UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, DC 20549
FORM 10-K
(Mark One)
☒ ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the Fiscal Year Ended December 31, 2020
OR
☐ TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the transition period from ________ to ________
Commission File Number 001-36747
Second Sight Medical Products, Inc.
(Exact name of Registrant as specified in its charter)
California
(State or other jurisdiction of incorporation or organization)
02-0692322
(I.R.S. Employer Identification No.)
13170 Telfair Avenue, Sylmar, CA 91342 (Address of principal executive offices, including zip code)
Registrant’s telephone number, including area code: (818) 833-5000
Securities registered pursuant to Section 12(b) of the Act:
Title of Each Class
Common Stock
Warrants
Trading Symbol
EYES
EYESW
Name of Each Exchange on Which Registered
NASDAQ
NASDAQ
Indicate by check mark if the Registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities Act. Yes ☐ No ☒
Indicate by check mark if the Registrant is not required to file reports pursuant to Section 13 or Section 15(d) of the Exchange Act. Yes ☐ No ☒
Securities registered pursuant to Section 12(g) of the Act: None
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 on its corporate website, if any, every Interactive Data File required to be submitted and 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). Yes ☒ No ☐
Indicate by check mark whether the Registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, or a smaller reporting company. See definition of “large accelerated filer,” “accelerated filer,” “smaller
reporting company”, and “emerging growth company” in Rule 12b-2 of the Exchange Act.
Large accelerated filer ☐
Emerging growth company ☐
Accelerated filer ☐
Non-accelerated filer ☒
Smaller reporting 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 has filed a report on and attestation to its management’s assessment of the effectiveness of its internal control over financial reporting under Section 404(b) of the Sarbanes-
Oxley Act (15 U.S.C. 7262(b)) by the registered public accounting firm that prepared or issued its audit report. ☐
Indicate by check mark whether the Registrant is a shell company (as defined in Rule 12b-2 of the Act). Yes ☐ No ☒
The aggregate market value of the shares of the Registrant’s Common Stock held by non-affiliates of the Registrant as of June 30, 2020, computed by reference to the closing sales price on the Nasdaq Capital Market on
June 30, 2020, was approximately $12.9 million.
As of March 13, 2021, the number of shares of the Registrant’s common stock outstanding was 23,250,307.
DOCUMENTS INCORPORATED BY REFERENCE
Portions of the registrant’s Proxy Statement for the 2021 Annual Meeting of Stockholders are incorporated herein by reference in Part III of this Annual Report on Form 10-K to the extent stated herein. Such proxy
statement will be filed with the Securities and Exchange Commission within 120 days of the registrant’s fiscal year ended December 31, 2020.
SECOND SIGHT MEDICAL PRODUCTS INC.
FORM 10-K
TABLE OF CONTENTS
Item 1.
Item 1A.
Item 1B.
Item 2.
Item 3.
Item 4.
Item 5.
Item 6.
Item 7.
Item 7A.
Item 8.
Item 9.
Item 9A.
Item 9B.
Business
Risk Factors
Unresolved Staff Comments
Properties
Legal Proceedings
Mine Safety Disclosures
PART I
PART II
Market for Registrant’s Common Equity, Related Shareholder Matters and Issuer Purchases of Equity Securities
Selected Financial Data
Management’s Discussion and Analysis of Financial Condition and Results of Operations
Quantitative and Qualitative Disclosures About Market Risk
Financial Statements and Supplementary Data
Changes in and Disagreements with Accountants on Accounting and Financial Disclosure
Controls and Procedures
Other Information
PART III
Item 10.
Item 11.
Item 12.
Item 13.
Item 14.
Directors, Executive Officers and Corporate Governance
Executive Compensation
Security Ownership of Certain Beneficial Owners and Management and Related Shareholder Matters
Certain Relationships and Related Transactions, and Director Independence
Principal Accounting Fees and Services
Item 15.
Exhibits, Financial Statement Schedules
SIGNATURES
PART IV
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SECOND SIGHT MEDICAL PRODUCTS INC.
FORM 10-K
CAUTIONARY NOTE REGARDING FORWARD-LOOKING STATEMENTS
AND FACTORS THAT MAY AFFECT FUTURE RESULTS
This Annual Report on Form 10-K, or Annual Report, includes forward-looking statements within the meaning of Section 27A of the Securities Act
of 1933, as amended, or the Securities Act and Section 21E of the Securities Exchange Act of 1934, as amended, or the Exchange Act. All statements other
than statements of historical fact contained in this Annual Report are forward-looking statements. In some cases, you can identify forward-looking
statements by terminology such as “may,” “could,” “will,” “would,” “should,” “expect,” “plan,”, “anticipate,” “believe,” “estimate,” “intend,” “predict,”
“seek,” “contemplate,” “project,” “continue,” “potential,” “ongoing” or the negative of these terms or other comparable terminology, although not all
forward-looking statements contain these identifying words. These forward-looking statements include, but are not limited to, statements about:
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our anticipated operating and financial performance, business plans, and prospects;
expectations for our products, including anticipated regulatory submissions, study completion, approvals, clinical trial results and other
developing data that become available, potential market size, and potential reimbursement pathways;
the impact of the ongoing coronavirus 2019, or COVID-19, pandemic on our business and operations, results of operations and financial
performance including: delays, interruptions or other adverse effects to clinical trials and patient enrollment; delays in regulatory review;
manufacturing and supply chain interruptions; and the adverse effects on healthcare systems and disruption of the global economy overall;
the initiation, timing, design, progress and results of our clinical trials, and our research and development program; and
the completion of the business combination with Pixium on anticipated terms and timing, including unforeseen liabilities, future capital
expenditures, expenses, synergies, economic performance, indebtedness, financial condition, losses, future prospects, business and management
strategies for the management, expansion and growth of the combined company’s operations and other conditions to the completion of the
business combination.
Any forward-looking statements in this Annual Report reflect our current views with respect to future events or to our future financial performance
and involve known and unknown risks, uncertainties, assumptions and other factors described under the “Risk Factors” section and elsewhere in this
Annual Report, that may cause our actual results, performance or achievements to be materially different from any future results, performance or
achievements expressed or implied by these forward-looking statements. Given these uncertainties, you should not place undue reliance on these forward-
looking statements.
In addition, statements that “we believe” and similar statements reflect our beliefs and opinions on the relevant subject. These statements are based
upon information available to us as of the date of this report, and while we believe such information forms a reasonable basis for such statements, such
information may be limited or incomplete, and our statements should not be read to indicate that we have conducted an exhaustive inquiry into, or review
of, all potentially available relevant information. These statements are inherently uncertain and investors are cautioned not to unduly rely upon these
statements as predictions of future events. Except as required by law, we assume no obligation to update or revise these forward-looking statements for any
reason, even if new information becomes available in the future.
This Annual Report also contains estimates, projections and other information concerning our industry, our business, and the markets for certain
diseases, including data regarding the estimated size of those markets, and the incidence and prevalence of certain medical conditions. Information that is
based on estimates, forecasts, projections, market research or similar methodologies is inherently subject to uncertainties and actual events or circumstances
may
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differ materially from events and circumstances reflected in this information. Unless otherwise expressly stated, we obtained this industry, business, market
and other data from reports, research surveys, studies and similar data prepared by market research firms and other third parties, industry, medical and
general publications, government data and similar sources.
Summary of Risks Related to our Business
Some of the factors that could cause actual results to differ are identified below, as well as those discussed in the Item 1A. Risk Factors section in this
Form 10-K and within MD&A. We note these factors for investors as permitted by the Private Securities Litigation Reform Act of 1995. The occurrence of
any of the risks identified below or in the Item 1A. Risk Factors section in this Form 10-K, or other risks currently unknown, could have a material adverse
effect on our business, financial condition or results of operations, or we may be required to increase our accruals for contingencies. It is not possible to
predict or identify all such factors. Consequently, you should not consider the following to be a complete discussion of all potential risks or uncertainties:
1. Despite promising results from the Early Feasibility Study for Orion being conducted at UCLA and Baylor we currently have no commercial
products or product revenue and may never become profitable.
2. We may face substantial competition in the future and may not be able to keep pace with the rapid technological changes which may result from
others discovering, developing or commercializing products before or more successfully than we do.
3. Despite early positive results in our limited initial trials at UCLA and Baylor School of Medicine our ongoing development efforts may never
demonstrate the feasibility of our Orion technology.
4. We have not been profitable to date and expect our operating losses to continue for the foreseeable future; we may never be profitable.
5. There may be future sales or other dilution of our equity, which may adversely affect the market price of our common stock.
6. The COVID-19 pandemic has had an adverse effect on our business and results of operations and is expected to continue to have further adverse
effects, which could be material, on our business, results of operations, financial condition, liquidity, and capital investments.
7. Any failure or delay in completing clinical trials or studies for new product candidates or next generation of our products and the expense of those
trials could adversely affect our business.
8. We have lost key management and staff personnel because of Covid-19 pandemic. If we fail to recruit highly skilled personnel to replace employees
that have left the Company, our ability to identify, develop and commercialize new or next generation product candidates will be impaired, could result
in loss of markets or market share and could make us less competitive.
9. We may become involved in future lawsuits to protect or enforce our patents or the patents of our licensors, which could be expensive, time
consuming and unsuccessful.
10. We are increasingly dependent on sophisticated information technology systems, including systems from third parties, and if we fail to properly
maintain the integrity of our data or if our products do not operate as intended, our business could be materially and adversely affected.
11. We will need additional capital to support our operations and growth. Additional capital may be difficult to obtain restricting our operations and
resulting in additional dilution to our stockholders.
12. Our revenue from sales of Orion will be dependent upon the pricing and reimbursement guidelines adopted in each country and if pricing and
reimbursement levels are inadequate to achieve profitability our operations will suffer.
13. Our product candidates may cause undesirable side effects or have other properties that could delay or prevent their regulatory approval, limit the
commercial profile of an approved label, or result in significant negative consequences following marketing approval, if any.
14. We may acquire additional businesses or form strategic alliances in the future, and we may not realize the benefits of such acquisitions or alliances.
15. Although we believe that our strategy to (i) leverage proven Argus II technology to develop the Orion visual cortical prosthesis and (ii) significantly
expand our addressable market to include a portion of the almost six million patients who are blind from eye trauma, optic nerve disease and injury,
diabetic retinopathy, glaucoma and other untreatable causes is more likely to address a better and faster way to treat many causes of blindness,
including the Retinitis Pigmentosa population, we will incur material near term losses, market uncertainty and our stock may experience significant
fluctuations as we continue to focus exclusively on Orion.
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16. If we are unable to obtain sufficient funding, we may be unable to execute our business plan and fund operations. We may not be able to obtain
additional financing on commercially reasonable terms, or at all.
17. We are currently not in compliance with Nasdaq listing standards. If our common stock is delisted, the market price and liquidity of our common
stock and our ability to raise additional capital would be adversely impacted.
18. Entities controlled by Gregg Williams, our Chairman of the Board, have the ability to influence or control the outcome of matters submitted for
stockholder approval, may limit your ability to influence outcomes of director elections and may have interests that differ from those of our other
stockholders.
19. We have obtained significant invested amounts from entities affiliated with Mr. Williams, our Chairman of the Board, and if we seek additional
funding to support our business and Mr. Williams does not participate in our future offerings, we may not be able to raise needed amounts and our
operations may be adversely affected.
20. We have the right to issue shares of preferred stock. If we were to issue preferred stock, it is likely to have rights, preferences and privileges that
may adversely affect the common stock.
21. The Business Combination is subject to conditions, some or all of which may not be satisfied, or completed on a timely basis, if at all.
22. Failure to complete, or unexpected delays in completing the Business Combination or any termination of the Memorandum of Understanding could
have material adverse effects on us.
23. The Share Consideration is not adjustable based on the market price of the common stock of either Second Sight or Pixium but is intended to result
in Pixium owning approximately 60% of the resulting combined entity, so the Share Consideration at the closing may have a greater or lesser value
than at the time that the Memorandum of Understanding was signed.
24. The Memorandum of Understanding contains provisions that limit our ability to pursue alternatives to the Business Combination, could discourage
third parties from submitting alternative transaction proposals to us, including proposals that may be superior to the arrangements contemplated by the
Memorandum of Understanding, and provide that, in specified circumstances, we would be required to pay a termination fee.
25. We expect to incur substantial expenses related to the completion of the Business Combination and the integration of Pixium’s and our businesses.
26. Lawsuits may be filed against Second Sight challenging the Business Combination and an adverse ruling in any such lawsuit may prevent the
Business Combination from being completed or from being completed within the expected time frame.
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PART I
Item 1. Business
Our Company
Overview
Second Sight Medical Products, Inc. (“Second Sight,” the “Company,” “we,” “us,” “our” or similar terms) has developed, manufactured and
marketed implantable visual prosthetics that are intended to deliver useful artificial vision to blind individuals. We are a recognized global leader in
neuromodulation devices for blindness, and are committed to developing new technologies to treat the broadest population of sight-impaired individuals.
Leveraging our 20 years of experience in neuromodulation for vision, we are developing the Orion® Visual Cortical Prosthesis System (“Orion”), an
implanted cortical stimulation device intended to provide useful artificial vision to individuals who are blind due to a wide range of causes, including
glaucoma, diabetic retinopathy, optic nerve injury or disease and eye injury. Orion is intended to convert images captured by a miniature video camera
mounted on glasses into a series of small electrical pulses. The device is designed to bypass diseased or injured eye anatomy and to transmit these electrical
pulses wirelessly to an array of electrodes implanted on the surface of the brain’s visual cortex, where it is intended to provide the perception of patterns of
light. We are conducting a six-subject Early Feasibility Study of the Orion device at the Ronald Reagan UCLA Medical Center in Los Angeles (“UCLA”)
and Baylor College of Medicine in Houston (“Baylor”). Regularly scheduled visits at both sites were placed on hold in mid-March due to the coronavirus
outbreak, however visits at UCLA resumed mid-September 2020 and Baylor resumed in December 2020. Our 12 month results for the subjects indicate to
us that:
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We have a good safety profile. Five subjects experienced a total of thirteen adverse events (AEs) related to the device or to the surgery, through
the latest independent medical safety monitor meeting in February 2021. One was considered a serious adverse event (SAE), and all of the
adverse events were in the expected category. The one SAE was resolved quickly and did not require a hospital stay.
The efficacy data is encouraging. We measure efficacy by looking at three measures of visual function: The first is square localization, where
Orion subjects sit in front of a touch screen and are asked to touch within the boundaries of a square when it appears. The second is direction of
motion, where subjects are asked to identify the direction and motion of lines on a screen. The third is grating visual acuity, a measure of visual
acuity that is adapted for very low vision. On square localization, five of the six subjects in our feasibility study performed significantly better
with the system on than off. On direction of motion, all six performed better on than off; and on grating visual acuity, three had measurable
visual acuity on the scale of this test (versus none who can do it with the device off). Another efficacy measurement of day-to-day functionality
and benefit is FLORA, which stands for Functional Low-Vision Observer Rated Assessment. FLORA is an assessment performed by an
independent, third-party low vision orientation and mobility specialist who spends time with each of the subjects in their homes. The specialist
asks each of the subjects a series of questions and also observes them performing 15 or more daily living tasks, such as finding light sources,
following a sidewalk, or sorting laundry. The specialist then determines if the system is providing a benefit, if it is neutral, or if it is actually
hurting the abilities of subjects to perform these tasks. Our FLORA results show that for five of the six subjects, the Orion system is providing
benefit. We reached agreement with the FDA in the fourth quarter of 2019 to utilize a revised version of FLORA as our primary efficacy
endpoint in our pivotal trial for Orion, pending successful validation of the instrument.
No peer-reviewed data is available yet for the Orion system. We are currently negotiating the clinical and regulatory pathway to commercialization
with the FDA as part of the Breakthrough Devices Program.
Our principal offices are located in Los Angeles, California.
Our first commercially approved product, the Argus® II Retinal Prosthesis System (“Argus II”), treats outer retinal degenerations, such as retinitis
pigmentosa, also referred to as RP. The Argus II was the only retinal prosthesis approved in the United States by the Food and Drug Administration
(“FDA”), and was the first approved retinal prosthesis in the world. RP is a hereditary disease, affecting an estimated 1.5 million people worldwide
including about 100,000 people in the United States, that causes a progressive degeneration of the light-sensitive cells of the
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retina, leading to significant visual impairment and ultimately blindness. A subset of these patients would be eligible for the Argus II since the approved
baseline vision for the Argus II is worse than legally blind (20/200). We commissioned 3rd party market research to estimate the size of the RP market that
resulted in an estimate of approximately 1,500 patients in the US with advanced RP that could be treated with the Argus II given the eligibility criteria of
our label.
We began selling the Argus II System in Europe at the end of 2011, Saudi Arabia in 2012, the United States and Canada in 2014, Turkey in 2015,
Iran, Taiwan, South Korea and Russia in 2017, and Singapore in 2018. Given the limited addressable market of Argus II, we no longer market the Argus II
and have focused all of our resources on the development of Orion.
We are also researching multiple technologies that we believe to be complimentary to artificial vision and could potentially provide significant
enhancements to the Orion user experience. In most cases, we collaborate with 3rd party firms to advance and integrate these innovative technologies with
our artificial vision systems. Examples of technologies that we believe will be complimentary to our products include: eye tracking, object recognition and
localization, thermal imaging and depth-based decluttering. In March 2020, we were severely adversely impacted by the unprecedented economic shock
caused by the COVID-19 pandemic and its related effects on our ability to secure financing for our planned activities. As a result, we significantly reduced
our staff and expenses and conserved liquidity as we continue operations and explore strategic options. These options include securing additional funding
and exploring business alternatives that may include partnering, acquiring, investing in or combining with businesses that may or may not be in a related
industry. We are actively seeking opportunities to develop partnerships or collaborations with others to advance further Orion development, conduct pivotal
trials and bring the product to market for the treatment of blindness. No assurances can be given that any of these initiatives will occur.
In early March 2020, we commenced clinical validation activities for the FLORA-20 instrument, the primary efficacy endpoint we have selected for
our future pivotal clinical trial of Orion. In mid-March 2020, our validation activities were suspended as a result of public health concerns and related social
distancing due to COVID-19. We are in the process of evaluating when activities related to the validation study can be resumed.
On March 27, 2020, the Board of Directors appointed Matthew Pfeffer, a member of our Board and Chairman of the Audit Committee of the Board,
as acting Chief Executive Officer.
In furtherance of our decision to withdraw Argus II from the market, we have terminated two post-market studies for Argus II in Germany and the
U.S., terminated an extended non-significant risk study in the U.S. for Argus 2s, and suspended our technical support of Argus II worldwide. The Argus 2s
was recently approved by the FDA during February 2021.
In May 2020, we completed an underwritten public offering of 7,500,000 shares of common stock at an offering price of $1.00 per share for
aggregate gross proceeds of $7.5 million, and net proceeds of approximately $6.7 million after deducting underwriting discounts, commissions and other
offering expenses. Based on our current plans, we believe the financing provides sufficient working capital to sustain ongoing operations into June 2021.
In May 2020, we entered into a Letter Agreement with Sylmar Biomedical Park, LLC (the “Landlord”) to terminate our facility leases in which we
agreed to vacate the premises by June 18, 2020 and pay $210,730 to bring our leases current and pay a one-time early termination fee of $150,000. Prior to
the early termination, we were obligated to pay aggregate base rent of approximately $0.9 million and common area maintenance expenses for the
respective remaining terms of our leases in February 2022 and April 2023.
We completed our offer to rescind certain purchases of shares under our ESPP plan on May 27, 2020. We voluntarily offered to rescind the sale of
shares of our common stock to employees who purchased those shares under the ESPP and to reimburse any losses upon the sale of our shares of our
common stock for certain purchase periods because these shares may not have been exempt from registration under the Securities Act of 1933. The
rescission of these share purchases resulted in the repurchase and cancelation of 39,467 shares of our common stock. The total cost for the repurchase of
these shares and the reimbursement of any losses from the sale of such shares totaled approximately $270,000.
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In June 2020, we commenced a process to dissolve our Swiss subsidiary which is expected to take approximately one year.
