Form 10-Q - Quarterly report [Sections 13 or 15(d)]

UNITED STATES
SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

Form 10-Q


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

For the quarterly period ended March 31, 2024


	☐	TRANSITION REPORT PURSUANT TO SECTION 13 or 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the transition period from to

Commission file number: 1-37897

RESHAPE LIFESCIENCES INC.

(Exact name of registrant as specified in its charter)


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

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

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

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

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

Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes ☒ No ☐

Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit such files). Yes ☒ No ☐

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


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

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ☐

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). Yes ☐ No ☒

As of May 13, 2024, 23,457,090 shares of the registrant’s Common Stock were outstanding.

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INDEX


PART I – FINANCIAL INFORMATION

Item 1.	Condensed Consolidated Financial Statements (unaudited)	3
	Condensed Consolidated Balance Sheets as of March 31, 2024 and December 31, 2023	3
	Condensed Consolidated Statements of Operations for the three months ended March 31, 2024 and 2023	4
	Condensed Consolidated Statements of Comprehensive Loss for the three months ended March 31, 2024 and 2023	5
	Condensed Consolidated Statements of Stockholders’ Equity for the three months ended March 31, 2024 and 2023	6
	Condensed Consolidated Statements of Cash Flows for the three months ended March 31, 2024 and 2023	7
	Notes to Condensed Consolidated Financial Statements	8
Item 2.	Management’s Discussion and Analysis of Financial Condition and Results of Operations	17
Item 3.	Quantitative and Qualitative Disclosures About Market Risk	22
Item 4.	Controls and Procedures	22

PART II – OTHER INFORMATION

Item 1.	Legal Proceedings	23
Item 1A.	Risk Factors	24
Item 2.	Unregistered Sales of Equity Securities and Use of Proceeds	24
Item 3.	Defaults Upon Senior Securities	24
Item 4.	Mine Safety Disclosures	24
Item 5.	Other Information	24
Item 6.	Exhibits	25
SIGNATURES		26

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PART I – FINANCIAL INFORMATION

ITEM 1. CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Unaudited)

RESHAPE LIFESCIENCES INC.

Condensed Consolidated Balance Sheets

(unaudited)

(dollars in thousands, except per share amounts)


	March 31,		December 31,
	2024		2023
ASSETS
Current assets:
Cash and cash equivalents	$	2,379	$	4,459
Restricted cash		100		100
Accounts and other receivables (net of allowance for doubtful accounts of $458 and $804, respectively)		1,566		1,659
Inventory		3,467		3,741
Prepaid expenses and other current assets		383		337
Total current assets		7,895		10,296
Property and equipment, net		54		60
Operating lease right-of-use assets		226		250
Deferred tax asset, net		27		28
Other assets		29		29
Total assets	$	8,231	$	10,663
LIABILITIES AND STOCKHOLDERS’ EQUITY
Current liabilities:
Accounts payable	$	1,314	$	1,689
Accrued and other liabilities		1,930		1,814
Warranty liability, current		163		163
Operating lease liabilities, current		112		111
Total current liabilities		3,519		3,777
Operating lease liabilities, noncurrent		127		151
Common stock warrant liability		51		72
Total liabilities		3,697		4,000
Commitments and contingencies (Note 10)
Stockholders’ equity:
Preferred stock, 10,000,000 shares authorized:
Series C convertible preferred stock, $0.001 par value; 95,388 shares issued and outstanding at March 31, 2024 and December 31, 2023		—		—
Common stock, $0.001 par value; 300,000,000 shares authorized at March 31, 2024 and December 31, 2023; 23,457,090 and 23,457,047 shares issued and outstanding at March 31, 2024 and December 31, 2023, respectively		23		23
Additional paid-in capital		642,374		642,302
Accumulated deficit		(637,767)		(635,574)
Accumulated other comprehensive loss		(96)		(88)
Total stockholders’ equity		4,534		6,663
Total liabilities and stockholders’ equity	$	8,231	$	10,663

See accompanying notes to Condensed Consolidated Financial Statements.

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RESHAPE LIFESCIENCES INC.

Condensed Consolidated Statements of Operations

(unaudited)

(dollars in thousands, except per share amounts)


	Three Months Ended March 31,
		2024		2023
Revenue	$	1,944	$	2,287
Cost of revenue		779		1,063
Gross profit		1,165		1,224
Operating expenses:
Sales and marketing		1,019		2,182
General and administrative		1,872		4,220
Research and development		484		453
Total operating expenses		3,375		6,855
Operating loss		(2,210)		(5,631)
Other expense (income), net:
Interest (income) expense, net		(9)		5
Gain on changes in fair value of liability warrants		(21)		(2,965)
(Gain) loss on foreign currency exchange, net		24		(21)
Other		(25)		(2)
Loss before income tax provision		(2,179)		(2,648)
Income tax expense		14		14
Net loss	$	(2,193)	$	(2,662)
Net loss per share - basic and diluted:
Net loss per share - basic and diluted	$	(0.09)	$	(1.56)
Shares used to compute basic and diluted net loss per share		23,457,127		1,708,141

See accompanying notes to Condensed Consolidated Financial Statements.

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RESHAPE LIFESCIENCES INC.

Condensed Consolidated Statements of Comprehensive Loss

(unaudited)

(dollars in thousands)


	Three Months Ended March 31,
	2024		2023
Net loss	$	(2,193)	$	(2,662)
Foreign currency translation adjustments		(8)		(5)
Other comprehensive income, net of tax		(8)		(5)
Comprehensive loss	$	(2,201)	$	(2,667)

See accompanying notes to Condensed Consolidated Financial Statements.

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RESHAPE LIFESCIENCES INC.

Condensed Consolidated Statements of Stockholders’ Equity

(unaudited)

(dollars in thousands)


	Three Months Ended March 31, 2024
	Series C Convertible						Additional				Accumulated Other		Total
	Preferred Stock			Common Stock			Paid-in		Accumulated		Comprehensive		Stockholders’
	Shares	Amount		Shares	Amount		Capital		Deficit		Loss		Equity
Balance December 31, 2023	95,388	$	—	23,457,047	$	23	$	642,302	$	(635,574)	$	(88)	$	6,663
Net loss	—		—	—		—		—		(2,193)		—		(2,193)
Other comprehensive income, net of tax	—		—	—		—		—		—		(8)		(8)
Stock compensation	—		—	—		—		72		—		—		72
Issuance of stock from RSUs	—		—	43		—		—		—		—		—
Balance March 31, 2024	95,388	$	—	23,457,090	$	23	$	642,374	$	(637,767)	$	(96)	$	4,534


	Three Months Ended March 31, 2023
	Series C Convertible						Additional				Accumulated Other		Total
	Preferred Stock			Common Stock			Paid-in		Accumulated		Comprehensive		Stockholders’
	Shares	Amount		Shares	Amount		Capital		Deficit		Loss		Equity
Balance December 31, 2022	95,388	$	—	519,219	$	1	$	627,935	$	(624,187)	$	(88)	$	3,661
Net loss	—		—	—		—		—		(2,662)		—		(2,662)
Other comprehensive income, net of tax	—		—	—		—		—		—		(5)		(5)
Issuance of common stock pursuant to reverse stock split	—		—	18,399		—		—		—		—		—
Stock compensation	—		—	—		—		222		—		—		222
Common stock purchased	—		—	1,185,000		1		—		—		—		1
Equity issuance costs	—		—	—		—		298		—		—		298
Issuance of stock from RSUs	—		—	834		—		—		—		—		—
Exercise of warrants	—		—	925,313		1		6,242		—		—		6,243
Balance March 31, 2023	95,388	$	—	2,648,765	$	3	$	634,697	$	(626,849)	$	(93)	$	7,758

See accompanying Notes to Condensed Consolidated Financial Statements.

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RESHAPE LIFESCIENCES INC.

Condensed Consolidated Statements of Cash Flows

(unaudited)

(dollars in thousands)


	Three Months Ended March 31,
	2024		2023
Cash flows from operating activities:
Net loss	$	(2,193)	$	(2,662)
Adjustments to reconcile net loss to net cash used in operating activities:
Depreciation expense		6		37
Amortization of intangible assets		—		11
Stock-based compensation		72		222
Bad debt expense		(347)		34
Provision for inventory excess and obsolescence		(45)		9
Deferred income tax		1		(1)
Gain on changes in fair value of liability warrants		(21)		(2,965)
Offering cost		—		298
Other noncash items		1		3
Change in operating assets and liabilities:
Accounts and other receivables		440		21
Inventory		320		108
Prepaid expenses and other current assets		(47)		(365)
Accounts payable and accrued liabilities		(259)		344
Warranty liability		—		(144)
Other		—		(11)
Net cash used in operating activities		(2,072)		(5,061)
Cash flows from investing activities:
Capital expenditures		—		(7)
Cash used in investing activities:		—		(7)
Cash flows from financing activities:
Proceeds from sale and issuance of securities, net		—		10,201
Net cash provided by financing activities		—		10,201
Effect of currency exchange rate changes on cash and cash equivalents		(8)		(5)
Net change in cash, cash equivalents and restricted cash		(2,080)		5,128
Cash, cash equivalents and restricted cash at beginning of period		4,559		3,955
Cash, cash equivalents and restricted cash at end of period	$	2,479	$	9,083
Supplemental disclosure:
Cash paid for income taxes	$	8	$	—
Noncash investing and financing activities:
Capital expenditures accruals	$	—	$	5

See accompanying notes to Condensed Consolidated Financial Statements.

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ReShape Lifesciences Inc.

