatory
approvals across various jurisdictions, in order to generate significant revenue, we may need to expand our existing approvals to cover
broader patient populations or additional indications, and obtain additional regulatory approvals in additional jurisdictions where we
currently have no regulatory approvals to market our products. Even if our future XSense and MSense systems or any future products are
approved for marketing and sale, we anticipate incurring significant incremental costs associated with commercializing such products.
Our ProSense system and its
disposables have regulatory approvals that allow us to market our system or its disposables in certain geographical areas and for specific
indications. However, even with these regulatory approvals in place, we have yet to generate significant revenues and we plan to seek
for additional regulatory approvals covering additional clinical indications, to allow us to increase clinical acceptance of our products
by the medical community, obtain reimbursement coverage, and partner with distributors, all in order to increase commercialization efforts
(see “Item 4.B. Business Overview – Government Regulation” for additional information). However, there can be
no assurance that we will obtain regulatory approvals for all indications we have applied, or intend to apply for, or at all.
In addition to our dependency
on receiving adequate regulatory approvals, medical guidelines and medical reimbursement to market our products to our target market
(geographic and indication-specific), our ability to generate significant revenues and achieve profitability also depends on our success
in many areas, including but not limited to:
● complete research and development of our future MSense system and any future products in a timely and successful manner;
● obtain market acceptance, if and when approved, as applicable, of our ProSense, XSense and future MSense systems and any future products from the medical community, patients and third-party payors;
● enter into agreements with commercial partners;
● obtain sufficient clinical evidence from our trials and commercial procedures, and publish such data;
● maintain and enhance a commercially viable, sustainable, scalable, reproducible and transferable manufacturing process for our ProSense, XSense and future MSense systems, and their associated disposable CryoProbes, and any future product candidates that is compliant with current good manufacturing practices, or cGMPs, or any other applicable regulations or standards;
● establish and maintain supply and, if applicable, manufacturing relationships with third parties that can provide, in both amount and quality, adequate products to support development and the market demand for our ProSense, XSense and future MSense systems and any future products, if and when approved for marketing by regulators;
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● maintain sufficient average selling price for our products and the revenues margin that we generate;
● launch and commercialize any products for which we obtain regulatory and marketing approval, either directly by establishing a sales force, marketing and distribution infrastructure, and/or with collaborators or distributors;
● accurately identifying demand for our ProSense, XSense and future MSense systems or any future products;
● ensure our products are approved for reimbursement from governmental agencies, health care providers and insurers in jurisdictions where they have been approved for marketing;
● address any competing technological and market developments that impact our technology or its prospective usage by medical professionals;
● negotiate favorable terms in any collaboration, licensing or other arrangements into which we may enter and perform our obligations under such collaborations;
● attract, hire and retain qualified personnel; and
● locate and lease or acquire suitable facilities to support our clinical development, manufacturing facilities and commercial expansion.
In addition, even if we were
to receive all of the regulatory approvals that we may seek to receive, our expenses could increase beyond expectations if we are required
by the FDA, or other regulatory agencies, domestic or foreign, to change our manufacturing processes or assays or to perform studies
in addition to those that we currently anticipate.
Further, if we are not able
to generate significant revenues from the sale of our approved products, we may be forced to curtail or cease our operations. Due to
the numerous risks and uncertainties involved in product development, it is difficult to predict the timing or amount of increased expenses,
or when, or if, we will be able to achieve or maintain profitability.
We expect that we will need to raise substantial
additional funding in order to continue our operations, which may not be available on acceptable terms, or at all. Failure to obtain
funding on acceptable terms and on a timely basis may require us to curtail, delay or discontinue our commercialization and product development
efforts, expansion to new markets, or other activities.
As of December 31, 2025,
our cash and cash equivalents and deposits were approximately $8.9 million, and we had working capital of $7,781 thousand and an accumulated
deficit of $120,436 thousand. Our current cash and cash equivalents position is not sufficient to fund our planned operations for at
least the next 12 months beyond the filing date of this Annual Report. We expect that we will require substantial additional capital
to commercialize our ProSense system and to develop and commercialize our XSense and future MSense systems. In addition, our operating
plans may change as a result of many factors that may currently be unknown to us, and we may need to seek additional funds sooner than
planned. Our future funding requirements will depend on many factors, including but not limited to:
● the cost, timing and outcomes of regulatory review of ProSense system and any future products;
● the costs of maintaining our own commercial-scale GMP manufacturing facility, including costs related to obtaining and maintaining regulatory compliance, and/or engaging third-party manufacturers therefor;
● the scope, progress, results and costs of product development, testing, manufacturing, preclinical development and, our post marketing study for our authorized breast cancer indication and , if applicable, for any other clinical trials for products that we may develop or otherwise obtain in the future;
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● our post-market surveillance obligations to the FDA, including the cost and timing of our post-market surveillance study for ProSense in the treatment of low-risk breast cancer in women aged 70 and above;
● the cost of our future activities, including establishing sales, marketing and distribution capabilities for any products in any particular geography where we receive marketing approval for such products;
● the terms and timing of any collaborative, licensing and other arrangements that we may establish;
● the costs of preparing, filing and prosecuting patent applications, maintaining and enforcing our intellectual property rights and defending intellectual property-related claims; and
● the level of revenues received from commercial sales of any product candidates for which we receive marketing approval.
Any additional fundraising
efforts may divert our management from their day-to-day activities, which may adversely affect our ability to develop and commercialize
our ProSense, XSense and future MSense systems and any future product candidates. We cannot guarantee that future financing will be available
in sufficient amounts or on terms acceptable to us, if at all. In addition, our ability to raise capital could be affected by various
factors, including clinical adverse events. Moreover, the terms of any financing may adversely affect the holdings or the rights of holders
of our securities and the issuance of additional securities, whether equity or debt, by us, or the possibility of such issuance, may
cause the market price of our Ordinary Shares to decline. The incurrence of indebtedness could result in increased fixed payment obligations,
and we may be required to agree to certain restrictive covenants, such as limitations on our ability to incur additional debt, limitations
on our ability to acquire, sell or license intellectual property rights and other operating restrictions that could adversely impact
our ability to conduct our business. We could also be required to seek funds through arrangements with collaborative partners or otherwise
at an earlier stage than otherwise would be desirable, and we may be required to relinquish rights to some of our technologies or product
candidates or otherwise agree to terms unfavorable to us, any of which may have a material adverse effect on our business, operating
results and prospects. Even if we believe that we have sufficient funds for our current or future operating plans, we may seek additional
capital if market conditions are favorable or if we have specific strategic considerations.
If we are unable to obtain
funding on a timely basis, we may be required to significantly curtail, delay or discontinue one or more of our research or development
programs or the development or commercialization of our ProSense, XSense or future MSense systems or any other products or be unable
to expand our operations or otherwise capitalize on our business opportunities, as desired, which could materially affect our business,
financial condition and results of operations.
Unstable market and economic conditions
may have serious adverse consequences on our business, financial condition and share price.
The global economy, including
credit and financial markets, has experienced extreme volatility and disruptions, including severely diminished liquidity and credit
availability, declines in consumer confidence, declines in economic growth, fluctuations in unemployment rates, fluctuations in inflation
rates and uncertainty about economic stability. Any potential volatility and disruptions may have adverse consequences on us or the third
parties on whom we rely. If the equity and credit markets deteriorate, including as a result of political unrest or war, it
may make any necessary debt or equity financing more difficult to obtain in a timely manner or on favorable terms, more costly or more
dilutive. Inflation can adversely affect us by increasing our costs. Any significant increases in inflation and related increase in interest
rates could have a material adverse effect on our business, results of operations, financial condition and our ability to raise funds.
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Risks Related to Our Business and Industry
We are highly dependent on the successful
development, obtaining regulatory clearances and marketing and sale of our ProSense, XSense and MSense systems.
Our ProSense system, our second-generation cryoablation system, is
the basis of our business. As critical components in our ProSense system are no longer being manufactured and approach their end-of-life,
we are increasingly dependent on the successful transition to our next-generation XSense system, including scaling XSense manufacturing
from small-batch production to commercial quantities sufficient to replace ProSense as our primary commercial system. As a result, the
success of our business plan is highly dependent on our ability to manufacture our ProSense and XSense systems at a large scale, and commercialize
our ProSense system and XSense systems for the treatment of breast cancer, and other intended uses in the field of interventional oncology
(including kidney cancer, lung cancer, liver cancer and bone cancer) and our failure to do so could cause our business to fail. Successful
production and commercialization of medical devices is a complex and uncertain process, dependent on the efforts of management, manufacturers,
local operators, integrators, medical professionals, third-party payors, as well as general economic conditions, among other factors.
Any factor that adversely impacts the production and commercialization of our ProSense system and XSense systems, will have a negative
impact on our business, financial condition, results of operations and prospects. We have limited experience in commercializing our ProSense
system and have not yet commercialized our XSense system at scale, and we may face several challenges with respect to our commercialization
efforts, including, among others, that:
● we may not have adequate financial or other resources to complete the development of our future MSense system or any future products;
● we may not be able to manufacture our ProSense and XSense systems and their associated disposable CryoProbes in commercial quantities, at an adequate quality or at an acceptable cost;
● we may not be able to establish adequate sales, marketing and distribution channels for our products;
● healthcare professionals, medical providers and patients may not accept our products;
● we may not be aware of possible complications from the continued use of our ProSense and XSense systems since we have limited clinical experience with respect to the actual use of our ProSense and XSense systems;
● technological breakthroughs solutions in the ablation of tissues may reduce the demand for our ProSense system;
● third-party payors may not agree to reimburse sufficiently, or at all patients or healthcare providers for any or all of the procedures conducted with our ProSense or XSense systems, which may adversely affect medical providers, and patients’ willingness to use our ProSense and XSense systems;
● we may face third-party claims of intellectual property infringement;
● we may fail to obtain or maintain regulatory clearance or approvals in our target markets (geographic and indication-specific) or may face adverse regulatory or legal actions even if regulatory approval is obtained;
● prices may adversely affect patients’ willingness to use our ProSense and XSense systems; and
● guidelines published by the medical community may not recommend the use of our ProSense, XSense and MSense systems or any future products for certain indications, which may adversely affect healthcare users willingness to use our ProSense, XSense and MSense systems or any future products.
If we are unable to meet
any one or more of these challenges successfully, our ability to effectively commercialize our products could be limited, which in turn
could have a material adverse effect on our business, financial condition and results of operations.
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Although we have received FDA De Novo authorization
for the use of ProSense in a defined breast cancer indication, commercialization success is not assured.
Adoption of ProSense for
the treatment of early-stage, biologically low-risk breast cancer will depend on multiple factors, including physician acceptance, patient
demand, reimbursement coverage, clinical training, competitive alternatives and the availability of long-term clinical data. Even with
regulatory authorization, market penetration may be slower than anticipated. If we fail to achieve meaningful commercial adoption, our
revenues, financial condition and results of operations could be materially adversely affected.
In addition, while our XSense
system has received FDA 510(k) clearance, it has not yet received FDA marketing authorization for the treatment of breast cancer. There
can be no assurance that we will be able to obtain such authorization for XSense in a timely manner or at all. As we transition from
ProSense to XSense as our primary commercial system, our inability to obtain FDA authorization for XSense in the breast cancer indication
could significantly limit our addressable market in the United States, reduce the commercial impact of our ProSense breast cancer authorization,
and have a material adverse effect on our business, financial condition and results of operations.
Certain components used in the manufacture
of our ProSense system are no longer commercially available, are nearing end-of-life, or are available only from a limited number of
suppliers, which could adversely affect our ability to manufacture and sell our products.
With respect to the manufacture
of our products, we and our third-party manufacturers source components and raw materials for the manufacture of the ProSense system
and its associated disposable CryoProbes. Certain of these components are no longer commercially available, are nearing end-of-life,
or are available only from a limited number of suppliers. We and our third-party manufacturers do not have guaranteed supply contracts
with all of the raw material or component suppliers for our products, which magnifies the risk of shortage and obsolescence and decreases
our manufacturers' ability to negotiate pricing with their suppliers. Any shortage or obsolescence of raw materials, components or accessories,
or our inability to control costs associated therewith, could increase our costs to manufacture our products. Further, if any supplier
to our third-party manufacturers is unwilling or unable to provide high quality raw materials or components in required quantities and
at acceptable prices, our manufacturers may be unable to find alternative sources, or may fail to find alternative suppliers at commercially
acceptable prices, on satisfactory terms, in a timely manner, or at all. In certain cases, substituting a component may require additional
testing or new or supplemental regulatory clearances before we can continue selling the affected product, and there can be no assurance
that we will be able to obtain such clearances in a timely manner or at all. If any of these events were to occur, our product quality,
competitive position, reputation and business could suffer, we could experience cancellations of customer orders, refusal by customers
to accept deliveries, or a reduction in our prices and margins, any of which could have a material adverse effect on our financial performance
and results of operations.
If we fail to maintain an existing strategic
relationship or are unable to identify additional distributors of our products or any future products and technologies, our revenues
may decrease.
We expect to derive a significant
amount of our revenues through our strategic relationship and distribution agreements with Terumo Corporation and its affiliates. If
our relationship with Terumo Corporation is terminated or impaired for any reason and we are unable to replace this relationship with
other means of distribution, it may adversely affect our future sales prospects in Japan.
We may need, or decide it
is otherwise advantageous to us, to obtain the assistance of additional distributors to market and distribute our future products and
technologies, as well as to market and distribute our existing ProSense, XSense and MSense systems, to existing or new markets or geographical
areas. We may not be able to find additional distributors who will agree to and are able to successfully market and distribute our systems
and technologies on commercially reasonable terms, if at all. If we are unable to establish additional distribution relationships
on favorable terms, our revenues may decline. In addition, our distributors may choose to favor the products of our competitors over
ours and give preference to them.
Also, our financial results
are dependent upon the service efforts of Terumo Corporation. If Terumo Corporation is unsuccessful in adequately servicing our products,
our sales could significantly decrease and our business, financial condition, results of operations and prospects may be adversely impacted.
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Pursuant to our agreements
with Terumo Corporation, we are also dependent on Terumo Corporation’s efforts to obtain regulatory approval for the marketing
and sale and the reimbursement of our products in Japan. If Terumo Corporation fails to obtain such approvals, it might adversely impact
our future plans for sales in Japan.
Similarly, pursuant to our
agreement with Beijing Turing, we will be responsible for obtaining and maintaining any and all regulatory approvals in mainland China
required for marketing, promotion, distribution, sale and use of our IceSense3, ProSense, XSense and future MSense systems, with accompanying
CryoProbes. If we are unable to obtain or maintain such approvals, it may adversely impact our relationship with Beijing Turing, as well
as impact our future plans for sales in China.
Medical device development is costly and
involves continual technological change which may render our current or future products obsolete.
The market for medical device
technologies and products is characterized by factors such as rapid technological change, medical advances, changing consumer requirements,
short device lifecycles, changing regulatory requirements and evolving industry standards. Any one of these factors could reduce the
demand for our devices or require substantial resources and expenditures for, among other things, research, design and development, to
avoid technological or market obsolescence.
Our success will depend on
our ability to enhance our current technology and develop or acquire new technologies to keep pace with technological developments and
evolving industry standards, while responding to changes in customer needs. A failure to adequately develop or acquire device enhancements
or new devices that will address changing technologies and customer requirements adequately, or to introduce such devices on a timely
basis, may have a material adverse effect on our business, financial condition and results of operations.
We might have insufficient
financial resources to improve our ProSense and XSense systems or complete the development of our future MSense system, and any other
future products, and advance technologies and develop new devices at competitive prices. Technological advances by one or more competitors
or future entrants into the field may result in our present services or devices becoming non-competitive or obsolete, which may decrease
revenues and profits and adversely affect our business and results of operations.
We may encounter significant
competition across our product lines and in each market in which we will sell our products and services from various companies, some
of which may have greater financial and marketing resources than we do. Our competitors may include any companies engaged in the research,
development, manufacture, and marketing of non-invasive or minimally invasive solutions and technologies to treat tumors, as well as
a wide range of medical device companies that sell a single or limited number of competitive products and services or participate in
only a specific market segment.
We will be dependent upon success in our
customer acquisition strategy.
Our business will be dependent
upon success in our customer acquisition strategy. If we fail to maintain a high quality of device technology, we may fail to retain
or add new customers. If we fail, our revenue, financial results and business may be significantly harmed. Our future success depends
upon expanding our commercial operations in North America, South America, Europe and Asia, as well as entering additional markets (geography
and indication-specific) to commercialize our XSense and future MSense systems and any other future products. We believe that our expanded
growth will depend on the further development, regulatory approval(s) and commercialization of our ProSense, XSense and MSense systems.
If we fail to commercialize our products in a timely manner and across a range of indications, including breast cancer, we may not be
able to expand our markets or to grow our revenue, and our business and financial condition may be adversely impacted. If medical practitioners
do not perceive our products to be useful and reliable, we may not be able to attract or retain new customers. A decrease in sales growth
could cause us to enter into sales or distribution agreements on terms less favorable to us or cause us to license our technology on
unfavorable and unexpected terms, which may have a material and adverse impact on our revenue, business, reputation, financial condition
and results of operations.
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We are dependent upon third-party manufacturers
and suppliers making us vulnerable to supply shortages and problems, increased component and shipping costs and quality or compliance
issues, any of which could harm our business.
We rely on third parties
to manufacture and supply us with proprietary custom components. We rely on a limited number of suppliers who provide us with materials
and components as well as manufacture and assemble certain components of our products. Our suppliers may encounter problems during manufacturing
for a variety of reasons, including, for example, failure to follow specific protocols and procedures, failure to comply with applicable
legal and regulatory requirements, equipment malfunction and environmental factors, failure to properly conduct their own business affairs
and infringement of third-party intellectual property rights, any of which could delay or impede their ability to meet our requirements.
Our reliance on these third-party suppliers also subjects us to other risks that could harm our business, including:
● we are not currently a major customer of many of our suppliers, and these suppliers may therefore give other customers’ needs higher priority than ours;
● third parties may threaten or enforce their intellectual property rights against our suppliers, which may cause disruptions or delays in shipment, or may force our suppliers to cease conducting business with us;
● we may not be able to obtain an adequate supply in a timely manner or on commercially reasonable terms;
● our suppliers, especially new suppliers, may make errors in manufacturing that could negatively affect the efficacy or safety of our products or cause delays in shipment;
● we may have difficulty locating and qualifying alternative suppliers;
● the costs of shipping components have increased and we may not be able to pass along such increased costs to our customers;
● we may face difficulties in performing “last time buy” procurement for “end of life” components for our systems, especially the ProSense system;
● switching components or suppliers may require product redesign, validation or verification processes and possibly submission to the FDA or other similar foreign regulatory agencies, which could significantly impede or delay our commercial activities;
● one or more of our suppliers may be unwilling or unable to supply components of our products;
● the occurrence of a fire, natural disaster or other catastrophe impacting one or more of our suppliers may affect their ability to deliver products to us in a timely manner; and
● our suppliers may encounter financial or other business hardships unrelated to our demand, which could inhibit their ability to fulfill our orders and meet our requirements.