On July 7, 2020, we entered into a lease with Sylmar Biomedical Park, LLC, to lease a smaller portion of our present facility. The new lease allowed
us to significantly reduce our rent while maintaining operations and the current address. The term of the lease was from June 16, 2020 until December 31,
2020. We have terminated this lease and moved effective February 1, 2021.
On December 8, 2020, we borrowed $1 million from Gregg Williams, Chairman of the Board of Directors of the Company and $1.2 million from two
unaffiliated shareholders. Each promissory note is unsecured and accrues interest at a rate of twelve percent (12%) per annum beginning on receipt of the
loan amounts. Principal and accrued interest under the promissory notes, are payable on December 31, 2021.
On January 5, 2021, we entered into a Memorandum of Understanding with Pixium Vision, a publicly held French company (“Pixium”).
Pursuant to the terms of the Memorandum of Understanding, which sets forth the framework of the principal actions to be taken, (i) we will raise
additional working capital of at least $25,000,000 in a private placement of equity securities of Second Sight to accredited investors (the “Fund Raising”);
(ii) Pixium will contribute to us certain assets in exchange for newly issued common stock of Second Sight (the “Contribution”); and (iii) we will transfer
our Orion assets to a newly formed subsidiary (“SpinCo”), the share capital of which would be partially spun-off to our shareholders (the “Spin-Off” and,
together with the Fund Raising and the Contribution, the “Business Combination”). See Note 14 for further discussion.
On January 22, 2021, we entered into a lease agreement, effective February 1, 2021, to sub-lease office space to replace our existing
headquarters. We will pay $17,000 per month, increasing to $17,500 per month on February 1, 2022, plus operating expenses, to lease 17,290 square feet
of office space at 13170 Telfair Avenue, Sylmar CA 91342. Additionally, we receive full rent abatement for March 2021, and half rent abatement for
March 2022. The sub-lease is for two years and two months. We are not affiliates with, or related to, or otherwise have any other relationship with the other
parties, other than the lease.
On March 5, 2021, we announced that the FDA had approved the Argus 2s Retinal Prosthesis System, a redesigned set of external hardware (glasses
and video processing unit) initially for use in combination with previously implanted Argus II systems for the treatment of retinitis pigmentosa (RP). We
plan to adapt the Argus 2s to be the external system for the next generation Orion Visual Cortical Prosthesis System currently under development. A
decision on when or if to begin production of the newly approved hardware is pending completion of Second Sight’s planned business combination with
Pixium Vision, which currently is in progress. Should the business combination be completed, the new management team will then evaluate if and how best
to proceed with the Argus 2s Retinal Prosthesis System, as well as all other products in development.
We are actively seeking help in developing multiple technologies that we believe to be complimentary to artificial vision and could potentially
provide significant enhancements to the Orion user experience. In most cases, we collaborate with third-party firms to advance and integrate these
innovative technologies with our artificial vision systems. Examples of technologies that we are currently researching include: eye tracking, object
recognition and localization, thermal imaging and depth-based image decluttering.
We are subject to the risks and uncertainties associated with a business without revenues, including limitations on our operating capital resources and
uncertain future demand for our product. We have incurred recurring operating losses and negative operating cash flows since inception, and we expect to
continue to incur operating losses and negative operating cash flows for the foreseeable future. Based on our current plans, we do not have sufficient funds
to continue operating our business at current levels for at least twelve months from the date of issuance of this report. However, our operating plan may
change as a result of many factors currently unknown to us, and we may need to seek additional funds sooner than planned, through public or private equity
offerings, debt financings, grants, collaborations, strategic partnerships or other sources. However, we may be unable to raise additional capital or enter into
such other arrangements when needed on favorable terms or at all. If we are unable to obtain funding on a timely basis, we may be required to significantly
curtail, delay or discontinue one or more of our research or development programs, or we may be unable to expand our operations, maintain our current
organization and employee base or otherwise capitalize on our business opportunities, as desired, which could materially affect our business, financial
condition and results of operations.
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Our Technology
Orion works by converting video images captured by a miniature camera housed in a user’s glasses into a series of small electrical pulses that are
transmitted wirelessly to an array of electrodes. The Orion array is implanted on the surface of the visual cortex of the brain, bypassing the eye and optic
nerve and directly stimulating the region of the brain responsible for vision. The pulses generated are intended to create a perception of patterns of light in
the brain. Following the implant surgery, users learn to interpret these visual patterns as artificial vision, allowing them to detect shapes of people and
objects in their surroundings.
We believe Orion possesses several unique technological advancements compared to other neurostimulation devices, including a hermetic package
with the smallest size and largest number of individually programmable electrodes, and a patented electrode material that allows for high charge densities
and small electrode size. Several other engineering challenges, including device reliability, extended lifetime, and a safe and effective bio-interface, were
overcome during the development of the products and these solutions have been protected both by patents and by trade secrets. Much of the technology
developed for Argus II is also used in Orion. As of December 31, 2020, we have more than 300 issued patents and over 25 pending patent applications
worldwide.
We have demonstrated the ability to design products with long-term reliability. The Argus I retinal prosthesis, a proof of concept device that was a
predecessor to the Argus II, was implanted in six patients in the United States. Argus I patients were implanted an average of almost six years, with one
patient having used the device for over 10 years. The Argus II system has been implanted in over 300 patients. The average implant duration for these
patients is nearly four years with several users continuing to use the system 10 years following implantation.
In November 2017, the FDA granted Breakthrough Devices Program designation for the Orion. This designation is given to a select number of
medical devices in order to provide more effective treatment of life-threatening or irreversibly debilitating diseases or conditions. This program is intended
to help patients have more timely access to these medical devices by expediting their development, assessment, and review. With this designation, we
believe the Orion will have the following advantages during the FDA review process:
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more interactive review both for the Investigational Device Exemption (IDE) and Premarket Approval application;
greater reliance on post-market data collection and greater acceptance of uncertainty in the benefit-risk profile at the time of approval;
priority review (i.e., review of the submission is placed at the top of the review queue and receives additional review resources); and
senior FDA management involvement and assignment of a cross-disciplinary case manager.
We expect that inclusion in the Breakthrough Devices Program may shorten the timeline required to bring the Orion to market as a commercial
product. We also are currently evaluating our pivotal trial design for Orion and expect to reach consensus with the FDA on design specifics with an
expected IDE filing date in the first half of 2022. Major elements of our clinical trial design include the number of patients, study duration, and the
endpoints suitable for assessing visual function, functional vision and quality of life. We have reached agreement with FDA on the primary effectiveness
endpoint, pending validation of an assessment we have developed for the purpose. We anticipate completing the validation study in the second half of 2021.
We are currently working with FDA on alignment on a primary safety endpoint and confirmation of a statistical sample size which will drive the number of
subjects to be enrolled in the pivotal study. While negotiations with the FDA are ongoing, we believe the study design will require a minimum pre-market
sample population of at least 45 subjects (plus additional post-market subjects) with at least 12 months of follow-up data for each patient prior to submittal
of a premarket approval (PMA) application.
Our Markets
According to the World Health Organization (WHO)1, 253 million people suffer from moderate to severe vision impairment worldwide. Of these, 36
million people are considered legally blind. The WHO further estimates that 80% of legal blindness is avoidable, leaving 7.8 million legally blind
individuals. We continue to develop and refine our
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estimates of the potential addressable market size as we evaluate the commercial prospects for Orion using a combination of published sources, third-party
market research, and physician feedback.
In the U.S., 1.3 million people are legally blind3. We commissioned third-party market research for the potential market for Orion and we currently
estimate over 500,000 individuals in the U.S. are legally blind. Of this population, we estimate the potential U.S. addressable market is between 50,000 and
100,000 individuals with bi-lateral blindness at the light-perception level or worse. Our marketing approvals by the FDA and other regulatory agencies
will ultimately determine the subset of these patients who are eligible for the Orion based on our clinical trials and the associated results.
Many other diseases can also cause blindness. Many of the largest causes of visual impairment (i.e. refractive error and cataracts) are avoidable or
curable, and their prolonged or untreated impact on vision is largely observed in developing nations and are not part of our target market. Some other
causes of blindness, such as brain trauma to the visual cortex, may also not be suitable for treatment by a cortical stimulator. However, the remaining causes
of severe vision loss which include glaucoma, diabetic retinopathy, eye trauma, optic nerve disease or injury and many others can result in severe visual
impairment that could potentially be treatable by an Orion visual prosthesis system.
We believe that, if approved by the FDA, the Orion will initially treat a subset of these legally blind individuals, likely starting with the ones who are
completely blind. If this is the case, we anticipate that if we are further able to collect additional clinical data demonstrating the efficacy of the Orion for
patients with better vision, we will be able to expand the approved indications and addressable market of the Orion to include a larger subset of these 5.8
million individuals for whom no effective treatment currently exists.
By further developing our visual cortical prosthesis, Orion, we believe we will significantly expand our market to include nearly all profoundly blind
individuals. The only notable exceptions for potential use of the Orion are those who are blind due to otherwise currently treatable diseases, individuals
who are born blind, or blindness due to direct damage of the visual cortex, which is rare.
1 WHO Fact Sheet, updated October 11, 2018.
2 Congdon N, O’Colmain B, Klaver CC, et al. Causes and prevalence of visual impairment among adults in the United States. Arch Ophthalmol. Apr
2004;122(4):477-485. This percent amount was derived from the rates of different causes of blindness by different races and racial demographic data from
2010 U.S. Census data.
3 National Eye Institute (http://www.nei.nih.gov/eyedata/blind.asp).
Our Strategy
Our strategy can be summarized as follows:
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•
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Leverage proven Argus technology to develop the Orion visual cortical prosthesis and significantly expand our addressable market to include a
portion of the almost 6 million patients who are blind from eye trauma, optic nerve disease and injury, diabetic retinopathy, glaucoma and other
untreatable causes.
Invest in research and development of technologies intended to enhance the Orion user experience, including eye tracking, distance
filtering/decluttering, object and facial recognition and thermal imaging.
Continue to provide limited product support for Argus II patients while expanding our overall investment in Orion.
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Global Reimbursement
Obtaining reimbursement from governmental and private insurance companies is critical to our commercial success. Due to the price of the Orion
system, our future sales would be limited without the availability of third-party reimbursement. In the U.S., coding, coverage, and payment are necessary
for the surgical procedure and Orion system to be reimbursed by payors. Coding will need to be established for the device and the surgical procedure.
Coverage and payment vary by payor. The majority of Argus II were patients are eligible for Medicare, and coverage is primarily provided through
traditional Medicare, sometimes referred to as Medicare Fee-for-Service (“FFS”) or Medicare Advantage. A small percentage of patients are covered by
commercial insurers.
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Medicare FFS patients – Coverage is determined by Medicare Administrative Contractors (MACs) that administer various geographic regions
of the U.S.
Medicare Advantage patients – Medicare Advantage plans are required to cover the same benefits as those covered by the MAC in that
jurisdiction. For example, if a MAC in a jurisdiction has favorable coverage for Orion, then typically Medicare Advantage plans in that MAC
jurisdiction offer the same coverage. Individual hospitals and ASCs may negotiate contracts specific to that individual facility. In addition,
procedural payment is variable and can be based on a percentage of billed charges, payment groupings or other individually negotiated payment
methodologies. Medicare Advantage plans also allow providers to confirm coverage and payment for the procedure in advance of implantation.
Commercial insurer patients – Commercial insurance plans make coverage and payment rate decisions independent of Medicare, and
contracts are individually negotiated with facility and physician providers.
Currently, we are in the process of evaluating potential reimbursement pathways for Orion in the U.S. market. Compared to Argus II, which was
largely catering to the Medicare patient population, Orion is expected to address a patient population with a more diverse and balanced payor mix due to
our potential indications profile and expected younger patient population, on average. As Orion is a part of the FDA’s Breakthrough Devices program, we
are closely evaluating a variety of fast-track reimbursement programs, including recent encouraging announcements from CMS proposing modernization of
payment policies for medical devices that meet FDA’s Breakthrough Devices designation. We have also approached some commercial payors and CMS to
get their feedback to ensure our overall reimbursement strategy for Orion therapy will cater to their key data requirements.
Product and Clinical Development Plans
Orion. By further developing our visual cortical prosthesis, Orion, we believe we may be able to significantly expand our market to include nearly all
profoundly blind individuals. The only notable exceptions for potential use of the Orion are those who are blind due to otherwise currently treatable
diseases, individuals who are born blind, or blindness due to direct damage of the visual cortex, which is rare. However, of the estimated 36 million blind
people worldwide, there are approximately 5.8 million people who are legally blind due to causes that are not otherwise treatable. We continue to develop
and refine our estimates of the potential addressable market size as we evaluate the commercial prospects for Orion using a combination of published
sources, third party market research, and physician feedback. We currently estimate over 500,000 individuals in the US are legally blind due to retinitis
pigmentosa, glaucoma, diabetic retinopathy, optic nerve disease and eye injury. Of this population, we estimate the potential US addressable market is
between 50,000 and 100,000 individuals with bi-lateral blindness at the light-perception level or worse. Our marketing approvals by the FDA and other
regulatory agencies will ultimately determine the subset of these patients who are eligible for the Orion based on our clinical trials and the associated
results.
Our objective in designing and developing the Orion visual prosthesis system is to bypass the optic nerve and directly stimulate the part of the brain
responsible for human vision. A six-subject Early Feasibility Study of the Orion device is currently underway at UCLA and Baylor. Regularly scheduled
visits at both sites were placed on hold in mid-March due to Covid-19, however visits at UCLA resumed mid-September 2020. Our 12 month results for the
six subjects indicate a good safety profile with encouraging efficacy data and benefits in helping subjects perform their daily living tasks. We believe these
data are encouraging and support advancement of Orion into a larger pivotal clinical study. Early promising results are not necessarily indicative of results
which may be obtained in large clinical
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trials. No assurance can be given that we will achieve similar results in our larger Orion clinical trials. No peer-reviewed data is available yet for the Orion
system.
In November 2017, the FDA granted Breakthrough Devices Program designation for the Orion. This designation is given to a few select medical
devices in order to provide more effective treatment of life-threatening or irreversibly debilitating diseases or conditions. This program is intended to help
patients have more timely access to these medical devices by expediting their development, assessment, and review.
COVID-19 Pandemic
In accordance with local and state guidelines regarding the COVID-19 pandemic, we are requiring all of our employees to work remotely unless they
cannot perform their essential functions remotely, and have also suspended all non-essential travel for our employees. While many of our employees are
accustomed to working remotely, much of our workforce has not historically been remote. Although we continue to monitor the situation and may adjust
our current policies as more information and public health guidance becomes available, temporarily suspending travel and restricting the ability to do
business in person may create operational or other challenges, any of which could harm our business, financial condition and results of operations.
In addition, our clinical trials have been affected by the COVID-19 outbreak. Patient visits in ongoing clinical trials have been delayed, for example,
due to prioritization of hospital resources toward the COVID-19 outbreak, travel restrictions imposed by governments, and the inability to access sites for
initiation and monitoring. Also, some of our suppliers of certain materials used in the development of our product candidates are located in areas impacted
by COVID-19 which could limit our ability to obtain sufficient materials for our product candidates. COVID-19 has and will continue to adversely affect
global economies and financial markets, and may result in an economic downturn that could affect demand for our product candidates, if approved, and
impact our operating results. Even after the COVID-19 pandemic has subsided, we may continue to experience an adverse impact to our business as a result
of the continued global economic impact of the pandemic. We cannot anticipate all of the ways in which health epidemics such as COVID-19 could
adversely impact our business. Although we are continuing to monitor and assess the effects of the COVID-19 pandemic on our business, the ultimate
impact of the COVID-19 pandemic or a similar health epidemic is highly uncertain and subject to change. See the Risk Factors section for further
discussion of the possible impact of the COVID-19 pandemic on our business.
Our Competition
The U.S. life sciences industry is highly competitive. The treatment of blindness is a significant clinically unmet need and others continue to make
progress. There are several approaches to treating blindness including:
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•
Retinal Prostheses: The retina is the first nerve tissue in the visual network that generates electrical signals. A retinal prosthesis implant
stimulates the retina with electrodes. There are two primary approaches to this: 1) Epiretinal Prosthesis, which is placed on the surface of the
retina, and 2) Subretinal Prosthesis, which is placed beneath the retina and between the retina and choroid.
Optic Nerve Implant: Moving down the visual network path, some are developing a cuff electrode array that is placed around the optic nerve
just behind the eye. These are in early research phase.
Visual Cortical Prosthesis – To our knowledge, we are the only commercially focused organization developing a visual cortical prosthesis
(Orion), which is placed beneath the skull and on the surface of the visual cortex. A few groups worldwide are developing an intracortical
visual prosthesis with electrodes that penetrate the brain, but none have advanced to human clinical trials of potentially commercializable
devices.
Neuralink is developing a brain implant with penetrating electrodes that it has demonstrated in animal models. Vision is one of Neuralink’s many
stated goals. The Illinois Institute of Technology’s Intracortical Visual Prosthesis group is currently recruiting participants for a US early feasibility study of
a visual cortical prosthesis.
As we continue to demonstrate the potential benefits and safety profile of Orion, we may face competition from other entities seeking to develop a visual
cortical prosthesis. While we are currently precluded by the exclusion criteria in
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our Early Feasibility Study from testing Orion in any indication where a current therapeutic option exists, such as with RP using Argus, we or others may
ultimately seek to demonstrate the potential benefits and safety profile of a visual cortical prosthesis for RP.
Other approaches not involving electrical stimulation include:
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Transplants: transplanting retinal tissue to stimulate remaining retinal cells.
Stem Cells: generally involves implanting immature retinal support cells aimed at slowing retinal degeneration. A single patient in London,
England with wet AMD was reportedly implanted in 2015 with an embryonic stem cell line in a study sponsored by Pfizer. This study has been
suspended. Patients with dry AMD are also being recruited in Los Angeles for a similar study. No data is yet available as to safety or efficacy
of these implantations. A patient in Japan with AMD was implanted with induced pluripotent stem (ips) cells. These are mature cells
reprogramed to be stem cells.
Genetics and Gene Therapy: involves identifying a specific gene that is causing retinal problems (there are over 120 for retinitis pigmentosa
alone) resulting in visual impairments and blindness and inserting healthy genes into an individual’s cells using a virus as a delivery mechanism
to treat the diseases. A company completed a phase 3 study in 21 patients with a median age of 11 for a gene that affects a very small
percentage of retinitis pigmentosa patients, RPE65. That company applied for and received FDA approval in 2018. We believe that there is
virtually no overlap with our current market since our patients generally are older (Argus II is indicated for an age minimum of 25 in the U.S.).
The other company also injects better sighted patients since its treatment is aimed at improving residual vision. In contrast, Argus II seeks to
create artificial vision where vision is completely lost. Pricing for these injections is reported to be approximately $850,000 for both eyes.
Optogenetics Therapy: aimed at slowing down, reversing, and/or eliminating the process by which photoreceptors in the eye are compromised.
This therapy requires using the patient’s cells with a virus as a delivery mechanism intended to cause cells within the eye to become light
sensitive. Animal work has shown that these cells are not sensitive enough to respond to ambient light, so this approach currently also requires
a light amplifier outside the body to increase light delivered to the retina. The regulatory body in the UK, the Medicines and Healthcare
products Regulatory Agency, has recently cleared optogenetic clinical trials to begin.
Nutritional Therapy: involves diets or supplements that are thought to prevent or slow the progress of vision loss.
Implantable Telescope: VisionCare, Ophthalmic Technologies, Inc. offers an FDA approved implantable miniature telescope for AMD, a
magnifying device that is implanted in the eye. The VisionCare telescope is approved for use in patients with severe to profound vision
impairment (best corrected visual acuity of 20/160 to 20/800) due to dry AMD.
Wicab’s The BrainPort® V100 includes a video camera mounted on a pair of sunglasses, a hand-held controller, and tongue array. The tongue
array contains 400 electrodes and is connected to the glasses via a flexible cable. White pixels from the camera are felt on the tongue as strong
stimulation, black pixels as no stimulation, and gray levels as medium levels of stimulation. This device is indicated for the profoundly blind.
There are currently no known treatments for AMD after the disease has caused severe to profound vision loss nor are there any established
treatments that delay or reverse the progression of Dry AMD other than supplements.