Notes to Condensed Consolidated Financial Statements

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

(1) Basis of Presentation

The accompanying interim condensed consolidated financial statements and related disclosures of Reshape Lifesciences Inc. (the “Company” or “ReShape”) have been prepared pursuant to the rules and regulations of the Securities and Exchange Commission ("SEC") and should be read in conjunction with the consolidated financial statements and notes included in the Company’s Annual Report on Form 10-K for the year ended December 31, 2023, filed on April 1, 2024. Certain information and footnote disclosures normally included in financial statements prepared in accordance with generally accepted accounting principles in the United States of America ("GAAP") have been condensed or omitted.

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

Summary of Significant Accounting Policies

The Company’s significant accounting policies are described in Note 2 to its audited consolidated financial statements for the year ended December 31, 2023, which are included in the Company’s Annual Report on Form 10-K which was filed with the SEC on April 1, 2024.

Use of Estimates

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

Long-Lived Assets

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

Fair Value of Financial Instruments

The carrying amounts of cash equivalents, accounts receivable, accounts payable and certain accrued and other liabilities approximate fair value due to their short-term maturities. Refer to Note 6 regarding fair value measurements and inputs of warrants.

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Net Loss Per Share

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


	March 31,
	2024	2023
Stock options	10,448	18,594
Unvested restricted stock units	975	3,424
Convertible preferred stock	10	10
Warrants	15,598,390	531,164

Recent Accounting Pronouncements

New accounting standards not yet adopted are discussed below.

In December 2023, the FASB issued ASU 2023-09, Income Taxes (Topic 740): Improvements to Income Tax Disclosures, which requires entities to provide additional information in the rate reconciliation and additional disaggregated disclosures about income taxes paid. This guidance requires public entities to disclose in their rate reconciliation table additional categories of information about federal, state, and foreign income taxes and to provide more details about the reconciling items in some categories if the items meet a quantitative threshold. The guidance is effective for annual periods beginning after December 15, 2024. The Company does not expect the adoption of this guidance to impact its consolidated financial statements, but the guidance will impact its income tax disclosures.

In November 2023, the FASB issued ASU 2023-07, Segment Reporting (Topic 280): Improvements to Reportable Segment Disclosures. The amendments require disclosure of significant segment expenses and other segment items and requires entities to provide in interim periods all disclosures about a reportable segment’s profit or loss and assets that are currently required annually. The amendment also requires disclosure of the title and position of the chief operating decision maker (“CODM”) and an explanation of how the CODM uses the reported measure(s) of segment profit or loss in assessing segment performance and deciding how to allocate resources. This guidance is effective for fiscal years beginning after December 15, 2023, and interim periods within fiscal years beginning after December 15, 2024. Retrospective application is required, and early adoption is permitted. The Company is currently evaluating the impact the guidance will have on its consolidated financial statements.

(2) Liquidity and Management’s Plans

The Company currently does not generate revenue sufficient to offset operating costs and anticipates such shortfalls to continue as the Company has modified its strategy to a metrics-driven approach through a sustainable and scalable business model, via a digital lead generation and re-engagement strategy. As of March 31, 2024, the Company had net working capital of approximately $4.4 million, primarily due to cash and cash equivalents and restricted cash of $2.5 million, and $1.6 million of accounts receivable. The Company has raised gross proceeds of $13.7 million between the public offerings that occurred on February 8, 2023, April 24, 2023 and October 3, 2023. Based on its available cash resources, the Company will not have sufficient cash on hand to fund its current operations for more than twelve months from the date of filing this Quarterly Report on Form 10-Q. This condition raises substantial doubt about the Company’s ability to continue as a going concern.

The Company’s anticipated operations include plans to (i) grow sales and operations of the Company with the Lap-Band product line both domestically and internationally as well as to obtain cost savings synergies, (ii) introduce to the market Lap-Band 2.0 FLEX, (iii) continue development of the Diabetes Bloc-Stim Neuromodulation (“DBSN”) device, (iv) identifying strategic merger and acquisition alternatives, (v) seek opportunities to find strategic partners to leverage our intellectual property portfolio and custom development services to provide third-party sales and licensing opportunities, and (vi) explore and capitalize on synergistic opportunities to expand our portfolio and offer future minimally invasive treatments and therapies in the obesity continuum of care. The Company believes that it has the flexibility to manage the growth of its expenditures and operations depending on the amount of available cash flows, which could include reducing expenditures for marketing, and product development activities. If management’s plans do not develop, and the Company does not raise additional cash, at the current burn rate, management expects to run out of cash during the third quarter of 2024.

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

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

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

(3) Supplemental Balance Sheet Information

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

Inventory:


	March 31,		December 31,
	2024		2023
Raw materials	$	1,007	$	1,020
Sub-assemblies		1,271		1,379
Finished goods		1,189		1,342
Total inventory	$	3,467	$	3,741

Prepaid expenses and other current assets:


	March 31,		December 31,
	2024		2023
Prepaid insurance	$	191	$	110
Professional services		65		—
Patents		10		13
Prepaid advertising and marketing		21		41
Taxes		26		47
Other current assets		70		126
Total prepaid expenses and other current assets	$	383	$	337

Accrued and other liabilities:


	March 31,		December 31,
	2024		2023
Payroll and benefits	$	602	$	701
Accrued legal settlements		200		200
Customer deposits		643		639
Taxes		52		61
Accrued professional		377		155
Other liabilities		56		58
Total accrued and other liabilities	$	1,930	$	1,814

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(4) Leases

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

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

Operating lease costs were $0.1 million for both the three months ended March 31, 2024 and 2023. Variable lease costs were not material.

Supplemental information related to operating leases is as follows:


	March 31,		December 31,
Balance Sheet information	2024		2023
Operating lease ROU assets	$	226	$	250

Operating lease liabilities, current portion	$	112	$	111
Operating lease liabilities, long-term portion		127		151
Total operating lease liabilities	$	239	$	262

Cash flow information for the three months ended March 31,	2024		2023
Cash paid for amounts included in the measurement of operating leases liabilities	$	27	$	87

Maturities of operating lease liabilities were as follows as of March 31, 2024:


2024	$	84
2025		115
2026		59
Total lease payments		258
Less: imputed interest		19
Total lease liabilities	$	239

Weighted-average remaining lease term at end of period (in years)		2.2
Weighted-average discount rate at end of period		6.9	%

(5) Equity

Common Stock Issued Related to Restricted Stock Units

During the three months ended March 31, 2024 and 2023, the Company issued 43 shares of common stock and 834 shares of common stock, respectively, subject to vesting of the restricted stock units. For further details see Note 9.

February 2023 Public Offering of Common Stock and Warrants

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

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purchasable together in this offering but were issued separately and immediately separable upon issuance. As of March 31, 2024 warrants to purchase 1,674,376 shares of common stock have been exercised under the alternative cashless exercise for a total of 835,313 shares of common stock.

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

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

(6) Warrants

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

Below is a summary of the initial inputs used in the bifurcated Black-Scholes option pricing model.


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

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


	Common Stock
	Purchase Warrants
Fair value as of December 31, 2023	$	72
Gain on changes in fair value of liability warrants		(21)
Fair value as of March 31, 2024	$	51

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

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

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(7) Revenue Disaggregation and Operating Segments

The Company conducts operations worldwide and has sales in the following regions: United States, Australia, Europe and Rest of World. For the three months ended March 31, 2024 and 2023, the Company primarily sold the Lap-Band system and accessories. The following table presents the Company’s revenue disaggregated by geography:


	Three Months Ended
	March 31,
	2024		2023
United States	$	1,618	$	1,813
Australia		102		157
Europe		198		304
Rest of World		26		13
Total revenue	$	1,944	$	2,287

Operating Segments

The Company conducts operations worldwide and is managed in the following geographical regions: United States, Australia, Europe and the Rest of World (primarily in the Middle East). All regions sell the Lap-Band system, which consisted of nearly all our revenue and gross profit for the three months ended March 31, 2024 and 2023. There was no revenue or gross profit recorded for the DBSN device for the three ended March 31, 2024 and 2023, as this product is still in the development stage. Additionally, there was no revenue recorded for the Obalon Balloon system during the three months ended March 31, 2024 and 2023.

(8) Income Taxes

During both the three months ended March 31, 2024 and 2023, the Company recorded income tax expense of $14 thousand. The income tax expense is related to minimum state taxes and projected Australian and Netherlands income, respectively. The income tax provisions for the three months ended March 31 2024 were calculated using the discrete year-to-date method. The effective tax rate differs from the statutory tax rate of 21% primarily due to the existence of valuation allowances against net deferred tax assets and current liabilities resulting from the estimated state income tax liabilities and foreign tax liability.

In assessing the realization of deferred tax assets, the Company considers whether it is more likely than not that some portion or all of the deferred tax assets will not be realized. The ultimate realization of deferred tax assets is dependent upon the generation of future taxable income during periods in which those temporary differences become deductible. Based on the level of historical losses, projections of losses in future periods and potential limitations pursuant to changes in ownership under Internal Revenue Code Section 382, the Company provided a full valuation allowance at both March 31, 2024 and December 31, 2023.