In addition, the product
development process of cryoablation systems based on the liquid nitrogen coolant material is complex and requires unique specialists
and technology for design and manufacture systems core modules and elements. We, or our partners, may experience delays in designing
solutions and verifications activities due to liquid nitrogen physical properties, which influences the complexity in handling, storage,
and flowing of liquid nitrogen.
We consistently monitor our
inventory levels and maintain recovery plans to address potential disruptions that we may encounter from our suppliers. However, we may
not be able to quickly establish additional or alternative suppliers, if necessary, in part because we may need to undertake additional
activities to establish such suppliers as required by the regulatory approval process. Any interruption or delay in obtaining products
from our third-party suppliers, or our inability to obtain products from qualified alternate sources at acceptable prices in a timely
manner, could impair our ability to meet the demand of our customers and cause them to switch to competing products. Given our reliance
on certain suppliers, we may be susceptible to supply shortages while looking for alternate suppliers (see “Item 4.B. Business
Overview – Production and Manufacturing” for additional information).
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We may not be able to replace our current
manufacturing capabilities in a timely manner.
If our contract manufacturing
facility or our in-house facility suffers any type of prolonged interruption, whether caused by regulator action, equipment failure,
critical facility services failure, fire, natural disaster or any other event that causes the cessation of manufacturing activities,
such as an epidemic or pandemic, we may be exposed to long-term loss of sales and profits. There are limited facilities which are capable
of contract manufacturing some of our products and product candidates. Replacement of our current manufacturing capabilities may have
a material adverse effect on our business and financial condition.
We are dependent upon third-party service
providers. If such third-party service providers fail to maintain a high quality of service, the utility of our products could be impaired,
which could adversely affect the penetration of our products, our business, operating results and reputation.
The success of certain services
and products that we provide is dependent upon third-party service providers. Such service providers include manufacturers of proprietary
custom components and consultancy for our ProSense, XSense and MSense systems. As we expand our commercial activities, an increased burden
will be placed upon the quality of such third-party providers. If third-party providers fail to maintain a high quality of service, our
products, business, reputation and operating results could be adversely affected. In addition, poor quality of service by third-party
service providers could result in liability claims and litigation against us for damage or injuries.
If we are not able to attract and retain
highly skilled managerial, scientific, technical and marketing personnel, we may not be able to implement our business model successfully.
Our success depends partly
on our continued ability to attract, retain and motivate highly qualified management, clinical and scientific personnel. We are highly
dependent upon our senior management as well as other employees, consultants and scientific and medical collaborators. Our management
team must be able to act decisively to apply and adapt our business model in the rapidly changing markets in which we will compete. In
addition, we will rely upon technical and scientific employees or third-party contractors to effectively establish, manage and grow our
business. Consequently, we believe that our future viability will depend largely on our ability to attract and retain highly skilled
managerial, sales, scientific and technical personnel. In order to do so, we may need to pay higher compensation or fees to our employees
or consultants than currently expected and such higher compensation payments may have a negative effect on our operating results. Competition
for experienced, high-quality personnel in the medical device field is intense. We may not be able to hire or retain the necessary personnel
to implement our business strategy. Our failure to hire and retain quality personnel on acceptable terms could impair our ability to
develop new products and services and manage our business effectively.
We may need to expand our organization
and we may experience difficulties in recruiting needed additional employees and consultants, which could disrupt our operations.
As our development and commercialization
plans and strategies develop and because we are leanly staffed, we may need additional managerial, development, regulatory, operational,
sales, marketing, financial, legal and other resources. The competition for qualified personnel in the medical device industry is intense.
Due to this intense competition, we may be unable to attract and retain qualified personnel necessary for the development of our business
or to recruit suitable replacement personnel.
Our management may need to
divert its attention away from our day-to-day activities and devote a substantial amount of time to managing these growth activities.
We may not be able to effectively manage the expansion of our operations, which may result in weaknesses in our infrastructure, operational
mistakes, loss of business opportunities, loss of employees and reduced productivity among remaining employees. Our expected growth could
require significant capital expenditures and may divert financial resources from other projects, such as the development of additional
medical device products. If our management is unable to effectively manage our growth, our expenses may increase more than expected,
our ability to generate and/or grow revenues could be reduced and we may not be able to implement our business strategy. Our future financial
performance and our ability to commercialize medical device products and services and compete effectively will depend, in part, on our
ability to effectively manage any future growth.
11
If we engage in future acquisitions or
strategic partnerships, this may increase our capital requirements, dilute our shareholders, cause us to incur debt or assume contingent
liabilities, and subject us to other risks.
We may evaluate various acquisition
opportunities and strategic partnerships, including licensing or acquiring complementary products, intellectual property rights, technologies
or businesses. Any potential acquisition or strategic partnership may entail numerous risks, including:
● increased operating expenses and cash requirements;
● the assumption of additional indebtedness or contingent liabilities;
● the issuance of our equity securities;
● assimilation of operations, intellectual property and products of an acquired company, including difficulties associated with integrating new personnel;
● the diversion of our management’s attention from our existing product programs and initiatives in pursuing such a strategic merger or acquisition;
● retention of key employees, the loss of key personnel and uncertainties in our ability to maintain key business relationships;
● risks and uncertainties associated with the other party to such a transaction, including the prospects of that party and their existing products or product candidates and marketing approvals; and
● our inability to generate revenues from acquired technology and/or products sufficient to meet our objectives in undertaking the acquisition or even to offset the associated acquisition and maintenance costs.
We are subject to certain U.S. and foreign
anticorruption, anti-money laundering, export control, sanctions and other trade laws and regulations. We can face serious consequences
for violations.
Among other matters, U.S.
and foreign anticorruption, anti-money laundering, export control, sanctions and other trade laws and regulations, which are collectively
referred to as Trade Laws, prohibit companies and their employees, agents, clinical research organizations, legal counsel, accountants,
consultants, contractors and other partners from authorizing, promising, offering, providing, soliciting or receiving, directly or indirectly,
corrupt or improper payments or anything else of value to or from recipients in the public or private sector. Violations of Trade Laws
can result in substantial criminal fines and civil penalties, imprisonment, the loss of trade privileges, debarment, tax reassessments,
breach of contract and fraud litigation, reputational harm, and other consequences. We have direct or indirect interactions with officials
and employees of government agencies or government-affiliated hospitals, universities and other organizations. We also expect our non-U.S.
activities to increase over time. We plan to engage third parties for clinical trials and/or to obtain necessary permits, licenses, patent
registrations and other regulatory approvals, and we can be held liable for the corrupt or other illegal activities of our personnel,
agents or partners, even if we do not explicitly authorize or have prior knowledge of such activities.
12
Significant changes
or developments in U.S. laws or policies, including changes in U.S. trade policies and tariffs and the reaction of other countries thereto,
may have a material adverse effect on our business and financial statements.
Significant changes or developments
in U.S. laws and policies, such as laws and policies surrounding international trade, foreign affairs, manufacturing and development
and investment in the territories and countries where we or our customers operate, can materially adversely affect our business and financial
statements. For example, President Donald Trump has signed executive orders imposing tariffs on certain imports from Mexico,
Canada and China, although some have been delayed, and certain other tariffs imposed have been ruled unconstitutional by the United States
Supreme Court. In early 2026, the U.S. publicly threatened to impose additional tariffs on imports from certain EU countries, including
proposals for tariffs beginning at approximately 10% and potentially increasing to 25%, if related negotiations were unsuccessful, increasing
the risk of retaliatory measures by the EU and broader disruption to global trade and supply chains.
The extent and duration of
the tariffs and the resulting impact on general economic conditions and on our business are uncertain and depend on various factors,
such as negotiations between the U.S. and affected countries, the responses of other countries or regions, exemptions or exclusions that
may be granted, availability and cost of alternative sources of supply, and demand for our products in affected markets. Further, actions
we take to adapt to new tariffs or trade restrictions may cause us to modify our operations or forgo business opportunities.
Non-U.S. governments often impose strict
price controls, which may adversely affect our future profitability.
We
may be subject to rules and regulations in the United States and non-U.S. jurisdictions relating to our ProSense, XSense and MSense systems
or any future products. In some countries, including countries of the European Union, or the EU, Japan, or China each of which has developed
its own rules and regulations, pricing may be subject to governmental control under certain circumstances. In these countries, pricing
negotiations with governmental agencies can take considerable time after the receipt of marketing approval for a medical device candidate.
To obtain reimbursement or pricing approval in some countries, we may be required to conduct a clinical trial that compares the cost-effectiveness
of our product to other available products. If reimbursement of our products is unavailable or limited in scope or amount,
or if pricing is set at unsatisfactory levels, we may be unable to achieve or sustain profitability.
For example, the Chinese
government has implemented volume-based procurement policies, or VBPs, a series of centralized reforms instituted in China on
both a national and regional basis designed to decrease prices for medical devices and other products. VBPs in China could result in
reduced margins on covered devices and products, required renegotiation of distributor arrangements or an incurrence of inventory-related
charges. As a result of VBPs, we may experience a reduction in revenues from the sales of our products in China and VBPs in China may
also impact our relationship with Beijing Turing. We cannot predict future impacts of VBPs on our business and activities in China, including
any expansion of VBPs to include additional products within our portfolio.
Inadequate funding for the FDA and other
government agencies and/or potentially shifting priorities under the new administration could hinder the FDA’s and/or those other
government agencies’ ability to hire and retain key leadership and other personnel, prevent new products and services from being
developed or commercialized in a timely manner, or otherwise prevent those agencies from performing normal business functions on which
the operation of our business may rely, which could negatively impact our business.
The ability of the FDA to
review and approve new products, provide feedback on clinical trials and development programs, meet with sponsors and otherwise review
regulatory submissions can be affected by a variety of factors, including government budget and funding levels; ability to hire and retain
key personnel and accept the payment of user fees; and statutory, regulatory, and policy changes, among other factors. Average review
times at the agency may fluctuate as a result. In addition, government funding of other government agencies on which our operations may
rely is subject to the political process, which is inherently fluid and unpredictable.
Disruptions at the FDA and
other agencies may also increase the time necessary for new drugs or medical devices to be reviewed and/or approved by necessary government
agencies or to otherwise respond to regulatory submissions, which would adversely affect our business. For example, the Trump Administration
has discussed several changes to the reach and oversight of the FDA, which could affect its relationship with the medical device and
pharmaceutical industry, transparency in decision making and ultimately the cost and availability of prescription drugs or treatments.
Additionally, over the last several years, the US government has shut down multiple times and certain regulatory agencies, such as the
FDA, have had to furlough critical FDA and other government employees and stop critical activities. If funding for the FDA is reduced,
FDA priorities change, or another prolonged government shutdown occurs, it could significantly impact the ability of the FDA to timely
review and process our regulatory submissions, which could have a material adverse effect on our business.
13
We manage our business through a small
number of employees and key consultants.
As of December 31, 2025,
we had 67 full-time employees and two part time employees. Our future growth and success depend to a large extent on the continued services
of members of our current management including, in particular, our Vice President of Research, Development and Engineering and our Chief
Executive Officer. Any of our employees and consultants may leave our company at any time, subject to certain notice periods. The loss
of the services of any of our executive officers or any key employees or consultants may adversely affect our ability to execute our
business plan and harm our operating results. Our operational success will substantially depend on the continued employment of senior
executives, technical staff and other key personnel, especially given the intense competition for qualified personnel. The loss of key
personnel may have an adverse effect on our operations and financial performance.
International expansion of our business
exposes us to business, regulatory, political, operational, financial and economic risks associated with doing business outside of the
United States or Israel.
Other than our headquarters
and other operations which are located in Israel (as further described below), our business strategy incorporates significant international
expansion, particularly in anticipated expansion of regulatory approvals of our products. Doing business internationally involves a number
of risks, including but not limited to:
● multiple, conflicting and changing laws and regulations such as privacy regulations, tax laws, export and import restrictions, employment laws, regulatory requirements and other governmental approvals, permits and licenses;
● failure by us to obtain regulatory approvals for the use of our products and services in various countries;
● additional potentially relevant third-party patent rights;
● complexities and difficulties in obtaining protection and enforcing our intellectual property;
● difficulties in staffing and managing foreign operations;
● complexities associated with managing multiple regulatory, governmental and reimbursement regimes;
● limits in our ability to penetrate international markets;
● financial risks, such as longer payment cycles, difficulty collecting accounts receivable, the impact of local and regional financial crises on demand and payment for our products and exposure to foreign currency exchange rate fluctuations;
● natural disasters, political and economic instability, including wars, terrorism and political unrest, outbreak of disease, boycotts, curtailment of trade and other business restrictions;
● certain expenses including, among others, expenses for travel, translation and insurance; and
● regulatory and compliance risks that relate to maintaining accurate information and control over sales and activities that may fall within the purview of the U.S. Foreign Corrupt Practices Act, or the FCPA, its books and records provisions or its anti-bribery provisions.
Any of these factors could
significantly harm our future international expansion and operations and, consequently, our results of operations.
14
We face intense competition in the market,
and as a result we may be unable to effectively compete in our industry.
The major market players
within the cancer cryoablation care market and our primary competitors in the United States and abroad include Boston Scientific Corporation,
Siemens Healthineers and Hygea Medical Technology Co. Ltd. Some of these companies hold significant market share. Their dominant market
position and significant control over the market could significantly limit our ability to introduce or effectively market and generate
sales and capture market share.
Additionally, there are competing
heat base technologies in the thermal ablation sector such as radiofrequency ablation, or RFA, microwave ablation, or MWA, and irreversible
electroporation, or high-intensity focused ultrasound which are developed by entities such as NeuWave Medical, Inc., Angiodynamics, and
Inisghtec Ltd.
Many of our competitors have
long histories and strong reputations within the industry. They have significantly greater brand recognition, financial and human resources
than we do. They also have more experience and capabilities in researching and developing medical devices, obtaining and maintaining
regulatory clearances, manufacturing and marketing those products and other resources, than we do. There is a significant risk that we
may be unable to overcome the advantages held by our competition, and our inability to do so could lead to the failure of our business
and the loss of your investment. In addition, we may be unable to develop additional products in the future or to keep pace with developments
and innovations in the market and lose market share to our competitors.
Competition in the medical
devices and cancer treatment market is intense, and can lead to, among other things, price reductions, longer selling cycles, lower product
margins, loss of market share and additional working capital requirements. To succeed, we must, among other critical matters, gain consumer
acceptance for our ProSense, XSense and MSense systems, as compared to other solutions currently available in the market for the treatment
of tumors and potential future medical devices incorporating our principal technology or offering other advanced cryoablation, heat ablation
or other non or minimally invasive solutions. For example, since the currently accepted treatment for breast cancer is surgery, we will
need to invest resources in educating the medical community and consumers, and establish strategic collaborations before we will be able
to gain market acceptance for our ProSense system as a treatment to breast cancer. If our competitors offer significant discounts on
certain products and solutions, we may need to lower our prices or offer other favorable terms in order to compete successfully. Moreover,
any broad-based changes to our prices and pricing policies could make it difficult to generate revenues or cause our revenues to decline.
Moreover, if our competitors develop and commercialize products and solutions that are more effective or desirable than products and
solutions that we may develop, we may not convince our customers to use our products and solutions. Any such changes would likely reduce
our commercial opportunity and revenues potential and could materially adversely impact our operating results.
Our commercial success is very much dependent
on third-party payors to provide adequate insurance coverage and reimbursement for the use of our systems, or any future products that
we may commercialize.
Our ProSense, XSense and
MSense systems, and any other product in our development pipeline, is not yet approved for third-party payor coverage or reimbursement
in some of the geographical markets in which we operate, or plan to operate in the future. Such reimbursement may vary based on the particular
device used in providing services and is based on the identity of the third-party. Our ability to maintain a leading position in the
medical device market, and specifically in the cancer care market, depends on our relationships with private third parties.
We expect to engage with
federal agencies providing health coverage in the United States, such as the Centers for Medicare and Medicaid Services, or CMS, and
in other countries and private third parties to allow our customers to receive reimbursement from insurance companies for our ProSense,
XSense and MSense systems. The loss of a significant number of contracts with federal agencies or private third-parties may have an adverse
effect on our revenues, which could have an adverse effect on our business, financial condition and results of operations. Over the past
few years, reimbursement rates from certain third parties have declined, in some cases significantly. There can be no assurance that
this trend will not continue or apply on more third parties.
In addition, private third
parties may not reimburse any new procedures conducted with our products or reimburse those new clinical procedures at commercially viable
rates. The failure to receive reimbursement at adequate levels for our existing or future products may adversely affect demand for those
products, our revenues and expected growth. This could have an adverse effect on our business, financial condition and results of operations.
15
Even where regulatory authorization
has been obtained, the absence of adequate reimbursement coverage may limit adoption of our products. Reimbursement decisions are made
by third-party payors and may vary by geography and clinical setting.
We may be subject to litigation for a variety
of claims, including class actions, which could adversely affect our results of operations, harm our reputation or otherwise negatively
impact our business.
We may be subject to litigation
for a variety of claims, including class actions, arising from our normal business activities. These may include claims, suits, and proceedings
involving labor and employment, wage and hour, commercial and other matters. The outcome of any litigation, regardless of its merits,
is inherently uncertain. Any claims and lawsuits, and the disposition of such claims and lawsuits, could be time-consuming and expensive
to resolve, divert management attention and resources, and lead to attempts on the part of other parties to pursue similar claims. Any
adverse determination related to litigation could adversely affect our results of operations, harm our reputation or otherwise negatively
impact our business. In addition, depending on the nature and timing of any such dispute, a resolution of a legal matter could materially
affect our future operating results, our cash flows and our ability to raise capital.
We could become subject to product liability,
warranty or similar claims and product recalls that could be expensive, divert management’s attention and harm our business reputation
and financial results.
Our business exposes us to
an inherent risk of potential product liability, warranty or similar claims and product recalls. The medical device industry has historically
been litigious, and we face financial exposure to product liability, warranty or similar claims if the use of any of our products were
to cause or contribute to injury or death. There is also the possibility that defects in the design or manufacture of any of our products
might necessitate a product recall. Although we plan to maintain product liability insurance, the coverage limits of these policies may
not be adequate to cover future claims. In the future, we may be unable to maintain product liability insurance on acceptable terms or
at reasonable costs and such insurance may not provide us with adequate coverage against potential liabilities. A product liability claim,
regardless of merit or ultimate outcome, or any product recall could result in substantial costs to us, damage to our reputation, customer
dissatisfaction and frustration and a substantial diversion of management attention. A successful claim brought against us in excess
of, or outside of, our insurance coverage could have a material adverse effect on our business, financial condition and results of operations.