Therapies exist for Wet AMD that delay the progression of visual impairment or slightly improve the vision, rather than completely curing or
reversing its course. These therapies are approved in many regions throughout the world, including the U.S. and European Union (“EU”).
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Commercial efforts to develop retinal implants by others include:
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•
•
Pixium: A publicly held French company that is developing the PRIMA (sub-retinal implant) for Dry-AMD patients. In 2017,
Pixium announced approval for two feasibility studies of PRIMA in Dry-AMD patients. One study reportedly is in Paris with five subjects,
and a second Early Feasibility Study in the U.S. of five patients is underway at two sites – Pittsburgh, Pennsylvania and Miami, Florida. To
date, Pixium has announced the successful implantation and activation of five devices in Paris and two devices in the U.S. with limited
performance data reported. Second Sight is in the process of a business combination with Pixium.
NanoRetina Inc., a company based in Israel, and several other early stage companies are reported to have developed intellectual property or
technology that may improve retinal prostheses in the future. A clinical trial is underway in Europe and an unknown number of patients have
been implanted.
Academic entities are also working on vision restoring implants. These include Bionic Vision Australia (an early prototype device has been
developed and to our knowledge implanted in three human subjects), Boston Retinal Implant project (preclinical phase), Monash Vision Group
(preclinical phase), and the Illinois Institute of Technology (preclinical phase). Of these projects, we believe most have not yet demonstrated a
working implant, only one has reportedly begun long-term clinical work in humans, and to our knowledge none has received FDA approval to
begin clinical trials in the U.S.
Warranty
We generally provide a standard limited warranty for the Argus II system covering replacement over the following periods after implant:
•
•
•
three years on implanted epiretinal prosthesis
two years on wearable components other than batteries and chargers
three months on batteries and chargers
Based on our experience to date, the Argus II system has proven to be a reliable device generally performing as intended. We have accrued warranty
expense of $0.2 million as of December 31, 2020, which is based upon our historical experience rate.
Our Research Development and Quality Assurance
We have a single facility, located at our principal office in Los Angeles, California.
We rely on many suppliers to provide the materials and services necessary to produce and test our products. Many of these materials or services are
currently provided by sole source suppliers. In a number of instances we maintain sole source suppliers because our current purchasing volumes do not
warrant developing more than one supplier. We expect to secure additional providers as our production volumes increase. If we experience a loss of a sole
supplier before confirming an alternative, we risk possible disruptions in our operations. We attempt to mitigate the sole source risk by, among other things,
increasing parts inventory as a partial hedge against interruptions in parts supply and by actively seeking to develop alternative supplier sources before
experiencing any such disruptions.
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.
Employees
As of December 31, 2020, we had 12 employees, including approximately 1 in operations; 6 in clinical, regulatory and research and development;
and 5 in administration. Of these persons, all are employed in the United States. We believe that the continued success of our business will depend, in part,
on our ability to attract and retain qualified personnel, and we are committed to developing our people and providing them with opportunities to contribute
to our growth and success. None of these employees is covered by a collective bargaining agreement, and we believe our relationship with our employees is
good to excellent.
Properties
Our principal office and facilities are located at 13170 Telfair Avenue, Sylmar CA 91342, which consists of approximately 17,290 rentable square
feet at a current base rent of about $17,000 per month. Our sub-lease expires in March 2023. We believe that these premises are adequate for our
foreseeable needs.
Available Information
Our website address is www.secondsight.com. We make available free of charge through a link provided at said website our Forms 10-K, 10-Q and 8-
K as well as any amendments thereto. Such reports are available as soon as reasonably practicable after they are filed with the Securities and Exchange
Commission.
Item 1A. Risk Factors
Risks Related to Dependence on Our Commercial Products
Despite promising results from the Early Feasibility Study for Orion being conducted at UCLA and Baylor we currently have no commercial products
or product revenue and may never become profitable.
To date, we have not generated profit from sales of our now discontinued Argus II product and will not generate revenues until we complete the
development and attain the marketing approval for Orion. We have relied principally on financing from the sale of equity securities and the receipt of
government and other grants to fund our operations. We expect that our future financial results will depend primarily on our success in further developing
the Orion, conducting FDA approved clinical trials and obtaining clearance or approval for, launching, selling and supporting our Orion technology. To
establish these operations we will need to expend significant resources on hiring additional personnel, conducting continued scientific and product research
and development, engaging in further pre-clinical and clinical investigation, giving expanded attention to intellectual property development and
prosecution, seeking domestic and international regulatory approvals, marketing and promotion, capital expenditures, working capital, general and
administrative expenses, and fees and expenses associated with our capital raising efforts. We expect to incur costs and expenses related to consulting costs,
laboratory development costs, hiring of scientists, engineers, sales representatives and other operational personnel, and the continued development of
relationships with potential partners as we continue to seek regulatory clearance or approval for our products. As a pre-revenue company we continue to
incur significant operating losses, and we expect to continue to incur additional losses for at least the next several years. We cannot assure you that we will
generate revenue or be profitable in the future. Our future or updated Orion products may never be cleared or approved or become commercially viable or
accepted for use.
Investment in medical device technology is highly speculative, because it entails substantial upfront capital expenditures over time and significant risk
that any potential product will fail to demonstrate adequate efficacy, clinical utility or acceptance by physicians and blind individuals. Investors should
evaluate an investment in us in light of the uncertainties encountered by developing medical technology companies in a competitive environment. There
can be no assurance that our efforts will be successful or that we will ultimately be able to achieve profitability. Even if we achieve profitability, we may
not be able to sustain or increase profitability on a quarterly or annual basis. Our failure to become and remain profitable could adversely affect the market
price of our common stock and could significantly impair our ability to raise capital, expand our business or continue to implement our business plan.
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Our commercial and financial success depends on our products being accepted in the market, and if not achieved will result in our not being able to
generate revenues to support our operations.
Even if we are able to obtain favorable reimbursement within the markets that we serve, commercial success of our products will depend, among other
things, on their acceptance by retinal specialists, ophthalmologists, brain surgeons, general practitioners, low vision therapists and mobility experts, hospital
purchasing and controlling departments, patients, and other members of the medical community. The degree of market acceptance of any of our product
candidates will depend on factors that include:
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•
•
•
•
cost of treatment;
pricing and availability of future alternative products;
the extent of available third-party coverage or reimbursement;
perceived efficacy of the Orion system relative to other future products and medical solutions; and
prevalence and severity of adverse side effects associated with treatment.
The activities of competitive medical device companies, or others, may limit our revenue from the sale of the Orion system.
Our commercial opportunities for the Orion system may be reduced if our competitors develop or market products that are more effective, are better
tolerated, receive better reimbursement terms, achieve greater acceptance by physicians, have better distribution channels, or are less costly.
Currently, to our knowledge, no other medical devices comparable to the Orion system have been approved by regulatory agencies, in the U.S. or
Europe, to restore some functional vision in persons who have become blind due to preventable causes. Other visual prosthesis companies such as Pixium
are developing retinal implant technologies to partially restore some vision in blind patients mainly from age related macular degeneration. Pixium’s initial
RP prosthesis product was withdrawn from the market. A previous competitor, Retina Implant, has withdrawn from the market. Neither Retina Implant nor
Pixium have filed for market approval with the FDA. To our knowledge Pixium has obtained an IDE to begin the required clinical trials in the U.S. for its
PRIMA product, which is directed toward age related macular degeneration or AMD. We and Pixium are forming a business combination which we
anticipate will be completed in Q2 of 2021. The Illinois Institute of Technology’s Intracortical Visual Prosthesis group is currently recruiting participants
for a US early feasibility study of a visual cortical prosthesis. Neuralink has recently demonstrated a cortical implant in animal models. Vision is one of
Neuralink’s stated goals. These and other potentially competitive therapies, if or when developed or brought to market, may result in pricing and market
access pressure even if the Orion system is otherwise viewed as a preferable therapy.
Many privately and publicly funded universities and other organizations are engaged in research and development of potentially competitive products
and therapies, such as stem cell and gene therapies, some of which may target multiple indications of our product candidates. These organizations include
pharmaceutical companies, biotechnology companies, public and private universities, hospital centers, government agencies and research organizations.
Our competitors include large and small medical device and biotechnology companies that may have significant access to capital resources, competitive
product pipelines, substantial research and development staff and facilities, and substantial experience in medical device development.
We may face substantial competition in the future and may not be able to keep pace with the rapid technological changes which may result from others
discovering, developing or commercializing products before or more successfully than we do.
In general, the development and commercialization of new medical devices is highly competitive and is characterized by extensive research and
development and rapid technological change. Physicians and persons who may be suitable for the Orion implant likely will consider many factors
including product reliability, clinical outcomes, product availability, price, and product and patient support services that we may be able to provide. Market
share as it develops can shift as a result of technological innovation and other business factors. Major shifts in industry market share have occurred in
connection with product problems, physician advisories and safety alerts, reflecting the importance of product quality and reliability in the medical device
industry, and any quality problems with our processes, goods and services could harm our reputation for producing high-quality products and would erode
our competitive advantage, sales and market share. Our competitors may develop products or other novel approaches and
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technologies to deal with treating blindness that are more effective, safer or less costly than any that we are developing, and if those products gain market
acceptance our revenue and financial results could be adversely affected.
If we fail to develop new products or enhance existing products, our leadership in the markets we serve could erode, and our business, financial
condition and results of operations may be adversely affected.
Despite early positive results in our limited initial trials at UCLA and Baylor School of Medicine our ongoing development efforts may never
demonstrate the feasibility of our Orion technology.
Our research and development efforts remain subject to all of the risks associated with the development of new technology. Our Orion technology,
though based on our FDA approved Argus II retinal prosthesis, is not yet fully developed. Development of the underlying technology, including the further
development and refinement of our Orion technology, may be affected by unanticipated technical or other problems, among other development and
research issues, and the possible insufficiency of funds needed in order to complete development of these products or devices. Regulatory and clinical
hurdles, adverse reactions experienced in trials, or other operational or regulatory challenges also may result in delays and cause us to incur additional
expenses that may increase our need for capital and result in additional losses. If we cannot complete, or if we experience significant delays in developing
our technology, applications or products for use by those patients who can benefit from vision restoration, particularly after incurring significant
expenditures, our business may fail and investors may lose the entirety of their investment.
Since we have had an operating history of losses and have no current revenue producing operations, the future of our business is difficult to evaluate.
To date, our operations on a consolidated basis have consisted of the continued development and clinical studies of our Orion-focused technologies and
implementation of the early parts of our business plan. We have incurred significant operating losses in each year since our inception and we will continue
to incur additional losses for the next several years. In addition, our losses may be greater than expected and our operating results may suffer. We have
limited historical financial data upon which we may base our projected revenue and base our planned operating expenses. This operating history makes it
difficult to evaluate our technology or prospective operations and business prospects.
Clinical development involves a lengthy and expensive process with an uncertain outcome, and results of earlier studies and initial trials may not be
predictive of future trial results.
Clinical testing is expensive and can take several or more years to complete, and its outcome is inherently uncertain. Failure or delay can occur at any
time during the clinical trial process. Success in nonclinical studies and early feasibility clinical studies does not ensure that expanded clinical trials that
will be used to support regulatory submissions will be successful. These setbacks may be caused by, among other things, nonclinical findings made while
clinical trials were underway, and safety or efficacy observations made in clinical trials, including previously unreported adverse events. Even if our
clinical trials are completed, the results may not be sufficient to obtain regulatory approval or clearance for our product candidates.
Interim “top-line” and preliminary results from our clinical trials that we announce or publish from time to time may change as more patient data
become available and are subject to audit and verification procedures that could result in material changes in the final data.
From time to time, we may publish interim top-line or preliminary results from our clinical trials. Interim results from clinical trials that we may
complete are subject to the risk that one or more of the clinical outcomes may materially change as patient enrollment continues and more patient data
become available. Preliminary or top-line results also remain subject to audit and verification procedures that may result in the final data being materially
different from the preliminary data we previously published. As a result, interim and preliminary data should be viewed with caution until the final data are
available. Differences between preliminary or interim data and final data could significantly harm our business prospects and may cause the trading price of
our common stock to fluctuate significantly.
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Risks Related to Our Common Stock
We have not been profitable to date and expect our operating losses to continue for the foreseeable future; we may never be profitable.
We have incurred operating losses and generated negative cash flows since our inception and have financed our operations principally through equity
investments and borrowings. Our ability to generate sufficient revenues to fund operations is uncertain. For the fiscal year ended December 31, 2019, we
had net revenue of $3.4 million and incurred a net loss of $33.6 million. For the fiscal year ended December 31, 2020, we generated no revenue from
operations and incurred a net loss of $14.9 million. Our total accumulated deficit through December 31, 2020, was $319.7 million.
As a result of our limited commercial operating history, revenue is difficult to forecast. We expect expenses to increase in the future as we expand our
activities in connection with the further development of Orion. We cannot assure you that we will be profitable in the future. Accordingly, the extent of our
future losses and the time required to achieve profitability, if ever, is uncertain. Failure to achieve profitability could materially and adversely affect the
value of our common stock and our ability to effect additional financings. The success of the business depends on our ability to increase revenues to offset
expenses. If we do not achieve profitability, or otherwise fall short of projections, our business, financial condition and operating results will be materially
adversely affected.
Our financial statements have been prepared assuming we are a going concern.
Our ability to continue as a going concern is dependent upon our ability to obtain additional financing, obtain further operating efficiencies, reduce
expenditures, attain favorable gross margins and ultimately, generate significant sales and create profitable operations. Adequate funding may not be
available or may not be available on reasonable terms. Our forecast of the period of time through which our financial resources will be adequate to support
our operations is a forward-looking statement that involves risks and uncertainties, and actual results could vary materially. Our independent registered
public accounting firm, in its report on our 2020 consolidated financial statements has raised substantial doubt about our ability to continue as a going
concern which may negatively affect the price of our common stock.
Sales, or the availability for sale, of substantial amounts of our common stock could adversely affect the value of our common stock.
We cannot predict the effect, if any, that future sales of our common stock, or the availability of our common stock for future sales, will have on the
market price of our common stock. Sales of substantial amounts of our common stock in the public market and the availability of shares for future sale
could adversely affect the prevailing market price of our common stock. This in turn could impair our future ability to raise capital through an offering of
our equity securities.
There may be future sales or other dilution of our equity, which may adversely affect the market price of our common stock.
We are not restricted from issuing additional shares of common stock. The market price of our common stock could decline as a result of sales of our
common stock and warrants or the perception that such sales could occur. We may issue and sell additional shares of our common stock in private
placements or registered offerings in the future. We also may conduct additional registered rights offerings in the future pursuant to which we may issue
shares of our common stock or other securities.
Risks Relating to Our Operations
The COVID-19 pandemic has had an adverse effect on our business and results of operations and is expected to continue to have further adverse
effects, which could be material, on our business, results of operations, financial condition, liquidity, and capital investments.
In December 2019, an outbreak of a novel strain of coronavirus (COVID-19) originated in Wuhan, China and has since spread globally. On March 11,
2020, the World Health Organization characterized COVID-19 as a pandemic. In addition, most states in the U.S., including California, where we are
headquartered, have declared a state of emergency. The pandemic has resulted in government authorities implementing numerous measures to try to
contain
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the virus, such as travel bans and restrictions, quarantines, shelter-in-place or stay-at-home orders, and business shutdowns.
In accordance with local and state guidelines regarding the COVID-19 pandemic, we are requiring all of our employees to work remotely unless they
cannot perform their essential functions remotely, and have also suspended all non-essential travel for our employees. While a significant number of our
employees may be accustomed to working remotely or working with other remote employees, much of our workforce has not historically been remote.
Although we continue to monitor the situation and may adjust our current policies as more information and public health guidance becomes available,
temporarily suspending travel and restricting the ability to do business in person may create operational or other challenges, any of which could harm our
business, financial condition and results of operations.
In addition, our clinical trials have been affected by the COVID-19 outbreak. Patient visits in ongoing clinical trials have been delayed, for example,
due to prioritization of hospital resources toward the COVID-19 outbreak, travel restrictions imposed by governments, and the inability to access sites for
initiation and monitoring. For example, scheduled patient visits to our clinical sites at UCLA and Baylor were temporarily put on hold due to COVID-19.
Visits have now resumed at both sites. In addition, the validation study for the revised FLORA assessment was paused due to travel requirements for its
completion. Also, some of our suppliers of certain materials used in the development of our product candidates are located in areas impacted by COVID-19
which could limit our ability to obtain sufficient materials for our product candidates. COVID-19 has and will continue to adversely
affect global economies and financial markets of many countries, resulting in an economic downturn that could affect demand for our product candidates, if
approved, and impact our operating results. Even after the COVID-19 pandemic has subsided, we may continue to experience an adverse impact to our
business as a result of the continued global economic impact of the pandemic. We could experience further harm to our business and we cannot anticipate
all of the ways in which health epidemics such as COVID-19 could adversely impact our business. Although we are continuing to monitor and assess the
effects of the COVID-19 pandemic on our business, the ultimate impact of the COVID-19 outbreak or a similar health epidemic is highly uncertain and
subject to change.
COVID-19 has directly and indirectly adversely affected Second Sight and will likely continue to do so for an uncertain period of time. In March and
April 2020 we laid off the majority of our employees as a result of COVID-19 and an inability to obtain financing. We retain approximately twelve of our
employees to oversee current operations, including some that were re-hired once our financial situation improved and the future of the company became
more clear. The cumulative effects of COVID-19 on the Company cannot be predicted at this time, but could include, without limitation:
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reputational damages of the Company and its products;
inability to raise additional funds to finance and continue our operations;
inability to maintain adequate office laboratory facilities;
inability to retain and hire experienced personnel;
diminished ability, or inability, to enroll patients or complete clinical trials and other activities required to achieve regulatory clearance of our
products under development
inability to finalize our plan for and enroll patients into our proposed pivotal clinical trial;
material delays or inability to complete development and commercialization of Orion;
inability to satisfy Nasdaq’s continued listing requirements and possible delisting; and
other uncertain events that may have negative impact on our operations.
Materials necessary to manufacture Orion may not be available on commercially reasonable terms, or at all, which may delay development,
manufacturing and commercialization of our products.
We rely on numerous suppliers to provide materials, components and services necessary to produce the Orion system and next generation product
candidates. Certain suppliers are currently sole source because of our low manufacturing volumes and our need for specialty technical or other engineering
expertise. Our suppliers may be unable or unwilling to deliver these materials and services to us timely as needed or on commercially reasonable terms.
Should this occur, we would seek to qualify alternative suppliers or develop in-house manufacturing capability but may be unable to do so. Substantial
design or manufacturing process modifications and regulatory approval might be required to facilitate or qualify an alternate supplier. Even where we could
qualify alternative suppliers the substitution of suppliers may be at a higher cost and cause time delays including delays associated with additional possible
FDA
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review, that could impede the production of the Orion system, reduce gross profit margins and impact our ability to deliver our products as may be timely
required to meet demand.
Any failure or delay in completing clinical trials or studies for new product candidates or next generation of our products and the expense of those
trials could adversely affect our business.
Preclinical studies and clinical trials required to demonstrate the safety and efficacy of incremental changes, including new wearables and software
enhancements and for new product candidates such as Orion are time consuming and expensive. If we are required to conduct additional clinical trials or
other studies with respect to any of our product candidates beyond those that we have contemplated, if we are unable to successfully complete our clinical
trials or other studies or if the results of these trials or studies are not positive or are only modestly positive, we may be delayed in obtaining marketing
approval for those product candidates, we may not be able to obtain marketing approval or we may obtain approval for indications that are not as broad as
intended. Our product development costs also will increase if we experience delays in testing or approvals.
The completion of clinical trials for our product candidates could be delayed because of our inability to manufacture or obtain from third parties
materials sufficient for use in preclinical studies and clinical trials; delays in patient enrollment and variability in the number and types of patients available
for clinical trials; difficulty in maintaining contact with patients after treatment, resulting in incomplete data; poor effectiveness of product candidates
during clinical trials; unforeseen safety issues or side effects; and governmental or regulatory delays and changes in regulatory requirements and guidelines.
If we incur significant delays in our clinical trials, our competitors may be able to bring their products to market before we do which could result in
harming our ability to commercialize our products or potential products. If we experience any of these occurrences our business will be materially harmed.