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(9) Stock-based Compensation

Stock-based compensation expense related to stock options and RSUs issued under the ReShape Lifesciences Inc. 2022 Stock Incentive Plan (the “Plan”) for the three months ended March 31, 2024 and 2023 were as follows:


	Three Months Ended
	March 31,
	2024		2023
Sales and marketing	$	11	$	30
General and administrative		36		128
Research and development		25		64
Total stock-based compensation expense	$	72	$	222

Stock Options

A summary of the status of the Company’s stock options as of March 31, 2024, and changes during the three months ended March 31, 2024, are as follows:


				Weighted
		Weighted		Average	Aggregate
		Average		Remaining	Intrinsic
		Exercise Price		Contractual	Value
	Shares	Per Share		Life (years)	(in thousands)
Outstanding at December 31, 2023	15,218	$	377.75		$	—
Options granted	—		—
Options exercised	—		—
Options cancelled	(3,569)		144.80
Outstanding at March 31, 2024	11,649	$	449.12	5.6	$	—
Exercisable at March 31, 2024	10,448	$	493.96	5.3	$	—
Vested and expected to vest at March 31, 2024	11,649	$	449.12	5.6	$	—

There was no intrinsic value to outstanding stock options at March 31, 2024. The unrecognized share-based expense at March 31, 2024 was $0.1 million, and will be recognized over a weighted average period of 1.5 years.

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

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

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

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

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

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Restricted Stock Units

A summary of the Company’s unvested RSUs award activity for the three months ended March 31, 2024, is as follows:


		Weighted
		Average
		Grant Date
	Shares	Fair Value
Unvested RSUs at December 31, 2023	1,417	$	129.38
Granted	—		—
Vested ⁽¹⁾	(442)	$	164.88
Cancelled/Forfeited	—		—
Non-vested RSUs at March 31, 2024	975	$	112.81

(1)	At March 31, 2024, there were 108 shares of common stock related to RSU awards that had vested and the shares were not distributed to the participants.

The fair value of each RSU is the closing stock price on the Nasdaq of the Company’s common stock on the date of grant. Upon vesting, a portion of the RSU award may be withheld to satisfy the statutory income tax withholding obligation. The remaining RSUs will be settled in shares of the Company’s common stock after the vesting period. The unrecognized compensation cost related to the RSUs at March 31, 2024 was $0.1 million and expected to be recognized over a period of 1.1 years.

(10) Commitment and Contingencies

Litigation

On August 6, 2021, Cowen and Company, LLC filed a complaint against ReShape, as successor in interest to Obalon Therapeutics, in the Supreme Court of the State of New York based on an alleged breach of contract arising out of Cowen’s prior engagement as Obalon’s financial advisor. The complaint alleges that Cowen is entitled to be paid a $1.35 million fee in connection with ReShape’s merger with Obalon under the terms of Cowen’s engagement agreement with Obalon. The complaint also sought reimbursement of Cowen’s attorneys’ fees and interest in connection with its claim. On May 11, 2023, the Supreme Court of the State of New York issued the final judgement in favor of Cowen & Company in the amount of $1.35 million, plus interest at the statutory rate of 9% per annum from June 16, 2021 until judgement is paid in full, and reimbursement of $675,000 of Cowen’s attorneys’ fees, with $275,000 to be paid upfront, $200,000 paid after six months and $200,000 paid after 12 months. As of March 31, 2024, the Company has paid the $1.35 million judgement, including related interest, and the first $275,000 installment of Cowen’s attorneys’ fees. At March 31, 2024, $200,000 of attorneys’ fees were included as accrued expenses and paid during April 2024.

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

Product Liability Claims

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

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(11) Subsequent Events

Management has evaluated events from March 31, 2024 through May 15, 2024, the date these financial statements were available to be issued and determined that there have been no other events that occurred that would require adjustment to our disclosures in the condensed consolidated financial statements.

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

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

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

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

Overview

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

Results of Operations

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


	Three Months Ended March 31,
	2024				2023
Revenue	$	1,944	100.0	%	$	2,287	100.0	%
Cost of revenue		779	40.1	%		1,063	46.5	%
Gross profit		1,165	59.9	%		1,224	53.5	%
Operating expenses:
Sales and marketing		1,019	52.4	%		2,182	95.4	%
General and administrative		1,872	96.3	%		4,220	184.5	%
Research and development		484	24.9	%		453	19.8	%
Total operating expenses		3,375	173.6	%		6,855	299.7	%
Operating loss		(2,210)	(113.7)	%		(5,631)	(246.2)	%
Other expense (income), net:
Interest (income) expense, net		(9)	(0.5)	%		5	0.2	%
Gain on changes in fair value of liability warrants		(21)	(1.1)	%		(2,965)	(130)	%
(Gain) loss on foreign currency exchange, net		24	1.2	%		(21)	(0.9)	%
Other		(25)	(1)	%		(2)	(0)	%
Loss before income tax provision		(2,179)	(112.0)	%		(2,648)	(115.8)	%
Income tax expense (benefit)		14	0.7	%		14	0.6	%
Net loss	$	(2,193)	(112.7)	%	$	(2,662)	(116.4)	%

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Non-GAAP Disclosures

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

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

Adjusted EBITDA

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

The following table contains a reconciliation of GAAP net loss to Adjusted EBITDA attributable to common stockholders for the three months ended March 31, 2024 and 2023 (in thousands):


	Three Months Ended March 31,
	2024		2023
GAAP net loss	$	(2,193)	$	(2,662)
Adjustments:
Interest (income) expense, net		(9)		5
Income tax expense (benefit)		14		14
Depreciation and amortization		6		48
Stock-based compensation expense		72		222
Gain on changes in fair value of liability warrants		(21)		(2,965)
Adjusted EBITDA	$	(2,131)	$	(5,338)

Comparison of Results of Operations

Three months ended March 31, 2024 and March 31, 2023

Revenue. The following table summarizes our unaudited revenue by geographic location based on the location of customers for the three months ended March 31, 2024 and 2023, as well as the percentage of each location to total revenue and the amount of change and percentage of change (dollars in thousands):


	Three Months Ended March 31,								Amount		Percentage
	2024				2023				Change		Change
United States	$	1,618	83.3	%	$	1,813	79.3	%	$	(195)	(10.8)	%
Australia		102	5.2	%		157	6.9	%		(55)	(35.0)	%
Europe		198	10.2	%		304	13.3	%		(106)	(34.9)	%
Rest of World		26	1.3	%		13	0.5	%		13	100.0	%
Total revenue	$	1,944	100.0	%	$	2,287	100.0	%	$	(343)	(15.0)	%

Revenue totaled $1.9 million for the three months ended March 31, 2024, which represents a contraction of 15.0%, or $0.3 million compared to the same period in 2023. This primarily resulted from a decrease in sales volume primarily due to GLP-1 pharmaceutical weight-loss alternatives.

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Cost of Goods Sold and Gross Profit. The following table summarizes our unaudited cost of revenue and gross profit for the three months ended March 31, 2024 and 2023, as well as the percentage compared to total revenue and amount of change and percentage of change (dollars in thousands):


	Three Months Ended March 31,								Amount		Percentage
	2024				2023				Change		Change
Revenue	$	1,944	100.0	%	$	2,287	100.0	%	$	(343)	(15.0)	%
Cost of revenue		779	40.1	%		1,063	46.5	%		(284)	(26.7)	%
Gross profit	$	1,165	59.9	%	$	1,224	53.5	%	$	(59)	(4.8)	%

Gross Profit. Gross profit for both the three months ended March 31, 2024 and 2023, was $1.2 million. Gross profit as a percentage of total revenue for the three months ended March 31, 2024, was 59.9% compared to 53.5% for the same period in 2023. The increase in gross profit percentage is due to the reduction in overhead related costs, primarily payroll, as we had a reduction of employees late in 2023.

Operating Expense. The following table summarizes our unaudited operating expenses for the three months ended March 31, 2024 and 2023, as well as the percentage of total revenue and the amount of change and percentage of change (dollars in thousands):


	Three Months Ended March 31,								Amount		Percentage
	2024				2023				Change		Change
Sales and marketing	$	1,019	52.4	%	$	2,182	95.4	%	$	(1,163)	(53.3)	%
General and administrative		1,872	96.3	%		4,220	184.5	%		(2,348)	(55.6)	%
Research and development		484	24.9	%		453	19.8	%		31	6.8	%
Total operating expenses	$	3,375	173.6	%	$	6,855	299.7	%	$	(3,480)	(50.8)	%

Sales and Marketing Expense. Sales and marketing expenses for the three months ended March 31, 2024, decreased by $1.2 million, or 53.6%, to $1.0 million, compared to $2.2 million for the same period in 2023. The decrease is primarily due to a decrease of $0.7 million in advertising and marketing expenses, including consulting and professional marketing services, as the Company has reevaluated its marketing approach and has moved to a targeted digital marketing campaign, resulting in a reduction of costs. We also had a reduction in payroll expenditure, including commissions, stock compensation expense and travel of $0.5 million, due to changes in sales personnel and lower sales.

General and Administrative Expense. General and administrative expenses for the three months ended March 31, 2024, decreased by $2.3 million, or 55.1%, to approximately $1.9 million, compared to $4.2 million for the same period in 2023. The decrease is primarily due to a reduction in professional services, such as audit and legal fees of $1.3 million primarily due to the fiscal year end 2022 restatement that occurred during the first quarter of 2023, and a reduction in payroll-related expenses, including a reduction in stock-based compensation expense of $0.5 million, due to decline in staffing levels. We also had a decrease in rent and insurance of $0.1 million, as we moved our headquarters during the second quarter of 2023 to a smaller facility to reduce costs.

Research and Development Expense. Research and development expenses for the three months ended March 31, 2024, remained consistent with the same period in 2023, with a slight decrease primarily in stock based compensation.