Our management team has limited experience
managing a U.S. reporting company.
Most members of our management
team do not have experience managing a publicly traded company in the United States, interacting with public company investors and complying
with the increasingly complex laws pertaining to public companies in the United States. Although we were also a public company in Israel,
our management team may not successfully or efficiently manage our transition to being a public company in the United States that is
subject to significant regulatory oversight and reporting obligations under the U.S. federal securities laws and the continuous scrutiny
of securities analysts and investors. These obligations and constituents will require significant attention from our senior management
and could divert their attention away from the day-to-day management of our business, which could adversely affect our business, financial
condition, results of operations and prospects.
Our business and operations might be adversely
affected by security breaches, including any cybersecurity incidents.
We depend on the efficient
and uninterrupted operation of our computer and communications systems, and those of our consultants, contractors and vendors, which
we use for, among other things, sensitive company data, including our intellectual property, financial data and other proprietary business
information.
While certain of our operations
have business continuity and disaster recovery plans and other security measures intended to prevent and minimize the impact of IT-related
interruptions, our IT infrastructure and the IT infrastructure of our consultants, contractors and vendors are vulnerable to damage from
cyberattacks, computer viruses, unauthorized access, electrical failures and natural disasters or other catastrophic events. We could
experience failures in our information systems and computer servers, which could result in an interruption of our normal business operations
and require substantial expenditure of financial and administrative resources to remedy. System failures, accidents or security breaches
can cause interruptions in our operations and can result in a material disruption of our targeted phage therapies, product candidates
and other business operations. The loss of data from completed or future studies or clinical trials could result in delays in our research,
development or regulatory approval efforts and significantly increase our costs to recover or reproduce the data. To the extent that
any disruption or security breach were to result in a loss of, or damage to, our data or applications, or inappropriate disclosure of
confidential or proprietary information, we could incur regulatory investigations and redresses, penalties and liabilities and the development
of our product candidates could be delayed or otherwise adversely affected.
16
Even though we believe we
carry commercially reasonable business interruption and liability insurance, we might suffer losses as a result of business interruptions
that exceed the coverage available under our insurance policies or for which we do not have coverage. For example, we are not insured
against terrorist attacks. Any natural disaster or catastrophic event could have a significant negative impact on our operations and
financial results. Moreover, any such event could delay the development of our product candidates (see “Item 16.K. Cybersecurity”
for additional information).
Our business and operations would suffer
in the event of computer system failures, cyber-attacks or a deficiency in our cybersecurity.
Despite the implementation
of security measures intended to secure our data against impermissible access and to preserve the integrity and confidentiality of our
data, our internal computer systems, and those of third parties on which we rely, are vulnerable to damage from computer viruses, malware,
natural disasters, terrorism, war, telecommunication and electrical failures, cyber-attacks or cyber-intrusions over the Internet, attachments
to emails, persons inside our organization, or persons with access to systems inside our organization. The risk of a security breach
or disruption, particularly through cyber-attacks or cyber intrusion, including by computer hackers, foreign governments, and cyber terrorists,
has generally increased as the number, intensity and sophistication of attempted attacks and intrusions from around the world have increased.
If such an event were to occur, it could result in a material disruption of our sales, operations, and new product development programs.
For example, the loss of clinical trial data from completed or ongoing or planned clinical trials could result in delays in our regulatory
approval efforts and significantly increase our costs to recover or reproduce the data. To the extent that any disruption or security
breach was to result in a loss of or damage to our data or applications, or inappropriate disclosure of confidential or proprietary information,
we could incur material legal claims and liability, including under data privacy laws such as the GDPR, damage to our reputation, and
the further development of our new products could be delayed. (see “Item 16.K. Cybersecurity” for additional information).
Our business may be impacted by changes
in general economic conditions.
Our business is subject to
risks arising from changes in domestic and global economic conditions, including adverse economic conditions in markets in which we operate,
which may harm our business. If our future customers significantly reduce spending in areas in which our technology and products are
utilized, or prioritize other expenditures over our technology and products, our business, financial condition, results of operations
and prospects would be materially adversely affected.
Disruption to the global
economy could also result in a number of follow-on effects on our business, including a possible slow-down resulting from lower customer
expenditures; inability of customers to pay for products, solutions or services on time, if at all; more restrictive export regulations
which could limit our potential customer base; negative impact on our liquidity, financial condition and share price, which may impact
our ability to raise capital in the market, obtain financing and secure other sources of funding in the future on terms favorable to
us.
In addition, the occurrence
of catastrophic events, such as hurricanes, storms, earthquakes, tsunamis, floods, medical epidemics and other catastrophes that adversely
affect the business climate in any of our markets could have a material adverse effect on our business, financial condition and results
of operations. Some of our operations are located in areas that have been in the past, and may be in the future, susceptible to such
occurrences.
17
Our amended and restated articles of association
provide that, unless we consent to an alternative forum, the federal district courts of the United States shall be the exclusive forum
for resolution of any complaint asserting a cause of action arising under the Securities Act, which could limit our shareholders’
ability to choose the judicial forum for disputes with us, our directors, shareholders, or other employees.
Section 22 of the Securities
Act creates concurrent jurisdiction for U.S. federal and state courts over all such Securities Act actions. Accordingly, both U.S. state
and federal courts have jurisdiction to entertain such claims. To prevent having to litigate claims in multiple jurisdictions and the
threat of inconsistent or contrary rulings by different courts, among other considerations, our amended and restated articles of association
provide that, unless we consent in writing to the selection of an alternative forum, the federal district courts of the United States
shall be the exclusive forum for the resolution of any complaint asserting a cause of action arising under the Securities Act. This exclusive
forum provision will not apply to suits brought to enforce any liability or duty created by the Exchange Act, and our shareholders cannot
and will not be deemed to have waived our compliance with the U.S. federal securities laws and the rules and regulations thereunder as
a result of our exclusive forum provision.
Any person or entity purchasing
or otherwise acquiring any interest in any of our securities shall be deemed to have notice of and consented to the foregoing provision
of our amended and restated articles of association. However, the enforceability of similar forum provisions (including exclusive federal
forum provisions for actions, suits, or proceedings asserting a cause of action arising under the Securities Act) in other companies’
organizational documents has been challenged in legal proceedings, and there is uncertainty as to whether courts would enforce the exclusive
forum provision in our amended and restated articles of association. If a court were to find the exclusive forum provision contained
in our amended and restated articles of association to be inapplicable or unenforceable in an action, we may incur additional costs associated
with resolving such action in other jurisdictions, which could materially adversely affect our business, financial condition, and results
of operations.
Although we believe the exclusive
forum provision benefit us by providing increased consistency in the application of U.S. federal securities laws or the Companies Law,
as applicable, in the types of lawsuits to which they apply, such exclusive forum provision may limit a shareholder’s ability to
bring a claim in the judicial forum of their choosing for disputes with us or any of our directors, shareholders, officers, or other
employees, which may discourage lawsuits with respect to such claims against us and our current and former directors, shareholders, officers,
or other employees.
Changes in financial accounting standards
may cause adverse and unexpected revenues fluctuations and impact our results of operations.
A change in accounting standards
or practices could harm our operating results. New accounting pronouncements and varying interpretations of accounting pronouncements
have occurred and may occur in the future. Changes to existing rules or the questioning of current practices may harm our operating results
or the way we conduct our business.
Risks Related to Product Development and Regulatory Approval
Our product candidates and operations are
subject to extensive government regulation and oversight both in the United States and abroad, and our failure to comply with applicable
requirements could harm our business.
Our ProSense system is currently
regulated as a medical device, and we expect our XSense and MSense systems and any future products we develop to be regulated by the
FDA as medical devices. Regulation in the United States may subject us to the jurisdiction of the FDA, the U.S. Department of Justice,
or the DOJ, and the U.S. Health and Human Services-Office of the Inspector General, or the HHS. Outside of the United States, we may
be subject to the regulation of the FDA’s foreign counterparts as well as other foreign regulators. The FDA and foreign regulatory
agencies regulate, among other things, with respect to medical devices: design, development and manufacturing; testing, labeling, content
and language of instructions for use and storage; clinical trials; product safety; establishment registration and device listing; marketing,
sales and distribution; pre-market clearance and approval; conformity assessment procedures; record keeping procedures; advertising and
promotion; recalls and field safety corrective actions; post-market surveillance, including reporting of deaths or serious injuries and
malfunctions that, if they were to occur, could lead to death or serious injury; post-market approval studies; and product import and
export.
18
The regulatory requirements
applicable to our products and our product candidates are complex, evolving and have generally become more stringent over time, which
may increase the difficulty and cost of obtaining and maintaining regulatory clearances and approvals for our current and future products
and indications. Regulatory changes could result in restrictions on our ability to carry on or expand our operations, higher than anticipated
costs or lower than anticipated sales for any approved product. Failure to comply with applicable regulations could jeopardize our ability
to sell our future products, if cleared or approved, and result in enforcement actions such as: warning or untitled letters; fines; injunctions;
consent decrees; civil penalties; customer notifications; termination of distribution; recalls or seizures of products; administrative
detention of medical devices believed to be adulterated or misbranded; delays in the introduction of products into the market; operating
restrictions; total or partial suspension of production; refusal to grant future clearances or approvals for new products, new intended
uses or modifications to our products; withdrawals or suspensions of current approvals, resulting in prohibitions on sales of our products;
and in the most serious cases, criminal prosecution or penalties. The occurrence of any of these events would have a material adverse
effect on our business, financial condition and results of operations and could result in shareholders losing their entire investment.
Our clinical trials or the clinical trials
of our partners may encounter delays, suspensions or other problems.
We, or our partners, may
encounter problems in clinical trials that may cause us or the FDA or foreign regulatory agencies to delay, suspend or terminate any
such clinical trials at any phase. These problems could include the possibility that we may not be able to conduct clinical trials at
our preferred sites, enroll a sufficient number of patients for our clinical trials at one or more sites or begin or successfully complete
clinical trials in a timely fashion, if at all. Furthermore, we, our partners, the FDA or foreign regulatory agencies may suspend clinical
trials at any time if we or they believe the subjects participating in the trials are being exposed to unacceptable health risks or if
we or they find deficiencies in the clinical trial process or conduct of the investigation. If clinical trials of any of our products
fail, we will not be able to market the product which is the subject of the failed clinical trials. The FDA and foreign regulatory agencies
could also require additional clinical trials, which would result in increased costs and significant development delays. Our, or our
partners’, failure to adequately demonstrate the safety and effectiveness of a product under development could delay or prevent
regulatory approval of the product and could have a material adverse effect on our business, prospects, financial condition and results
of operations.
The results of pre-clinical studies, early-stage
clinical trials, data obtained from real-world use, and published third-party studies may not be indicative of results in future clinical
trials and we cannot assure you that any clinical trials will yield the results we anticipate, be successful or lead to results sufficient
for the necessary regulatory approvals.
The results of pre-clinical
studies may not be predictive of the results of clinical trials, and the results of any completed clinical trials, including studies
derived from real-world use and studies in published literature, or clinical trials we commence may not be successful or predictive of
the results of later-stage clinical trials. Additionally, interim results during a clinical trial do not necessarily predict final
results. There can be no assurance that any of our clinical trials will yield the results we anticipate, ultimately be successful
or support further clinical development of any of our product candidates.
We may not receive, or may be delayed in
receiving, the necessary clearances or approvals for our XSense and MSense systems or future products in order to commercialize these
products in specific countries or regions or in a specific indication, and failure to timely obtain necessary clearances or approvals
for our existing or future products would adversely affect our ability to grow our business.
In the United States, before
we can market a new medical device, or a new use of, new claim for or significant modification to an existing product, we must first
receive either clearance under Section 510(k) of the Federal Food, Drug, and Cosmetic Act, or the FDCA, or De Novo classification or
approval of a pre-market approval application, or a PMA, from the FDA, unless an exemption applies. In the 510(k)-clearance process,
before a device may be marketed, the FDA must determine that a proposed device is “substantially equivalent” to a legally-marketed
“predicate” device, which includes a device that has been previously cleared through the 510(k) process, a device that was
legally marketed prior to May 28, 1976 (pre-amendments device), a device that was originally on the U.S. market pursuant to an approved
PMA and later down-classified, or a 510(k)-exempt device. To be “substantially equivalent,” the proposed device must have
the same intended use as the predicate device, and either have the same technological characteristics as the predicate device or have
different technological characteristics and not raise different questions of safety or effectiveness than the predicate device. Clinical
data is sometimes required to support substantial equivalence. The FDA may request clinical data in addition that provided from our clinical
sites outside the United States. In the process of obtaining De Novo classification or PMA, the FDA must determine that a proposed device
is safe and effective for its intended use based, in part, on extensive data, including, but not limited to, technical, pre-clinical,
clinical trial, manufacturing and labeling data. The PMA process is typically required for devices that are deemed to pose the greatest
risk, such as life-sustaining, life-supporting or implantable devices.
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Modifications to products
that are approved through a PMA application generally require FDA approval. Similarly, certain modifications made to products cleared
through a 510(k)-clearance process may require a new 510(k) clearance. Both the PMA and the 510(k)-clearance process can be expensive,
lengthy and uncertain. The FDA’s 510(k)-clearance process usually takes from three to nine months, but can last longer. The process
of obtaining a PMA is much more costly and uncertain than the 510(k)-clearance process and generally takes from one to three years, or
even longer, from the time the application is submitted to the FDA. In addition, a PMA generally requires the performance of one or more
clinical trials. Despite the time, effort and cost, a device may not be approved or cleared by the FDA. Any delay or failure to obtain
necessary regulatory clearances or approvals could harm our business. Furthermore, even if we are granted regulatory clearances or approvals,
they may include significant limitations on the indicated uses for the device or other restrictions or requirements, which may limit
the market for the device.
In the United States, we
have received 510(k) regulatory clearance to market our ProSense system and related accessories systems for the treatment of kidney and
liver tumors and XSense with CryoProbes for the same indications. Specifically, FDA 510(k) clearance covers IceSense3, ProSense, XSense
and MSense systems, including the ancillary products thereto, such as probes and ancillary products, and software updates. However, even
after receiving this regulatory clearance from the FDA, we require additional approvals from the FDA in order to begin commercialization
efforts capable of generating significant revenues for us.
Our 510(k) application may
not be cleared by the FDA in a timely manner or at all. In October 2025, the FDA granted De Novo marketing authorization for ProSense
for patients with low risk breast cancer when combined with adjuvant endocrine therapy for women aged 70 and over. Although we have obtained
this authorization, future modifications to the device, expanded indications, or next-generation systems, including MSense, may require
additional regulatory submissions, including 510(k), De Novo or PMA, which may not be granted in a timely manner or at all. Even where
regulatory authorization has been obtained, the FDA may impose special controls, post-market surveillance requirements, labeling limitations
or other conditions that could increase our compliance costs or limit commercial adoption. For example, in connection with the October
2025 FDA marketing authorization for ProSense for the treatment of early-stage, biologically low-risk breast cancer in a defined patient
population, the FDA requested that we conduct a post-market surveillance study with the aim of producing additional data in this indication.
If we fail to maintain compliance with applicable regulatory requirements, the FDA could suspend or withdraw authorization, require product
recalls, impose fines or otherwise restrict our ability to commercialize our products. (see “Item 4.B Business Overview”
for additional information).
Any modification to our ProSense
system, including modifications that would expand beyond the indication for which ProSense has been granted FDA marketing authorization,
may require us to submit a new 510(k) premarket notification and obtain clearance, or, in some cases, submit a PMA and obtain FDA approval,
or other appropriate regulatory authorization, prior to implementing the change. Specifically, any modification to a 510(k)-cleared device,
or a device that has received FDA marketing authorization, that could significantly affect its safety or effectiveness, or that would
constitute a major change in its intended use, design or manufacture, requires a new 510(k) clearance or, possibly, approval of a PMA,
or equivalent FDA authorization pathway. The FDA requires every manufacturer to make this determination in the first instance, but the
FDA may review any manufacturer’s decision. The FDA may not agree with our decisions regarding whether new clearances or approvals
are necessary. We may make modifications or add additional features in the future that we believe do not require a new 510(k) clearance
or approval of a PMA. If the FDA disagrees with our determination and requires us to submit new 510(k) notifications or PMA applications
for modifications to our previously cleared products for which we have concluded that new clearances or approvals are unnecessary, we
may be required to cease marketing or to recall the modified product until we obtain clearance or approval, and we may be subject to
significant regulatory fines or penalties. If the FDA requires us to go through a lengthier, more rigorous examination for future products
or modifications to existing products than we had expected, product introductions or modifications could be delayed or canceled, which
could adversely affect our ability to grow our business.
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The FDA can delay, limit
or deny clearance or approval of a medical device for many reasons, including:
● our inability to demonstrate to the satisfaction of the FDA or the applicable regulatory entity or notified body that our product candidates are safe or effective for their intended uses;
● the disagreement of the FDA or the applicable foreign regulatory body with the design or the interpretation of data from pre-clinical studies or clinical trials;
● serious and unexpected adverse effects experienced by participants in our clinical trials;
● the data from our pre-clinical studies and clinical trials may be insufficient to support clearance or approval, where required;
● requesting clinical data from our trials at sites located outside of the United States;
● our inability to demonstrate that the clinical and other benefits of the device outweigh the risks;
● the manufacturing process or facilities we use may not meet applicable requirements; and
● the potential for approval policies or regulations of the FDA or applicable foreign regulatory bodies to change significantly in a manner rendering our clinical data or regulatory filings insufficient for clearance or approval.
In order to sell our products
in member countries of the European Economic Area, or EEA, our products must comply with the essential requirements of the EU Medical
Devices Directive (Council Directive 93/42/EEC) and with the Medical Device Regulations 2017/745 of the European Parliament and of the
Council, which entered into force on May 26, 2021. Compliance with these requirements is a prerequisite to be able to affix the Conformité
Européene, or CE, mark to our products, without which they cannot be sold or marketed in the EEA. To demonstrate compliance with
the essential requirements we must undergo a conformity assessment procedure, which varies according to the type of medical device and
its classification. Except for low-risk medical devices (Class I non-sterile, non-measuring devices), where the manufacturer can
issue a European Community, or EC, Declaration of Conformity based on a self-assessment of the conformity of its products with the essential
requirements of the EU Medical Devices Directive, a conformity assessment procedure requires the intervention of an organization accredited
by a member state of the EEA to conduct conformity assessments, or a Notified Body. Depending on the relevant conformity assessment procedure,
the Notified Body would typically audit and examine the technical file and the quality system for the manufacture, design and final inspection
of our devices. The Notified Body issues a certificate of conformity following successful completion of a conformity assessment procedure
conducted in relation to the medical device and its manufacturer and their conformity with the essential requirements. This certificate
entitles the manufacturer to affix the CE mark and the Notified Body number to its medical devices after having prepared and signed a
related EC Declaration of Conformity.