We have lost key management and staff personnel because of Covid-19 pandemic. If we fail to recruit highly skilled personnel to replace employees
who have left the Company, our ability to identify, develop and commercialize new or next generation product candidates will be impaired, could result
in loss of markets or market share and could make us less competitive.
We have laid off the majority of our employees including key members of our executive management team because Covid-19 outbreak affected our
ability to fund our operations. Our existing employees could leave our company with little or no prior notice. The loss of any management executive or any
other principal member of our management team or our inability to attract and retain skilled employees could impair our ability to identify, develop and
market new products or effectively deal with regulatory and reimbursement matters. Will McGuire, our President and Chief Executive Officer, tendered his
resignation effective March 27, 2020 and our Board has appointed Matthew Pfeffer, a member of our Board of Directors, as acting chief executive officer,
and Edward Sedo, our Controller, as Principal Accounting and Financial Officer. To the extent that we lose experienced personnel, it is critical that we
develop other employees, hire new qualified personnel and successfully manage the transfer of critical knowledge. No assurance can be given that we will
be able to do so.
We could be adversely affected by violations of the U.S. Foreign Corrupt Practices Act and similar worldwide anti-bribery laws.
The U.S. Foreign Corrupt Practices Act and similar worldwide anti-bribery laws generally prohibit companies and their intermediaries from making
improper payments to non-U.S. officials for the purpose of obtaining or retaining business. We intend to adopt policies for compliance with these anti-
bribery laws, which often carry substantial penalties. We cannot assure you that our internal control policies and procedures always will protect us from
reckless or other inappropriate acts committed by our affiliates, employees or agents. Violations of these laws, or allegations of such violations, could have
a material adverse effect on our business, financial position and results of operations and could cause the market value of our common stock to decline.
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Risks Related to Intellectual Property and Other Legal Matters
If we or our licensors are unable to protect our/their intellectual property, then our financial condition, results of operations and the value of our
technology and products could be adversely affected.
Patents and other proprietary rights are essential to our business, and our ability to compete effectively with other companies is dependent upon the
proprietary nature of our technologies. We also rely upon trade secrets, know-how, continuing technological innovations and licensing opportunities to
develop, maintain and strengthen our competitive position. We seek to protect these, in part, through confidentiality agreements with certain employees,
consultants and other parties. Our success will depend in part on the ability of our licensors to obtain, maintain (including making periodic filings and
payments) and enforce patent protection for their intellectual property, in particular, those patents to which we have secured exclusive rights. Our licensors
may not successfully prosecute or continue to prosecute the patent applications which we have licensed. Even if patents are issued in respect of these patent
applications, we or our licensors may fail to maintain these patents, may determine not to pursue litigation against entities that are infringing upon these
patents, or may pursue such enforcement less aggressively than we ordinarily would. Without adequate protection for the intellectual property that we own
or license, other companies might be able to offer substantially identical products for sale, which could unfavorably affect our competitive business position
and harm our business prospects. Two patents licensed from the John Hopkins University (the JHU Patents) expired in 2018, along with our License
Agreement with the Johns Hopkins University. The expiration of the JHU Patents removes a barrier to entry for competitors who may be interested in
selling a product competitive with Argus II. The JHU Patents are specific to retinal stimulation and have no effect on Orion technology.
Even if issued, patents may be challenged, invalidated, or circumvented, which could limit our ability to stop competitors from marketing similar
products or limit the length of term of patent protection that we may have for our products.
Litigation or third-party claims of intellectual property infringement or challenges to the validity of our patents would require us to use resources to
protect our technology and may prevent or delay the development, regulatory approval or commercialization Orion system or new product candidates.
Further, the validity of some of our patents has been challenged.
Pixium has three currently pending oppositions in the European Patent Office (EPO) challenging the validity of European patents owned by Second
Sight. The EPO proceedings involving Pixium and Second Sight are:
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EP1937352 Sub-Threshold Stimulation to Precondition Neurons for Supra-Threshold Stimulation – cancelled in the Opposition Division, appeal
pending.
EP2061549 – Package for an Implantable Neural Stimulation Device - Cancelled in the Opposition Division, appeal pending.
EP2185236 – Implantable Device for the Brain – Upheld in the Opposition Division, appeal pending.
Due to our pending business combination, Pixium and Second Sight have agreed to withdraw those oppositions with actions due before the intended
close of the business combination. We have withdrawn the one opposition we filed against Pixium. Complete withdrawal of all of the oppositions is
anticipated, but dependent on completion of the business combination with Pixium.
If we are the target of claims by third parties asserting that our products or intellectual property infringe upon the rights of others we may be forced to
incur substantial expenses or divert substantial employee resources from our business and, if successful, those claims could result in our having to pay
substantial damages or prevent us from developing one or more product candidates. Further, if a patent infringement suit were brought against us or our
collaborators, we or they could be forced to stop or delay research, development, manufacturing or sales of the product or product candidate that is the
subject of the suit.
The validity of some of our patents has been challenged. If we experience patent infringement claims, or if we elect to avoid potential claims others
may be able to assert, we or our collaborators may choose to seek, or be required to seek, a license from the third-party and would most likely be required
to pay license fees or royalties or both. These licenses may not be available on acceptable terms, or at all. Even if we or our collaborators were able to
obtain a license, the rights may be nonexclusive, which would give our competitors access to the same intellectual property. Ultimately, we could be
prevented from commercializing a product, or be forced to cease some aspect of our business
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operations if, as a result of actual or threatened patent infringement claims, we or our collaborators are unable to enter into licenses on acceptable terms.
This could harm our business significantly. The cost to us of any litigation or other proceeding, regardless of its merit, even if resolved in our favor, could
be substantial. Some of our competitors may be able to bear the costs of such litigation or proceedings more effectively than we can because of their having
greater financial resources. Uncertainties resulting from the initiation and continuation of patent litigation or other proceedings could have a material
adverse effect on our ability to compete in the marketplace. Intellectual property litigation and other proceedings may, regardless of their merit, also absorb
significant management time and employee resources.
If we fail to comply with our obligations in the agreements under which we license development or commercialization rights to products or technology
from third parties, we could lose license rights that are important to our business.
We hold an exclusive license from the Doheny Eye Institute (DEI) to intellectual property relating to the Argus II visual prosthesis and Orion cortical
visual prosthesis. This license imposes various commercialization, milestone payment, profit sharing, insurance and other obligations on us. If we fail to
comply with any material obligations, DEI will have the right to terminate the license, which covers part of the Argus and Orion systems. The existing or
future patents to which we have rights based on our agreements with DEI may be too narrow to prevent third parties from developing or designing around
these patents. Additionally, we may lose our exclusive rights to the patents and patent applications we license in the event of a breach or termination of the
license agreement. The license expires with the expiration of the last of the licensed patents on August 8, 2033. The royalty in the agreement is 0.5% of the
patented portion of Argus II system sales. All of the patents in the DEI agreement are co-owned by Second Sight and DEI. We license DEI’s interest in the
patents to maintain our exclusive use on that intellectual property. Should the license terminate, we retain the right to utilize the intellectual property, but
may not be able to prevent others from doing so, in which case we may lose a competitive advantage.
If we are unable to protect the intellectual property used in our products, others may be able to copy our innovations which may impair our ability to
compete effectively in our markets.
The strength of our patents involves complex legal and scientific questions and can be uncertain. We have over 300 issued patents and over 25 pending
patent applications worldwide as of December 31, 2020. Our patent applications may be challenged or fail to result in issued patents and our existing or
future patents may be too narrow to prevent third parties from developing or designing around our intellectual property and in that event we may lose
competitive advantage and our business may suffer.
Further, the patent applications that we license or have filed may fail to result in issued patents. The claims may need to be amended. Even after
amendment, a patent may not issue and in that event we may not obtain the exclusive use of the intellectual property that we seek and may lose competitive
advantage which could result in harm to our business.
Third-party claims of intellectual property infringement may prevent or delay our development and commercialization activities for Orion.
Although we are not currently aware of any litigation or other proceedings or third-party claims of intellectual property infringement related to the
Argus II or Orion systems, the medical device industry is characterized by many litigation cases regarding patents and other intellectual property rights.
Other parties may in the future allege that our activities infringe their patents or that we are employing their proprietary technology without authorization.
We may not have identified all the patents, patent applications or published literature that affect our business either by blocking our ability to
commercialize our product, by preventing the patentability of one or more aspects of our products or those of our licensors or by covering the same or
similar technologies that may affect our ability to market our product.
In addition, even in the absence of litigation, we may need to obtain licenses from third parties to advance our research or allow commercialization of
our product candidates, and we have done so from time to time. We may fail to obtain future licenses at a reasonable cost or on reasonable terms, if at all.
In that event, we may be unable to further develop and commercialize one or more of our product candidates, which could harm our business significantly.
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We may become involved in future lawsuits to protect or enforce our patents or the patents of our licensors, which could be expensive, time consuming
and unsuccessful.
Competitors may infringe our patents or the patents of our licensors. To counter infringement or unauthorized use, we may file infringement claims,
which can be expensive and time consuming. In addition, in an infringement proceeding, a court may decide that a patent of ours or of our licensors is not
valid or is unenforceable or may refuse to stop the other party from using the technology at issue on the grounds that our patents do not cover the
technology in question. An adverse result in any litigation or defense proceedings could put one or more of our patents at risk of being invalidated or
interpreted narrowly and could put our patent applications at risk of not issuing.
The U.S. Patent and Trademark Office may initiate interference proceedings to determine the priority of inventions described in or otherwise affecting
our patents and patent applications or those of our collaborators or licensors. An unfavorable outcome could require us to cease using the technology or to
attempt to license rights to it from the prevailing party. Our business could be harmed if a prevailing party does not offer us a license on terms that are
acceptable to us. Litigation or interference proceedings may fail and, even if successful, may result in substantial costs and distraction of our management
and other employees. We may not be able to prevent, alone or with our licensors, misappropriation of our proprietary rights, particularly in countries where
the laws may not protect those rights as fully as in the U.S.
We are increasingly dependent on sophisticated information technology systems, including systems from third parties, and if we fail to properly
maintain the integrity of our data or if our products do not operate as intended, our business could be materially and adversely affected.
We are increasingly dependent on sophisticated information technology systems for our products and infrastructure, and we rely on these information
technology systems, including technology from third-party vendors, to process, transmit and store electronic information in our day-to-day operations. We
continuously monitor, upgrade and expand the systems we operate to improve information systems capabilities. Our information systems require an
ongoing commitment of significant resources to maintain, protect, and enhance existing systems and develop or contract new systems to keep pace with
continuing changes in information processing technology, evolving systems and regulatory standards, and the increasing need to protect patient and
customer information. In addition, third parties may attempt to hack into our products or systems and may obtain data relating to patients with our products
or proprietary information. If we fail to maintain or protect our information systems and data integrity with cyber security effectively, we could lose
existing customers, have difficulty attracting new customers, have problems in determining product cost estimates and establishing appropriate pricing,
have difficulty preventing, detecting, and controlling fraud, have disputes with customers, physicians, and other health care professionals, have regulatory
sanctions, fines, or penalties imposed, have increases in operating expenses, incur expenses or lose revenue as a result of a data privacy breach, or suffer
other adverse consequences. There can be no assurance that our process of upgrading and expanding our information systems capabilities, protecting and
enhancing our systems including cyber security methods, and developing new systems to keep pace with continuing changes in information processing
technology will be successful or that additional systems issues will not arise in the future. Our products contain hardware and software protections which
are intended to prevent unauthorized access or control of our implanted device. However, if an unauthorized user is able to breach our controls and gain
access to one of our devices implanted in a patient, serious harm, injury and/or death may result. Any significant breakdown, intrusion, interruption,
corruption, or destruction of these systems, as well as any data breaches, could have a material adverse effect on our business.
Product liability lawsuits could divert our resources, result in substantial liabilities and reduce the commercial potential of our products.
We face a risk of product liability claims arising from the prosthesis being inserted into the eye, and it is possible that we may be held liable for injuries
of patients who receive our product. These lawsuits may divert our management from pursuing our business strategy and may be costly to defend. In
addition, if we are held liable in any of these lawsuits, we may incur substantial liabilities and may be forced to limit or forego further commercialization of
one or more of our products. We maintain product liability insurance relating to our clinical trials and commercial sales, with an aggregate coverage limit
under these insurance policies of $10 million, and while we believe this amount of insurance currently is sufficient to cover our product liability exposure,
these limits may not prove adequate to fully cover potential liabilities. In addition, we may not be able to obtain or maintain sufficient insurance coverage
at an acceptable cost or otherwise to protect against potential product liability claims, which could prevent or inhibit the
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commercial production and sale of our products. If the use of our products harm or are alleged to harm people, we may be subject to costly and damaging
product liability claims that exceed our policy limits and cause us significant losses that could seriously harm our financial condition or reputation.
Legislative or regulatory reform of the health care system in the U.S. and foreign jurisdictions may adversely impact our business, operations or
financial results.
Our industry is highly regulated and changes in law may adversely impact our business, operations or financial results. In March 2010, the Patient
Protection and Affordable Care Act, and a related reconciliation bill were signed into law. This legislation changes the current system of healthcare
insurance and benefits intended to broaden coverage and control costs. The law also contains provisions that will affect companies in the medical device
industry and other healthcare related industries by imposing additional costs and changes to business practices.
Moreover, in some foreign countries, including countries in Europe and Canada, the pricing of approved medical devices is subject to governmental
control. In these countries, pricing negotiations with governmental authorities can take 12 months or longer after the receipt of regulatory approval and
product launch. To obtain reimbursement or pricing approval in some countries, we may be required to conduct a clinical trial that compares the cost-
effectiveness of our product candidate to other available therapies. Our business could be materially harmed if reimbursement of our products is
unavailable or limited in scope or amount or if pricing is set at unsatisfactory levels.
We cannot predict what healthcare reform initiatives may be adopted in the future. Further federal and state legislative and regulatory developments
appear likely, and we expect ongoing initiatives in the U.S. and Europe. These reforms could have an adverse effect on our ability to obtain timely
regulatory approval for new products and on anticipated revenues from product candidates, both of which may affect our overall financial condition.
We are a “non-accelerated filer” and a “smaller reporting company” for SEC filing purposes and we cannot be certain if the reduced disclosure
requirements applicable will make our common stock less attractive to investors.
For so long as we remain a ‘non-accelerated filer” we may take advantage of certain exemptions from various requirements that are applicable to
public companies that are not ‘non-accelerated filers,” including not being required to comply with the independent auditor attestation requirements of
Section 404 of the Sarbanes-Oxley Act, reduced disclosure obligations regarding executive compensation in our periodic reports and proxy statements and
exemptions from the requirements of holding a nonbinding advisory vote on executive compensation and stockholder approval of any golden parachute
payments not previously approved. Investors may find our common stock less attractive because we rely on these exemptions. If some investors find our
common stock less attractive as a result, there may be a less active trading market for our common stock, and our stock price may be more volatile or may
decline.
In addition, Section 107 of the JOBS Act also provides that a ”smaller reporting company” can take advantage of an extended transition period for
complying with new or revised accounting standards. However, we chose to “opt out” of this extended transition period, and as a result, we intend to
comply with new or revised accounting standards on the relevant dates that adoption of those standards may be required. Our decision to opt out of the
extended transition period for complying with new or revised accounting standards is irrevocable.
Risks Relating to Our Financial Results and Need for Financing
Fluctuations in our quarterly operating results and cash flows could adversely affect the price of our common stock.
The revenues we generate and our operating results will be affected by numerous factors such as:
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materially reduced revenue we receive as a result of refocusing our business and resources to the Orion II as we discontinued the production of
the Argus II systems, deemphasize our marketing and limit implants of the Argus II to finished units and inventory on hand;
the status of our preclinical and clinical development programs;
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continued clinical results from our Early Feasibility Study of six subjects currently under way at UCLA and Baylor;
the filing and acceptance of an IDE with the FDA to initiate a larger pivotal trial for regulatory approval;
clinical results from conducting our larger pivotal trial(s);
our ability to obtain regulatory approval of the Orion system in the U.S. and other additional jurisdictions;
the emergence of products that compete with our product candidates;
our ability to leverage Argus II technology for cortical stimulation using Orion;
the status of our preclinical and clinical development programs, variations in the level of expenses related to our existing product candidates or
preclinical and clinical development programs;
execution of collaborative, licensing or other arrangements, and the timing of payments received or made under those arrangements;
any intellectual property infringement lawsuits to which we may become a party; and
our ability to obtain reimbursement from government or private payors at levels we deem adequate to sustain our operations.
If our quarterly operating results fall below the expectations of investors or securities analysts, or if we experience delays in reaching
commercialization of the Orion system the price of our common stock could decline substantially. Any quarterly fluctuations in our operating results and
cash flows may cause the price of our stock to fluctuate substantially. We believe that, in the near term, quarterly comparisons of our financial results are
not necessarily meaningful and should not be relied upon as an indication of our future performance.
We need additional capital to support our operations and growth. Additional capital may be difficult to obtain restricting our operations and resulting
in additional dilution to our stockholders.
Our business requires additional capital for implementation of our long term business plan. We believe our cash, cash equivalents and other
investments, together with revenue generated from the current sales and cash resources, will not be sufficient to fund our operations for at least twelve
months from the date of issuance of this report. We currently estimate that our existing cash and cash equivalents can sustain our operations into June 2021.
The actual amount of funds that we will need for our business will be determined by many factors, some of which are beyond our control, and we may need
funds sooner than currently anticipated. These factors include:
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the amount of our future operating losses;
legal, accounting and other costs associated with the proposed business combination with Pixium;
expenses relating to the Early Feasibility Study of the Orion;
ongoing commercialization planning for the Orion system;
the amount of our research and development, including research and development for the Orion visual prosthesis, marketing and general and
administrative expenses; and
regulatory changes and technological developments in our markets.
In November 2017, we entered into an At-the-Market sales agreement (the “Sales Agreement”) with B. Riley FBR Inc. and H.C. Wainwright & Co.,
LLC, as agents (“Agents”) pursuant to which we may offer and sell, from time to time through either of the Agents, shares of our common stock having an
aggregate offering price as set forth in the Sales Agreement and a related prospectus supplement filed with the Securities and Exchange Commission. We
agreed to pay the Agents a cash commission of 3.0% of the aggregate gross proceeds from each sale of shares under the Sales Agreement. During January
and February 2018 we sold approximately 278,000 shares of common stock for net proceeds of $4.0 million. During December 2019 we sold
approximately 17,000 shares of common stock under this agreement for net proceeds of $0.1 million. During 2018 we also sold privately in at the market
transactions an aggregate of approximately 1,966,000 shares of common stock for gross proceeds of approximately $22.0 million.
In a rights offering completed on February 22, 2019 we sold approximately 5,976,000 units, each priced at $5.792 for net cash proceeds of
approximately $34.4 million. Each unit consisted of one share and one immediately exercisable warrant having an exercise price of $11.76 per share.
Entities controlled by Gregg Williams, our Chairman of the Board of Directors, acquired approximately 5,180,000 units in the offering for an aggregate
investment of approximately $30 million.
In May 2020 we entered an underwriting agreement with ThinkEquity, a division of Fordham Financial Management, Inc., pursuant to which we sold
7,500,000 shares of common stock in an underwritten public offering
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for gross proceeds of $7.5 million. On December 8, 2020 we borrowed $1 million from Gregg Williams, Chairman of the Board of Directors and $1.2
million from two unaffiliated shareholders. This debt is unsecured, bears interest at 12% per year and together with accrued interest is due and payable on
December 31, 2021.
As we require additional funds, we may seek to fund our operations through the sale of additional equity securities, debt financing and strategic
collaboration agreements. We cannot be sure that additional financing from any of these sources will be available when needed or that, if available, the
additional financing will be obtained on terms favorable to us or our stockholders. If we raise additional funds by selling shares of our capital stock, the
ownership interest of our current stockholders will be diluted. If we are unable to obtain additional funds on a timely basis or on terms favorable to us, we
may be required to cease or reduce certain research and development projects, to sell some or all of our technology or assets or business units or to merge
all or a portion of our business with another entity. Our independent registered public accounting firm, in its reports on our 2019 and 2020 consolidated
financial statements, has raised substantial doubt about our ability to continue as a going concern.