Liquidity and Capital Resources

The accompanying condensed consolidated financial statements have been prepared assuming the Company will continue as a going concern. The Company currently does not generate revenue sufficient to offset operating costs and anticipates such shortfalls to continue as the Company has modified its strategy to a metrics-driven approach through a sustainable and scalable business model, via a digital lead generation and re-engagement strategy. As of March 31, 2024, the Company had net working capital of approximately $4.4 million, primarily due to cash and cash equivalents and restricted cash of $2.5 million. The Company’s principal source of liquidity as of March 31, 2024, consisted of approximately $2.5 million of cash and cash equivalents and restricted cash, and $1.6 million of accounts receivable. Based on its available cash resources, the Company will not have sufficient cash on hand to fund its current operations for more than twelve months from the date of filing this Quarterly Report on Form 10-Q. This condition raises

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substantial doubt about the Company’s ability to continue as a going concern. The Company believes in the viability of its business strategy and in its ability to raise additional funds, however, there can be no assurance to that effect.

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


	Three Months Ended
	March 31,
	2024		2023
Net cash used in operating activities	$	(2,072)	$	(5,061)
Net cash used in investing activates		—		(7)
Net cash provided by financing activities		—		10,201
Effect of exchange rate changes		(8)		(5)
Net change in cash and cash equivalents and restricted cash	$	(2,080)	$	5,128

Net Cash Used in Operating Activities

Net cash used in operating activities from operations was $2.1 million and $5.1 million for the three months ended March 31, 2024 and 2023, respectively. For the three months ended March 31, 2024, net cash used in operating activities was primarily the result of our net loss of $2.2 million, partially offset by non-cash adjustments for stock-based compensation expense of $0.1 million, offset by a negative cash impact related to a reduction in bad debt of approximately $0.3 million, as we received a large return of products where the receivable was fully reserved. We show a positive cash impact on accounts receivable of $0.4 million, and inventory of approximately $0.3 million, and a negative impact to cash for accounts payable and accrued liabilities of $0.3 million.

For the three months ended March 31, 2023, net cash used in operating activities was primarily the result of our net loss of $2.7 million, partially offset by non-cash adjustments for stock-based compensation expense of $0.2 million and non-cash offering cost of $0.3 million, offset by a negative cash impact related to gains recognized for changes in fair value of liability warrants of $3.0 million. We show a negative cash impact to prepaid expenses of $0.4 million. This was offset by a positive cash impact to inventory of $0.1 million and accounts payable and accrued liabilities of $0.3 million.

Net Cash Used in Investing Activities

There was no cash used in investing activities for the three months ended March 31, 2024, and net cash used in investing activities for the three months ended March 31, 2023, was minimal.

Net Cash Provided by Financing Activities

There was no cash provided by financing activities for the three months ended March 31, 2024. Net cash provided by financing activities was $10.2 million for the three months ended March 31, 2023, due to the proceeds received from the public offering completed during February 2023, less costs to complete the transaction.

Operating Capital and Capital Expenditure Requirements

The Company’s anticipated operations include plans to (i) grow sales and operations of the Company with the Lap-Band product line both domestically and internationally as well as to obtain cost savings synergies, (ii) introduce to the market Lap-Band 2.0 FLEX, (iii) continue development of the Diabetes Bloc-Stim Neuromodulation (“DBSN”) device, (iv) identifying strategic merger and acquisition alternatives, (v) seek opportunities to find strategic partners to leverage our intellectual property portfolio and custom development services to provide third-party sales and licensing opportunities, and (vi) explore and capitalize on synergistic opportunities to expand our portfolio and offer future minimally invasive treatments and therapies in the obesity continuum of care. The Company believes that it has the flexibility to manage the growth of its expenditures and operations depending on the amount of available cash flows, which could include reducing expenditures for marketing, and product development activities. If managements’ plans don’t develop, and the Company doesn’t get additional cash raises, at the current burn rate, management expects to run out of cash during the third quarter of 2024.

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

●

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

●

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

●

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

●

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

●

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

●

the effect of competing products and market developments;

●

the cost of explanting clinical devices;

●

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

●

any revenue generated by sales of our Lap-Band, ReShapeCare, ReShape Marketplace, Obalon Balloon System, Diabetes Bloc-Stim Neuromodulation or our future products; including FDA approval on Lap-Band 2.0,

●

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

●

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

●

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

Critical Accounting Policies and Estimates

The condensed consolidated financial statements have been prepared in accordance with accounting principles generally accepted in the United States which require us to make estimates and assumptions that affect the reported amounts of assets and liabilities at the date of the condensed consolidated financial statements and revenues and expenses during the periods reported. Actual results could differ from those estimates. Information with respect to our critical accounting policies and estimates which we believe could have the most significant effect on our reported results and require subjective or complex judgments by management is contained in Item 7, “Management's Discussion and Analysis of Financial Condition and Results of Operations,” of our Annual Report on Form 10-K for the year ended December 31, 2023. There have been no significant changes from the information discussed therein.

During the three months ended March 31, 2024 there were no material changes to our significant accounting policies above, which are fully described in Note 2 to our consolidated financial statements included in our Annual Report on Form 10-K for the year ended December 31, 2023.

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Recent Accounting Pronouncements

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

ITEM 3. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK

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

ITEM 4. CONTROLS AND PROCEDURES

Evaluation of Disclosure Controls and Procedures

Rule 13a-15(e) under the Securities Exchange Act of 1934, as amended (the “Exchange Act”), defines the term “disclosure controls and procedures” as those controls and procedures designed to ensure that information required to be disclosed by a company in the reports that it files or submits under the Exchange Act is recorded, processed, summarized and reported within the time periods specified in the SEC’s rules and forms and that such information is accumulated and communicated to the company’s management, including its principal executive and principal financial officers, or persons performing similar functions, as appropriate to allow timely decisions regarding required disclosure. Our internal control system was designed to provide reasonable assurance to our management and board of directors regarding the preparation and fair presentation of published financial statements. All internal control systems, no matter how well designed, have inherent limitations. Therefore, even those systems determined to be effective can provide only reasonable assurance with respect to financial statement preparation and presentation. An internal control material weakness is a significant deficiency, or aggregation of deficiencies, that does not reduce to a relatively low level the risk that material misstatements in financial statements will be prevented or detected on a timely basis by employees in the normal course of their work. An internal control significant deficiency, or aggregation of deficiencies, is one that could result in a misstatement of the financial statements that is more than inconsequential. In making its assessment of internal control over financial reporting management used the criteria issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO) in Internal Control - Integrated Framework (2013). Our management assessed the effectiveness of our internal control over financial reporting as of March 31, 2024, and determined that our internal control over financial reporting was not effective at a reasonable assurance level due to the following material weakness in our internal control over financial reporting:

Control Environment: The Company has insufficient internal resources with appropriate accounting and finance knowledge and expertise to design, implement, document and operate effective internal controls over the financial reporting process. As a result, there was a lack of management review over several areas of the consolidated financial statements, including errors which were individually assessed as significant deficiencies that, when aggregated, resulted in a material weakness related to: 1) insufficient review of obsolete and scrap inventory; 2) insufficient reviews of accounts payable; and 3) inappropriate application of accounting standards related to functional currency. In addition to these identified errors, there were other areas of the consolidated financial statements that were impacted by certain deficiencies. During the prior year, there were deficiencies identified that have not yet been remediated including misstatements of inaccurate reporting of earnings per share due to formula errors over the weighted average share calculation spreadsheet and errors to the stock-based compensation expense. The root cause of all of the deficiencies identified above was related to insufficient internal resources with appropriate accounting and finance knowledge, which aggregated into this material weakness.

Journal Entry Access and Review: The Company did not have effective processes to ensure that all journal entries were properly approved prior to being posted to the general ledger. Furthermore, a segregation of duties conflict is present as the Sr. Accounting Manager has the ability to both prepare and post journal entries to the general ledger. As a result, it was concluded that there is material weakness in the design and operating effectiveness of internal controls over access and reviews of journal entries.

Information Technology (“IT”) Access Change and IT Security: A segregation of duties conflict is present as access, change management and other IT security risks to the Company’s information technology systems are not monitored or reviewed on a timely basis. This material weakness resulted from the aggregation of various control deficiencies.

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Financial Reporting:

Inventory Capitalization – The Company’s controls were not designed effectively as the Company did not have a process in place to evaluate the amount of inventory, cost of goods sold, general and administrative expenses, and research and development expenses.

Income Taxes – The Company did not design and maintain effective management review controls at a sufficient level of precision over the accounting for income taxes. Management’s controls surrounding the evaluation of income tax provision and related disclosures were not operating effectively as the disclosure was not updated to reflect the appropriate tax amortization related to the accrued settlement account. While this did not have an impact on the financial statements due to the full valuation allowance recorded on the deferred tax assets, this did have an impact on the presentation of the prior year footnote disclosure. Additionally, there were errors identified within the tax provision during the prior year related to cost of goods sold for the Company’s foreign entities. This material weakness resulted in certain material corrections to the financial statements including the establishment of a FIN 48 liability, the tax benefit related to impairment charges recorded for the IPR&D in the prior year, the overstatement of the deferred tax asset and valuation allowance related to depreciable assets in the prior year, a return to provision adjustment in 2022 related to Obalon net operating losses generated in 2021 as a result of inaccurate stock compensation recorded within the tax provision and a difference in pretax book income that was unaccounted for in the disclosure.

Purchase Accounting – The Company did not design and maintain effective management review controls at a sufficient level of precision over the accounting for transactions related to the prepaid D&O insurance policy purchased in connection with the merger transaction in June 2021. This material weakness resulted in certain material corrections to the financial statements and in the restatement of the consolidated financial statements.

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

●

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

●

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

●

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

Changes in Internal Control over Financial Reporting

Other than in connection with executing upon the continued implementation of the remediation measures referenced above, there have been no changes in our internal controls over financial reporting during the quarter ended March 31, 2024, that have materially affected, or are reasonably likely to materially affect, our internal controls over financial reporting.