As a general rule, demonstration
of conformity of medical devices and their manufacturers with the essential requirements must be based, among other things, on the evaluation
of clinical data supporting the safety and performance of the products during normal conditions of use. Specifically, a manufacturer
must demonstrate that the device achieves its intended performance during normal conditions of use, that the known and foreseeable risks,
and any adverse events, are minimized and acceptable when weighed against the benefits of its intended performance, and that any claims
made about the performance and safety of the device are supported by suitable evidence. If we fail to remain in compliance with applicable
European laws and directives, we would be unable to continue to affix the CE mark to our products, which would prevent us from selling
them within the EEA. Any new regulations or revisions or reinterpretations of existing regulations may impose additional costs or lengthen
review times of future products.
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Preliminary data that we or others announce
or publish from time to time with respect to our products may change as more data become available and are subject to audit and verification
procedures that could result in material changes in the final data.
From time to time, we, or
our partners, may publish or seek to publish preliminary data from ongoing clinical trials, which are based on a preliminary analysis
of then-available data. Positive preliminary data may not be predictive of such trial’s subsequent or overall results. Preliminary
data is subject to the risk that one or more of the results and related findings and conclusions may materially change following a more
comprehensive review of the data or as more data become available. Therefore, positive preliminary results in any ongoing clinical trial
may not be predictive of such results in the completed trial. We also make assumptions, estimations, calculations and conclusions as
part of our analyses of data, and we may not have received or had the opportunity to fully evaluate all data. As a result, preliminary
data that we report may differ from future results from the same clinical trials, or different conclusions or considerations may qualify
such results, once additional data have been received and fully evaluated. Preliminary data also remain subject to audit and verification
procedures that may result in the final data being materially different from the preliminary data we previously published. As a result,
preliminary data should be viewed with caution until the final data are available. Material adverse changes in the final data compared
to preliminary data could significantly harm our business prospects.
Further, others, including
regulatory agencies, may not accept or agree with our assumptions, estimates, calculations, conclusions or analyses or may interpret
or weigh the importance of data differently, which could impact the value of the particular program, the approvability or commercialization
of the particular product candidate or product and our company in general. In addition, the information we choose to publicly disclose
regarding a particular study or clinical trial is based on what is typically extensive information, and you or others may not agree with
what we determine is material or otherwise appropriate information to include in our disclosure. If the interim, top-line or preliminary
data that we report differ from actual results, or if others, including regulatory authorities, disagree with the conclusions reached,
our ability to obtain approval for, and commercialize, in scale, our product candidates may be harmed, which could harm our business,
operating results, prospects or financial condition.
Current and future healthcare and other
legislation and regulatory reform measures may have a material adverse effect on our business and results of operations.
In the United States
and some foreign jurisdictions, there have been, and we expect there will continue to be, a number of legislative and regulatory changes
to the healthcare system, including cost-containment measures that may reduce or limit coverage and reimbursement for newly approved
drugs or medical procedures and affect our ability to profitably sell any product candidates for which we obtain marketing approval.
In particular, there have been and continue to be a number of initiatives at the U.S. federal and state levels that seek to reduce healthcare
costs and improve the quality of healthcare.
Our industry is highly regulated
and changes in law may adversely impact our business, operations or financial results. The Patient Protection and Affordable Care Act,
as amended by the Health Care and Education Reconciliation Act, or the Affordable Care Act, is a sweeping measure intended to, among
other things, expand healthcare coverage within the United States, primarily through the imposition of health insurance mandates on employers
and individuals and expansion of the Medicaid program. Several provisions of the law may affect us and increase certain of our costs.
Among the provisions of the Affordable Care Act of importance to our potential product candidates, the Affordable Care
Act established an annual, nondeductible fee on any entity that manufactures or imports specified branded prescription drugs and biologic
agents; expands eligibility criteria for Medicaid programs; increased the statutory minimum rebates a manufacturer must pay under the
Medicaid Drug Rebate Program; created a new Medicare Part D coverage gap discount program; required certain Affordable Care Act marketplace
and other private payor plans to include coverage for preventative services, including vaccinations recommended by the ACIP without cost
share obligations (i.e., co-payments, deductibles or co-insurance) for plan members; established a new Patient-Centered Outcomes Research
Institute to oversee, identify priorities in and conduct comparative clinical effectiveness research, along with funding for such research;
and established a Center for Medicare and Medicaid Innovation at CMS to test innovative payment and service delivery models to lower
Medicare and Medicaid spending.
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In addition, other legislative
changes have been adopted since the Affordable Care Act was enacted. These changes include aggregate reductions in Medicare payments
to providers of 2% per fiscal year, which went into effect on April 1, 2013. These reductions went into effect in April 2013 and, due
to subsequent legislative amendments to the statute, will remain in effect until 2031.
In January 2013, President
Obama signed into law the American Taxpayer Relief Act of 2012, which, among other things, further reduced Medicare payments to several
types of providers and increased the statute of limitations period for the government to recover overpayments to providers from three
to five years. These and new laws may result in additional reductions in Medicare and other healthcare funding, which could have a material
adverse effect on our customers and, accordingly, our financial operations.
We anticipate that the Affordable
Care Act, as well as other healthcare reform measures that may be adopted in the future, may result in more rigorous coverage criteria
and an additional downward pressure on the reimbursement our customers may receive for our products. Further, there have been, and there
may continue to be, judicial and Congressional challenges to certain aspects of the Affordable Care Act. For example, the U.S. Tax Cuts
and Jobs Act of 2017, or TCJA, includes a provision repealing, effective January 1, 2019, the tax-based shared responsibility payment
imposed by the Affordable Care Act on certain individuals who fail to maintain qualifying health coverage for all or part of a year that
is commonly referred to as the “individual mandate.” On June 17, 2021, the U.S. Supreme Court dismissed a challenge on procedural
grounds that argued the Affordable Care Act is unconstitutional in its entirety because the “individual mandate” was repealed
by Congress. Further, prior to the U.S. Supreme Court ruling, on January 28, 2021, President Biden issued an executive order to initiate
a special enrollment period from February 26, 2021 through August 15, 2021 for purposes of obtaining health insurance coverage through
the Affordable Care Act marketplace. The executive order also instructed certain governmental agencies to review and reconsider their
existing policies and rules that limit access to healthcare, including among others, reexamining Medicaid demonstration projects and
waiver programs that include work requirements, and policies that create unnecessary barriers to obtaining access to health insurance
coverage through Medicaid or the Affordable Care Act. In addition, on August 16, 2022, President Biden signed the Inflation Reduction
Act of 2022, or the IRA, into law, which among other things, extends enhanced subsidies for individuals purchasing health insurance coverage
in Affordable Care Act marketplaces through plan year 2025. The IRA also eliminates the “donut hole” under the Medicare Part
D program beginning in 2025 by significantly lowering the beneficiary maximum out-of-pocket cost through a newly established manufacturer
discount program. Affordable Care Act Additional legislative and regulatory changes and judicial challenges to the Affordable Care Act,
its implementing regulations and guidance and its policies, remain possible. However, it remains unclear how any new legislation, regulation
or challenges in court might affect the prices we may obtain for any of our products for which regulatory approval is obtained. Any reduction
in reimbursement from Medicare and other government programs may result in a similar reduction in payments from private payers. The implementation
of cost containment measures or other healthcare reforms may prevent us from being able to generate significant revenue, attain profitability
or commercialize our products in scale.
Due to general uncertainty
in the current regulatory and healthcare policy environment in the United States, and specifically regarding positions that the Trump
administration may take with respect to these issues, we are unable to predict the impact of any legislative, regulatory, third-party
payer or policy actions, including potential cost containment and healthcare reform measures.
In addition, the delivery
of healthcare in the European Union, including the establishment and operation of health services, is almost exclusively a matter for
national, rather than EU, law and policy. National governments and health service providers have different priorities and approaches
to the delivery of health care and the pricing and reimbursement of products in that context. Coupled with ever-increasing EU and national
regulatory burdens on those wishing to develop and market products, this could prevent or delay additional marketing approval of our
ProSense system or any initial marketing approval for our ProSense system or any future product candidates, restrict or regulate post-approval
activities and affect our ability to commercialize any products for which we obtain marketing approval.
We are currently unable to
predict what additional legislation or regulation, if any, relating to the health care industry may be enacted in the future or what
effect recently enacted federal legislation or any such additional legislation or regulation would have on our business. The pendency
or approval of such proposals or reforms could result in a decrease in the price of our Ordinary Shares or limit our ability to raise
capital or to enter into collaboration agreements for the further development and potential commercialization of our products.
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Failure to comply with post-marketing regulatory
requirements could subject us to enforcement actions, including substantial penalties, and might require us to recall or withdraw a product
from the market.
Although we have certain
regulatory approvals to market our ProSense system, we are still subject to ongoing and pervasive regulatory requirements governing,
among other things, the manufacture, marketing, advertising, medical device reporting, sale, promotion, import, export, registration,
and listing of devices. In addition, if we receive additional regulatory approvals to market the ProSense system or regulatory approvals
to market the MSense system or other products we will likewise remain subject to ongoing regulation. For example, we will be required
to submit periodic reports to the FDA as a condition of 510(k) clearance, which we have received for our ProSense system and related
accessories, for the treatment of kidney and liver tumors. These reports include information about failures and certain adverse events
associated with the device after its clearance. Failure to submit such reports, or failure to submit the reports in a timely manner,
could result in enforcement action by the FDA. Following its review of the periodic reports, the FDA might ask for additional information
or initiate further investigation.
In addition, as included in the FDA’s marketing authorization
granted on October 3, 2025 for the use of our ProSense system in the treatment of low-risk breast cancer in women aged 70 and above receiving
adjuvant endocrine therapy, we are required to conduct a post-market surveillance study. Our ability to comply with this requirement will
depend on our ability to enroll the required number of patients within the timelines required by the FDA and to successfully complete
the study and related follow-up. If we experience delays in patient enrollment, fail to meet the study requirements or timelines, or otherwise
fail to comply with this post-market surveillance obligation, the FDA could take regulatory action, including requiring modifying the
labeling or indications for use of ProSense, limiting or withdrawing the marketing authorization for this indication, or otherwise restricting
our ability to commercialize ProSense for the treatment of breast cancer.
The regulations to which
we are subject are complex and have become more stringent over time. Regulatory changes could result in restrictions on our ability to
continue or expand our operations, higher than anticipated costs, or lower than anticipated sales. Even after we have obtained the proper
regulatory clearance to market a device, we have ongoing responsibilities under FDA regulations and applicable foreign laws and regulations.
The FDA, state and foreign regulatory authorities have broad enforcement powers. Our failure to comply with applicable regulatory requirements
could result in enforcement action by the FDA, state or foreign regulatory authorities, which may include any of the following sanctions:
● untitled letters or warning letters;
● fines, injunctions, consent decrees and civil penalties;
● recalls, termination of distribution, administrative detention, or seizure of our products;
● customer notifications or repair, replacement or refunds;
● operating restrictions or partial suspension or total shutdown of production;
● delays in or refusal to grant our requests for future clearances or approvals or foreign marketing authorizations of new products, new intended uses, or modifications to existing products;
● withdrawals or suspensions of product clearances or approvals, resulting in prohibitions on sales of our products;
● FDA refusal to issue certificates to foreign governments needed to export products for sale in other countries; and criminal prosecution.
Any of these sanctions could
result in higher than anticipated costs or lower than anticipated sales and have a material adverse effect on our reputation, business,
financial condition and results of operations.
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In addition, the FDA or state
or foreign authorities may change their clearance and approval policies, adopt additional regulations or revise existing regulations,
or take other actions, which may prevent or delay clearance or approval of our future products under development on a timely basis. Such
policy or regulatory changes could impose additional requirements upon us that could delay our ability to obtain new clearances or approvals,
increase the costs of compliance or restrict our ability to maintain any approvals we are able to obtain. For example, the FDA recently
announced forthcoming steps that the FDA intends to take to modernize the premarket notification pathway under Section 510(k) of the
FDCA.
Our products must be manufactured in accordance
with federal, state and foreign regulations, and we could be forced to recall our devices or terminate production if we fail to comply
with these regulations.
The methods used in, and
the facilities used for, the manufacture of our products must comply with the Quality System Regulation, or QSR, which is a complex regulatory
scheme that covers the procedures and documentation of the design, testing, production, process controls, quality assurance, labeling,
packaging, handling, storage, distribution, installation, servicing and shipping of medical devices. As manufacturers of electromagnetic
radiation-emitting products, we are also responsible for compliance with the radiological health regulations and certain radiation safety
performance standards.
Furthermore, we are required
to verify that our suppliers maintain facilities, procedures and operations that comply with our quality standards and applicable regulatory
requirements. The FDA enforces the QSR through periodic announced or unannounced inspections of medical device manufacturing facilities,
which may include the facilities of subcontractors. Our products are also subject to similar state regulations and various laws and regulations
of foreign countries governing manufacturing.
Our third-party manufacturers
may not take the necessary steps to comply with applicable regulations, which could cause delays in the delivery of our products. In
addition, failure to comply with applicable FDA or state or foreign requirements or later discovery of previously unknown problems with
our products or manufacturing processes could result in, among other things: warning letters or untitled letters; fines, injunctions
or civil penalties; suspension or withdrawal of approvals; seizures or recalls of our products; total or partial suspension of production
or distribution; administrative or judicially imposed sanctions; the FDA’s refusal to grant pending or future clearances or approvals
for our products; clinical holds; refusal to permit the import or export of our products; and criminal prosecution of us, our suppliers
or our employees.
Any of these actions could
significantly and negatively affect supply of our products. If any of these events occurs, our reputation could be harmed, we could be
exposed to product liability claims and we could lose customers and experience reduced sales and increased costs.
The misuse or off-label use of our products
may harm our reputation in the marketplace, result in injuries that may lead to product liability suits or result in costly investigations,
fines or sanctions by regulatory bodies if we are deemed to have engaged in the promotion of these uses, any of which could be costly
to our business.
Advertising and promotion
of our products that obtain marketing approval in the United States may be heavily scrutinized by the FDA, the DOJ, HHS, state attorneys
general, members of Congress, and the public. In addition, advertising and promotion of any product that obtains approval outside of
the United States may be heavily scrutinized by comparable foreign regulatory authorities.
We expect that, if cleared
or approved, our products, will be cleared by the requisite regulatory authorities for specific indications. We expect to train our marketing
personnel and direct sales force to not promote our devices for uses outside of the FDA-approved indications for use, known as “off-label
uses.” We cannot, however, prevent a physician from using our devices off-label, when in the physician’s independent professional
medical judgment, he or she deems it appropriate. There may be increased risk of injury to patients if physicians attempt to use our
devices off-label. Furthermore, the use of our devices for indications other than those approved by the FDA or approved by any foreign
regulatory body may not effectively treat such conditions, which could harm our reputation in the marketplace among healthcare providers
and patients.
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If the FDA or any state or
foreign regulatory body determines that our promotional materials or training constitute promotion of an off-label use, it could request
that we modify our training or promotional materials or subject us to regulatory or enforcement actions, including the issuance or imposition
of an untitled letter, which is used for violators that do not necessitate a warning letter, injunction, seizure, civil fine or criminal
penalties. It is also possible that other federal, state or foreign enforcement authorities might take action under other regulatory
authority, such as false claims laws, if they consider our business activities to constitute promotion of an off-label use, which could
result in significant penalties, including, but not limited to, criminal, civil and administrative penalties, damages, fines, disgorgement,
exclusion from participation in government healthcare programs and the curtailment of our operations. We may become subject to such actions
and, if we are not successful in defending against such actions, those actions may have a material adverse effect on our business, financial
condition and results of operations. Equivalent laws and potential consequences exist in foreign jurisdictions.
In addition, if our products
are cleared or approved, healthcare providers may misuse our products or use improper techniques if they are not adequately trained,
potentially leading to injury and an increased risk of product liability. If our devices are misused or used with improper technique,
we may become subject to costly litigation by our customers or their patients. As described above, product liability claims could divert
management’s attention from our core business, be expensive to defend and result in sizeable damage awards against us that may
not be covered by insurance.
Our products may cause or contribute to
adverse medical events or be subject to failures or malfunctions that we are required to immediately report to all relevant regulatory
authorities, and if we fail to do so, we would be subject to sanctions that could harm our reputation, business, financial condition
and results of operations. The discovery of serious safety issues with our products, or a recall of our products either voluntarily or
at the direction of the FDA or another governmental authority, could have a negative impact on us.
We are subject to the FDA’s
medical device reporting regulations and similar foreign regulations, which require us to report to the FDA when we receive or become
aware of information that reasonably suggests that one or more of our products may have caused or contributed to a death or serious injury
or malfunctioned in a way that, if the malfunction were to recur, could cause or contribute to a death or serious injury. The timing
of our obligation to report is triggered by the date we become aware of the adverse event as well as the nature of the event. We may
fail to report adverse events of which we become aware within the prescribed timeframe. We may also fail to recognize that we have become
aware of a reportable adverse event, especially if it is not reported to us as an adverse event or if it is an adverse event that is
unexpected or removed in time from the use of the product. If we fail to comply with our reporting obligations, the FDA or other regulatory
bodies could take action, including warning letters, untitled letters, administrative actions, criminal prosecution, imposition of civil
monetary penalties, revocation of our device clearance or approval, seizure of our products or delay in clearance or approval of future
products.
The FDA and foreign regulatory
bodies have the authority to require the recall of commercialized products in the event of material deficiencies or defects in design
or manufacture of a product or in the event that a product poses an unacceptable risk to health. The FDA’s authority to require
a recall must be based on a finding that there is reasonable probability that the device could cause serious injury or death. We may
also choose to voluntarily recall a product if any material deficiency is found. A government-mandated or voluntary recall by us could
occur as a result of an unacceptable risk to health, component failures, malfunctions, manufacturing defects, labeling or design deficiencies,
packaging defects or other deficiencies or failures to comply with applicable regulations. Product defects or other errors may occur
in the future.
Depending on the corrective
action we take to redress a product’s deficiencies or defects, the FDA may require, or we may decide, that we will need to obtain
new clearances or approvals for the device before we may market or distribute the corrected device. Seeking such clearances or approvals
may delay our ability to replace the recalled devices in a timely manner. Moreover, if we do not adequately address problems associated
with our devices, we may face additional regulatory enforcement action, including FDA warning letters, product seizure, injunctions,
administrative penalties or civil or criminal fines.