Risks Related to Our Business and Industry
We have incurred operating losses since inception and may continue to incur losses for the foreseeable future.
We have had a history of operating losses and we expect that operating losses will continue into the near term. Although we have had sales of the
Argus II product, these limited sales were insufficient to cover our operating expenses. Given the limited addressable market of Argus II, we no longer
market the Argus II and have focused all of our resources on the development of Orion. Our ability to generate positive cash flow will hinge on our ability
to develop the Orion visual prosthesis, correctly price our product to our markets, and obtain government and private insurance reimbursement. As of
December 31, 2020 we had negative stockholders’ equity of $0.7 million and an accumulated deficit of $319.7 million. We cannot assure you that we will
be profitable even if we successfully commercialize our products. Failure to become and remain profitable may adversely affect the market price of our
common stock and our ability to raise capital and continue operations.
Our business is subject to international economic, political and other risks that could negatively affect our results of operations or financial position.
We anticipate that revenue from Europe and other countries outside the U.S. may be material to our future long-term success. Accordingly, our
operations are subject to risks associated with doing business internationally, including:
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currency exchange variations;
extended collection timelines for accounts receivable;
greater working capital requirements;
multiple legal frameworks and unexpected changes in legal and regulatory requirements;
the need to ensure compliance with the numerous regulatory and legal requirements applicable to our business in each of these jurisdictions and
to maintain an effective compliance program to ensure compliance with these requirements;
political changes in the foreign governments impacting health policy and trade;
tariffs, export restrictions, trade barriers and other regulatory or contractual limitations that could impact our ability to sell or develop our
products in certain foreign markets;
trade laws and business practices favoring local competition; and
adverse economic conditions, including the stability and solvency of business financial markets, financial institutions and sovereign nations and
the healthcare expenditure of domestic or foreign nations.
The realization of any of these or other risks associated with operating in Europe or other non-U.S. countries could have a material adverse effect on
our business, results of operations or financial condition.
We are subject to stringent domestic and foreign medical device regulation and any unfavorable regulatory action may materially and adversely affect
our financial condition and business operations.
Our products, development activities and manufacturing processes are subject to extensive and rigorous regulation by numerous government agencies,
including the FDA and comparable foreign agencies. To varying degrees, each of these agencies monitors and enforces our compliance with laws and
regulations governing the development, testing,
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manufacturing, labeling, marketing, distribution, and the safety and effectiveness of our medical devices. The process of obtaining marketing approval or
clearance from the FDA and comparable foreign bodies for new products, or for enhancements, expansion of the indications or modifications to existing
products, could:
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take a significant, indeterminate amount of time;
result in product shortages due to regulatory delays;
require the expenditure of substantial resources;
involve rigorous pre-clinical and clinical testing, and possibly post-market surveillance;
involve modifications, repairs or replacements of our products;
require design changes of our products;
result in limitations on the indicated uses of our products; and
result in our never being granted the regulatory approval we seek.
Any of these occurrences that we might experience will cause our operations to suffer, harm our competitive standing and result in further losses that
adversely affect our financial condition.
We have ongoing responsibilities under FDA and international regulations, both before and after a product is commercially released. For example, we
are required to comply with the FDA’s Quality System Regulation (QSR), which mandates that manufacturers of medical devices adhere to certain quality
assurance requirements pertaining, among other things, to validation of manufacturing processes, controls for purchasing product components, and
documentation practices. As another example, the Medical Device Reporting regulation requires us to provide information to the FDA whenever there is
evidence that reasonably suggests that a device may have caused or contributed to a death or serious injury, or that a malfunction occurred which would be
likely to cause or contribute to a death or serious injury upon recurrence. Compliance with applicable regulatory requirements is subject to continual review
and is monitored rigorously through periodic inspections by the FDA. If the FDA were to conclude that we are not in compliance with applicable laws or
regulations, or that any of our medical devices are ineffective or pose an unreasonable health risk, the FDA could ban such medical devices, detain or seize
such medical devices, order a recall, repair, replacement, or refund of such devices, or require us to notify health professionals and others that the devices
present unreasonable risks of substantial harm to the public health. The FDA has been increasing its scrutiny of the medical device industry and the
government is expected to continue to scrutinize the industry closely with inspections and possibly enforcement actions by the FDA or other agencies.
Additionally, the FDA may restrict manufacturing and impose other operating restrictions, enjoin and restrain certain violations of applicable law
pertaining to medical devices and assess civil or criminal penalties against our officers, employees, or us. Any adverse regulatory action, depending on its
magnitude, may restrict us from effectively manufacturing, marketing and selling our products. In addition, negative publicity and product liability claims
resulting from any adverse regulatory action could have a material adverse effect on our financial condition and results of operations.
The number of preclinical and clinical tests that will be required for regulatory approval varies depending on the disease or condition to be treated, the
jurisdiction in which we are seeking approval and the regulations applicable to that particular medical device. Regulatory agencies, including those in the
U.S., Canada, Europe and other countries where medical devices are regulated, can delay, limit or deny approval of a product for many reasons. For
example,
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a medical device may not be safe or effective;
regulatory agencies may interpret data from preclinical and clinical testing differently than we do;
regulatory agencies may not approve our manufacturing processes;
regulatory agencies may conclude that our device does not meet quality standards for durability, long-term reliability, biocompatibility,
electromagnetic compatibility, electrical safety; and
regulatory agencies may change their approval policies or adopt new regulations.
The FDA may make requests or suggestions regarding conduct of our clinical trials, resulting in an increased risk of difficulties or delays in obtaining
regulatory approval in the U.S. Any of these occurrences could prove materially harmful to our operations and business.
Our revenue from sales of Orion will be dependent upon the pricing and reimbursement guidelines adopted in each country and if pricing and
reimbursement levels are inadequate to achieve profitability our operations will suffer.
Our financial success is dependent on our ability to price our products in a manner acceptable to government and private payors while still maintaining
our profit margins. Numerous factors that may be beyond our control may
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ultimately impact our pricing of Orion and determine whether we are able to obtain reimbursement or reimbursement at adequate levels from governmental
programs and private insurance. If we are unable to obtain reimbursement or our product is not adequately reimbursed, we will experience reduced sales,
our revenues likely will be adversely affected, and we may not become profitable.
Obtaining reimbursement approvals is time consuming, requires substantial management attention, and is expensive. Our business will be materially
adversely affected if we do not receive approval for reimbursement of Orion under government programs and from private insurers on a timely or
satisfactory basis. Limitations on coverage could also be imposed at the local Medicare Administrative Contractor level or by fiscal intermediaries in the
U.S., and by regional or national funding agencies in Europe. Our business could be materially adversely affected if the Medicare program, local Medicare
Administrative Contractors or fiscal intermediaries were to make such a determination and deny, restrict or limit the reimbursement of Orion. Similarly in
Europe, these governmental and other agencies could deny, restrict or limit the reimbursement of Orion at the hospital, regional or national level. Our
business also could be adversely affected if surgeons and the facilities within which they operate are not adequately reimbursed by Medicare and other
funding agencies for the cost of the procedure in which they implant the Orion on a basis satisfactory to the administering surgeons and their facilities. If
the local contractors that administer the Medicare program and other funding agencies are slow to reimburse surgeons or provider facilities for the Argus II
system, the surgeons and facilities may delay their payments to us, which would adversely affect our working capital requirements. Also, if the funding
agencies delay reimbursement payments to the hospitals, any increase to their working capital requirements could reduce their willingness to treat blind
patients who wish to have our Orion devices implanted. If reimbursement for our products is unavailable, limited in scope or amount, or if pricing is set at
unsatisfactory levels, our business will be materially harmed.
Our product candidates may cause undesirable side effects or have other properties that could delay or prevent their regulatory approval, limit the
commercial profile of an approved label, or result in significant negative consequences following marketing approval, if any.
In order to obtain marketing approval for Orion we must demonstrate the safety and efficacy of Orion through clinical trials as well as additional
supporting data. If Orion is associated with undesirable side effects in clinical trials or have characteristics that are unexpected, we may need to interrupt,
delay or abandon Orion’s development, cause it to have reduced functionality, or limit development to more narrow uses or subpopulations in which the
undesirable side effects or other characteristics are less prevalent, less severe or more acceptable from a risk-benefit perspective. We are conducting a six
subject initial feasibility clinical study of Orion at UCLA and Baylor, but we cannot guarantee that any positive results in this limited trial will successfully
translate to a pivotal clinical trial. It is not uncommon to observe results in human clinical trials that are unexpected based on limited trials testing, and
many product candidates fail in large clinical trials despite promising limited clinical trial results. Moreover, clinical data is often susceptible to varying
interpretations and analyses, and many companies that have believed their product candidates performed satisfactorily in preclinical studies and clinical
trials nonetheless failed to obtain marketing approval for their products. No assurance can be given that we will not encounter similar results in our Orion
trials.
Human subjects in our clinical trials may suffer significant adverse events, tolerability issues or other side effects associated with the surgical
implantation, chronic implantation, and chronic use of the Orion device. These events include, but are not limited to, the following (events that are also
anticipated during or following explanation of the Orion device are identified with an asterisk (*)): intracranial hemorrhage*; subcutaneous hematoma*;
vascular injury causing stroke or hemorrhage (e.g. injury to the superior sagittal sinus or posterior cerebral artery perforators)*; hydrocephalus*;
intracranial hypotension or cerebrospinal fluid (CSF) leak*; headache or pain in the head, including deep pain*; tingling at the implant site*; brain edema*;
infection*; meningitis*; implant site pain, swelling, discharge or effusion*; suture-related complications or stitch abscess*; skin erosion on and/or around
the implant site; adverse tissue reaction to the implant; tissue damage at the implant/explant site*; cranial defect/bone damage*; decline in residual vision*;
dizziness/syncope*; foreign body sensation at the implant site*; activation of motor or sensory neurons (e.g., muscle twitch); clinically symptomatic
seizure*; development of epilepsy; coma*; death*; psychiatric events, including but not limited to mood changes, depression, suicidality, and psychosis*;
neurological deficit, including but not limited to language (dysphemia), dysesthesias, paresis, paresthesia, visual field, motor deficit (including apraxia),
and memory impairment*; drug hypersensitivity, adverse drug reaction, or therapeutic agent toxicity*; events related to any surgery and general anesthesia
including cardiac risks, including stroke/transient
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ischemic attack, arrhythmia, cardiac arrest, and myocardial infarction*, venous thromboembolic (VTE) disease*; pneumonia*, urinary tract infection*,
post-operative delirium*, postoperative constipation*, post-operative vomiting or nausea*, or post-operative fever*; injuries due to falls or bumps; skin
irritation or burns; Orion system failure or malfunction; array migration; damage to the Orion electronics case; device interaction including the Orion
device may interfere with the proper functioning of other electronic devices and emissions from other electronic equipment may interfere with the proper
functioning of the Orion device; and (explant only) inability to remove all or part of the Orion device due to fibrosis or other reason.
No assurance can be given that we will not encounter adverse events in our Orion trials. The observed efficacy and extent of light perception and
vision restoration for subjects implanted with Orion in our feasibility study may not be maintained over the long term, or may not be observed in a larger
pivotal clinical trial. If general clinical trials of Orion fail to demonstrate efficacy to the satisfaction of regulatory authorities or do not otherwise produce
positive results, we may incur additional costs or experience delays in completing, or ultimately be unable to complete, the development and
commercialization of Orion.
For example, in June 2018, one subject in our Early Feasibility Study for Orion (“EFS”) experienced a seizure while in the clinic when we were
evaluating a specific video stimulation algorithm. The seizure resolved quickly with medication and the subject was released from the clinic without need
for hospitalization or further treatment. The subject was allowed to continue using the Orion device after the serious adverse event was reviewed by a
safety committee for the study and clinicians at the implanting institution.
In addition, in January 2019 we observed higher impedance levels on 11 of 60 electrodes with the first EFS subject implanted with the Orion device in
January 2018. As a result, some of these electrodes no longer generated a phosphene, or observable spot of light, for the subject. The subject continues to
use the device and is continuing to participate in the clinical study. Mechanical and software safeguards are built into the device to avoid excessive
electrical stimulation and, as a result, the higher impedance levels do not pose any known safety risks to the subject. Given the pattern of high impedances,
we took the precaution of disabling half of the electrodes on the array to ensure that other potentially affected electrodes are not used. Root cause(s) for the
higher impedance levels cannot be conclusively determined while the device remains implanted but could include any combination of the following:
potential manufacturing defects, damage due to improper or excessive handling of the device, materials chosen for the design, and related processes. The
first subject has been implanted with the device for 36 months, four subjects have been implanted for 31-33 months, and one subject for 24 months. We
currently have no indication that the issue exists with any of the Orion devices implanted in each of the other five EFS subjects. Prior to initiation of EFS,
we subjected six Orion implants to accelerated aging tests and had no failures for what was the equivalent of up to 6.5 years.
In October 2019, we also observed changes to impedances (higher and lower) on most electrodes with the sixth EFS subject implanted with the device
in January 2019. These impedance changes were coincident with a loss of most perception from the device, though there is no indication of a medical
adverse event or a device defect. When examined again in November 2019, this sixth EFS subject showed improved perception and more normal
impedances including performance on the 12-month visual function and functional vision assessments that was similar to pre-incident performance. We are
currently investigating the possible root cause(s) for these changes, which may or may not be device related (that is the possible root causes may be subject
related) and may or may not continue to improve or worsen again.
We cannot provide any assurance that we will not experience similar or other issues with any of the implanted Orion devices, be able to determine the
root cause of the issue or to ascertain whether the issue is isolated or systemic in nature. Additional testing, investigation, design changes or mitigation
activities may delay our plans to conduct additional clinical studies for Orion and/or our marketing approval and may have a material adverse effect on our
business.
If device defects, significant adverse events or other side effects are observed in any of our future clinical trials, we may have difficulty recruiting
subjects to the clinical trial, subjects may drop out of our trial, or we may be required to abandon the trial or our development efforts of that product
candidate altogether. We, the FDA or other applicable regulatory authorities may suspend clinical trials of Orion at any time for various reasons, including
a belief that subjects in such trials are being exposed to unacceptable health risks. Devices developed in the prosthesis industry
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that initially showed promise in early-stage studies have later been found to cause side effects that prevented their further development. Even if the side
effects do not preclude Orion from obtaining or maintaining marketing approval, undesirable side effects may inhibit market acceptance of the approved
product due to its actual or perceived safety and tolerability profile. Any of these developments could materially harm our business, financial condition and
prospects.
Should Orion obtain marketing approval, adverse effects associated with it may also develop after such approval and could lead to requirements for
conducting additional clinical safety trials, placing additional warnings in the labeling, imposing significant restrictions on Orion, or withdrawing the Orion
from the market while further incurring attendant costs of explants and exposure to litigation. We cannot predict whether Orion will cause significant
adverse effects in humans that would preclude or lead to the revocation of regulatory approval. However, any such event, were it to occur, would cause
substantial harm to our business and financial condition and would result in the diversion of our management’s attention.
We are also subject to stringent government regulation in European and other foreign countries, which could delay or prevent our ability to sell our
products in those jurisdictions.
We intend to pursue market authorizations for the Orion system and other product candidates in additional jurisdictions and undergo additional audits.
For us to market our products in Europe and some other international jurisdictions, we and our distributors and agents must obtain required regulatory
registrations or approvals. The approval procedure varies among countries and jurisdictions and can involve additional testing, and the time and costs
required to obtain approval may differ from that required to obtain an approval by the FDA. Approval by the FDA does not ensure approval by regulatory
authorities in other countries or jurisdictions, and approval by one foreign regulatory authority does not ensure approval by regulatory authorities in other
foreign countries or jurisdictions or by the FDA. Violations of foreign laws governing use of medical devices may lead to actions against us by the FDA as
well as by foreign authorities. We must also comply with extensive regulations regarding safety, efficacy and quality in those jurisdictions. We may not be
able to obtain all the required regulatory registrations or approvals, or we may be required to incur significant costs in obtaining or maintaining any
regulatory registrations or approvals we receive. Delays in obtaining any registrations or approvals required for marketing our products, failure to receive
these registrations or approvals, or future loss of previously obtained registrations or approvals would limit our ability to sell our products internationally.
For example, international regulatory bodies have adopted various regulations governing product standards, packaging requirements, labeling requirements,
import restrictions, tariff regulations, duties and tax requirements. These regulations vary from country to country. In order to sell our products in Europe,
we must maintain our ISO 13485:2016 certification and CE mark certification, which is an international symbol of quality and compliance with applicable
European medical device directives. Failure to maintain the ISO 13485:2003 certification or CE mark certification or other international regulatory
approvals would prevent us from selling in some countries in Europe and elsewhere. The failure to obtain these approvals could harm our business
materially.
Even if we obtain clearance or approval to sell our products, we are subject to ongoing requirements and inspections that could lead to the restriction,
suspension or revocation of our clearance.
We, as well as any potential collaborative partners such as distributors, will be required to adhere to applicable FDA regulations regarding good
manufacturing practice, which include testing, control, and documentation requirements. We are subject to similar regulations in foreign countries. Even if
regulatory approval of a product is granted, the approval may be subject to limitations on the indicated uses for which the product may be marketed or to
the conditions of approval or contain requirements for costly post-marketing testing and surveillance to monitor the safety or efficacy of the product.
Ongoing compliance with good manufacturing practice and other applicable regulatory requirements is strictly enforced in the United States through
periodic inspections by state and federal agencies, including the FDA, and in international jurisdictions by comparable agencies. Failure to comply with
these regulatory requirements could result in, among other things, warning letters, fines, injunctions, civil penalties, recall or seizure of products, total or
partial suspension of production, failure to obtain premarket clearance or premarket approval for devices, withdrawal of approvals previously obtained, and
criminal prosecution. The restriction, suspension or revocation of regulatory approvals or any other failure to comply with regulatory requirements would
limit our ability to operate and could increase our costs.
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We have no large-scale manufacturing experience, which could limit our growth.
Our limited manufacturing experience may not enable us to make products in the volumes that would be necessary for us to achieve a significant
amount of commercial sales. Our product involves new and technologically complex materials and processes and we currently experience low yields on our
manufacturing process. As we move from making small quantities of our product for clinical trials to larger quantities for greater commercial distribution,
we must develop new manufacturing techniques and processes that allow us to scale production. We may not be able to establish and maintain reliable,
efficient, full scale manufacturing at commercially reasonable costs in a timely fashion. Difficulties we encounter in manufacturing scale-up, or our failure
to implement and maintain our manufacturing facilities in accordance with good manufacturing practice regulations, international quality standards or other
regulatory requirements, could result in a delay or termination of production. To date, our manufacturing activities have largely been to provide units for
clinical testing and commercial sales of the now discontinued Argus II system. We may face substantial difficulties in establishing and maintaining
manufacturing for our products at a larger commercial scale and those difficulties may impact the quality of our products and adversely affect our ability to
increase sales.
To establish our sales and marketing infrastructure, we will need to grow the size of our organization, and we may experience delays or other
difficulties in managing this growth.
As our development and commercialization plans and strategies evolve, we will need to expand the size of our employee base for managerial,
operational, sales, marketing, financial and other resources. Future growth would impose significant added responsibilities on members of management,
including the need to identify, recruit, maintain, motivate and integrate additional employees. Our management team may have to use a substantial amount
of time to manage these growth activities. Our future financial performance and our ability to commercialize the Orion system and our other product
candidates and compete effectively will depend, in part, on our ability to timely and effectively manage any future growth and related costs. We may not be
able to effectively manage a rapid pace of growth and timely implement improvements to our management infrastructure and control systems.
We may acquire additional businesses or form strategic alliances in the future, and we may not realize the benefits of such acquisitions or alliances.
We may acquire additional businesses or products, form strategic alliances or create joint ventures with third parties that we believe will complement
or augment our proposed Orion development activity and business. If we acquire businesses with promising markets or technologies, we may not be able to
realize the benefit of acquiring such businesses if we are unable to successfully integrate them with our existing operations and company culture. We may
have difficulty in developing, manufacturing and marketing the products of a newly acquired company that enhances the performance of our combined
businesses or product lines to realize value from expected synergies. We cannot assure that, following an acquisition, we will achieve the revenues or
specific net income that justifies the acquisition.
Our ability to utilize and benefit from our net operating loss carryforwards and certain other tax attributes may be limited.