PART II – OTHER INFORMATION

ITEM 1. LEGAL PROCEEDINGS

On August 6, 2021, Cowen and Company, LLC filed a complaint against ReShape, as successor in interest to Obalon Therapeutics, in the Supreme Court of the State of New York based on an alleged breach of contract arising out of Cowen’s prior engagement as Obalon’s financial advisor. The complaint alleges that Cowen is entitled to be paid a $1.35 million fee in connection with ReShape’s merger with Obalon under the terms of Cowen’s engagement agreement with Obalon. The complaint also sought reimbursement of Cowen’s attorneys’ fees and interest in connection with its claim. On May 11, 2023, the Supreme Court of the State of New York issued the final judgement in favor of Cowen & Company in the amount of $1.35 million, plus interest at the statutory rate of 9% per annum from June 16, 2021 until judgement is paid in full, and reimbursement of $675,000 of Cowen’s attorneys’ fees, with $275,000 to be paid upfront, $200,000 paid after six months and $200,000 paid after 12 months. As of September 30, 2023, the Company has paid the $1.35 million judgement, including related interest, and first $275,000 installment of Cowen’s attorneys’ fees. At March 31, 2024, $200,000 of attorneys’ fees were included as accrued expenses and paid during April 2024.

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ITEM 1A. RISK FACTORS

There have been no material changes to the risk factors set forth in Item 1A. “Risk Factors” of our 2023 Annual Report on Form 10-K filed on April 1, 2024.

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

Unregistered Sales of Equity Securities

None.

Uses of Proceeds from Sale of Registered Securities

None.

Purchases of Equity Securities

None.

ITEM 3. DEFAULTS UPON SENIOR SECURITIES

None.

ITEM 4. MINE SAFETY DISCLOSURES

Not applicable.

ITEM 5. OTHER INFORMATION

Rule 10b5-1 Plan and Non-Rule 10b5-1 Trading Arrangement Adoptions, Terminations, and Modifications

During the three months ended March 31, 2024, none of our directors or “officers” (as defined in Rule 16a-1(f) under the Exchange Act) adopted or terminated a “Rule 10b5-1 trading arrangement” or “non-Rule 10b5-1 trading arrangement,” as each term is defined in Item 408(a) and Item 408(c) of SEC Regulation S-K, respectively.

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ITEM 6. EXHIBITS


Exhibit No.		Description

4.1		Amended and Restated Bylaws, effective as of January 16, 2024 (incorporated by reference to Exhibit 3.1 to the Company’s Current Report on Form 8-K filed with the Securities and Exchange Commission on January 18, 2024).

31.1**		Certification of Chief Executive Officer pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.

31.2**		Certification of Chief Financial Officer pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.

32.1**		Certification of Chief Executive Officer pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.

32.2**		Certification of Chief Financial Officer pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.

101**		Financial statements from the Quarterly Report on Form 10-Q of the Company for the quarter ended March 31, 2024, formatted in Inline XBRL: (i) the Condensed Consolidated Balance Sheets, (ii) the Condensed Consolidated Statements of Operations, (iii) the Condensed Consolidated Statements of Stockholders’ Equity, (iv) the Condensed Consolidated Statements of Cash Flows and (v) the Notes to Condensed Consolidated Financial Statements.

104		Cover Page Interactive Data File (formatted as Inline XBRL and contained in Exhibit 101)

**	Filed herewith.

Table of Contents

SIGNATURES

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized.


	RESHAPE LIFESCIENCES INC.

	BY:	/s/ paul F. hickey
		Paul F. Hickey
		President and Chief Executive Officer
		(principal executive officer)

	BY:	/s/ thomas stankovich
		Thomas Stankovich
		Senior Vice President and Chief Financial Officer
		(principal financial and accounting officer)

Dated: May 15, 2024

Exhibit 31.1

CERTIFICATION

I, Paul F. Hickey, certify that:

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

2. Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;

3. Based on my knowledge, the consolidated financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;

4. The registrant’s other certifying officer and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have:

a) Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;

b) Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;

c) Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

d) Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and

5. The registrant’s other certifying officer and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the equivalent functions):

a) All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and

b) Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting.


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

Date: May 15, 2024

Exhibit 31.2

CERTIFICATION

I, Thomas Stankovich certify that:

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

b) Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting.


	/s/ Thomas Stankovich
	Thomas Stankovich
	Chief Financial Officer, Senior Vice President, Finance

Date: May 15, 2024

Exhibit 32.1

CERTIFICATION

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

The Company’s Quarterly Report on Form 10-Q for the quarter ended March 31, 2024 to which this Certification is attached as Exhibit 32.1 (the Report) fully complies with the requirements of Section 13(a) or 15(d) of the Exchange Act; and

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



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

Date: May 15, 2024

Exhibit 32.2

CERTIFICATION

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

The Company’s Quarterly Report on Form 10-Q for the quarter ended March 31, 2024 to which this Certification is attached as Exhibit 32.2 (the Report) fully complies with the requirements of Section 13(a) or 15(d) of the Exchange Act; and


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

Date: May 15, 2024

Document and Entity Information - shares	3 Months Ended
Document and Entity Information - shares	Mar. 31, 2024	May 13, 2024
Document and Entity Information
Document Type	10-Q
Document Quarterly Report	true
Document Period End Date	Mar. 31, 2024
Document Transition Report	false
Entity File Number	1-37897
Entity Registrant Name	RESHAPE LIFESCIENCES INC.
Entity Incorporation, State or Country Code	DE
Entity Tax Identification Number	26-1828101
Entity Address, Address Line One	18 Technology Dr, Suite 110
Entity Address, City or Town	Irvine
Entity Address, State or Province	CA
Entity Address, Postal Zip Code	92618
City Area Code	949
Local Phone Number	429-6680
Title of 12(b) Security	Common stock, $0.001 par value per share
Trading Symbol	RSLS
Security Exchange Name	NASDAQ
Entity Current Reporting Status	Yes
Entity Interactive Data Current	Yes
Entity Filer Category	Non-accelerated Filer
Entity Small Business	true
Entity Emerging Growth Company	false
Entity Shell Company	false
Entity Common Stock, Shares Outstanding		23,457,090
Entity Central Index Key	0001427570
Current Fiscal Year End Date	--12-31
Document Fiscal Year Focus	2024
Document Fiscal Period Focus	Q1
Amendment Flag	false

Condensed Consolidated Balance Sheets - USD ($) $ in Thousands	Mar. 31, 2024	Dec. 31, 2023
Current assets:
Cash and cash equivalents	$ 2,379	$ 4,459
Restricted cash	100	100
Accounts and other receivables (net of allowance for doubtful accounts of $458 and $804, respectively)	1,566	1,659
Inventory	3,467	3,741
Prepaid expenses and other current assets	383	337
Total current assets	7,895	10,296
Property and equipment, net	54	60
Operating lease right-of-use assets	226	250
Deferred tax asset, net	27	28
Other assets	29	29
Total assets	8,231	10,663
Current liabilities:
Accounts payable	1,314	1,689
Accrued and other liabilities	1,930	1,814
Warranty liability, current	163	163
Operating lease liabilities, current	112	111
Total current liabilities	3,519	3,777
Operating lease liabilities, noncurrent	127	151
Common stock warrant liability	51	72
Total liabilities	3,697	4,000
Commitments and contingencies (Note 10)
Stockholders' equity:
Common stock, $0.001 par value; 300,000,000 shares authorized at March 31, 2024 and December 31, 2023; 23,457,090 and 23,457,047 shares issued and outstanding at March 31, 2024 and December 31, 2023, respectively	23	23
Additional paid-in capital	642,374	642,302
Accumulated deficit	(637,767)	(635,574)
Accumulated other comprehensive loss	(96)	(88)
Total stockholders' equity	4,534	6,663
Total liabilities and stockholders' equity	8,231	10,663
Series C convertible preferred stock
Stockholders' equity:
Preferred stock, 10,000,000 shares authorized: Series C convertible preferred stock, $0.001 par value; 95,388 shares issued and outstanding at March 31, 2024 and December 31, 2023

Condensed Consolidated Balance Sheets (Parenthetical) - USD ($) $ in Thousands	Mar. 31, 2024	Dec. 31, 2023
Allowance for doubtful accounts	$ 458	$ 804
Common stock, par value (in dollars per share)	$ 0.001	$ 0.001
Common stock, shares authorized	300,000,000	300,000,000
Common stock, shares issued	23,457,090	23,457,047
Common stock, shares outstanding	23,457,090	23,457,047
Series C convertible preferred stock
Preferred stock, authorized	10,000,000	10,000,000
Preferred stock, par value (in dollars per share)	$ 0.001	$ 0.001
Preferred stock, issued	95,388	95,388
Preferred stock outstanding	95,388	95,388

Condensed Consolidated Statements of Operations - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2024	Mar. 31, 2023
Condensed Consolidated Statements of Operations
Revenue	$ 1,944	$ 2,287
Cost of revenue	779	1,063
Gross profit	1,165	1,224
Operating expenses:
Sales and marketing	1,019	2,182
General and administrative	1,872	4,220
Research and development	484	453
Total operating expenses	3,375	6,855
Operating loss	(2,210)	(5,631)
Other expense (income), net:
Interest (income) expense, net	(9)	5
Gain on changes in fair value of liability warrants	(21)	(2,965)
(Gain) loss on foreign currency exchange, net	24	(21)
Other	(25)	(2)
Loss before income tax provision	(2,179)	(2,648)
Income tax expense	14	14
Net loss	$ (2,193)	$ (2,662)
Net loss per share - basic and diluted:
Net loss per share - basic (in dollars per share)	$ (0.09)	$ (1.56)
Net loss per share - diluted (in dollars per share)	$ (0.09)	$ (1.56)
Shares used to compute basic net loss per share (in shares)	23,457,127	1,708,141
Shares used to compute diluted net loss per share (in shares)	23,457,127	1,708,141