Companies are required to
maintain certain records of recalls and corrections, even if they are not reportable to the FDA. We may initiate voluntary withdrawals
or corrections for our products in the future that we determine do not require notification of the FDA. If the FDA disagrees with our
determinations, it could require us to report those actions as recalls and we may be subject to enforcement action. A future recall announcement
could harm our reputation with customers, potentially lead to product liability claims against us and negatively affect our sales. Any
corrective action, whether voluntary or involuntary, as well as defending ourselves in a lawsuit, will require the dedication of our
time and capital, distract management from operating our business and may harm our reputation and financial results.
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We may be subject, directly or indirectly,
to federal and state healthcare fraud and abuse laws, false claims laws and health information privacy and security laws. If we are unable
to comply, or have not fully complied, with such laws, we could face substantial penalties.
Many federal, state and foreign
healthcare laws and regulations apply to medical devices. We may be subject to certain federal and state regulations, including the federal
healthcare programs’ Anti-Kickback Statute, which prohibits, among other things, knowingly and willfully soliciting, offering,
receiving, or paying any remuneration, directly or indirectly, in cash or in kind, to induce or reward purchasing, ordering or arranging
for or recommending the purchase or order of any item or service for which payment may be made, in whole or in part, under a federal
healthcare program such as Medicare and Medicaid; the federal Health Insurance Portability and Accountability Act of 1996, or HIPAA,
which imposes criminal and civil liability for knowingly and willfully executing, or attempting to execute, a scheme to defraud any healthcare
benefit program, or knowingly and willfully falsifying, concealing or covering up a material fact or making any materially false statement
in connection with the delivery of, or payment for, healthcare benefits, items or services; the federal Civil Monetary Penalties Law,
which authorizes the imposition of substantial civil monetary penalties against an entity that engages in activities including, among
others (1) knowingly presenting, or causing to be presented, a claim for services not provided as claimed or that is otherwise false
or fraudulent in any way; (2) arranging for or contracting with an individual or entity that is excluded from participation in federal
healthcare programs to provide items or services reimbursable by a federal healthcare program; (3) violations of the federal Anti-Kickback
Statute; or (4) failing to report and return a known overpayment; the federal False Statements Statute, which prohibits knowingly and
willfully falsifying, concealing, or covering up a material fact or making any materially false, fictitious or fraudulent statement or
representation, or making or using any false writing or document knowing the same to contain any materially false, fictitious or fraudulent
statement or entry, in connection with the delivery of or payment for healthcare benefits, items, or services; the federal civil False
Claims Act, or the FCA, which prohibits, among other things, knowingly presenting, or causing to be presented claims for payment of government
funds that are false or fraudulent, or knowingly making, using or causing to be made or used a false record or statement material to
such a false or fraudulent claim, or knowingly concealing or knowingly and improperly avoiding, decreasing, or concealing an obligation
to pay money to the federal government; and other federal and state false claims laws. The FCA prohibits anyone from knowingly presenting,
conspiring to present, making a false statement in order to present, or causing to be presented, for payment to federal programs (including
Medicare and Medicaid) claims for items or services that are false or fraudulent, claims for items or services not provided as claimed,
or claims for medically unnecessary items or services. This law also prohibits anyone from knowingly underpaying an obligation owed to
a federal program. Increasingly, U.S. federal agencies are requiring nonmonetary remedial measures, such as corporate integrity agreements
in FCA settlements. The DOJ announced in 2016 its intent to follow the “Yates Memo,” taking a far more aggressive approach
in pursuing individuals as FCA defendants in addition to corporations.
The majority of states also
have statutes similar to the federal Anti-Kickback Statute and false claims laws that apply to items and services reimbursed under Medicaid
and other state programs, or, in several states, that apply regardless of whether the payer is a government entity or a private commercial
entity. The Federal Open Payments, or Physician Payments Sunshine Act, program requires manufacturers of products for which payment is
available under Medicare, Medicaid or the State Children’s Health Insurance Program, to track and report annually to the federal
government (for disclosure to the public) certain payments and other transfers of value made to physicians and teaching hospitals as
well as disclosure of payments and other transfers of value provided to physicians and teaching hospitals, and ownership and investment
interests held by physicians and other healthcare providers and their immediate family members and applicable group purchasing organizations.
Our failure to appropriately track and report payments to the government could result in civil fines and penalties, which could adversely
affect the results of our operations. In addition, several U.S. states and localities have enacted legislation requiring medical device
companies to establish marketing compliance programs, file periodic reports with the state, and/or make periodic public disclosures on
sales, marketing, pricing, clinical trials, and other activities. Other state laws prohibit certain marketing-related activities including
the provision of gifts, meals or other items to certain healthcare providers. Many of these laws and regulations contain ambiguous requirements
that government officials have not yet clarified. Given the lack of clarity in the laws and their implementation, our reporting actions
could be subject to the penalty provisions of the pertinent federal and state laws and regulations.
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The medical device industry
has been under heightened scrutiny as the subject of government investigations and enforcement actions involving manufacturers who allegedly
offered unlawful inducements to potential or existing customers in an attempt to procure their business, including arrangements with
physician consultants. If our operations or arrangements are found to be in violation of such governmental regulations, we may be subject
to civil and criminal penalties, damages, fines, exclusion from the Medicare and Medicaid programs and the curtailment of our operations.
All of these penalties could adversely affect our ability to operate our business and our financial results.
Changes in laws or regulations relating
to data protection, or any actual or perceived failure by us to comply with such laws and regulations or our privacy policies, could
materially and adversely affect our business or could lead to government enforcement actions and significant penalties against us, and
adversely impact our operating results.
We expect to receive health
information and other highly sensitive or confidential information and data of patients and other third parties (e.g., healthcare providers
who refer patients for scans), which we expect to compile and analyze. Collection and use of this data might raise privacy and data protection
concerns, which could negatively impact our business. There are numerous federal, state and international laws and regulations regarding
privacy, data protection, information security, and the collection, storing, sharing, use, processing, transfer, disclosure, and protection
of personal information and other data, and the scope of such laws and regulations may change, be subject to differing interpretations,
and may be inconsistent among countries and regions we intend to operate in (e.g., the United States, the European Union and Israel),
or conflict with other laws and regulations. The regulatory framework for privacy and data protection worldwide is, and is likely to
remain for the foreseeable future, uncertain and complex, and this or other actual or alleged obligations may be interpreted and applied
in a manner that we may not anticipate or that is inconsistent from one jurisdiction to another and may conflict with other rules or
practices including ours. Further, any significant change to applicable laws, regulations, or industry practices regarding the collection,
use, retention, security, or disclosure of data, or their interpretation, or any changes regarding the manner in which the consent of
relevant users for the collection, use, retention, or disclosure of such data must be obtained, could increase our costs and require
us to modify our services and candidate products, possibly in a material manner, which we may be unable to complete, and may limit our
ability to store and process patients’ data or develop new services and features.
In particular, we will be
subject to U.S. data protection laws and regulations (i.e., laws and regulations that address privacy and data security) at both the
federal and state levels. The legislative and regulatory landscape for data protection continues to evolve, and in recent years there
has been an increasing focus on privacy and data security issues. Numerous federal and state laws, including state data breach notification
laws, state health information privacy laws, and federal and state consumer protection laws, govern the collection, use, and disclosure
of health-related and other personal information. Failure to comply with such laws and regulations could result in government enforcement
actions and create liability for us (including the imposition of significant civil or criminal penalties), private litigation and/or
adverse publicity that could negatively affect our business. For instance, California enacted the California Consumer Privacy Act, or
the CCPA, on June 28, 2018, which took effect on January 1, 2020. The CCPA creates individual privacy rights for California consumers
and increases the privacy and security obligations of entities handling certain personal data. The CCPA provides for civil penalties
for violations, as well as a private right of action for data breaches that is expected to increase data breach litigation. The CCPA
may increase our compliance costs and potential liability, and many similar laws have been proposed at the federal level and in other
states.
In addition, we expect to
obtain health information that is subject to privacy and security requirements under the Health Information Technology for Economic and
Clinical Health, or HITECH, and its implementing regulations. The Privacy Standards and Security Standards under HIPAA establish a set
of standards for the protection of individually identifiable health information by health plans, health care clearinghouses and certain
health care providers, referred to as Covered Entities, and the business associates with whom Covered Entities enter into service relationships
pursuant to which individually identifiable health information may be exchanged. Notably, whereas HIPAA previously directly regulated
only Covered Entities, HITECH makes certain of HIPAA’s privacy and security standards also directly applicable to Covered Entities’
business associates. As a result, both Covered Entities and business associates are now subject to significant civil and criminal penalties
for failure to comply with Privacy Standards and Security Standards. As part of our normal operations, we expect to collect, process
and retain personal identifying information regarding patients, including as a business associate of Covered Entities, so we expect to
be subject to HIPAA, including changes implemented through HITECH, and we could be subject to criminal penalties if we knowingly obtain
or disclose individually identifiable health information in a manner that is not authorized or permitted by HIPAA. A data breach affecting
sensitive personal information, including health information, also could result in significant legal and financial exposure and reputational
damages that could potentially have an adverse effect on our business.
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HIPAA requires Covered Entities
(like many of our potential customers) and business associates, like us, to develop and maintain policies and procedures with respect
to protected health information that is used or disclosed, including the adoption of administrative, physical and technical safeguards
to protect such information. HITECH expands the notification requirement for breaches of patient-identifiable health information, restricts
certain disclosures and sales of patient-identifiable health information and provides for civil monetary penalties for HIPAA violations.
HITECH also increased the civil and criminal penalties that may be imposed against Covered Entities and business associates and gave
state attorneys general new authority to file civil actions for damages or injunctions in federal courts to enforce HIPAA and its implementing
regulations and seek attorney’s fees and costs associated with pursuing federal civil actions. Additionally, certain states have
adopted comparable privacy and security laws and regulations, some of which may be more stringent than HIPAA.
Internationally, many jurisdictions
have or are considering enacting privacy or data protection laws or regulations relating to the collection, use, storage, transfer, disclosure
and/or other processing of personal data, as well as certification requirements for the hosting of health data specifically. Such laws
and regulations may include data hosting, data residency or data localization requirements (which generally require that certain types
of data collected within a certain country be stored and processed within that country), data export restrictions, international transfer
laws (which prohibit or impose conditions upon the transfer of such data from one country to another), or may require companies to implement
privacy or data protection and security policies, enable users to access, correct and delete personal data stored or maintained by such
companies, inform individuals of security breaches that affect their personal data or obtain individuals’ consent to use their
personal data. For example, European legislators adopted the EU’s General Data Protection Regulation (2016/679), or GDPR, which
became effective on May 25, 2018, and are now in the process of finalizing the ePrivacy Regulation to replace the European ePrivacy Directive
(Directive 2002/58/EC as amended by Directive 2009/136/EC). The GDPR, supplemented by national laws and further implemented through
binding guidance from the European Data Protection Board, imposes more stringent EU data protection requirements and provides for significant
penalties for noncompliance. Further, the United Kingdom’s initiating a process to leave the EU has created uncertainty with regard
to the regulation of data protection in the United Kingdom. In particular, the United Kingdom has brought the GDPR into domestic law
with the Data Protection Act 2018 which will remain in force, even if and when the United Kingdom leaves the EU.
Virtually every jurisdiction
in which we expect to operate has established its own data security and privacy legal framework with which we must, and our target customers
will need to, comply, including the rules and regulation mentioned above. We may also need to comply with varying and possibly conflicting
privacy laws and regulations in other jurisdictions. As a result, we could face regulatory actions, including significant fines or penalties,
adverse publicity and possible loss of business.
While we are preparing to
implement various measures intended to enable us to comply with applicable privacy or data protection laws, regulations and contractual
obligations, these measures may not always be effective and do not guarantee compliance. Any failure or perceived failure by us to comply
with our contractual or legal obligations or regulatory requirements relating to privacy, data protection, or information security may
result in governmental investigations or enforcement actions, litigation, claims, or public statements against us by consumer advocacy
groups or others and could result in significant liability, cause our customers, partners or patients to lose trust in us, and otherwise
materially and adversely affect our reputation and business. Furthermore, the costs of compliance with, and other burdens imposed by,
the laws, regulations, and policies that are applicable to the businesses of our customers or partners may limit the adoption and use
of, and reduce the overall demand for, our products and services. Additionally, if third parties we work with violate applicable laws,
regulations, or agreements, such violations may put the data we have received at risk, could result in governmental investigations or
enforcement actions, fines, litigation, claims, or public statements against us by consumer advocacy groups or others and could result
in significant liability, cause our customers, partners or patients to lose trust in us, and otherwise materially and adversely affect
our reputation and business. Further, public scrutiny of, or complaints about, technology companies or their data handling or data protection
practices, even if unrelated to our business, industry or operations, may lead to increased scrutiny of technology companies, including
us, and may cause government agencies to enact additional regulatory requirements, or to modify their enforcement or investigation activities,
which may increase our costs and risks.
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If we do not obtain and maintain international
regulatory registrations, clearances or approvals for our products, we will be unable to market and sell our products.
Sales of our products are
subject to foreign regulatory requirements that vary widely from country to country. Approval procedures vary among countries and can
involve additional testing. The time required to obtain approvals may differ substantially. While the regulations of some countries may
not impose barriers to marketing and selling our products or only require notification, others require that we obtain the clearance or
approval of a specified regulatory body. Complying with foreign regulatory requirements, including obtaining registrations, clearances
or approvals, can be expensive and time-consuming, and we may not receive regulatory clearances or approvals in each country in which
we plan to market our products or we may be unable to do so on a timely basis. The time required to obtain registrations, clearances
or approvals, if required by other countries, may be longer than that required for FDA clearance or approval, and requirements for such
registrations, clearances or approvals may significantly differ from FDA requirements. If we modify our products, we may need to apply
for additional regulatory clearances or approvals before we are permitted to sell the modified product. In addition, we may not continue
to meet the quality and safety standards required to maintain the authorizations that we have received. If we are unable to maintain
our authorizations in a particular country, we will no longer be able to sell the applicable product in that country.
Regulatory clearance or approval
by the FDA does not ensure registration, clearance or approval by regulatory authorities in other countries, and registration, clearance
or approval by one or more foreign regulatory authorities does not ensure registration, clearance or approval by regulatory authorities
in other foreign countries or by the FDA. However, a failure or delay in obtaining registration or regulatory clearance or approval in
one country may have a negative effect on the regulatory process in others.
Legislative or regulatory reforms in the
United States or the EU may make it more difficult and costly for us to obtain regulatory clearances or approvals for our products or
to manufacture, market or distribute our products after clearance or approval is obtained.
From time to time, legislation
is drafted and introduced in Congress that could significantly change the statutory provisions governing the regulation of medical devices.
In addition, the FDA may change its clearance and approval policies, adopt additional regulations or revise existing regulations, or
take other actions, which may prevent or delay approval or clearance of our future products under development or impact our ability to
modify our currently cleared products on a timely basis. Over the last several years, the FDA has proposed reforms to its 510(k)-clearance
process, and such proposals could include increased requirements for clinical data and a longer review period, or could make it more
difficult for manufacturers to utilize the 510(k)-clearance process for their products. For example, in November 2018, FDA officials
announced forthcoming steps that the FDA intends to take to modernize the premarket notification pathway under Section 510(k) of the
FDCA. Among other things, the FDA announced that it planned to develop proposals to drive manufacturers utilizing the 510(k) clearance pathway
toward the use of newer predicates. These proposals included plans to potentially sunset certain older devices that were used as predicates
under the 510(k)-clearance pathway, and to potentially publish a list of devices that have been cleared on the basis of demonstrated
substantial equivalence to predicate devices that are more than 10 years old. In May 2019, the FDA solicited public feedback on
these proposals. The FDA requested public feedback on whether it should consider certain actions that might require new authority, such
as whether to sunset certain older devices that were used as predicates under the 510(k) clearance pathway. These proposals have not
yet been finalized or adopted, and the FDA may work with Congress to implement such proposals through legislation. Accordingly, it is
unclear the extent to which any proposals, if adopted, could impose additional regulatory requirements on us that could delay our ability
to obtain new 510(k) clearances, increase the costs of compliance, or restrict our ability to maintain our current clearances, or otherwise
create competition that may negatively affect our business.
In September 2019, the FDA
finalized guidance describing an optional “safety and performance based” premarket review pathway for manufacturers of “certain,
well-understood device types” to demonstrate substantial equivalence under the 510(k) clearance pathway by showing that such device
meets objective safety and performance criteria established by the FDA, thereby obviating the need for manufacturers to compare the safety
and performance of their medical devices to specific predicate devices in the clearance process. The FDA intends to develop and maintain
a list device types appropriate for the “safety and performance based” pathway and will continue to develop product-specific
guidance documents that identify the performance criteria for each such device type, as well as the testing methods recommended in the
guidance documents, where feasible. The FDA may establish performance criteria for classes of devices for which we or our competitors
seek or currently have received clearance, and it is unclear the extent to which such performance standards, if established, could impact
our ability to obtain new 510(k) clearances or otherwise create competition that may negatively affect our business.
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In addition, FDA regulations
and guidance are often revised or reinterpreted by the FDA in ways that may significantly affect our business and our products. Any new
statutes, regulations or revisions or reinterpretations of existing regulations may impose additional costs or lengthen review times
of any future products or make it more difficult to obtain clearance or approval for, manufacture, market or distribute our products.
We cannot determine what effect changes in regulations, statutes, legal interpretation or policies, when and if promulgated, enacted
or adopted may have on our business in the future. Such changes could, among other things, require: additional testing prior to obtaining
clearance or approval; changes to manufacturing methods; recall, replacement or discontinuance of our products; or additional record
keeping.
The FDA’s and other
regulatory authorities’ policies may change and additional government regulations may be promulgated that could prevent, limit
or delay regulatory clearance or approval of our future products. We cannot predict the likelihood, nature or extent of government regulation
that may arise from future legislation or administrative action, either in the United States or abroad. For example, certain policies
of the Trump administration may impact our business and industry. Namely, the Trump administration took several executive actions, including
the issuance of a number of Executive Orders, that could impose significant burdens on, or otherwise materially delay, FDA’s ability
to engage in routine oversight activities such as implementing statutes through rulemaking, issuance of guidance, and review and approval
of marketing applications. It is difficult to predict how these executive actions will be implemented, and the extent to which they will
impact the FDA’s ability to exercise its regulatory authority. If these executive actions impose restrictions on the FDA’s
ability to engage in oversight and implementation activities in the normal course, our business may be negatively impacted. If we are
slow or unable to adapt to changes in existing requirements or the adoption of new requirements or policies, or if we are not able to
maintain regulatory compliance, we may lose any marketing approval or clearance that we may have obtained and we may not achieve or sustain
profitability.