As of December 31, 2020, we had federal and state of California income tax net operating loss carryforwards, which may be applied to future taxable
income, of approximately $116.1 million and $58.1 million, respectively. To the extent that we continue to generate taxable losses, unused losses will carry
forward to offset future taxable income, if any, until these unused losses expire. However, we may be unable to use these losses to offset taxable income
before our unused losses expire at various dates that range from 2035 through 2037 for federal net operating losses generated before 2020. Federal net
operating losses generated for year 2018 and forward do not expire. State net operating losses expire from 2033 through 2040. Under Section 382 of the
Internal Revenue Code of 1986, as amended, or the Code, if a corporation undergoes an “ownership change,” generally defined as a greater than 50
percentage point change (by value) in its equity ownership over a three-year period, the corporation’s ability to use its pre-change net operating loss, or
NOL, carryforwards to offset its post-change taxable income may be limited. Limitations may also apply to the utilization of other pre-change tax attributes
as a result of an ownership change.
We experienced an “ownership change” within the meaning of Section 382(g) of the Internal Revenue Code of 1986, as amended, during the second quarter
of 2017. The ownership change will subject our net operating loss carryforwards to an annual limitation, which will significantly restrict our ability to
use them to offset taxable income in periods following the ownership change. In general, the annual use limitation equals the aggregate value of our
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stock at the time of the ownership change multiplied by a tax-exempt interest rate specified by the Internal Revenue Service. We have analyzed the
available information to determine the amount of the annual limitation. Based on information available to us, the 2017 limitation is estimated to range
between $1.4 million and $3.7 million annually. In total, we estimate that the 2017 ownership change will result in approximately $120 million and $56
million of federal and state net operating loss carryforwards expiring unused.
Risks Related to the Securities Market, and Ownership of Our Common Stock
Although we believe that our strategy to (i) leverage proven Argus II technology to develop the Orion visual cortical prosthesis and (ii) significantly
expand our addressable market to include a portion of the almost six million patients who are blind from eye trauma, optic nerve disease and injury,
diabetic retinopathy, glaucoma and other untreatable causes is more likely to address a better and faster way to treat many causes of blindness, we will
incur material near term losses, market uncertainty and our stock may experience significant fluctuations as we continue to focus exclusively on Orion.
Based on assessments of the development of our Orion technology and the positive results in our Early Feasibility Study of the six subjects implanted
with the Orion at UCLA Medical Center and Baylor College of Medicine, in May 2019 our Board approved an acceleration of our transition from the
Argus II to the Orion platform so we may more rapidly implement our strategy of treating blindness domestically and worldwide. As a result, we will or
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accelerated the changeover to, and upgrades of, our supply chain, manufacturing and quality assurance processes, as well as our facilities and
talent pool to the Orion program and suspended production of Argus II system;
manufacture Orion devices that we will require to support FDA approval of the Orion commercial product;
seek to conduct a larger feasibility study or a pivotal clinical trial with the intent of seeking regulatory approval for marketing Orion in the U.S.;
terminated our commercial activities and other costs associated with expanding or maintaining Argus II sales;
limit future sales and implants of the Argus II to finished units and inventory on hand;
incurred non-cash impairment charges of approximately $2.6 million relating to Argus II inventory in the year ended December 31, 2019;
incurred cash severance and related expenses of approximately $800,000 in the year ended December 31, 2019 affecting employees primarily
associated with Argus II operations; and
cease supporting the Argus II patient population.
As a result of this transition from Argus II, our future success will depend on the further development, regulatory approval and commercialization of
the Orion product. Although we believe this more rapid changeover and implementation of our long term strategy for treating blindness by Orion will
provide us a sizable, commercially sustainable domestic and worldwide market for our products, in the near term we will incur significant losses, market
volatility and regulatory uncertainty, including uncertainty associated with pricing and reimbursement coverage with no current assurance of market
acceptance. No assurance can be given that this strategy will achieve domestic and regulatory approvals or result in commercial viability of our products or
our company.
If we are unable to obtain sufficient funding, we may be unable to execute our business plan and fund operations. We may not be able to obtain
additional financing on commercially reasonable terms, or at all.
We have experienced operating losses, and we may continue to incur operating losses for the next several years as we implement our business plan.
Currently, we have no revenue and do not have arrangements in place for all the
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anticipated financing that would be required to fully implement our business plan. Our prior losses combined with expected future losses, have had and will
continue to have, for the foreseeable future, an adverse effect on our stockholders’ equity and working capital.
We will need to raise additional capital in order to continue to execute our business plan in the future however there is no assurance that we will be
successful, or that additional financing will be available when needed or that management will be able to obtain financing on terms acceptable to us. If we
are unable to raise sufficient additional funds, we will need to further scale back our operations. The ongoing COVID-19 pandemic and resulting negative
impact on the global macroeconomic environment and capital markets may make it more difficult for us to raise additional funds.
We cannot give any assurance that we will be able to obtain all the necessary funding that we may need. In addition, we believe that we will require
additional capital in the future to fully develop our technologies and planned products to the stage of FDA approvals and a commercial launch. We have
pursued and may pursue additional funding through various financing sources, including the private sale of our equity and debt securities, licensing fees for
our technology, joint ventures with capital partners and project type financing. If we raise funds by issuing equity or equity-linked securities, dilution
to some or all our stockholders will result. Any equity securities issued may also provide for rights, preferences, or privileges senior to those of holders of
our common stock. The terms of debt securities issued or borrowings could impose significant restrictions on our operations. We also may seek
government-based financing, such as development and research grants. There can be no assurance that funds will be available on commercially reasonable
terms, if at all.
The incurrence of indebtedness or the issuance of certain equity securities could result in increased fixed payment obligations and could also result in
restrictive covenants, such as limitations on our ability to incur additional debt or issue additional equity, limitations on our ability to acquire or license
intellectual property rights, and other operating restrictions that could adversely affect our ability to conduct our business. In addition, the issuance of
additional equity securities by us, or the possibility of such issuance, may cause the market price of our common stock to decline. In the event that we enter
into collaborations or licensing arrangements to raise capital, we may be required to accept unfavorable terms. These agreements may require that we
relinquish, or license to a third party on unfavorable terms, our rights to technologies or product candidates that we otherwise would seek to develop or
commercialize ourselves, or reserve certain opportunities for future potential arrangements when we might otherwise be able to achieve more favorable
terms. In addition, we may be forced to work with a partner on one or more of our products or market development programs, which could lower the
economic value of those programs to us.
If we are unable to obtain adequate financing or financing on terms satisfactory to us when we require it, we may terminate or delay the development
of one or more of our Orion features updated products, delay clinical trials necessary to market our products, or delay establishment of sales and marketing
capabilities or other activities necessary to commercialize our products. If this were to occur, our ability to grow and support our business and to respond to
market challenges could be significantly limited or we may be unable to continue operations, in which case you could lose your entire investment.
If our development activity, regulatory efforts and substantial investments related to Orion do not result in a commercial product or if our company
never achieves profitability or positive free cash flow, our stock price will decline, we will not be able to sustain operations and our stockholders may
incur a complete loss of their investment in our company. The price of our common stock has been and may continue to be volatile and the value of
your investment could decline.
Medical technology stocks have historically experienced high levels of volatility. The trading prices of our common stock have fluctuated and may
continue to fluctuate substantially. The market price of our common stock may be higher or lower than the price you pay, depending on many factors, some
of which are beyond our control and may not be related to our operating performance. These fluctuations could cause you to lose substantially all or part of
your investment in our common stock. Factors that could cause fluctuations in the trading price of our common stock include:
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announcements of new offerings, products, services, therapies, treatments or technologies, commercial relationships, acquisitions or other
events by us or our competitors;
challenges to our patents and the patents and intellectual property that we license;
United States and European approvals or denials of our products;
price and volume fluctuations in the overall stock market from time to time;
significant volatility in the market price and trading volume of medical device or technology companies in general;
fluctuations in the trading volume of our shares or the size of our public float;
actual or anticipated changes or fluctuations in our results of operations;
whether our results of operations meet the expectations of securities analysts or investors;
actual or anticipated changes in the expectations of investors or securities analysts;
litigation involving us, our industry, or both;
regulatory developments in the United States, foreign countries, or both;
general economic conditions and trends;
major catastrophic events;
sales of large blocks of our common stock;
departures of key employees; and
an adverse impact on our business from any of the other risks cited herein.
In addition, if the market for medical technology stocks or the stock market, in general, experiences a loss of investor confidence, the trading price of
our common stock could decline for reasons unrelated to our business, results of operations or financial condition. The trading price of our common stock
might also decline in reaction to events that affect other companies in our industry even if these events do not directly affect us. In the past, following
periods of volatility in the market price of a company’s securities, securities class action litigation has often been brought against that company. If our stock
price is volatile, we may become the target of securities litigation. Securities litigation could result in substantial costs and divert our management’s
attention and resources from our business. This could have a material adverse effect on our business, results of operations and financial condition.
We are currently not in compliance with Nasdaq listing standards. If our common stock is delisted, the market price and liquidity of our common stock
and our ability to raise additional capital would be adversely impacted.
Our common stock and warrants are currently listed on Nasdaq. Continued listing of a security on Nasdaq is conditioned upon compliance with various
continued listing standards.
As previously disclosed, Nasdaq notified us on April 15, 2020, that due to the appointment of one of our independent directors as the acting Chief
Executive Officer effective March 27, 2020, we no longer complied with Nasdaq’s independent director and audit committee requirements as set forth in
Listing Rule 5605. On June 1, 2020, Nasdaq notified us that following the resignation of William J. Link as a director effective May 31, 2020, our
noncompliance with the Listing Rules was then due to more than one vacancy on our board and audit committee. As a result, Nasdaq advised us that we
were no longer eligible for the cure period set forth in our Form 8-K filed June 4, 2020 and that a plan of compliance was required to be submitted no later
than July 16, 2020.
Our board of directors concluded that our non-executive Chair, Gregg Williams, meets the criteria of an independent director and has appointed Mr.
Williams to be a member of the Audit Committee as of June 22, 2020, as a result of which we have only one vacancy on our board and committees. In the
July 15, 2020 letter, Nasdaq acknowledged our conclusion regarding Mr. Williams’ independent director status and appointment to the Audit
Committee. As a result, we are again eligible for the cure period provided in Nasdaq’s Listing Rules. As such, Nasdaq reiterated that consistent with
Listing Rules 5605(b)(1)(A) and 5605(c)(4), the Company’s cure period to regain compliance was provided to be as follows:
or
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until the earlier of the Company’s next annual shareholders’ meeting or March 27, 2021;
if the next annual shareholders’ meeting is held before September 23, 2020, then the
Company must evidence compliance no later than September 23, 2020.
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By notice dated January 4, 2021, Nasdaq advised us that since the Company has not held an annual meeting of shareholders within twelve months of
the end of the Company’s fiscal year end, we are no longer in compliance with the Nasdaq Listing Rules (the” Listing Rules”) for continued listing. On
February 18, 2021, the Company submitted a plan for correction of this deficiency to Nasdaq. Subsequently, on February 23, 2021 we were granted an
extension of time to regain compliance with these Rules until May 30, 2021. If we do not regain compliance with the Rules or receive a further extension
by that date, our common stock will be subject to delisting
We have no assurance that we will be able to regain compliance with Nasdaq’s listing rules. If our securities are delisted from Nasdaq, we could
experience reduced market liquidity of our common stock which could result in a corresponding material reduction in the price of our common
stock. Delisting moreover could harm our ability to raise capital on terms acceptable to us, or at all, and may result in the potential loss of confidence by
investors, employees and business development opportunities.
If shares of our common stock cease to be listed on a national exchange we will not be subject to compliance with rules requiring the adoption of
certain corporate governance measures and as a result our stockholders may experience reduced protections.
Each of the New York Stock Exchange and the Nasdaq Stock Market LLC require the implementation of various measures relating to corporate
governance for listed companies. These quantitative and qualitative measures are designed to enhance the integrity of corporate management and the
securities markets and apply to securities which are listed on those stock exchanges. While we have adopted these measures, we will not be required to
comply with many of the corporate governance provisions if our common stock is not listed on a national securities exchange. As a result, if we cease to be
listed on national exchange and elect to cease compliance with any of the corporate governance measures required by national exchanges, our stockholders
may lose protections afforded to listed companies.
If shares of our common stock cease to be listed on a national exchange they will become subject to the “penny stock” rules of the SEC and the trading
market in our securities may become limited, which will make transactions in our stock cumbersome and may reduce the value of an investment in the
stock.
Rule 15g-9 under the Exchange Act establishes the definition of a “penny stock,” for the purposes relevant to us, as any equity security that is no
longer trading on a national exchange and has a market price of less than $5.00 per share or with an exercise price of less than $5.00 per share, subject to
certain exceptions. For any transaction involving a penny stock, unless exempt, the rules require: (a) that a broker or dealer approve a person’s account for
transactions in penny stocks; and (b) the broker or dealer receive from the investor a written agreement to the transaction, setting forth the identity and
quantity of the penny stock to be purchased.
In order to approve a person’s account for transactions in penny stocks, the broker or dealer must: (a) obtain financial information and investment
experience objectives of the person and (b) make a reasonable determination that the transactions in penny stocks are suitable for that person and the person
has sufficient knowledge and experience in financial matters to be capable of evaluating the risks of transactions in penny stocks.
The broker or dealer must also deliver, prior to any transaction in a penny stock, a disclosure schedule prescribed by the SEC relating to the penny
stock market, which, in highlight form: (a) sets forth the basis on which the broker or dealer made the suitability determination; and (b) confirms that the
broker or dealer received a signed, written agreement from the investor prior to the transaction. Generally, brokers may be less willing to execute
transactions in securities subject to the “penny stock” rules. This may make it more difficult for investors to dispose of our common stock and cause a
decline in the market value of our common stock.
Disclosure also has to be made about the risks of investing in penny stocks in both public offerings and in secondary trading and about the
commissions payable to both the broker or dealer and the registered representative, current quotations for the securities and the rights and remedies
available to an investor in cases of fraud in penny stock transactions. Finally, monthly statements have to be sent disclosing recent price information for the
penny stock held in the account and information on the limited market in penny stocks.
35
If shares of our common stock cease to be listed on a national exchange our securities will not be eligible for federal preemption rights and be subject
to state “blue sky” laws which may affect our capabilities of raising capital.
Each state has its own securities laws, often called “blue sky” laws, which (i) limit sales of securities to a state’s residents unless the securities are
registered in that state or qualify for an exemption from registration, and (ii) govern the reporting requirements for broker-dealers doing business directly or
indirectly in the state. Before a security is sold in a state, there must be a registration in place to cover the transaction, or the transaction must be exempt
from registration. The applicable broker must be registered in that state. We do not know whether securities will be registered or exempt from registration
under the laws of any state. If our securities cease to be listed on the national exchange, a determination regarding registration will be made by those
broker-dealers, if any, who agree to serve as the market-makers for our common stock. Registering or qualifying shares with states can be time consuming.
Compliance and regulatory costs may vary from state to state and may adversely affect future financings and our ability to raise capital.
If our common stock is delisted from national exchange some institutional investors may not be allowed to purchase our shares and may be required to
liquidate their current positions in our stock which could negatively affect the price and volatility of our shares.
Institutional investors may be restricted by their investment policies from investing in shares of companies that are not listed on a national exchange
and may be required to liquidate their positions if our securities are delisted from a national exchange. Liquidations, should they occur, may increase
volatility and cause wide fluctuations and further declines in the prices of our securities.
Delisting of our common stock from national exchange can cause material dilution of our stock in future financings which can erode shareholder
value.
If we are not able to maintain listing of our securities on Nasdaq the trading prices of our securities may decline and we may need to sell larger
amounts of our securities to obtain needed operating capital, possibly at prices which are at further discounts to the market or upon other terms that are less
favorable to us, subjecting our shareholders to material dilution and losses to their investment.
Sales of substantial amounts of our common stock in the public or private markets could reduce the price of our common stock and may dilute your
voting power and ownership interest in us.
Sales of a substantial number of shares of our common stock in the public or private markets, or the perception that these sales could occur, as well as
sales of shares by directors or officers, which have occurred or which may occur from time to time, could adversely affect the market price of our common
stock and may make it more difficult for you to sell your common stock at a time and price that you deem appropriate.
Entities controlled by Gregg Williams, our Chairman of the Board, have the ability to influence or control the outcome of matters submitted for
stockholder approval, may limit your ability to influence outcomes of director elections and may have interests that differ from those of our other
stockholders.
As of March 1, 2021, entities controlled and beneficially owned by Gregg Williams, our Chairman of the Board, own of record an aggregate of
approximately 42.6% of the outstanding shares of our common stock (or 54.5% after giving effect to Mr. Williams’ right to acquire beneficial ownership of
6,029,896 shares of common stock upon exercise of options or warrants). As a result, Mr. Williams is able to exercise substantial influence over all matters
requiring stockholder approval, including
•
electing or defeating the election of our directors;
• amending or preventing amendment of our articles of incorporation or bylaws;
•
effecting or preventing a merger, sale of assets or other corporate transaction; and
• controlling the outcome of any other matter submitted to our stockholders for vote.
36
Mr. Williams may also have interests that differ from other stockholders and he may vote in a manner that is or could be deemed as adverse to interests
of other stockholders. His majority stock ownership could discourage a potential acquirer from making a tender offer or otherwise attempting to obtain
control of our company, which in turn could reduce our stock price or prevent our stockholders from realizing a premium over our stock price. This
concentration of voting power may have the effect of deterring, delaying or impeding actions that could be beneficial to other stockholders.
We have obtained significant invested amounts from entities affiliated with Mr. Williams, our Chairman of the Board, and if as we seek additional
funding to support our business Mr. Williams does not participate in our future offerings, we may not be able to raise needed amounts and our
operations may be adversely affected.
During 2019 and 2020, we funded our business primarily through the issuance and sale of our securities. We obtained approximate proceeds of $10
million in May 2018, $5 million in August 2018, $4 million in October 2018, $3 million in December 2018 and $30 million in February 2019 from the sale
of our securities to entities affiliated with Mr. Williams, our Chairman of the Board, constituting 100%, 100%, 100%, 100% and 86.7% respectively, of
amounts received in the offerings we completed. On December 8, 2020, borrowed $1 million from Gregg Williams on an unsecured basis at an interest of
12% per year. This loan is due and payable on December 31, 2021. To the extent that we may need additional capital we expect that we will seek to fund
our operations through public or private equity or debt financings, grants, collaborations, strategic partnerships or other sources. No assurance can be given
that Mr. Williams or entities affiliated with him will continue to participate in any offerings of our securities or that we will be able to obtain additional
capital from him. If we are unable to obtain funding on a timely basis, our business and operations may be materially and adversely affected.
We do not intend to pay dividends for the foreseeable future and, consequently, your ability to achieve a return on your investment will depend on
appreciation in the price of our common stock.
We have never declared or paid any dividends on our common stock. We intend to retain any earnings to finance the operation and expansion of our
business, and we do not anticipate paying any cash dividends in the future. As a result, you may only receive a return on your investment in our common
stock if the market price of our common stock increases.
Future sales and issuances of our equity securities or rights to purchase our equity securities, including pursuant to our equity incentive plans, would
result in dilution of the percentage ownership of our stockholders and could cause our stock price to fall.
To the extent we raise additional capital by issuing equity securities; our stockholders may experience substantial dilution. We may sell common stock,
convertible securities or other equity securities in one or more transactions at prices and in a manner we determine from time to time. If we sell common
stock, convertible securities or other equity securities in more than one transaction, investors may be diluted by subsequent sales. Such sales may also result
in material dilution to our existing stockholders, and new investors could gain rights superior to existing stockholders.
The public market for our common stock has been volatile since completion of our initial public offering in November 2014. This volatility may affect
the ability of our investors to sell their shares as well as the price at which they sell their shares.
We completed our initial public offering in November 2014. Since that time, our per share and day-to-day trading prices have often been volatile. This
volatility may continue or increase in the future. The market price for the shares may be significantly affected by factors such as progress in the
development of our technology, progress in our pre-clinical and clinical trials, agreements with research facilities or co-development partners,
commercialization of our technology, coverage by third-party payors, variations in quarterly and yearly operating results, general trends in the medical
device industry, and changes in FDA and foreign regulations affecting us and our industry. Furthermore, in recent years the stock market has experienced
extreme price and volume fluctuations that are unrelated or disproportionate to the operating performance of the affected companies. Those broad market
fluctuations may adversely affect the market price of our common stock.