Condensed Consolidated Statements of Comprehensive Loss - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2024	Mar. 31, 2023
Condensed Consolidated Statements of Comprehensive Loss
Net loss	$ (2,193)	$ (2,662)
Other comprehensive income (loss), net of tax:
Foreign currency translation adjustments	(8)	(5)
Other comprehensive income, net of tax	(8)	(5)
Comprehensive loss	$ (2,201)	$ (2,667)

Condensed Consolidated Statements of Stockholders' Equity - USD ($) $ in Thousands	Preferred Stock Series C convertible preferred stock	Common Stock	Additional Paid-in Capital	Accumulated Deficit	Accumulated Other Comprehensive Income (Loss)	Total
Balance at Dec. 31, 2022		$ 1	$ 627,935	$ (624,187)	$ (88)	$ 3,661
Balance (in shares) at Dec. 31, 2022	95,388	519,219
Changes in Stockholders' (Deficit) Equity
Net loss				(2,662)		(2,662)
Other comprehensive income, net of tax					(5)	(5)
Issuance of common stock pursuant to reverse stock split (in shares)		18,399
Stock compensation			222			222
Common stock purchased		$ 1				1
Common stock purchased (in shares)		1,185,000
Equity issuance costs			298			298
Issuance of stock from RSUs (in shares)		834
Exercise of warrants		$ 1	6,242			6,243
Balance at Mar. 31, 2023		$ 3	634,697	(626,849)	(93)	7,758
Balance (in shares) at Mar. 31, 2023	95,388	2,648,765
Balance at Dec. 31, 2023		$ 23	642,302	(635,574)	(88)	6,663
Balance (in shares) at Dec. 31, 2023	95,388	23,457,047
Changes in Stockholders' (Deficit) Equity
Net loss				(2,193)		(2,193)
Other comprehensive income, net of tax					(8)	(8)
Stock compensation			72			72
Issuance of stock from RSUs (in shares)		43
Balance at Mar. 31, 2024		$ 23	$ 642,374	$ (637,767)	$ (96)	$ 4,534
Balance (in shares) at Mar. 31, 2024	95,388	23,457,090

Condensed Consolidated Statements of Cash Flows - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2024	Mar. 31, 2023
Cash flows from operating activities:
Net loss	$ (2,193)	$ (2,662)
Adjustments to reconcile net loss to net cash used in operating activities:
Depreciation expense	6	37
Amortization of intangible assets		11
Stock-based compensation	72	222
Bad debt expense	(347)	34
Provision for inventory excess and obsolescence	(45)	9
Deferred income tax	1	(1)
Gain on changes in fair value of liability warrants	(21)	(2,965)
Offering cost		298
Other noncash items	1	3
Change in operating assets and liabilities:
Accounts and other receivables	440	21
Inventory	320	108
Prepaid expenses and other current assets	(47)	(365)
Accounts payable and accrued liabilities	(259)	344
Warranty liability		(144)
Other		(11)
Net cash used in operating activities	(2,072)	(5,061)
Cash flows from investing activities:
Capital expenditures		(7)
Cash used in investing activities:		(7)
Cash flows from financing activities:
Proceeds from sale and issuance of securities, net	10,200	10,201
Net cash provided by financing activities		10,201
Effect of currency exchange rate changes on cash and cash equivalents	(8)	(5)
Net change in cash, cash equivalents and restricted cash	(2,080)	5,128
Cash, cash equivalents and restricted cash at beginning of period	4,559	3,955
Cash, cash equivalents and restricted cash at end of period	2,479	9,083
Supplemental disclosure:
Cash paid for income taxes	$ 8
Noncash investing and financing activities:
Capital expenditures accruals		$ 5

Basis of Presentation

3 Months Ended

Mar. 31, 2024

Basis of Presentation

Basis of Presentation

(1) Basis of Presentation

Summary of Significant Accounting Policies

Use of Estimates

Long-Lived Assets

Fair Value of Financial Instruments

Net Loss Per Share


	March 31,
	2024	2023
Stock options	10,448	18,594
Unvested restricted stock units	975	3,424
Convertible preferred stock	10	10
Warrants	15,598,390	531,164

Recent Accounting Pronouncements

New accounting standards not yet adopted are discussed below.

Liquidity and Management's Plans

3 Months Ended

Mar. 31, 2024

Liquidity and Management's Plans

Liquidity and Management's Plans

(2) Liquidity and Management’s Plans

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

Supplemental Balance Sheet Information

3 Months Ended

Mar. 31, 2024

Supplemental Balance Sheet Information

Supplemental Balance Sheet Information

(3) Supplemental Balance Sheet Information

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

Inventory:


	March 31,		December 31,
	2024		2023
Raw materials	$	1,007	$	1,020
Sub-assemblies		1,271		1,379
Finished goods		1,189		1,342
Total inventory	$	3,467	$	3,741

Prepaid expenses and other current assets:


	March 31,		December 31,
	2024		2023
Prepaid insurance	$	191	$	110
Professional services		65		—
Patents		10		13
Prepaid advertising and marketing		21		41
Taxes		26		47
Other current assets		70		126
Total prepaid expenses and other current assets	$	383	$	337

Accrued and other liabilities:


	March 31,		December 31,
	2024		2023
Payroll and benefits	$	602	$	701
Accrued legal settlements		200		200
Customer deposits		643		639
Taxes		52		61
Accrued professional		377		155
Other liabilities		56		58
Total accrued and other liabilities	$	1,930	$	1,814

Leases

3 Months Ended

Mar. 31, 2024

Leases

Leases

(4) Leases

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

Operating lease costs were $0.1 million for both the three months ended March 31, 2024 and 2023. Variable lease costs were not material.

Supplemental information related to operating leases is as follows:


	March 31,		December 31,
Balance Sheet information	2024		2023
Operating lease ROU assets	$	226	$	250

Operating lease liabilities, current portion	$	112	$	111
Operating lease liabilities, long-term portion		127		151
Total operating lease liabilities	$	239	$	262

Cash flow information for the three months ended March 31,	2024		2023
Cash paid for amounts included in the measurement of operating leases liabilities	$	27	$	87

Maturities of operating lease liabilities were as follows as of March 31, 2024:


2024	$	84
2025		115
2026		59
Total lease payments		258
Less: imputed interest		19
Total lease liabilities	$	239

Weighted-average remaining lease term at end of period (in years)		2.2
Weighted-average discount rate at end of period		6.9	%

Equity

3 Months Ended

Mar. 31, 2024

Equity

Equity

(5) Equity

Common Stock Issued Related to Restricted Stock Units

February 2023 Public Offering of Common Stock and Warrants

Warrants

3 Months Ended

Mar. 31, 2024

Warrants

Warrants

(6) Warrants

Below is a summary of the initial inputs used in the bifurcated Black-Scholes option pricing model.


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

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


	Common Stock
	Purchase Warrants
Fair value as of December 31, 2023	$	72
Gain on changes in fair value of liability warrants		(21)
Fair value as of March 31, 2024	$	51

Revenue Disaggregation and Operating Segments

3 Months Ended

Mar. 31, 2024

Revenue Disaggregation and Operating Segments

Revenue Disaggregation and Operating Segments

(7) Revenue Disaggregation and Operating Segments


	Three Months Ended
	March 31,
	2024		2023
United States	$	1,618	$	1,813
Australia		102		157
Europe		198		304
Rest of World		26		13
Total revenue	$	1,944	$	2,287

Operating Segments

Income Taxes

3 Months Ended

Mar. 31, 2024

Income Taxes

Income Taxes

(8) Income Taxes

Stock-based Compensation

3 Months Ended

Mar. 31, 2024

Stock-based Compensation

Stock-based Compensation

(9) Stock-based Compensation


	Three Months Ended
	March 31,
	2024		2023
Sales and marketing	$	11	$	30
General and administrative		36		128
Research and development		25		64
Total stock-based compensation expense	$	72	$	222

Stock Options

A summary of the status of the Company’s stock options as of March 31, 2024, and changes during the three months ended March 31, 2024, are as follows:


				Weighted
		Weighted		Average	Aggregate
		Average		Remaining	Intrinsic
		Exercise Price		Contractual	Value
	Shares	Per Share		Life (years)	(in thousands)
Outstanding at December 31, 2023	15,218	$	377.75		$	—
Options granted	—		—
Options exercised	—		—
Options cancelled	(3,569)		144.80
Outstanding at March 31, 2024	11,649	$	449.12	5.6	$	—
Exercisable at March 31, 2024	10,448	$	493.96	5.3	$	—
Vested and expected to vest at March 31, 2024	11,649	$	449.12	5.6	$	—

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

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

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

Restricted Stock Units

A summary of the Company’s unvested RSUs award activity for the three months ended March 31, 2024, is as follows:


		Weighted
		Average
		Grant Date
	Shares	Fair Value
Unvested RSUs at December 31, 2023	1,417	$	129.38
Granted	—		—
Vested ⁽¹⁾	(442)	$	164.88
Cancelled/Forfeited	—		—
Non-vested RSUs at March 31, 2024	975	$	112.81

(1)	At March 31, 2024, there were 108 shares of common stock related to RSU awards that had vested and the shares were not distributed to the participants.