On April 5, 2017, the
European Parliament passed the Medical Devices Regulation (Regulation 2017/745), which repeals and replaces the EU Medical Devices Directive.
Unlike directives, which must be implemented into the national laws of the EEA member states, the regulations would be directly applicable,
i.e., without the need for adoption of EEA member state laws implementing them, in all EEA member states and are intended to eliminate
current differences in the regulation of medical devices among EEA member States. The Medical Devices Regulation, among other things,
is intended to establish a uniform, transparent, predictable and sustainable regulatory framework across the EEA for medical devices
and ensure a high level of safety and health while supporting innovation. Among other things, the Medical Devices Regulation:
● strengthen the rules on placing devices on the market and reinforce surveillance once they are available;
● establish explicit provisions on manufacturers’ responsibilities for follow-up regarding the quality, performance and safety of devices placed on the market;
● improve the traceability of medical devices throughout the supply chain to the end-user or patient through a unique identification number;
● set up a central database to provide patients, healthcare professionals and the public with comprehensive information on products available in the EU; and
● strengthened rules for the assessment of certain high-risk devices, which may have to undergo an additional check by experts before they are placed on the market.
These modifications may have
an effect on the way we conduct our business in the EEA.
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Disruptions at the FDA and other government
agencies could hinder their ability to hire, retain or deploy key leadership and other personnel, or otherwise prevent new or modified
products from being cleared or approved or commercialized in a timely manner or at all, which could negatively impact our business.
The ability of the FDA to
review and clear or approve new products can be affected by a variety of factors, including government budget and funding levels, statutory,
regulatory, and policy changes, the FDA’s ability to hire and retain key personnel and accept the payment of user fees, and other
events that may otherwise affect the FDA’s ability to perform routine functions. Average review times at the FDA have fluctuated
in recent years as a result. In addition, government funding of other government agencies that fund research and development activities
is subject to the political process, which is inherently fluid and unpredictable.
Disruptions at the FDA and
other agencies may also slow the time necessary for new medical devices or modifications to cleared or approved medical devices to be
reviewed and/or approved by necessary government agencies, which would adversely affect our business.
If a prolonged government
shutdown occurs or if global health concerns prevent the FDA or other regulatory authorities from conducting their regular inspections,
reviews, or other regulatory activities, it could significantly impact the ability of the FDA or other regulatory authorities to timely
review and process our regulatory submissions, which could have a material adverse effect on our business.
Environmental, social and corporate governance
(ESG) issues, including those related to climate change and sustainability, may have an adverse effect on our business, financial condition
and results of operations and damage our reputation.
There is an increasing focus
from certain investors, customers, consumers, employees and other stakeholders concerning ESG matters. Additionally, public interest
and legislative pressure related to public companies’ ESG practices continue to grow. If our ESG practices fail to meet regulatory
requirements or investor, customer, consumer, employee or other stakeholders’ evolving expectations and standards for responsible
corporate citizenship in areas including environmental stewardship, support for local communities, Board of Director and employee diversity,
human capital management, employee health and safety practices, product quality, supply chain management, corporate governance and transparency,
our reputation, brand and employee retention may be negatively impacted, and our customers and suppliers may be unwilling to continue
to do business with us.
Customers, consumers, investors
and other stakeholders are increasingly focusing on environmental issues, including climate change, energy and water use, plastic waste
and other sustainability concerns. Concern over climate change may result in new or increased legal and regulatory requirements to reduce
or mitigate impacts to the environment. Changing customer and consumer preferences or increased regulatory requirements may result in
increased demands or requirements regarding plastics and packaging materials, including single-use and non-recyclable plastic products
and packaging, other components of our products and their environmental impact on sustainability, or increased customer and consumer
concerns or perceptions (whether accurate or inaccurate) regarding the effects of substances present in certain of our products. Complying
with these demands or requirements could cause us to incur additional manufacturing, operating or product development costs.
If we do not adapt to or
comply with new regulations, or fail to meet evolving investor, industry or stakeholder expectations and concerns regarding ESG issues,
investors may reconsider their capital investment in our Company, and customers and consumers may choose to stop purchasing our products,
which could have a material adverse effect on our reputation, business or financial condition.
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Risks Related to Our Intellectual Property
If we are unable to obtain and maintain
effective patent rights for our products and services, we may not be able to compete effectively in our markets. If we are unable to
protect the confidentiality of our trade secrets or know-how, such proprietary information may be used by others to compete against us.
Our success and future revenues
growth will depend, in part, on our ability to protect our patent rights. In addition to the protection afforded by any patents that
may be granted, historically, we have relied on trade secret protection and confidentiality agreements with our employees, consultants,
and contractors to protect proprietary know-how that is not patentable or that we elect not to patent, processes that are not easily
known, knowable or easily ascertainable, and for which patent infringement is difficult to monitor and enforce and any other elements
of our product candidate discovery and development processes that involve proprietary know-how, information or technology that is not
covered by patents. However, agreements may be breached, trade secrets may be difficult to protect, and we may not receive adequate remedies
for any breach. In addition, our trade secrets and intellectual property may otherwise become known or be independently discovered by
competitors or other unauthorized third parties.
There is no guarantee that
the patent registration applications that we submitted with regards to our technologies will result in patent registration. In the event
of failure to complete patent registration, our developments will not be proprietary, which might allow other entities to manufacture
our products or design our services and compete with them.
Further, there is no assurance
that all potentially relevant prior art relating to our patent applications has been found, which can invalidate a patent or prevent
a patent from issuing from a pending patent application. Even if patents do successfully issue, and even if such patents cover our products
or services, third parties may challenge their validity, enforceability, or scope, which may result in such patents being narrowed, found
unenforceable or invalidated. Furthermore, even if they are unchallenged, our patent applications and any future patents may not adequately
protect our intellectual property, products or services and provide exclusivity for our new products or services or prevent others from
designing around our claims. Furthermore, there is no guarantee that third parties will not infringe or misappropriate our patents or
similar proprietary rights. In addition, there can be no assurance that we will not have to pursue litigation against other parties to
assert its rights.
Any of these outcomes could
impair our ability to prevent competition from third parties, which may have an adverse impact on our business.
If we cannot obtain and maintain
effective patent rights for our products and services, we may not be able to compete effectively, and our business and results of operations
would be harmed.
We cannot provide any assurances
that our trade secrets and other confidential proprietary information will not be disclosed in violation of our confidentiality agreements
or that competitors will not otherwise gain access to our trade secrets or independently develop substantially equivalent information
and techniques. Also, misappropriation or unauthorized and unavoidable disclosure of our trade secrets and intellectual property could
impair our competitive position and may have a material adverse effect on our business. Additionally, if the steps taken to maintain
our trade secrets and intellectual property are deemed inadequate, we may have insufficient recourse against third parties for misappropriating
any trade secret.
Intellectual property rights of third parties
could adversely affect our ability to commercialize our products and services, and we might be required to litigate or obtain licenses
from third parties in order to develop or market our product candidates. Such litigation or licenses could be costly or not available
on commercially reasonable terms.
It is inherently difficult
to conclusively assess our freedom to operate without infringing on third-party rights. Our competitive position may be adversely affected
if existing patents or patents resulting from patent applications filed by third parties or other third-party intellectual property rights
are held to cover our products or services or elements thereof, or our manufacturing or uses relevant to our development plans. In such
cases, we may not be in a position to develop or commercialize products or services or our product candidates (and any relevant services)
unless we successfully pursue litigation to nullify or invalidate the third-party intellectual property right concerned or enter into
a license agreement with the intellectual property right holder, if available on commercially reasonable terms. There may also be pending
patent applications that if they result in issued patents, could be alleged to be infringed by our new products or services. If such
an infringement claim should be brought and be successful, we may be required to pay substantial damages, be forced to abandon our new
products or services or seek a license from any patent holders. No assurances can be given that a license will be available on commercially
reasonable terms, if at all.
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It is also possible that
we have failed to identify relevant third-party patents or applications. For example, U.S. patent applications filed before November
29, 2000, and certain U.S. patent applications filed after that date that will not be filed outside the United States remain confidential
until patents issue. Patent applications in the United States and elsewhere are published approximately 18 months after the earliest
filing for which priority is claimed, with such earliest filing date being commonly referred to as the priority date. Therefore, patent
applications covering our new products or services could have been filed by others without our knowledge. Additionally, pending patent
applications which have been published can, subject to certain limitations, be later amended in a manner that could cover our services,
our new products or the use of our new products. Third-party intellectual property right holders may also actively bring infringement
claims against us. We cannot guarantee that we will be able to successfully settle or otherwise resolve such infringement claims. If
we are unable to successfully settle future claims on terms acceptable to us, we may be required to engage in or continue costly, unpredictable
and time-consuming litigation and may be prevented from or experience substantial delays in pursuing the development of and/or marketing
our new products or services. If we fail in any such dispute, in addition to being forced to pay damages, we may be temporarily or permanently
prohibited from commercializing our new products or services that are held to be infringing. We might, also be forced to redesign our
new products, if possible, so that we no longer infringe the third-party intellectual property rights. Any of these events, even if we
were ultimately to prevail, could require us to divert substantial financial and management resources that we would otherwise be able
to devote to our business.
Third-party claims of intellectual property
infringement may prevent or delay our development and commercialization efforts.
Our commercial success depends
in part on our avoiding infringement of the patents and proprietary rights of third parties. Numerous U.S. and foreign issued patents
and pending patent applications, which are owned by third parties, exist in the fields in which we are developing new products and services.
As our industries expand and more patents are issued, the risk increases that our products and services may be subject to claims of infringement
of the patent rights of third parties.
Third parties may assert
that we are employing their proprietary technology without authorization. There may be third-party patents or patent applications with
claims to materials, designs or methods of manufacture related to the use or manufacture of our products or services. There may be currently
pending patent applications or continued patent applications that may later result in issued patents that our products or services may
infringe. In addition, third parties may obtain patents or services in the future and claim that use of our technologies infringes upon
these patents.
If any third-party patents
were held by a court of competent jurisdiction to cover aspects of our products, processes, designs, or methods of use, the holders of
any such patents may be able to block our ability to develop and commercialize the applicable product candidate unless we obtain a license
or until such patent expires or is finally determined to be invalid or unenforceable. In either case, such a license may not be available
on commercially reasonable terms or at all.
Parties making claims against
us may obtain injunctive or other equitable relief, which could effectively block our ability to further develop and commercialize one
or more of our products or services. Defense of these claims, regardless of their merit, would involve substantial litigation expense
and would be a substantial diversion of employee resources from our business. In the event of a successful claim of infringement against
us, we may have to pay substantial damages, including treble damages and attorneys’ fees for willful infringement, pay royalties,
redesign our infringing products or services, or obtain one or more licenses from third parties, which may be impossible or require substantial
time and monetary expenditure.
Patent policy and rule changes could increase
the uncertainties and costs surrounding the prosecution of our patent applications and the enforcement or defense of any issued patents.
Changes in either the patent
laws or interpretation of the patent laws in the United States and other countries may diminish the value of any patents that may issue
from our patent applications or narrow the scope of our patent protection. The laws of foreign countries may not protect our rights to
the same extent as the laws of the United States. Publications of discoveries in the scientific literature often lag behind the actual
discoveries, and patent applications in the United States and other jurisdictions are typically not published until 18 months after filing,
or in some cases not at all. We therefore cannot be certain that we were the first to file the invention claimed in our owned and licensed
patents or pending applications, or that we or our licensor were the first to file for patent protection of such inventions. Assuming
all other requirements for patentability are met, in the United States prior to March 15, 2013, the first to make the claimed invention
without undue delay in filing, is entitled to the patent, while generally outside the United States, the first to file a patent application
is entitled to the patent. After March 15, 2013, under the Leahy-Smith America Invents Act, or the Leahy-Smith Act, enacted on September
16, 2011, the United States has moved to a first to file system. The Leahy-Smith Act also includes a number of significant changes that
affect the way patent applications will be prosecuted and may also affect patent litigation. In general, the Leahy-Smith Act and its
implementation could increase the uncertainties and costs surrounding the prosecution of our patent applications and the enforcement
or defense of any issued patents, all of which could have a material adverse effect on our business and financial condition.
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We may be involved in lawsuits to protect
or enforce our intellectual property, which could be expensive, time consuming, and unsuccessful.
Competitors may infringe
our intellectual property. If we were to initiate legal proceedings against a third-party to enforce a patent covering one of our products
or services, the defendant could counterclaim that the patent covering our product candidate is invalid and/or unenforceable. In patent
litigation in the United States, defendant counterclaims alleging invalidity and/or unenforceability are commonplace. Grounds for a validity
challenge could be an alleged failure to meet any of several statutory requirements, including lack of novelty, obviousness, or non-enablement.
Grounds for an unenforceability assertion could be an allegation that someone connected with prosecution of the patent withheld relevant
information from the United States Patent and Trademark Office, or the USPTO, or made a misleading statement, during prosecution. Under
the Leahy-Smith Act, the validity of U.S. patents may also be challenged in post-grant and inter-parties review proceedings before the
USPTO. The outcome following legal assertions of invalidity and unenforceability is unpredictable.
Derivation proceedings initiated
by third parties or brought by us may be necessary to determine the priority of inventions and/or their scope with respect to our patent
or patent applications or those of our licensors. An unfavorable outcome could require us to cease using the related technology or to
attempt to license rights to it from the prevailing party. Our business could be harmed if the prevailing party does not offer us a license
on commercially reasonable terms. Our defense of litigation or derivative proceedings may fail and, even if successful, may result in
substantial costs and distract our management and other employees. In addition, the uncertainties associated with litigation could have
a material adverse effect on our ability to raise the funds necessary to continue our clinical trials, continue our research programs,
license necessary technology from third parties, or enter into development partnerships that would help us bring our new products or
services to market.
Furthermore, because of the
substantial amount of discovery required in connection with intellectual property litigation, there is a risk that some of our confidential
information could be compromised by disclosure during this type of litigation. There could also be public announcements of the results
of hearings, motions, or other interim proceedings or developments. If securities analysts or investors perceive these results to be
negative, it could have a material adverse effect on the price of our Ordinary Shares.
We may be subject to claims challenging
the inventorship of our intellectual property.
We may be subject to claims
that former employees, collaborators or other third parties have an interest in, or right to compensation, with respect to our current
patent and patent applications, future patents or other intellectual property as an inventor or co-inventor. For example, we may have
inventorship disputes arising from conflicting obligations of consultants or others who are involved in developing our products or services.
Litigation may be necessary to defend against these and other claims challenging inventorship or claiming the right to compensation.
If we fail in defending any such claims, in addition to paying monetary damages, we may lose valuable intellectual property rights, such
as exclusive ownership of, or right to use, valuable intellectual property. Such an outcome could have a material adverse effect on our
business. Even if we are successful in defending against such claims, litigation could result in substantial costs and be a distraction
to management and other employees.
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We may not be able to protect our intellectual
property rights throughout the world.
Filing, prosecuting, and
defending patents on products and services, as well as monitoring their infringement in all countries throughout the world, would be
prohibitively expensive, and our intellectual property rights in some countries can be less extensive than those in the United States.
In addition, the laws of some foreign countries do not protect intellectual property rights to the same extent as federal and state laws
in the United States.
Competitors may use our technologies
to develop their own products or services in jurisdictions where we have not obtained patent protection to and may export infringing
products or services to territories where we have patent protection, but where patents are not enforced as strictly as they are in the
United States. These products or services may compete with our products or services. Future patents or other intellectual property rights
may not be effective or sufficient to prevent them from competing.
Many companies have encountered
significant problems in protecting and defending intellectual property rights in foreign jurisdictions. The legal systems of certain
countries, particularly certain developing countries, do not favor the enforcement of patents, trade secrets, and other intellectual
property protection, which could make it difficult for us to stop the marketing of competing products or services in violation of our
proprietary rights generally. Proceedings to enforce our patent rights in foreign jurisdictions, whether or not successful, could result
in substantial costs and divert our efforts and attention from other aspects of our business, could put our future patents at risk of
being invalidated or interpreted narrowly, put the issuance of our patent applications at risk, and could provoke third parties to assert
claims against us. We may not prevail in any lawsuits that we initiate, and any damages or other remedies that we may be awarded may
not be commercially meaningful. Accordingly, our efforts to monitor and enforce our intellectual property rights around the world may
be inadequate to obtain a significant commercial advantage from the intellectual property that we develop or license.
Risks Related to Ownership of our Securities
The market price of our Ordinary Shares
may be highly volatile and fluctuate substantially, which could result in substantial loses for purchasers of our Ordinary Shares.
The trading price of our
Ordinary Shares may be volatile. The market price for the Ordinary Shares may be influenced by many factors, including:
● inability to obtain the approvals necessary to commence further clinical trials;
● unsatisfactory results of clinical trials;
● announcements of regulatory approval or the failure to obtain it, or specific label indications or patient populations for its use, or changes or delays in the regulatory review process;
● announcements of therapeutic innovations or new products by us or our competitors;
● adverse actions taken by regulatory authorities with respect to our clinical trials, manufacturing supply chain or sales and marketing activities;
● changes or developments in laws or regulations applicable to the cryoablation of tumors or any other indication that we may seek to develop;
● any adverse changes to our relationship with manufacturers or suppliers;
● any intellectual property infringement actions in which we may become involved;
● announcements concerning our competitors or the biotechnology industry in general;
● our commencement of, or involvement in, litigation;
● any major changes to our board of directors or management;
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● our ability to recruit and retain qualified regulatory, research and development personnel;
● legislation or changes to healthcare payment systems;
● the depth of the trading market in our Ordinary Shares;
● termination or expiration of the lock-up agreements or other restrictions limiting our ability or that of any of our existing shareholders to sell our Ordinary Shares (or any other securities that we may issue, if any);
● general economic weakness, including inflation, or industry and market conditions;
● business interruptions resulting from an epidemic or pandemic, geopolitical actions, including war and terrorism, or natural disasters;
● the granting or exercise of employee stock options or other equity awards; and
● changes in investors’ and securities analysts’ perception of the business risks and conditions of our business.
In addition, the stock market
in general, and Nasdaq Capital Market in particular, have experienced extreme price and volume fluctuations that have often been unrelated
or disproportionate to the operating performance of small companies. Broad market and industry factors may negatively affect the market
price of our Ordinary Shares, regardless of our actual operating performance. Further, a systemic decline in the financial markets and
related factors beyond our control may cause our share price to decline rapidly and unexpectedly.
Future sales or other issuances of our
Ordinary Shares could depress the market price for our Ordinary Shares.
Substantial sales of our
Ordinary Shares may cause the market price of our Ordinary Shares to decline. Sales by our security holders of substantial amounts of
our Ordinary Shares, or the perception that these sales may occur in the future, could cause a reduction in the market price of our Ordinary
Shares or could make it more difficult for us to raise funds through the sale of equity in the future.