Substantial future sales of shares of our common stock in the public market could cause our stock price to fall.
37
If our common stockholders (including those persons who may become common stockholders upon exercise of our options or warrants) sell substantial
amounts of our common stock, or the public market perceives that stockholders might sell substantial amounts of our common stock, the market price of
our common stock could decline significantly. Such sales also might make it more difficult for us to sell equity or equity-related securities in the future at a
time and price that our management deems appropriate.
We have the right to issue shares of preferred stock. If we were to issue preferred stock, it is likely to have rights, preferences and privileges that may
adversely affect the common stock.
We are authorized to issue 10 million shares of “blank check” preferred stock, with such rights, preferences and privileges as may be determined from
time to time by our board of directors. Our board of directors is empowered, without stockholder approval, to issue preferred stock in one or more series,
and to fix for any series the dividend rights, dissolution or liquidation preferences, redemption prices, conversion rights, voting rights, and other rights,
preferences and privileges for the preferred stock. No shares of preferred stock are presently issued and outstanding and we have no immediate plans to
issue shares of preferred stock. The issuance of shares of preferred stock, depending on the rights, preferences and privileges attributable to the preferred
stock, could adversely reduce the voting rights and powers of the common stock and the portion of our assets allocated for distribution to common
stockholders in a liquidation event, and could also result in dilution in the book value per share of our common stock. The preferred stock could also be
utilized, under certain circumstances, as a method for raising additional capital or discouraging, delaying or preventing a change in control of our Company,
to the detriment of the holders of our common stock. We cannot assure you that we will not, under certain circumstances, issue shares of our preferred
stock.
We may be assessed penalties and fines under California’s board gender diversity statute which required publicly held companies to have a minimum of
one female on boards of directors as of the end of 2019.
California’s gender diversity law, which went into effect on January 1, 2019, requires publicly held corporations with securities listed on a major U.S.
stock exchange and having principal executive offices in California (a covered corporation) to have at least one female director for each of calendar year
2019 and 2020. Beginning in calendar year 2021 covered corporations with six or more directors must have at least three female directors by the end of the
calendar year. If the covered corporation has five directors then there must be a minimum of two women directors, and if the covered corporation has four
or fewer directors then it must have at least one woman director. We have no female board members currently nor as of December 31, 2020. The law
authorized the imposition of fines or penalties for violations of the new law in amounts of $100,000 for the first violation and $300,000 for each subsequent
violation. Moreover the California Secretary of State was authorized to adopt regulations that could impose a $100,000 penalty for failure to timely comply
and file board member information with the Secretary of State, however no such regulations have been promulgated to date. We are aware of two cases
challenging implementation of the new law, Crest v. Alex Padilla and Creighton Meland v. Alex Padilla, Secretary of State of California, challenging the
validity of the law and seeking a permanent injunction against enforcement of the statute. The Meland case was dismissed without prejudice and was
appealed to the U.S Court of Appeals for the Ninth Circuit.
A pandemic, epidemic or outbreak of an infectious disease, such as COVID-19, a novel strain of coronavirus, may materially and adversely affect our
business and our financial results.
Public health epidemics or widespread outbreaks of contagious diseases could adversely impact our business. Any outbreak of contagious diseases, and
other adverse public health developments, such as the recent novel strain of coronavirus (COVID-19), initially limited to a region in China and now
affecting the global community, could impact our operations depending on future developments, which are highly uncertain, largely beyond our control and
cannot be predicted with certainty. These uncertain factors include the duration of the outbreak, potential impact to our employees who may contract the
disease or be subject to quarantine, new information which may emerge concerning the severity of the disease and the actions to contain or treat its impact,
such as the temporary closure of facilities or diversion of healthcare resources, including clinical trial sites, the flow of goods in our supply chains and the
ability for third-party service providers to fulfill their contractual obligations to us. These factors may disrupt our ability to conduct our existing and future
clinical trials in the U.S., cause disruptions or restrictions on our employees’ ability to work and have a material adverse effect on our overall productivity.
38
We may also experience a more challenging fundraising environment that may restrict our access to capital both publicly and privately amid the recent
escalated volatility of the U.S. and global financial markets, increases in travel restrictions, quarantines, business shut downs or warnings and from
potential disruptions or delays of trade, scientific, and investor conferences. Should we experience any of these or other currently unforeseen consequences
of a health epidemic, pandemic or other outbreak, including the current COVID-19 outbreak, our business, financial condition, and results of operations
could be materially and adversely affected.
Risks Relating to the Business Combination
The Business Combination is subject to conditions, some or all of which may not be satisfied, or completed on a timely basis, if at all. Failure to
complete, or unexpected delays in completing the Business Combination or any termination of the Memorandum of Understanding could have material
adverse effects on us.
On January 5, 2021 we entered into a Memorandum of Understanding with Pixium pursuant to which (i) we will raise additional working capital of at
least $25,000,000 in a private placement of equity securities of Second Sight to accredited investors (the “Fund Raising”); (ii) Pixium will contribute to us
certain assets in exchange for newly issued common stock of Second Sight (the “Contribution”); and (iii) we will transfer our Orion assets to a newly
formed subsidiary (“SpinCo”), the share capital of which would be partially spun-off to our shareholders (the “Spin-Off” and, together with the Fund
Raising and the Contribution, the “Business Combination”). The completion of the Business Combination is subject to a number of conditions, including,
among other things, the receipt in escrow of no less than $25 million in connection with the Fund Raising, approval by the shareholders of Second Sight
and Pixium and the bondholders of Pixium and the receipt of certain regulatory approvals. The failure to satisfy all of the required conditions could delay
the completion of the Business Combination for a significant period of time or prevent it from occurring at all. There can be no assurance that the
conditions to the completion of the Business Combination will be satisfied or waived or that the Business Combination will be completed.
Either Pixium or Second Sight may terminate the Memorandum of Understanding under certain circumstances, including if the Business Combination
is not completed by June 4, 2021. In addition, in certain circumstances, upon termination of the Memorandum of Understanding, Second Sight would be
required to pay a termination fee of up to $1 million to Pixium.
If the Business Combination is not completed, Second Sight may be materially adversely affected and, without realizing any of the benefits of having
completed the Business Combination, will be subject to a number of risks, including the following: the market price of Second Sight shares could decline;
if the Memorandum of Understanding is terminated and the Second Sight board seeks another business combination, Second Sight shareholders cannot be
certain that Second Sight will be able to find a party willing to enter into a transaction on terms equivalent to or more attractive than the terms that Second
Sight has agreed to in the Memorandum of Understanding; time and resources, financial and otherwise, committed by Second Sight’s management to
matters relating to the Business Combination could otherwise have been devoted to pursuing other beneficial opportunities; Second Sight may experience
negative reactions from the financial markets or employees; and Second Sight will be required to pay its expenses relating to the Business Combination
such as legal, accounting and financial advisory fees, whether or not the Business Combination is completed.
In addition, if the Business Combination is not completed, Second Sight could be subject to litigation related to any failure to complete the Business
Combination or related to any enforcement proceeding commenced against such party to perform its obligations under the Memorandum of
Understanding. Any of these risks could materially and adversely impact Second Sight’s ongoing business, financial condition, results of operations and
the market price of Second Sight shares. Similarly, delays in the completion of the Business Combination could, among other things, result in additional
transaction costs or other negative effects associated with delay and uncertainty about completion of the Business Combination and could materially and
adversely impact Second Sight’s ongoing business, financial condition, results of operations and the market price of Second Sight shares.
The Share Consideration is not adjustable based on the market price of the common stock of either Second Sight or Pixium but is intended to result in
Pixium owning approximately 60% of the resulting combined entity, so the
39
Share Consideration at the closing may have a greater or lesser value than at the time that the Memorandum of Understanding was signed.
Upon completion of the intended Business Combination, Pixium will receive the Share Consideration, which is equal to 34,876,043 fully paid and
nonassessable shares of Second Sight common stock. This share amount was fixed in the contribution agreement and the contribution agreement does not
allow for this number to be adjusted for changes in the market price of Second Sight common stock.
The market price of our common stock has been volatile, especially following the announcement of the Business Combination and it is impossible to
accurately predict the market price of Second Sight common stock at the completion of the Business Combination and, therefore, impossible to accurately
predict the market price of the shares of Second Sight common stock that Pixium will receive in the Business Combination. The market price for Second
Sight common stock may fluctuate both prior to the completion of the Business Combination and thereafter for a variety of reasons, including, among
others, general market and economic conditions, changes in laws and regulations, other changes in Second Sight’s and Pixium’s respective businesses,
operations, prospects and financial results of operations, market assessments of the likelihood that the Business Combination will be completed, and the
expected timing of the Business Combination. Many of these factors are beyond Second Sight’s and Pixium’s control. As a result, the market value
represented by the Share Consideration will also vary.
Neither Second Sight nor Pixium is permitted to terminate the Memorandum of Understanding solely because of changes in the market prices of
Second Sight common stock. In addition, the market value of Second Sight common stock (based on the trading price of shares of Second Sight common
stock) may vary significantly from the dates of the Second Sight special meeting to the date of the completion of the Business Combination.
During early March 2021, subsequent to signing the Memorandum of Understanding, the market price of Second Sight common stock increased
substantially compared both to the price of Second Sight common stock at the time of execution of the Memorandum of Understanding and with the market
price of Pixium stock. This disparity, should it continue or increase, may change the way Second Sight shareholders evaluate the business combination and
cast doubt as to its ultimate approval. Although holders of approximately 30% of our outstanding common stock have signed voting agreements to support
the Pixium transaction, we may spend substantial amounts of money in pursuit of the transaction only to find that it does not receive the required
shareholder approval.
The combined company may be unable to successfully integrate the business of Pixium and Second Sight or realize the anticipated benefits of the
Business Combination.
The success of the Business Combination will depend, in part, on the combined company’s ability to successfully combine and integrate the businesses
of Pixium and Second Sight, and realize the anticipated benefits, including synergies, cost savings, innovation and technological opportunities and
operational efficiencies from the Second Sight in a manner that does not materially disrupt existing supplier and employee relations. The ability of the
combined company to realize these anticipated benefits is subject to certain risks, including whether the combined business will perform as expected, the
possibility that Second Sight paid more for the assets of Pixium than the value the combined company will derive from the Business Combination and the
assumption of known and unknown liabilities of Pixium. If the combined company is unable to achieve these objectives within the anticipated time frame,
or at all, the anticipated benefits may not be realized fully or at all, or may take longer to realize than expected, and the value of the combined company
common stock may decline. The combined company may fail to realize some or all of the anticipated benefits of the Business Combination if the
integration process takes longer than expected or is more costly than expected.
The integration of the two companies may result in material challenges, including: managing a larger, more complex combined business; managing a
business with operations in France and incorporated in the United States, maintaining employee morale and retaining key management and other
employees; retaining existing business and operational relationships, including suppliers and employees and other counterparties, as may be impacted by
contracts containing consent and/or other provisions that may be triggered by the Business Combination; consolidating corporate and administrative
infrastructures and eliminating duplicative operations, including unanticipated issues in integrating financial reporting, information technology
infrastructure, data and content management systems and product platforms, communications and other systems; coordinating geographically separate
organizations; harmonizing the companies’ operating practices, employee development and compensation programs, internal controls, compliance
programs and other policies, procedures and processes; addressing possible differences in
40
business backgrounds, corporate cultures and management philosophies; and unforeseen expenses or delays associated with the Business Combination.
Many of these factors will be outside of Second Sight’s control, and any one of them could result in delays, increased costs, decreases in the amount of
expected revenues and other adverse impacts, which could materially affect the combined company’s business, financial condition and results of
operations. Due to legal restrictions, Pixium and Second Sight are currently permitted to conduct only limited planning for the integration of the two
companies following the Business Combination. The actual integration may result in additional and unforeseen expenses, and the anticipated benefits of the
integration plan may not be realized on a timely basis, if at all.
The Memorandum of Understanding contains provisions that limit our ability to pursue alternatives to the Business Combination, could discourage
third parties from submitting alternative transaction proposals to us, including proposals that may be superior to the arrangements contemplated by the
Memorandum of Understanding, and provide that, in specified circumstances, we would be required to pay a termination fee.
The Memorandum of Understanding contains provisions that make it more difficult for Second Sight to be acquired by, or enter into certain
combination transactions with, a third party. The Memorandum of Understanding contains certain provisions that restrict Second Sight’s ability to, among
other things, solicit, initiate or knowingly encourage, or knowingly take any other action designed to facilitate, any alternative transaction, or participate in
any discussions or negotiations, or cooperate in any way with any person, with respect to any alternative transaction. In addition, following receipt by
Second Sight of any alternative transaction proposal that constitutes a “superior proposal,” Pixium will have an opportunity to offer to modify the terms of
the Memorandum of Understanding before the Second Sight board may withdraw, qualify or modify its recommendation with respect to the Business
Combination and related matters, in favor of such superior proposal.
These provisions could discourage a potential third-party acquirer or business combination partner that might have an interest in acquiring or
combining with all or a significant portion of Second Sight or pursuing an alternative transaction from considering or proposing such a transaction. In some
circumstances, upon termination of the Memorandum of Understanding, Second Sight would be required to pay a termination fee of $1 million to Pixium,
as contemplated by the Memorandum of Understanding. If the Memorandum of Understanding is terminated and Second Sight determines to seek another
business combination transaction, Second Sight may not be able to negotiate a transaction with another party on terms comparable to, or better than, the
terms of the Memorandum of Understanding.
We are subject to business uncertainties and contractual restrictions while the Business Combination is pending, which could adversely affect our
business and operations.
In connection with the pendency of the Business Combination, it is possible that some suppliers, partners and other persons with whom Second Sight
has a business relationship may delay or defer certain business decisions or might decide to seek to terminate, change or renegotiate their relationships with
Second Sight as a result of the Business Combination or otherwise, which could negatively affect Second Sight’s business, as well as the market price of
Second Sights shares, regardless of whether the Business Combination is completed. Under the terms of the Memorandum of Understanding, Second Sight
is subject to certain restrictions on the conduct of its business prior to completing the Business Combination, which may adversely affect its ability to
execute certain of its business strategies, including the ability in certain cases to acquire or dispose of assets or pay dividends or incur capital expenditures
above a certain amount. In addition, Second Sight is restricted in its ability in certain cases to enter into or amend contracts, incur indebtedness or settle
claims. Such limitations could adversely affect Second Sight’s business and operations prior to the completion of the Business Combination. Each of the
risks described above may be exacerbated by delays or other adverse developments with respect to the completion of the Business Combination.
We expect to incur substantial expenses related to the completion of the Business Combination and the integration of Pixium’s and our businesses.
41
We expect to incur substantial expenses in connection with the completion of the Business Combination and the integration of a large number of
processes, policies, procedures, operations, technologies and systems of Pixium and Second Sight in connection with the Business Combination. The
management of the combined company may face significant challenges in implementing such integration, many of which may be beyond the control of
management and which may result in increased costs and diversion of management’s time and energy, as well as materially adversely impact the
anticipated synergies of the Business Combination and the business, financial condition and results of operations of the combined company. The integration
process and other disruptions resulting from the Business Combination may also adversely affect the combined company’s relationships with employees,
suppliers, and others with whom Second Sight and Pixium have business or other dealings, and difficulties in integrating the businesses of Second Sight
and Pixium could harm the reputation of the combined company.
Lawsuits may be filed against Second Sight challenging the Business Combination and an adverse ruling in any such lawsuit may prevent the Business
Combination from being completed or from being completed within the expected time frame.
One of the conditions to the completion of the Business Combination is the absence of any judgment, order, decree, statute, law, ordinance, rule or
regulation, entered, enacted, promulgated, enforced or issued by any court or other governmental entity of competent jurisdiction or other legal restraint or
prohibition in effect preventing the completion of the Business Combination. Accordingly, if litigation is filed challenging the Business Combination and a
plaintiff is successful in obtaining an order enjoining completion of the Business Combination, then such order may prevent the Business Combination
from being completed or from being completed within the expected time frame.
Item 1B. Unresolved Staff Comments
Not applicable.
Item 2. Properties
Our principal office and facilities are located at 13170 Telfair Avenue Sylmar, California 91342, which consists of approximately 17,290 rentable
square feet at a base rent of approximately $17,000 per month. The sub-lease expires in March 2023. We believe that these premises are adequate for our
foreseeable needs.
Item 3. Legal Proceedings
We are not a party to threatened or pending material legal proceedings other than those involving Pixium described in “Risk Factors—Risks Related
to Intellectual Property and Other Legal Matters”.
Item 4. Mine Safety Disclosures
Not applicable.
42
Item 5. Market for Registrant’s Common Equity, Related Shareholder Matters and Issuer Purchases of Equity Securities
(a) Market Price, Dividends and Related Matters
Second Sight’s common stock is traded on the Nasdaq Capital Market under the symbol “EYES.”
PART II
Fiscal Year Ended December 31, 2020
First quarter
Second quarter
Third quarter
Fourth quarter
Fiscal Year Ended December 31, 2019
First quarter
Second quarter
Third quarter
Fourth quarter
High
Low
$
$
$
$
$
$
$
$
6.05 $
2.10 $
1.04 $
3.22 $
8.00 $
9.12 $
7.68 $
7.34 $
0.99
0.81
0.73
0.73
5.48
5.22
5.84
5.80
On March 13, 2021 there were approximately 90 shareholders of record.
We have never declared or paid cash dividends on our common stock and do not anticipate paying any dividends in the foreseeable future.
Use of Proceeds from Financings
In November 2017, we entered into an At the Market Issuance Sales Agreement (the “Sales Agreement”) with B. Riley FBR Inc. and H.C.
Wainwright & Co., LLC, as agents (“Agents”) pursuant to which we may offer and sell, from time to time through either of the Agents, shares of our
common stock having an aggregate offering price as set forth in the Sales Agreement and a related prospectus supplement filed with the Securities and
Exchange Commission (File No. 333-221228). We agreed to pay the Agents a cash commission of 3.0% of the aggregate gross proceeds from each sale of
shares under the Sales Agreement. During January and February 2018 we sold approximately 278,000 shares of common stock for additional net proceeds
of $4.0 million. During December 2019 we sold approximately 17,000 shares of common stock for additional net proceeds of $0.1 million. We used these
proceeds to further develop and enhance our products, support operations and for general corporate purposes.
We entered into stock purchase agreements on December 12, 2018, October 18, 2018, August 14, 2018 and May 3, 2018 with entities beneficially
owned by Gregg Williams for the purchase of 409,387, 308,465, 403,225 and 844,594 shares, respectively of common stock priced at $7.33, $12.96,
$12.40 and $11.84 per share, respectively, the last reported sale price of the common stock on each purchase date. Gregg Williams is Chairman of the
Board of Directors of Second Sight. These placements of common stock provided net proceeds of $3.0 million, $4.0 million, $5.0 million and $10.0
million, respectively. We used these proceeds to further develop and enhance our products, support operations and for general corporate purposes.
In a Rights Offering completed on February 22, 2019, we sold approximately 5,976,000 units, each priced at $5.792 for gross proceeds of
approximately $34.6 million. Each unit consisted of one share and one immediately exercisable warrant having a strike price of $11.76 per share. Entities
controlled by Gregg Williams, our Chairman of the Board of Directors, acquired approximately 5,180,000 units in the offering for an aggregate investment
of approximately $30 million.
43
Item 6. Selected Financial Data
The following selected consolidated financial data should be read in conjunction with “Management’s Discussion and Analysis of Financial
Condition and Results of Operations” and our consolidated financial statements and the notes to those consolidated financial statements. The consolidated
statements of operations data set forth below for the years ended December 31, 2020 and 2019 and the consolidated balance sheet data as of December 31,
2020 and 2019 are derived from, and are qualified in their entirety by reference to, our audited consolidated financial statements included elsewhere in this
Form 10-K.