Commitments and Contingencies

3 Months Ended

Mar. 31, 2024

Commitments and Contingencies

Commitments and Contingencies

(10) Commitment and Contingencies

Litigation

Product Liability Claims

Subsequent Events

3 Months Ended

Mar. 31, 2024

Subsequent Events

Subsequent Events

(11) Subsequent Events

Basis of Presentation (Policies)

3 Months Ended

Mar. 31, 2024

Basis of Presentation

Basis of Presentation

(1) Basis of Presentation

Use of Estimates

Long-Lived Assets

Fair Value of Financial Instruments

Net Loss Per Share


	March 31,
	2024	2023
Stock options	10,448	18,594
Unvested restricted stock units	975	3,424
Convertible preferred stock	10	10
Warrants	15,598,390	531,164

Recent Accounting Pronouncements

New accounting standards not yet adopted are discussed below.

Basis of Presentation (Tables)

3 Months Ended

Mar. 31, 2024

Basis of Presentation

Schedule of anti-dilutive securities


	March 31,
	2024	2023
Stock options	10,448	18,594
Unvested restricted stock units	975	3,424
Convertible preferred stock	10	10
Warrants	15,598,390	531,164

Supplemental Balance Sheet Information (Tables)

3 Months Ended

Mar. 31, 2024

Supplemental Balance Sheet Information

Schedule of components of inventory


	March 31,		December 31,
	2024		2023
Raw materials	$	1,007	$	1,020
Sub-assemblies		1,271		1,379
Finished goods		1,189		1,342
Total inventory	$	3,467	$	3,741

Schedule of components of prepaid expenses and other current assets


	March 31,		December 31,
	2024		2023
Prepaid insurance	$	191	$	110
Professional services		65		—
Patents		10		13
Prepaid advertising and marketing		21		41
Taxes		26		47
Other current assets		70		126
Total prepaid expenses and other current assets	$	383	$	337

Schedule of components of accrued and other liabilities


	March 31,		December 31,
	2024		2023
Payroll and benefits	$	602	$	701
Accrued legal settlements		200		200
Customer deposits		643		639
Taxes		52		61
Accrued professional		377		155
Other liabilities		56		58
Total accrued and other liabilities	$	1,930	$	1,814

Leases (Tables)

3 Months Ended

Mar. 31, 2024

Leases

Schedule of supplemental information related to operating leases


	March 31,		December 31,
Balance Sheet information	2024		2023
Operating lease ROU assets	$	226	$	250

Operating lease liabilities, current portion	$	112	$	111
Operating lease liabilities, long-term portion		127		151
Total operating lease liabilities	$	239	$	262

Cash flow information for the three months ended March 31,	2024		2023
Cash paid for amounts included in the measurement of operating leases liabilities	$	27	$	87

Schedule of maturities of operating lease liabilities


2024	$	84
2025		115
2026		59
Total lease payments		258
Less: imputed interest		19
Total lease liabilities	$	239

Weighted-average remaining lease term at end of period (in years)		2.2
Weighted-average discount rate at end of period		6.9	%

Warrants (Tables)

3 Months Ended

Mar. 31, 2024

Schedule of changes in the fair value of warrant liabilities


	Common Stock
	Purchase Warrants
Fair value as of December 31, 2023	$	72
Gain on changes in fair value of liability warrants		(21)
Fair value as of March 31, 2024	$	51

Black-Scholes model

Schedule of Warrant Assumptions Used to Calculate Fair Value


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

Revenue Disaggregation and Operating Segments (Tables)

3 Months Ended

Mar. 31, 2024

Revenue Disaggregation and Operating Segments

Schedule of revenue disaggregated by geography


	Three Months Ended
	March 31,
	2024		2023
United States	$	1,618	$	1,813
Australia		102		157
Europe		198		304
Rest of World		26		13
Total revenue	$	1,944	$	2,287

Stock-based Compensation (Tables)

3 Months Ended

Mar. 31, 2024

Stock-based Compensation

Schedule of stock-based compensation expense


	Three Months Ended
	March 31,
	2024		2023
Sales and marketing	$	11	$	30
General and administrative		36		128
Research and development		25		64
Total stock-based compensation expense	$	72	$	222

Summary of stock option activity


				Weighted
		Weighted		Average	Aggregate
		Average		Remaining	Intrinsic
		Exercise Price		Contractual	Value
	Shares	Per Share		Life (years)	(in thousands)
Outstanding at December 31, 2023	15,218	$	377.75		$	—
Options granted	—		—
Options exercised	—		—
Options cancelled	(3,569)		144.80
Outstanding at March 31, 2024	11,649	$	449.12	5.6	$	—
Exercisable at March 31, 2024	10,448	$	493.96	5.3	$	—
Vested and expected to vest at March 31, 2024	11,649	$	449.12	5.6	$	—

Summary of unvested RSUs award activity


		Weighted
		Average
		Grant Date
	Shares	Fair Value
Unvested RSUs at December 31, 2023	1,417	$	129.38
Granted	—		—
Vested ⁽¹⁾	(442)	$	164.88
Cancelled/Forfeited	—		—
Non-vested RSUs at March 31, 2024	975	$	112.81

(1)	At March 31, 2024, there were 108 shares of common stock related to RSU awards that had vested and the shares were not distributed to the participants.

Basis of Presentation (Details) - shares	3 Months Ended
Basis of Presentation (Details) - shares	Mar. 31, 2024	Mar. 31, 2023
Employee Stock Option
Anti-dilutive securities
Anti-dilutive securities (in shares)	10,448	18,594
Unvested restricted stock units
Anti-dilutive securities
Anti-dilutive securities (in shares)	975	3,424
Convertible preferred stock
Anti-dilutive securities
Anti-dilutive securities (in shares)	10	10
Warrants
Anti-dilutive securities
Anti-dilutive securities (in shares)	15,598,390	531,164

Liquidity and Management's Plans (Details) - USD ($) $ in Thousands	Oct. 03, 2023	Apr. 24, 2023	Feb. 08, 2023	Mar. 31, 2024	Dec. 31, 2023	Mar. 31, 2023	Dec. 31, 2022
Liquidity and Management Plans
Net working capital				$ 4,400
Cash and cash equivalents and restricted cash				2,479	$ 4,559	$ 9,083	$ 3,955
Accounts receivable				$ 1,600
Public offering
Liquidity and Management Plans
Gross proceeds from issuance of shares	$ 13,700	$ 13,700	$ 13,700

Supplemental Balance Sheet Information (Details) - USD ($) $ in Thousands	Mar. 31, 2024	Dec. 31, 2023
Inventory:
Raw materials	$ 1,007	$ 1,020
Sub-assemblies	1,271	1,379
Finished goods	1,189	1,342
Total inventory	3,467	3,741
Prepaid expenses and other current assets:
Prepaid insurance	191	110
Professional services	65
Patents	10	13
Prepaid advertising and marketing	21	41
Taxes	26	47
Other current assets	70	126
Total prepaid expenses and other current assets	383	337
Accrued and other liabilities:
Payroll and benefits	602	701
Accrued legal settlements	200	200
Customer deposits	643	639
Taxes	52	61
Accrued professional	377	155
Other liabilities	56	58
Total accrued and other liabilities	$ 1,930	$ 1,814

Leases - Supplemental Information (Details) $ in Thousands	3 Months Ended
Leases - Supplemental Information (Details) $ in Thousands	Mar. 31, 2024 USD ($)	Mar. 31, 2023 USD ($)	Dec. 31, 2023 USD ($)	Mar. 13, 2023 ft²
Leases
Operating lease costs	$ 100	$ 100
Balance Sheet information related to operating leases
Operating lease ROU assets	226		$ 250
Operating lease liabilities, current portion	112		111
Operating lease liabilities, long-term portion	127		151
Total operating lease liabilities	239		$ 262
Cash flow information related to operating leases
Cash paid for amounts included in the measurement of operating leases liabilities	$ 27	$ 87
Office and warehouse space in Irvine
Leases
Area of land \| ft²				5,038
Lease term				36 months

Leases - Maturities of Liabilities (Details) - USD ($) $ in Thousands	Mar. 31, 2024	Dec. 31, 2023
Maturities of operating lease liabilities
2024	$ 84
2025	115
2026	59
Total lease payments	258
Less: imputed interest	19
Total lease liabilities	$ 239	$ 262
Weighted-average remaining lease term at end of period (in years)	2 years 2 months 12 days
Weighted-average discount rate at end of period	6.90%

Equity (Details) $ / shares in Units, $ in Thousands				3 Months Ended
Equity (Details) $ / shares in Units, $ in Thousands	Oct. 03, 2023 USD ($)	Apr. 24, 2023 USD ($)	Feb. 08, 2023 USD ($) $ / shares shares	Mar. 31, 2024 USD ($) shares	Mar. 31, 2023 USD ($) shares
Equity
Proceeds from sale and issuance of securities, net \| $				$ 10,200	$ 10,201
Common stock warrants with alternative cashless exercise
Equity
Warrants, cashless exercise provision, shares, multiplier			0.50
Exercise of warrants, shares				1,674,376
Aggregate number of shares issued from exercise of warrants				835,313
Public offering
Equity
Number of units issued			1,275,000
Offering price (in dollars per share) \| $ / shares			$ 8.00
Warrant exercise price (in dollars per share) \| $ / shares			$ 8.00
Warrants term			5 years
Gross proceeds from issuance of shares \| $	$ 13,700	$ 13,700	$ 13,700
Public offering \| Pre funded warrants
Equity
Number of warrants for each unit			1
Number of securities called by each warrant			1
Warrant exercise price (in dollars per share) \| $ / shares			$ 0.0001
Public offering \| Public warrants
Equity
Number of warrants for each unit			1
Number of securities called by each warrant			1.5
Public offering \| Common stock warrants with alternative cashless exercise
Equity
Number of securities called by each warrant			0.5
Warrant exercise price (in dollars per share) \| $ / shares			$ 8.00
Over-allotment option
Equity
Exercise of warrants, shares			286,875
Common stock purchased (in shares)			191,250
Number of shares in exchange of warrant exercise			286,875
Common Stock
Equity
Issuance of stock from RSUs (in shares)				43	834
Exercise of warrants, shares					925,313
Common stock purchased (in shares)					1,185,000
Common Stock \| Public offering
Equity
Number of shares for each unit			1
Common Stock \| Public offering \| Common stock warrants with alternative cashless exercise
Equity
Number of securities called by each warrant			0.75