Future issuances of Ordinary
Shares or any securities that are exercisable for or convertible into Ordinary Shares could further depress the market for our Ordinary
Shares, may have an adverse effect on the market price of our Ordinary Shares and will have a dilutive effect on our existing shareholders
and holders of Ordinary Shares. We expect to continue to incur research and development and general and administrative expenses and,
to satisfy our funding requirements, we will need to sell additional equity securities, which may include sales of significant amounts
of Ordinary Shares, which may be subject to registration rights and warrants with anti-dilutive protective provisions. The sale or the
proposed sale of substantial amounts of our Ordinary Shares or other equity securities in the public markets or in private transactions
may adversely affect the market price of our Ordinary Shares and our share price may decline substantially.
Our principal shareholders, officers and
directors currently beneficially own approximately 48.0% of our Ordinary Shares. They will therefore be able to exert significant control
over matters submitted to our shareholders for approval.
As of March 13, 2026, our principal shareholders, officers and directors
beneficially own approximately 48.0% of our Ordinary Shares. This significant concentration of share ownership may adversely affect the
trading price for our Ordinary Shares because investors often perceive disadvantages in owning shares in companies with controlling shareholders.
As a result, these shareholders, if they acted together, could significantly influence or even unilaterally approve matters requiring
approval by our shareholders, including the election of directors and the approval of mergers or other business combination transactions.
The interests of these shareholders may not always coincide with our interests or the interests of other shareholders.
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We do not know whether a market for our
Ordinary Shares will be sustained or what the trading price of the Ordinary Shares will be and as a result it may be difficult for you
to sell your Ordinary Shares.
Although our Ordinary Shares
are listed on Nasdaq, an active trading market for the Ordinary Shares may not be sustained. It may be difficult for you to sell your
Ordinary Shares without depressing the market price for the Ordinary Shares or at all. As a result of these and other factors, you may
not be able to sell your Ordinary Shares at or above the price at which you purchased the shares or at all. Further, an inactive market
may also impair our ability to raise capital by selling Ordinary Shares and may impair our ability to enter into strategic partnerships
or acquire companies, products, or services by using our equity securities as consideration.
We have never paid cash dividends on our
share capital, and we do not anticipate paying any cash dividends in the foreseeable future.
We have never declared or
paid cash dividends, and we do not anticipate paying cash dividends in the foreseeable future. Therefore, you should not rely on an investment
in Ordinary Shares as a source for any future dividend income. Our board of directors has complete discretion as to whether to distribute
dividends. Even if our board of directors decides to declare and pay dividends, the timing, amount and form of future dividends, if any,
will depend on our future results of operations and cash flow, our capital requirements and surplus, the amount of distributions, if
any, received by us from our subsidiaries, our financial condition, contractual restrictions and other factors deemed relevant by our
board of directors. In addition, the Israeli Companies Law, 5759-1999, or the Companies Law, imposes restrictions on our ability to declare
and pay dividends.
Raising additional capital may cause dilution
to our existing shareholders and may adversely affect the rights of existing shareholders.
We may need to raise additional
capital through a combination of private and public equity offerings, debt financings and collaborations, and strategic and licensing
arrangements. To the extent that we raise additional capital through the issuance of equity or otherwise including through convertible
debt securities, your ownership interest will be diluted, and the terms may include liquidation or other preferences that adversely affect
your rights as a shareholder. Debt financing, if available, may involve agreements that include covenants limiting or restricting our
ability to take certain actions, such as incurring debt, making capital expenditures or declaring dividends. If we raise additional funds
through strategic partnerships and alliances and licensing arrangements with third parties, we may have to relinquish valuable rights
to our technologies or product candidates or grant licenses on terms that are not favorable to us. If we are unable to raise additional
funds through equity or debt financing when needed, we may be required to delay, limit, reduce or terminate our product development or
commercialization efforts or grant rights to develop and market product candidates that we would otherwise prefer to develop and market
ourselves. Future sales of our Ordinary Shares or of securities convertible into our Ordinary Shares, or the perception that such sales
may occur, could cause immediate dilution and adversely affect the market price of our Ordinary Shares.
We may be a “passive foreign investment
company,” or PFIC, for U.S. federal income tax purposes in the current taxable year or may become one in any subsequent taxable
year. There generally would be negative tax consequences for U.S. taxpayers that are holders of the Ordinary Shares if we are or were
to become a PFIC.
Based on the projected composition
of our income and valuation of our assets, we do not expect to be a PFIC for 2025, and we do not expect to become a PFIC in the future,
although there can be no assurance in this regard. The determination of whether we are a PFIC is made on an annual basis and will depend
on the composition of our income and assets from time to time. We will be treated as a PFIC for U.S. federal income tax purposes in any
taxable year in which either (1) at least 75% of our gross income is “passive income” or (2) on average at least 50% of our
assets by value produce passive income or are held for the production of passive income. Passive income for this purpose generally includes,
among other things, certain dividends, interest, royalties, rents and gains from commodities and securities transactions and from the
sale or exchange of property that gives rise to passive income. Passive income also includes amounts derived by reason of the temporary
investment of funds, including those raised in a public offering. In determining whether a non-U.S. corporation is a PFIC, a proportionate
share of the income and assets of each corporation in which it owns, directly or indirectly, at least a 25% interest (by value) is taken
into account. The tests for determining PFIC status are applied annually, and it is difficult to make accurate projections of future
income and assets which are relevant to this determination. In addition, our PFIC status may depend in part on the market value of the
Ordinary Shares. Accordingly, there can be no assurance that we currently are not or will not become a PFIC in the future. If we are
a PFIC in any taxable year during which a U.S. taxpayer holds the Ordinary Shares, such U.S. taxpayer would be subject to certain adverse
U.S. federal income tax rules. In particular, if the U.S. taxpayer did not make an election to treat us as a “qualified electing
fund”, or QEF, or make a “mark-to-market” election, then “excess distributions” to the U.S. taxpayer, and
any gain realized on the sale or other disposition of the Ordinary Shares by the U.S. taxpayer: (1) would be allocated ratably over the
U.S. taxpayer’s holding period for the Ordinary Shares; (2) the amount allocated to the current taxable year and any period prior
to the first day of the first taxable year in which we were a PFIC would be taxed as ordinary income; and (3) the amount allocated to
each of the other taxable years would be subject to tax at the highest rate of tax in effect for the applicable class of taxpayer for
that year, and an interest charge for the deemed deferral benefit would be imposed with respect to the resulting tax attributable to
each such other taxable year. In addition, if the U.S. Internal Revenues Service, or the IRS, determines that we are a PFIC for a year
with respect to which we have determined that we were not a PFIC, it may be too late for a U.S. taxpayer to make a timely QEF or mark-to-market
election. U.S. taxpayers that have held the Ordinary Shares during a period when we were a PFIC will be subject to the foregoing rules,
even if we cease to be a PFIC in subsequent years, subject to exceptions for U.S. taxpayer who made a timely QEF or mark-to-market election.
A U.S. taxpayer can make a QEF election by completing the relevant portions of and filing IRS Form 8621 in accordance with the instructions
thereto. We do not intend to notify U.S. taxpayers that hold the Ordinary Shares if we believe we will be treated as a PFIC for any taxable
year in order to enable U.S. taxpayers to consider whether to make a QEF election. In addition, we do not intend to furnish such U.S.
taxpayers annually with information needed in order to complete IRS Form 8621 and to make and maintain a valid QEF election for any year
in which we or any of our subsidiaries are a PFIC. U.S. taxpayers that hold the Ordinary Shares are strongly urged to consult their tax
advisors about the PFIC rules, including tax return filing requirements and the eligibility, manner, and consequences to them of making
a QEF or mark-to-market election with respect to the Ordinary Shares in the event that we are a PFIC (see “Item 10.E. Taxation—U.S.
Federal Income Tax Considerations—Passive Foreign Investment Companies” for additional information).
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The JOBS Act allows us to postpone the
date by which we must comply with some of the laws and regulations intended to protect investors and to reduce the amount of information
we provide in our reports filed with the SEC, which could undermine investor confidence in our Company and adversely affect the market
price of our Ordinary Shares.
For so long as we remain
an “emerging growth company” as defined in the JOBS Act, we intend to take advantage of certain exemptions from various requirements
that are applicable to public companies that are not “emerging growth companies” including:
● the provisions of the Sarbanes-Oxley Act requiring that our independent registered public accounting firm provide an attestation report on the effectiveness of our internal control over financial reporting;
● Section 107 of the JOBS Act, which provides that an “emerging growth company” can take advantage of the extended transition period provided in Section 7(a)(2)(B) of the Securities Act for complying with new or revised accounting standards. This means that an “emerging growth company” can delay the adoption of certain accounting standards until those standards would otherwise apply to private companies. We are electing to delay such adoption of new or revised accounting standards. As a result of this adoption, our financial statements may not be comparable to companies that comply with the public company effective date;
● any rules that may be adopted by the Public Company Accounting Oversight Board requiring mandatory audit firm rotation or a supplement to the auditor’s report on the financial statements; and
● our ability to furnish two rather than three years of income statements and statements of cash flows in various required filings.
We intend to take advantage
of these exemptions until we are no longer an “emerging growth company.” We will remain an emerging growth company until
the earlier of (1) the last day of the fiscal year (a) following the fifth anniversary of the date of the completion of our
initial public offering, (b) in which we have total annual gross revenue of at least $1.235 billion, or (c) in which we
are deemed to be a “large accelerated filer”, as defined in the rule under the Exchange Act, and (2) the date on which
we have issued more than $1.0 billion in non-convertible debt during the prior three-year period.
We cannot predict if investors
will find our Ordinary Shares less attractive because we may rely on these exemptions. If some investors find our Ordinary Shares less
attractive as a result, there may be a less active trading market for the Ordinary Shares, and the trading price may be more volatile
and may decline.
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As a “foreign private issuer”
we are subject to less stringent disclosure requirements than domestic registrants and are permitted, and may in the future elect to
follow certain home country corporate governance practices instead of otherwise applicable SEC and Nasdaq requirements, which may result
in less protection than is accorded to investors under rules applicable to domestic U.S. registrants.
As a foreign private issuer
and emerging growth company, we may be subject to different disclosure and other requirements than domestic U.S. registrants and non-emerging growth
companies. For example, as a foreign private issuer, in the United States, we are not subject to the same disclosure requirements as
a domestic U.S. registrant under the Exchange Act, including the requirements to prepare and issue quarterly reports on Form 10-Q or
to file current reports on Form 8-K upon the occurrence of specified significant events, the proxy rules applicable to domestic
U.S. registrants under Section 14 of the Exchange Act or the short-swing profit rules applicable to domestic U.S. registrants under
Section 16 of the Exchange Act. In addition, we intend to rely on exemptions from certain U.S. rules which will permit us to follow
Israeli legal requirements rather than certain of the requirements that are applicable to U.S. domestic registrants.
We will follow Israeli laws
and regulations that are applicable to Israeli companies. However, Israeli laws and regulations applicable to Israeli companies do not
contain any provisions comparable to the U.S. proxy rules, the U.S. rules relating to the filing of reports on Form 10-Q or
Form 8-K or the U.S. rules relating to liability for insiders who profit from trades made in a short period of time, as referred
to above.
Furthermore, foreign private
issuers are required to file their annual report on Form 20-F within 120 days after the end of each fiscal year, while U.S.
domestic registrants that are non-accelerated filers are required to file their annual report on Form 10-K within 90 days after
the end of each fiscal year. Foreign private issuers are also exempt from Regulation Fair Disclosure, aimed at preventing issuers from
making selective disclosures of material information, although we will be subject to Israeli laws and regulations having substantially
the same effect as Regulation Fair Disclosure. As a result of the above, even though we are required to file reports on Form 6-K disclosing
the limited information which we have made or are required to make public pursuant to Israeli law, or are required to distribute to shareholders
generally, and that is material to us, you may not receive information of the same type or amount that is required to be disclosed to
shareholders of a U.S. registrant.
These exemptions and leniencies
will reduce the frequency and scope of information and protections to which you are entitled as an investor.
The determination of foreign
private issuer status is made annually on the last business day of an issuer’s most recently completed second fiscal quarter and,
accordingly, the next determination will be made with respect to us on June 30, 2026. In the future, we would lose our foreign private
issuer status if a majority of our shareholders, directors or management are U.S. citizens or residents and we fail to meet additional
requirements necessary to avoid loss of foreign private issuer status. The regulatory and compliance costs to us under U.S. securities
laws as a U.S. domestic registrant may be significantly higher.
We may be subject to securities litigation,
which is expensive and could divert management attention.
In the past, companies that
have experienced volatility in the market price of their stock have been subject to securities class action litigation. We may be the
target of this type of litigation in the future. Litigation of this type could result in substantial costs and diversion of management’s
attention and resources, which could seriously hurt our business. Any adverse determination in litigation could also subject us to significant
liabilities.
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We incur significant increased costs as
a result of the listing of our securities for trading on Nasdaq. As a public company in the United States, our management is required
to devote substantial time to new compliance initiatives as well as compliance with ongoing U.S. requirements.
Since the listing of our
Ordinary Shares on Nasdaq, we became a publicly traded company in the United States. As a public company in the United States, we
incur significant accounting, legal and other expenses that we did not incur before becoming a public company in the United States. We
also incur costs associated with corporate governance requirements of the SEC, as well as requirements under Section 404 and other provisions
of the Sarbanes-Oxley Act. We expect these rules and regulations to increase our legal and financial compliance costs, introduce new
costs such as investor relations, stock exchange listing fees and shareholder reporting, and to make some activities more time consuming
and costly. The implementation and testing of such processes and systems may require us to hire outside consultants and incur other significant
costs. Any future changes in the laws and regulations affecting public companies in the United States, including Section 404 and other
provisions of the Sarbanes-Oxley Act, and the rules and regulations adopted by the SEC, for so long as they apply to us, will result
in increased costs to us as we respond to such changes. These laws, rules and regulations could make it more difficult or more costly
for us to obtain certain types of insurance, including directors and officers liability insurance, and we may be forced to accept reduced
policy limits and coverage or incur substantially higher costs to obtain the same or similar coverage. The impact of these requirements
could also make it more difficult for us to attract and retain qualified persons to serve on our board of directors, our board committees,
or as executive officers.
Sales of a significant number of shares
of our Ordinary Shares in the public markets or significant short sales of our Ordinary Shares, or the perception that such sales could
occur, could depress the market price of our Ordinary Shares and impair our ability to raise capital.
Sales of a substantial number
of shares of our Ordinary Shares or other equity-related securities in the public markets, could depress the market price of our Ordinary
Shares. If there are significant short sales of our Ordinary Shares, the price decline that could result from this activity may cause
the share price to decline more so, which, in turn, may cause long holders of the Ordinary Shares to sell their shares, thereby contributing
to sales of Ordinary Shares in the market. Such sales also may impair our ability to raise capital through the sale of additional equity
securities in the future at a time and price that our management deems acceptable, if at all.
If securities or industry analysts do not
publish or cease publishing research or reports about us, our business or our market, or if they adversely change their recommendations
or publish negative reports regarding our business or the Ordinary Shares, our share price and trading volume could decline.
The trading market for the
Ordinary Shares will be influenced by the research and reports that industry or securities analysts may publish about us, our business,
our market or our competitors. We do not have any control over these analysts and we cannot provide any assurance that analysts will
cover us or provide favorable coverage. If any of the analysts who may cover us adversely change their recommendation regarding the Ordinary
Shares, or provide more favorable relative recommendations about our competitors, the price of our Ordinary Shares would likely decline.
If any analyst who may cover us were to cease coverage of our company or fail to regularly publish reports on us, we could lose visibility
in the financial markets, which in turn could cause the price of our Ordinary Shares or trading volume to decline.
If we are unable to comply with the Nasdaq
continued listing requirements, our Ordinary Shares could be delisted from Nasdaq, which may have a material adverse effect on our liquidity,
the ability of shareholders to sell their Ordinary Shares and our ability to obtain additional financing.
Our listing on Nasdaq is
conditioned on our continued compliance with Nasdaq’s continued listing requirements, including maintaining a minimum bid price
of $1.00 per Ordinary Share, pursuant to Nasdaq Listing Rule 5550(a)(2), or the Minimum Bid Requirement.
On July 19, 2024, we were
notified by the staff of Nasdaq that we were not in compliance with the Minimum Bid Requirement as our Ordinary Shares failed to maintain
a minimum bid price of $1.00 over the previous 30 consecutive business days. On January 3, 2025, the staff of Nasdaq determined that
since the Company’s minimum bid price had been at $1.00 or greater for ten consecutive business days from December 13, 2024 through
January 2, 2025, we regained compliance with the Minimum Bid Requirement.
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On November 14, 2025, we
were notified by the staff of Nasdaq that we were not in compliance with the Minimum Bid Requirement as our Ordinary Shares failed to
maintain a minimum bid price of $1.00 over the previous 30 consecutive business days. Under Nasdaq Listing Rule 5810(c)(3)(A), we were
granted a period of 180 calendar days to regain compliance with the minimum bid price requirement. The notice had no immediate effect
on our Nasdaq listing or the trading of our Ordinary Shares, and during the 180-day grace period, as may be extended, our Ordinary Shares
will continue to trade on the Nasdaq Capital Market under the symbol "ICCM".
There can be no assurance
that we will be able to regain compliance with the Minimum Bid Requirement and that our share price will not again fail to satisfy the
Minimum Bid Requirement or other Nasdaq continued listing requirements. If we are unable to maintain compliance with the Nasdaq continued
listing requirements, Nasdaq could initiate delisting proceedings or delist our Ordinary Shares from trading on its exchange which may
have a material adverse effect on us and our shareholders, including reduced liquidity with respect to our Ordinary Shares decrease our
ability to issue additional securities or obtain additional financing in the future.
Risks Related to Israeli Law and Our Operations in Israel
Our
principal executive offices, most of our research and development activities and other significant operations are located in Israel,
and, therefore, our results may be adversely affected by political, economic and security conditions in Israel and the surrounding region.
Our executive offices, corporate headquarters and principal research
and development facilities are located in Israel. In addition, most of our officers and directors are residents of Israel. Accordingly,
political, economic and military and security conditions in Israel and the surrounding region may directly affect our business. Any conflicts,
political instability, terrorism, cyberattacks or any other hostilities involving Israel or the interruption or curtailment of trade between
Israel and its present trading partners could adversely affect our operations. The security situation in the region remains volatile and
unpredictable, and periods of escalation or renewed hostilities may occur.. Any escalation or renewed hostilities or other adverse geopolitical
developments could adversely affect our operations and financial condition.