Warrants (Details) - Public offering $ / shares in Units, $ in Millions	Feb. 08, 2023 USD ($) Y item $ / shares shares
Warrants
Number of classes of warrants issued \| item	3
Exercise price of warrants (in dollars per share) \| $ / shares	$ 8.00
Common stock warrants with alternative cashless exercise
Warrants
Number of warrants issued \| shares	2,199,375
Number of securities called by each warrant \| shares	0.5
Exercise price of warrants (in dollars per share) \| $ / shares	$ 8.00
Pre funded warrants
Warrants
Number of investors \| item	1
Number of warrants issued \| shares	90,000
Price per warrant \| $ / shares	$ 7.999
Number of securities called by each warrant \| shares	1
Exercise price of warrants (in dollars per share) \| $ / shares	$ 0.0001
Fair value portion of warrants \| $	$ 0.5
Pre funded warrants \| Risk Free Rate
Warrants
Warrant fair value measurement inputs	0.03784
Pre funded warrants \| Expected term
Warrants
Warrant fair value measurement inputs \| Y	5.0
Pre funded warrants \| Expected dividends
Warrants
Warrant fair value measurement inputs	0
Pre funded warrants \| Volatility
Warrants
Warrant fair value measurement inputs	0.965
Representative's warrants
Warrants
Number of warrants issued \| shares	73,313
Exercise price of warrants (in dollars per share) \| $ / shares	$ 8.80
Fair value portion of warrants \| $	$ 0.3
Representative's warrants \| Risk Free Rate
Warrants
Warrant fair value measurement inputs	0.03786
Representative's warrants \| Expected term
Warrants
Warrant fair value measurement inputs \| Y	4.99
Representative's warrants \| Expected dividends
Warrants
Warrant fair value measurement inputs	0
Representative's warrants \| Volatility
Warrants
Warrant fair value measurement inputs	0.965

Warrants - Black-Scholes Option Pricing Model (Details) - Black-Scholes model	Feb. 08, 2023 $ / shares Y
Stock Price \| Cash exercise
Class of Warrant or Right [Line Items]
Warrant fair value measurement inputs	5.905
Stock Price \| Cashless exercise
Class of Warrant or Right [Line Items]
Warrant fair value measurement inputs	5.905
Exercise Price \| Cash exercise
Class of Warrant or Right [Line Items]
Warrant fair value measurement inputs	16.00
Exercise Price \| Cashless exercise
Class of Warrant or Right [Line Items]
Warrant fair value measurement inputs	0.00
Term (years) \| Cash exercise
Class of Warrant or Right [Line Items]
Warrant fair value measurement inputs \| Y	5.00
Term (years) \| Cashless exercise
Class of Warrant or Right [Line Items]
Warrant fair value measurement inputs \| Y	5.00
Volatility \| Cash exercise
Class of Warrant or Right [Line Items]
Warrant fair value measurement inputs	0.9650
Volatility \| Cashless exercise
Class of Warrant or Right [Line Items]
Warrant fair value measurement inputs	0.9650
Risk Free Rate \| Cash exercise
Class of Warrant or Right [Line Items]
Warrant fair value measurement inputs	0.03784
Risk Free Rate \| Cashless exercise
Class of Warrant or Right [Line Items]
Warrant fair value measurement inputs	0.03784
Dividend Yield \| Cash exercise
Class of Warrant or Right [Line Items]
Warrant fair value measurement inputs	0
Dividend Yield \| Cashless exercise
Class of Warrant or Right [Line Items]
Warrant fair value measurement inputs	0

Warrants - Fair Value of Warrant Liabilities (Details) - Common Stock Purchase Warrants $ in Thousands	3 Months Ended
	Mar. 31, 2024 USD ($)
Class of Warrant or Right [Line Items]
Fair value at beginning of period	$ 72
Gain on changes in fair value of liability warrants	(21)
Fair value at end of period	$ 51

Revenue Disaggregation and Operating Segments (Details) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2024	Mar. 31, 2023
Revenue Recognition
Total revenue	$ 1,944	$ 2,287
United States
Revenue Recognition
Total revenue	1,618	1,813
Australia
Revenue Recognition
Total revenue	102	157
Europe
Revenue Recognition
Total revenue	198	304
Rest of World
Revenue Recognition
Total revenue	26	13
DBSN Device
Revenue Recognition
Total revenue	0	0
Obalon Balloon system
Revenue Recognition
Total revenue	$ 0	$ 0

Income Taxes (Details) - USD ($) $ in Thousands	3 Months Ended
Income Taxes (Details) - USD ($) $ in Thousands	Mar. 31, 2024	Mar. 31, 2023
Income Taxes
Income tax expense	$ 14	$ 14
U.S. federal income tax rate (as a percent)	21.00%

Stock-based Compensation - Stock-based compensation expense (Details) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2024	Mar. 31, 2023
Compensation expense recognized
Total stock-based compensation expense	$ 72	$ 222
Sales and marketing
Compensation expense recognized
Total stock-based compensation expense	11	30
General and administrative
Compensation expense recognized
Total stock-based compensation expense	36	128
Research and development
Compensation expense recognized
Total stock-based compensation expense	$ 25	$ 64

Stock-based Compensation - Stock Option Activity (Details) - Employee Stock Option $ / shares in Units, $ in Thousands	3 Months Ended
	Mar. 31, 2024 USD ($) $ / shares shares
Shares
Shares outstanding, Beginning balance (in shares) \| shares	15,218
Shares, Options cancelled (in shares) \| shares	(3,569)
Shares outstanding, Ending balance (in shares) \| shares	11,649
Shares, Exercisable (in shares) \| shares	10,448
Shares, Vested and expected to vest (in shares) \| shares	11,649
Weighted Average Exercise Price Per Share
Weighted Average Exercise Price Per Share, Outstanding, Beginning balance (in dollars per share) \| $ / shares	$ 377.75
Weighted Average Exercise Price Per Share, Options cancelled (in dollars per share) \| $ / shares	144.80
Weighted Average Exercise Price Per Share, Outstanding, Ending balance (in dollars per share) \| $ / shares	449.12
Weighted Average Exercise Price Per Share, Exercisable (in dollars per share) \| $ / shares	493.96
Weighted Average Exercise Price Per Share, Vested and expected to vest (in dollars per share) \| $ / shares	$ 449.12
Weighted Average Remaining Contractual Life
Weighted Average Remaining Contractual Life Outstanding	5 years 7 months 6 days
Weighted Average Remaining Contractual Life, Exercisable	5 years 3 months 18 days
Weighted Average Remaining Contractual Life, Vested and expected to vest	5 years 7 months 6 days
Aggregate Intrinsic Value
Aggregate Intrinsic Value Outstanding (in dollars) \| $	$ 0
Additional disclosures
Unrecognized share-based expenses \| $	$ 100
Weighted average recognition period	1 year 6 months
Vesting period	4 years
Option expiration period	10 years

Stock-based Compensation - Restricted Stock Units (Details) - Restricted stock units $ / shares in Units, $ in Millions	3 Months Ended
	Mar. 31, 2024 USD ($) $ / shares shares
Shares
Shares Unvested RSUs, Beginning balance (in shares)	1,417
Shares, Vested (in shares)	(442)
Shares Non-vested RSUs, Ending balance (in shares)	975
Weighted Average Grant Date Fair Value
Weighted Average Grant Date Fair Value, Unvested RSUs, Beginning balance (in dollars per share) \| $ / shares	$ 129.38
Weighted Average Grant Date Fair Value, Vested (in dollars per share) \| $ / shares	164.88
Weighted Average Grant Date Fair Value, Non-vested RSUs, Ending balance (in dollars per share) \| $ / shares	$ 112.81
Additional disclosures
Vested and undistributed	108
Unrecognized compensation costs \| $	$ 0.1
Recognition period	1 year 1 month 6 days

Commitments and Contingencies (Details) - Cowen and Company - USD ($)			3 Months Ended
	May 11, 2023	Aug. 06, 2021	Mar. 31, 2024
Litigation
Service fees sought		$ 1,350,000
Agreed settlement amount	$ 1,350,000
Litigation settlement, interest percent	9.00%
Litigation settlement, attorney fees payable	$ 675,000
Litigation settlement, attorney fees to be paid up front	275,000
Litigation settlement, attorney fees to be paid after six months	200,000
Litigation settlement, attorney fees to be paid after twelve months	$ 200,000
Payment for legal judgment			$ 1,350,000
Litigation settlement first installment amount paid			275,000
Litigation settlement, accrual for attorney fees			$ 200,000

Pay vs Performance Disclosure - USD ($) $ in Thousands	3 Months Ended
Pay vs Performance Disclosure - USD ($) $ in Thousands	Mar. 31, 2024	Mar. 31, 2023
Pay vs Performance Disclosure
Net Income (Loss)	$ (2,193)	$ (2,662)

Insider Trading Arrangements	3 Months Ended
Insider Trading Arrangements	Mar. 31, 2024
Trading Arrangements, by Individual
Rule 10b5-1 Arrangement Adopted	false
Non-Rule 10b5-1 Arrangement Adopted	false
Rule 10b5-1 Arrangement Terminated	false
Non-Rule 10b5-1 Arrangement Terminated	false