Since October 2023, Israel has experienced periods of armed conflict
and heightened regional tensions, which have at times affected economic conditions and international logistics. The security situation
in the region remains volatile and unpredictable, and periods of escalation or renewed hostilities may occur. Regional instability has,
at times, affected international shipping routes and air travel to and from Israel, which may delay the import of components used in our
manufacturing processes or the export of our products.
The potential escalation or continuation of regional hostilities is
difficult to predict, as are the economic implications of such developments on our business and on Israel’s economy in general..
The potential deterioration of Israel’s economy, as a direct and indirect result of these events, may have a material adverse effect
on the Company and its ability to effectively conduct its operations.
Israeli military reservists may be called up to perform military service.
From time to time, certain of our employees have been called up for reserve service, and while most have since returned to work, there
can be no assurance that additional employees will not be called up in the future or that such service will not be prolonged. Additional
employees may be called up for service, and such persons may be absent for an extended period of time. As a result, our operations may
be disrupted by such absences, which in turn may materially and adversely affect our business, prospects, financial condition and results
of operations.
Further,
in the past, the State of Israel, Israeli companies and Israeli institutions have been subjected to economic boycotts. Several countries
still restrict business with the State of Israel and with Israeli companies. These restrictive laws and policies may have an adverse
impact on our operating results, financial condition or the expansion of our business. A campaign of boycotts, divestment and sanctions
has been undertaken against Israel, Israeli companies and Israeli institutions, which could also adversely impact our business.
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Prior
to October 2023, the Israeli government pursued extensive changes to Israel’s judicial system. In response to the foregoing developments,
individuals, organizations and institutions, both within and outside of Israel, have voiced concerns that the proposed changes may negatively
impact the business environment in Israel including due to reluctance of foreign investors to invest or transact business in Israel as
well as to increased currency fluctuations, downgrades in credit rating, increased interest rates, increased volatility in securities
markets, and other changes in macroeconomic conditions. To the extent that any of these negative developments do occur, they may have
an adverse effect on our business, our results of operations and our ability to raise additional funds, if deemed necessary by our management
and board of directors.
We expect to be exposed to fluctuations
in currency exchange rates, which could adversely affect our results of operations.
We incur expenses in NIS,
U.S. dollars, Euros and Chinese Yuan, or CNY, but our financial statements are denominated in U.S. dollars. Accordingly, we face exposure
to adverse movements in currency exchange rates. Our revenue in the EU is denominated in Euros. Accordingly, we face exposure to adverse
movements in the currency exchange rate of the U.S. dollars against the Euro, which may have a negative effect on our revenue. If the
U.S. dollar strengthens against the Euro, the translation of these foreign currency denominated transactions will result in decreased
revenues in U.S. dollars. Our cost of operations in Israel and in China are influenced by any movements in the currency exchange rate
of the NIS and CNY. Such movements in the currency exchange rate may have a negative effect on our financial results. If the U.S. dollar
weakens against the NIS and CNY, the translation of the NIS and CNY currency denominated transactions to U.S. dollar will result in increased
operating expenses. Similarly, if the U.S. dollar strengthens against NIS and CNY, the translation of these NIS and CNY denominated transactions
to U.S. dollars will result in decreased expenses. As exchange rates vary, sales and other operating results, when translated, may differ
materially from our or the capital market’s expectations.
The termination or reduction of tax and
other incentives that the Israeli government provides to Israeli companies may increase our costs and taxes.
The Israeli government currently
provides tax and capital investment incentives to Israeli companies, as well as grant and loan programs relating to research and development
and marketing and export activities. In recent years, the Israeli government has reduced the benefits available under these programs
and the Israeli governmental authorities may in the future further reduce or eliminate the benefits of these programs. We may take advantage
of these benefits and programs in the future; however, there can be no assurance that such benefits and programs will be available to
us. If we qualify for such benefits and programs and fail to meet the conditions thereof, the benefits could be canceled, and we could
be required to refund any benefits we might already have enjoyed and become subject to penalties. Additionally, if we qualify for such
benefits and programs and they are subsequently terminated or reduced, it could have an adverse effect on our financial condition and
results of operations.
We may be required to pay monetary remuneration
to our Israeli employees for their inventions, even if the rights to such inventions have been duly assigned to us.
We enter into agreements
with our Israeli employees pursuant to which such individuals agree that any inventions created in the scope of their employment are
either owned exclusively by us or are assigned to us, depending on the jurisdiction, without the employee retaining any rights. A portion
of our intellectual property has been developed by our Israeli employees during their employment for us. Under the Israeli Patent Law,
5727-1967, or the Patent Law, inventions conceived by an employee during the course of his or her employment and within the scope of
said employment are considered “service inventions. Service inventions belong to the employer by default, absent a specific agreement
between the employee and employer otherwise. The Patent Law also provides that if there is no agreement regarding the remuneration for
the service inventions, even if the ownership rights were assigned to the employer, the Israeli Compensation and Royalties Committee,
or the Committee, a body constituted under the Patent Law, shall determine whether the employee is entitled to remuneration for these
inventions. The Committee has not yet determined the method for calculating this Committee-enforced remuneration. While it has previously
been held that an employee may waive his or her rights to remuneration in writing, orally or by conduct, litigation is pending in the
Israeli labor court is questioning whether such waiver under an employment agreement is enforceable. Although our Israeli employees have
agreed that we exclusively own any rights related to their inventions, we may face claims demanding remuneration in consideration for
employees’ service inventions. As a result, we could be required to pay additional remuneration or royalties to our current and/or
former employees, or be forced to litigate such claims, which could negatively affect our business.
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We received Israeli government grants for
certain of our research and development activities, the terms of which may require us to pay royalties and to satisfy specified conditions
in order to manufacture products and transfer technologies outside of Israel. If we fail to satisfy these conditions, we may be required
to pay penalties and refund grants previously received.
Our research and development
efforts have been financed in part through royalty-bearing grants in an aggregate amount of approximately $2.7 million (including accumulated
interest) that we received from the IIA as of December 31, 2025. With respect to the royalty-bearing grants we are committed to pay royalties
at a rate of 3% to 3.5% on sales proceeds from our products that were developed under IIA programs up to the total amount of grants received
and bearing interest rate at the annual Secured Overnight Financing Rate, or SOFR, applicable to U.S. dollar deposits. With respect to
IIA grants approved by the IIA prior to January 1, 2024 but which are outstanding thereafter, the annual interest rate is based on the
12-month SOFR, or at an alternative rate published by the Bank of Israel plus 0.71513%. For grants approved on or following January 1,
2024, the annual rate shall be the higher of (i) the 12 month SOFR plus 1%, or (ii) a fixed annual interest rate of 4%.
We are further required to
comply with the requirements of the Israeli Encouragement of Industrial Research, Development and Technological Innovation Law, 5744-1984,
as amended, and related regulations, or the Research Law, with respect to those past grants. When a company develops know-how, technology
or products using IIA grants, the terms of these grants and the Research Law restrict the transfer or license of such know-how, and the
transfer of manufacturing or manufacturing rights of such products, technologies or know-how outside of Israel, without the prior approval
of the IIA. Therefore, the discretionary approval of an IIA committee would be required for any transfer or license to third parties
inside or outside of Israel of know how or for the transfer outside of Israel of manufacturing or manufacturing rights related to those
aspects of such technologies. We may not receive those approvals. Furthermore, the IIA may impose certain conditions on any arrangement
under which it permits us to transfer technology or development.
The transfer or license of
IIA-supported technology or know-how outside of Israel and the transfer of manufacturing of IIA-supported products, technology or know-how
outside of Israel may involve the payment of significant amounts, depending upon the value of the transferred or licensed technology
or know-how, our research and development expenses, the amount of IIA support, the time of completion of the IIA-supported research project
and other factors. These restrictions and requirements for payment may impair our ability to sell, license or otherwise transfer our
technology assets outside of Israel or to outsource or transfer development or manufacturing activities with respect to any product or
technology outside of Israel. Furthermore, the consideration available to our shareholders in a transaction involving the transfer outside
of Israel of technology or know-how developed with IIA funding (such as a merger or similar transaction) may be reduced by any amounts
that we are required to pay to the IIA.
We may not be able to enforce covenants
not-to-compete under current Israeli law that might result in added competition for our products.
We have non-competition agreements
with all of our employees, all of which are governed by Israeli law. These agreements prohibit our employees from competing with or working
for our competitors, generally during their employment and for up to 12 months after termination of their employment. However, Israeli
courts are reluctant to enforce non-compete undertakings of former employees and tend, if at all, to enforce those provisions for relatively
brief periods of time in restricted geographical areas, and only when the employee has obtained unique value to the employer specific
to that employer’s business and not just regarding the professional development of the employee. If we are not able to enforce
non-compete covenants, we may be faced with added competition.
44
Provisions of Israeli law and our amended
and restated articles of association may delay, prevent or otherwise impede a merger with, or an acquisition of, us, which could prevent
a change of control, even when the terms of such a transaction are favorable to us and our shareholders.
Israeli corporate law regulates
mergers, requires tender offers for acquisitions of shares above specified thresholds, requires special approvals for transactions involving
directors, officers or significant shareholders and regulates other matters that may be relevant to such types of transactions. For example,
a merger may not be consummated unless at least 50 days have passed from the date on which a merger proposal is filed by each merging
company with the Israel Registrar of Companies and at least 30 days have passed from the date on which the shareholders of both
merging companies have approved the merger. In addition, a majority of each class of securities of the target company must approve a
merger. Moreover, a tender offer for all of a company’s issued and outstanding shares can only be completed if the acquirer receives
positive responses from the holders of at least 95% of the issued share capital. Completion of the tender offer also requires approval
of a majority of the offerees that do not have a personal interest in the tender offer, unless, following consummation of the tender
offer, the acquirer would hold at least 98% of the Company’s outstanding shares. Furthermore, the shareholders, including those
who indicated their acceptance of the tender offer, may, at any time within six months following the completion of the tender offer,
claim that the consideration for the acquisition of the shares does not reflect their fair market value, and petition an Israeli court
to alter the consideration for the acquisition accordingly, unless the acquirer stipulated in its tender offer that a shareholder that
accepts the offer may not seek such appraisal rights, and the acquirer or the company published all required information with respect
to the tender offer prior to the tender offer’s response date.
Furthermore, Israeli tax
considerations may make potential transactions unappealing to us or to our shareholders whose country of residence does not have a tax
treaty with Israel exempting such shareholders from Israeli tax. For example, Israeli tax law does not recognize tax-free share exchanges
to the same extent as U.S. tax law. With respect to mergers, Israeli tax law allows for tax deferral in certain circumstances but makes
the deferral contingent on the fulfillment of a number of conditions, including, in some cases, a holding period of two years from the
date of the transaction during which sales and dispositions of shares of the participating companies are subject to certain restrictions.
Moreover, with respect to certain share swap transactions, the tax deferral is limited in time, and when such time expires, the tax becomes
payable even if no disposition of the shares has occurred. These provisions could delay, prevent or impede an acquisition of us or our
merger with another company, even if such an acquisition or merger would be beneficial to us or to our shareholders.
Our amended and restated articles of association
may be deemed to have an anti-takeover effect.
Certain provisions of our
amended and restated articles of association may make a change in control of us more difficult. Our amended and restated articles of
association provide for a staggered board of directors consisting of three classes of directors. Directors of each class are chosen for
three-year terms upon the expiration of their current terms and each year one class of our directors is elected by our shareholders.
This provision in our amended and restated articles of association may only be amended or replaced by a resolution adopted at a General
Meeting by a majority of seventy percent (70%) of the voting power represented at the General Meeting in person or by proxy and voting
thereon, disregarding abstentions. This classified board provision could have the effect of making the replacement of incumbent directors
more time consuming and difficult. At least two annual meetings of shareholders, instead of one, will generally be required to effect
a change in a majority of our board of directors. Thus, the classified board provision could increase the likelihood that incumbent directors
will retain their positions. The staggered terms of directors may delay, defer or prevent an attempt to change control of us, even though
a change in control might be considered by our shareholders to be in their best interest.
Our
amended and restated articles of association also provide certain additional protective measures, including the ability to adopt a shareholder
rights plan or other similar mechanism, that may prevent, deter or delay a coercive, hostile or otherwise undesirable takeover of the
Company. Together with the classified board structure described above, these provisions may discourage or make more difficult a change
in control of the Company, even if such a transaction might be considered beneficial by some of our shareholders.
Your rights and responsibilities as a shareholder
will be governed in key respects by Israeli laws, which differs in some material respects from the rights and responsibilities of shareholders
of U.S. companies.
The rights and responsibilities
of the holders of our Ordinary Shares are governed by our amended and restated articles of association and by Israeli law. These rights
and responsibilities differ in some material respects from the rights and responsibilities of shareholders in U.S. companies. In particular,
a shareholder of an Israeli company has a duty to act in good faith and in a customary manner in exercising its rights and performing
its obligations towards the company and other shareholders, and to refrain from abusing its power in such company, including, among other
things, in voting at a general meeting of shareholders on matters such as amendments to a company’s articles of association, increases
in a company’s authorized share capital, mergers and acquisitions and related party transactions requiring shareholder approval,
as well as a general duty to refrain from discriminating against other shareholders. In addition, a shareholder who is aware that it
possesses the power to determine the outcome of a vote at a meeting of the shareholders or to appoint or prevent the appointment of a
director or executive officer in the company has a duty of fairness toward the company. There is limited case law available to assist
us in understanding the nature of these duties or the implications of these provisions. These provisions may be interpreted to impose
additional obligations and liabilities on holders of our Ordinary Shares that are not typically imposed on shareholders of U.S. companies.
45
Risks Related to Enforceability of Civil Liabilities
Investors may have difficulty enforcing judgments against us,
our directors and management.
We were incorporated in Israel.
Substantially all of our executive officers and directors reside outside of the United States, and all of our assets and most of the
assets of these persons are located outside of the United States. Therefore, a judgment obtained against us, or any of these persons,
including a judgment based on the civil liability provisions of the U.S. federal securities laws, may not be collectible in the United
States and may not be enforced by an Israeli court. It also may be difficult for you to effect service of process on these persons in
the United States or to assert U.S. securities law claims in original actions instituted in Israel. Additionally, it may be difficult
for an investor, or any other person or entity, to initiate an action with respect to U.S. securities laws in Israel. Israeli courts
may refuse to hear a claim based on an alleged violation of U.S. securities laws reasoning that Israel is not the most appropriate forum
in which to bring such a claim. In addition, even if an Israeli court agrees to hear a claim, it may determine that Israeli law and not
U.S. law is applicable to the claim. If U.S. law is found to be applicable, the content of applicable U.S. law must be proven as a fact
by expert witnesses, which can be a time consuming and costly process. Certain matters of procedure will also be governed by Israeli
law. There is little binding case law in Israel that addresses the matters described above. Additionally, Israeli courts might not enforce
judgments rendered outside Israel, which may make it difficult to collect on judgments rendered against us or our non-U.S. officers and
directors. Moreover, an Israeli court will not enforce a non-Israeli judgment if it was given in a state whose laws do not provide for
the enforcement of judgments of Israeli courts (subject to exceptional cases), if its enforcement is likely to prejudice the sovereignty
or security of the State of Israel if it was obtained by fraud or in the absence of due process, if it is at variance with another valid
judgment that was given in the same matter between the same parties, or if a suit in the same matter between the same parties was pending
before a court or tribunal in Israel at the time the foreign action was brought. As a result of the difficulty associated with enforcing
a judgment against us in Israel, you may not be able to collect any damages awarded by either a U.S. or foreign court.
One member of our board of
directors, Mr. Yang Huang, is a citizen of and is located in China. The recognition and enforcement of foreign judgments are provided
for under Chinese Civil Procedures Law. Chinese courts may recognize and enforce foreign judgments in accordance with the requirements
of Chinese Civil Procedures Law based either on treaties between China and the country where the judgment is made or on principles of
reciprocity between jurisdictions. China does not have any treaties or other forms of written arrangement with the United States
that provide for the reciprocal recognition and enforcement of foreign judgments. In addition, according to Chinese Civil Procedures
Law, Chinese courts will not enforce a foreign judgment against us or our directors and officers if they decide that the judgment violates
the basic principles of Chinese laws or national sovereignty, security, or public interest. As a result, it is uncertain whether and
on what basis a Chinese court would enforce a judgment rendered by a court in the United States on Mr. Huang and attempts to enforce
such a judgment in China could be costly, time consuming and ultimately unsuccessful.
In
addition, Mr. Vincent Chun Hung Chan, a member of our board of directors, is a citizen of both Great Britain and Hong Kong. Mr. Li
Haixiang, a member of our board of directors, is a citizen of Hong Kong and Cyprus. Mr. Chan and Mr. Haixiang are located in Hong Kong. There
is uncertainty as to whether the courts of Hong Kong would: (i) recognize or enforce judgments of United States courts obtained
against us or our directors or officers predicated upon the civil liability provisions of the securities laws of the United States
or any state in the United States; or (ii) entertain original actions brought in Hong Kong against us or our directors or officers
predicated upon the securities laws of the United States or any state in the United States. A judgment of a court in the United
States predicated upon U.S. federal or state securities laws may be enforced in Hong Kong at common law by bringing an action in a
Hong Kong court on that judgment for the amount due thereunder, and then seeking summary judgment on the strength of the foreign
judgment, provided that the foreign judgment, among other things, is: (i) for a debt or a definite sum of money (not being taxes or
similar charges to a foreign government taxing authority or a fine or other penalty); and (ii) final and conclusive on the merits of
the claim, but not otherwise. Such a judgment may not, in any event, be so enforced in Hong Kong if (a) it was obtained by fraud;
(b) the proceedings in which the judgment was obtained were opposed to natural justice; (c) its enforcement or recognition would be
contrary to the public policy of Hong Kong; (d) the court of the United States was not jurisdictionally competent; or (e) the
judgment was in conflict with a prior Hong Kong judgment. Hong Kong has no arrangement for the reciprocal enforcement of judgments
with the United States. As a result, there is uncertainty as to the enforceability in Hong Kong, in original actions or in actions
for enforcement, of judgments of United States courts of civil liabilities predicated solely upon the federal securities laws of the
United States or the securities laws of any State or territory within the United States and attempts to enforce such a judgment in
Hong Kong on Mr. Chan or Mr. Haixiang could be costly, time consuming and ultimately unsuccessful.
46
To
the extent any of our directors are located in China or Hong Kong, it may be difficult for you to enforce liabilities and enforce judgments
on these individuals, for you to effect service of process within the United States upon these persons, or to enforce against them judgments
obtained in United States courts, including judgments predicated upon the civil liability provisions of the securities laws of the United
States or any state in the United States.
As a result of the foregoing,
you may have more difficulties in protecting your interests through actions against us, our officers or directors than would shareholders
of a company incorporated in a jurisdiction in the United States.