(in thousands, except per share data)
Net sales
Cost of sales
Gross profit (loss)
Operating expenses:
Research and development, net of grants
Clinical and regulatory, net of grants
Selling and marketing
General and administrative
Restructuring charges
Total operating expenses
Loss from operations
Interest income
Net loss
Net loss per common share – Basic and diluted
Weighted average shares outstanding – Basic and diluted
(in thousands)
Cash and cash equivalents
Working capital (deficit)
Total assets
Stockholders’ equity (deficit)
44
Years Ended December 31,
2020
2019
— $
(500)
500
4,836
1,687
701
5,943
2,229
15,396
(14,896)
16
(14,880) $
(0.72) $
20,575
As of December 31,
2020
2019
3,177 $
(863) $
4,460 $
(672) $
3,379
2,152
1,227
13,143
3,354
6,101
9,226
3,357
35,181
(33,954)
362
(33,592)
(2.28)
14,708
11,327
6,151
16,599
7,275
$
$
$
$
$
$
$
Item 7. Management’s Discussion and Analysis of Financial Condition and Results of Operations
The following discussion contains forward-looking statements that involve risks and uncertainties. Our actual results could differ materially from
those anticipated in these forward-looking statements as a result of many factors. The consolidated results of operations for the years ended December 31,
2020 and 2019 are not necessarily indicative of the results that may be expected for any future period. The following discussion should be read in
conjunction with the consolidated financial statements and the notes thereto included in Part IV, Item 15 of this Form 10-K and in conjunction with the
“Risk Factors” included in Part I, Item 1A of this Form 10-K.
Business Overview
Second Sight Medical Products, Inc. (NASDAQ: EYES) has developed, manufactured and marketed implantable visual prosthetics that are intended
to deliver useful artificial vision to blind individuals. We are a recognized global leader in neuromodulation devices for blindness, and are committed to
developing new technologies to treat the broadest population of sight-impaired individuals.
Leveraging our 20 years of experience in neuromodulation for vision, we are developing the Orion® Visual Cortical Prosthesis System (“Orion”), an
implanted cortical stimulation device intended to provide useful artificial vision to individuals who are blind due to a wide range of causes, including RP,
glaucoma, diabetic retinopathy, optic nerve injury or disease and eye injury. Orion is intended to convert images captured by a miniature video camera
mounted on glasses into a series of small electrical pulses. The device is designed to bypass diseased or injured eye anatomy and to transmit these electrical
pulses wirelessly to an array of electrodes implanted on the surface of the brain’s visual cortex, where it is intended to provide the perception of patterns of
light. We are conducting a six-subject Early Feasibility Study of the Orion device at the Ronald Reagan UCLA Medical Center in Los Angeles (“UCLA”)
and Baylor College of Medicine in Houston (“Baylor”) Although regularly scheduled visits are on hold due to the coronavirus outbreak, sites continue to
see patients if needed for any potential medical issues that may arise including any suspected adverse events. Our 12 month results for the subjects indicate
to us that:
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We have a good safety profile. Four subjects experienced a total of eleven adverse events (AEs) related to the device or to the surgery,
through the latest independent medical safety monitor meeting in March 2020. One was considered a serious adverse event (SAE), and all of the adverse
events were in the expected category. The one SAE was resolved quickly and did not require a hospital stay.
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The efficacy data is encouraging. We measure efficacy by looking at three measures of visual function: The first is square localization,
where Orion subjects sit in front of a touch screen and are asked to touch within the boundaries of a square when it appears. The second is direction of
motion, where subjects are asked to identify the direction and motion of lines on a screen. The third is grating visual acuity, a measure of visual acuity that
is adapted for very low vision. On square localization, five of the six subjects in our feasibility study performed significantly better with the system on than
off. On direction of motion, all six performed better on than off; and on grating visual acuity, three had measurable visual acuity on the scale of this test
(versus none who can do it with the device off). Another efficacy measurement of day-to-day functionality and benefit is FLORA, which stands for
Functional Low-Vision Observer Rated Assessment. FLORA is an assessment performed by an independent, third-party low vision orientation and
mobility specialist who spends time with each of the subjects in their homes. The specialist asks each of the subjects a series of questions and also observes
them performing 15 or more daily living tasks, such as finding light sources, following a sidewalk, or sorting laundry. The specialist then determines if the
system is providing a benefit, if it is neutral, or if it is actually hurting the abilities of subjects to perform these tasks. Our FLORA results show that for five
of the six subjects, the Orion system is providing benefit. We reached agreement with the FDA in the fourth quarter of 2019 to utilize a revised version of
FLORA as our primary efficacy endpoint in our pivotal trial for Orion, pending successful validation of the instrument.
No peer-reviewed data is available yet for the Orion system. We are currently evaluating whether to enroll additional feasibility subjects while
simultaneously negotiating the clinical and regulatory pathway to commercialization with the FDA as part of the Breakthrough Devices Program.
Our principal offices are located in Los Angeles, California.
Our first commercially approved product, the Argus® II Retinal Prosthesis System (“Argus II”), treats outer retinal degenerations, such as retinitis
pigmentosa, also referred to as RP. The Argus II was the only retinal prosthesis
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approved in the United States by the Food and Drug Administration (“FDA”), and was the first approved retinal prosthesis in the world. RP is a hereditary
disease, affecting an estimated 1.5 million people worldwide including about 100,000 people in the United States, that causes a progressive degeneration of
the light-sensitive cells of the retina, leading to significant visual impairment and ultimately blindness. A subset of these patients would be eligible for the
Argus II since the approved baseline vision for the Argus II is worse than legally blind (20/200). We commissioned 3rd party market research to estimate
the size of the RP market that resulted in an estimate of approximately 1,500 patients in the US with advanced RP that could be treated with the Argus II
given the eligibility criteria of our label.
We began selling the Argus II System in Europe at the end of 2011, Saudi Arabia in 2012, the United States and Canada in 2014, Turkey in 2015,
Iran, Taiwan, South Korea and Russia in 2017, and Singapore in 2018. Given the limited addressable market of Argus II, we no longer market the Argus II
and have focused all of our resources on the development of Orion.
We are also researching multiple technologies that we believe to be complimentary to artificial vision and could potentially provide significant
enhancements to the Orion user experience. In most cases, we collaborate with 3rd party firms to advance and integrate these innovative technologies with
our artificial vision systems. Examples of technologies that we believe will be complimentary to our products include: eye tracking, object recognition and
localization, thermal imaging and depth-based decluttering.
In March 2020, we were severely adversely impacted by the unprecedented economic shock caused by the COVID-19 pandemic and its related
effects on our ability to secure financing for our planned activities. As a result, we significantly reduced our staff and expenses and conserved liquidity as
we continue operations and explore strategic options. These options include securing additional funding and exploring business alternatives that may
include partnering, acquiring, investing in or combining with businesses that may or may not be in a related industry. We are actively seeking opportunities
to develop partnerships or collaborations with others to advance further Orion development, conduct pivotal trials and bring the product to market for the
treatment of blindness. No assurances can be given that any of these initiatives will occur.
In early March 2020, we commenced clinical validation activities for the FLORA-20 instrument, the primary efficacy endpoint we have selected for
our future pivotal clinical trial of Orion. In mid-March 2020, our validation activities were suspended as a result of public health concerns and related social
distancing due to COVID-19. We are in the process of evaluating when activities related to the validation study can be resumed.
On March 27, 2020, the Board of Directors appointed Matthew Pfeffer, a member of our Board and Chairman of the Audit Committee of the Board,
as acting Chief Executive Officer.
In furtherance of our decision to withdraw Argus II from the market, we have terminated two post-market studies for Argus II in Germany and the
U.S., terminated an extended non-significant risk study in the U.S. for Argus 2s, and suspended our technical support of Argus II worldwide.
In May 2020, we completed an underwritten public offering of 7,500,000 shares of common stock at an offering price of $1.00 per share for
aggregate gross proceeds of $7.5 million, and net proceeds of approximately $6.7 million after deducting underwriting discounts, commissions and other
offering expenses. Based on our current plans, existing cash and cash equivalents can sustain our operations into June 2021.
In May 2020, we entered into a Letter Agreement with Sylmar Biomedical Park, LLC (the “Landlord”) to terminate our facility leases in which we
agreed to vacate the premises by June 18, 2020 and pay $210,730 to bring our leases current and pay a one-time early termination fee of $150,000. Prior to
the early termination, we were obligated to pay aggregate base rent of approximately $0.9 million and common area maintenance expenses for the
respective remaining terms of our leases in February 2022 and April 2023.
We completed our offer to rescind certain purchases of shares under our ESPP plan on May 27, 2020. We voluntarily offered to rescind the sale of
shares of our common stock to employees who purchased those shares under the ESPP and to reimburse any losses upon the sale of our shares of our
common stock for certain purchase periods because these shares may not have been exempt from registration under the Securities Act of 1933. The
rescission of these share purchases resulted in the repurchase and cancelation of 39,467 shares of our common stock. The total cost
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for the repurchase of these shares and the reimbursement of any losses from the sale of such shares totaled approximately $270,000.
In June 2020, we commenced a process to dissolve our Swiss subsidiary which is expected to take approximately one year.
On July 7, 2020, we entered into a lease with Sylmar Biomedical Park, LLC, to lease a smaller portion of our present facility. The new lease allowed
us to significantly reduce our rent while maintaining operations and the current address. The term of the lease was from June 16, 2020 until December 31,
2020. We have terminated this lease and moved effective February 1, 2021.
On December 8, 2020, we borrowed $1 million from Gregg Williams, Chairman of the Board of Directors of the Company and $1.2 million from two
unaffiliated shareholders. Each promissory note is unsecured and accrues interest at a rate of twelve percent (12%) per annum beginning on receipt of the
loan amounts. Principal and accrued interest under the promissory notes, are payable on December 31, 2021.
On January 5, 2021, we entered into a Memorandum of Understanding with Pixium Vision, a publicly held French company (“Pixium”). Pursuant to
the terms of the Memorandum of Understanding, which sets forth the framework of the principal actions to be taken, (i) we will raise additional working
capital of at least $25,000,000 in a private placement of equity securities of Second Sight to accredited investors (the “Fund Raising”); (ii) Pixium will
contribute to us certain assets in exchange for newly issued common stock of Second Sight (the “Contribution”); and (iii) we will transfer our Orion assets
to a newly formed subsidiary (“SpinCo”), the share capital of which would be partially spun-off to our shareholders (the “Spin-Off” and, together with the
Fund Raising and the Contribution, the “Business Combination”). See Note 14 for further discussion.
On January 22, 2021, we entered into a lease agreement, effective February 1, 2021, to lease office space to replace our existing headquarters. We
will pay $17,000 per month, increasing to $17,500 per month on February 1, 2022, plus operating expenses, to lease 17,290 square feet of office space at
13170 Telfair Avenue, Sylmar CA 91342. Additionally, we receive full rent abatement for March 2021, and half rent abatement for March 2022. The sub-
lease is for two years and two months. We nor any affiliates are related to, or otherwise have any other relationship with, the other parties, other than the
lease.
By letter dated February 26, 2021, the Center for Devices and Radiological Health (CDRH) of the U.S. Food and Drug Administration (FDA)
approved the Argus 2s Retinal Prosthesis System developed by Second Sight Medical Products, Inc. Argus 2s is a redesigned set of external hardware
(glasses and video processing unit) to be used in combination with previously implanted Argus II systems for the treatment of retinitis pigmentosa (RP).
We issued a press release on March 5, 2021 entitled Second Sight Medical Products, Inc. Receives FDA Approval for the Argus 2s Retinal Prosthesis
System. Argus II, and now Argus 2s, are approved under a humanitarian device exemption (HDE). The approval is contingent upon the Company filing
periodic reports with CDRH, use only under prescription, under the supervision of an institutional review board (IRB), and taking all other required actions
under FDA rules. We expect that the Argus 2s will be adapted to be the external system for the next generation Orion Visual Cortical Prosthesis System
currently under development
We are actively developing multiple technologies that we believe to be complimentary to artificial vision and could potentially provide significant
enhancements to the Orion user experience. In most cases, we collaborate with third-party firms to advance and integrate these innovative technologies
with our artificial vision systems. Examples of technologies that we are currently researching include: eye tracking, object recognition and localization,
thermal imaging and depth-based image decluttering.
We are subject to the risks and uncertainties associated with a business without revenues, including limitations on our operating capital resources and
uncertain future demand for our product. We have incurred recurring operating losses and negative operating cash flows since inception, and we expect to
continue to incur operating losses and negative operating cash flows for the foreseeable future. Based on our current plans, we do not have sufficient funds
to continue operating our business at current levels for at least twelve months from the date of issuance of this report. However, our operating plan may
change as a result of many factors currently unknown to us, and we may need to seek additional funds sooner than planned, through public or private equity
offerings, debt financings, grants, collaborations, strategic partnerships or other sources. However, we may be unable to raise additional capital or enter into
such other arrangements when needed on favorable terms or at all. If we are unable to obtain funding on a timely basis, we may be required to significantly
curtail, delay or discontinue one or more of our research or development programs, or we may be unable to expand our operations, maintain our current
organization and employee base or
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otherwise capitalize on our business opportunities, as desired, which could materially affect our business, financial condition and results of operations.
Capital Funding
Capital Funding
From inception, our operations have been funded primarily through the sales of our common stock and warrants, as well as from the issuance of
convertible debt, research and clinical grants, and limited product revenue generated from the sale of our Argus II product. We have funded our business
since 2018 has been primarily through the following transactions:
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On December 8, 2020, we borrowed $1 million from Gregg Williams, Chairman of the Board of Directors of the Company and $1.2 million from two
unaffiliated shareholders
On May 5, 2020, we closed our underwritten public offering of 7,500,000 shares of common stock at an offering price of $1.00 per share for
aggregate net proceeds of approximately $6.7 million
A Rights offering of common stock and warrants in February 2019 which provided $34.4 million of net cash proceeds
Issuances of common stock through our At Market Issuance Sales Agreement during the fourth quarter of 2019 which provided $0.1 million of net
cash proceeds
Revenue of $3.4 million for the year ended December 31, 2019 generated by sales of our Argus II product.
We received a $1.6 million grant (with the intent to fund $6.4 million over five years subject to annual review and approval) from the National
Institutes of Health (NIH) to fund the “Early Feasibility Clinical Trial of a Visual Cortical Prosthesis” that commenced in January 2018. Our second year
award of $1.4 million was recently approved under this grant. As of December 31, 2020 we recorded $0.9 million of deferred grant costs which will be
offset with the related grant funds when received. During the twelve months ended December 31, 2020, we received a total of $0.4 million of grant funds
primarily from this grant.
On September 17, 2019, we received a $2.4 million, four-year grant from the National Institutes of Health (NIH) to develop spatial localization and
mapping technology (“SLAM”). This grant involves a joint collaboration with the Johns Hopkins University Applied Physics Laboratory, and is intended to
speed the integration of SLAM into future generations of Orion. The goal is to give Orion users the ability to localize objects and navigate landmarks in
unfamiliar surroundings in real time. APL is the primary recipient of the grant. We have suspended our activities on the project until we clarify our future
plans.
In a rights offering completed on February 22, 2019 we sold approximately 5,976,000 units, each priced at $5.792 for net cash proceeds of
approximately $34.4 million. Each unit consisted of one share and one immediately exercisable warrant having an exercise price of $11.76 per share.
Entities controlled by Gregg Williams, our Chairman of the Board of Directors, acquired approximately 5,180,000 units in the offering for an aggregate
investment of approximately $30 million.
In November 2017 we entered into an At Market Issuance Sales Agreement (the “Sales Agreement”) with B. Riley FBR Inc. and H.C. Wainwright &
Co., LLC, as agents (“Agents”) pursuant to which we offered and sold, from time to time through either of the Agents, shares of our common stock having
an aggregate offering price as set forth in the Sales Agreement and a related prospectus supplement filed with the SEC. We agreed to pay the Agents a cash
commission of 3.0% of the aggregate gross proceeds from each sale of shares under the Sales Agreement. During January and February 2018, we sold
278,000 shares of common stock for additional net proceeds of $4.0 million under the Sales Agreement. During December 2019, we sold approximately
17,000 shares of common stock which provided net proceeds of $0.1 million under the Sales Agreement. This agreement was terminated in April 2020.
On May 5, 2020, we closed our underwritten public offering of 7,500,000 shares of common stock at an offering price of $1.00 per share for
aggregate net proceeds of approximately $6.7 million.
On December 8, 2020, we borrowed $1 million from Gregg Williams, Chairman of the Board of Directors of the Company and $1.2 million from two
unaffiliated shareholders. Each promissory note is unsecured and accrues interest
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at a rate of twelve percent (12%) per annum beginning on receipt of the loan amounts. Principal and accrued interest under the promissory notes are
payable on December 31, 2021.
We are subject to the risks and uncertainties associated with a business with no revenue that is developing a novel medical device. We have incurred
recurring operating losses and negative operating cash flows since inception, and we expect to continue to incur operating losses and negative operating
cash flows for the foreseeable future. Based on our current plans, we do not have sufficient funds to continue operating our business at current levels for at
least twelve months from the date of issuance of this report. To finance our operations beyond that point, we will need to raise additional capital, which
cannot be assured. Our operating plan may change as a result of many factors currently unknown to us, and we will need to seek additional funds during
that period, through public or private equity offerings or debt financings, grants, collaborations, strategic partnerships or other sources. However, we may
be unable to raise additional capital or enter into such other arrangements when needed on favorable terms or at all. If we are unable to obtain funding on a
timely basis, we may be required to significantly curtail, delay or discontinue one or more of our research or development programs, or we may be unable
to expand or maintain our operations, maintain our current organization and employee base or otherwise capitalize on our business opportunities, as
desired, which could materially and adversely affect our business, financial condition and results of operations. Accordingly, these factors among others
raise substantial doubt about our ability to continue as a going concern. Our independent registered public accounting firm, in its report on our 2020
consolidated financial statements, has raised substantial doubt about our ability to continue as a going concern. See “Risk Factors.”
Insurance Reimbursement
Obtaining reimbursement from governmental and private insurance companies is critical to our commercial success. Due to the price of the Orion
system, our future sales would be limited without the availability of third-party reimbursement. In the U.S., coding, coverage, and payment are necessary
for the surgical procedure and Orion system to be reimbursed by payors. Coding will need to be established for the device and the surgical procedure.
Coverage and payment vary by payor. The majority of Argus II were patients are eligible for Medicare, and coverage is primarily provided through
traditional Medicare, sometimes referred to as Medicare Fee-for-Service (“FFS”) or Medicare Advantage. A small percentage of patients are covered by
commercial insurers.
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Medicare FFS patients – Coverage is determined by Medicare Administrative Contractors (MACs) that administer various geographic regions
of the U.S.
Medicare Advantage patients – Medicare Advantage plans are required to cover the same benefits as those covered by the MAC in that
jurisdiction. For example, if a MAC in a jurisdiction has favorable coverage for Orion, then typically Medicare Advantage plans in that MAC
jurisdiction offer the same coverage. Individual hospitals and ASCs may negotiate contracts specific to that individual facility. In addition,
procedural payment is variable and can be based on a percentage of billed charges, payment groupings or other individually negotiated payment
methodologies. Medicare Advantage plans also allow providers to confirm coverage and payment for the procedure in advance of implantation.
Commercial insurer patients – Commercial insurance plans make coverage and payment rate decisions independent of Medicare, and
contracts are individually negotiated with facility and physician providers.
Currently, we are in the process of evaluating potential reimbursement pathways for Orion in the U.S. market. Compared to Argus II, which was
largely catering to the Medicare patient population, Orion is expected to address a patient population with a more diverse and balanced payor mix due to
our potential indications profile and expected younger patient population, on average. As Orion is a part of the FDA’s Breakthrough Devices program, we
are closely evaluating a variety of fast-track reimbursement programs, including recent encouraging announcements from CMS proposing modernization of
payment policies for medical devices that meet FDA’s Breakthrough Devices designation. We have also approached some commercial payors and CMS to
get their feedback to ensure our overall reimbursement strategy for Orion therapy will cater to their key data requirements.
Product and Clinical Development Plans
Orion. By further developing our visual cortical prosthesis, Orion, we believe we may be able to significantly expand our market to include nearly all
profoundly blind individuals. The principle notable exceptions for potential
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use of the Orion are those who are blind due to otherwise currently treatable diseases, individuals who are born blind, or blindness due to direct damage of
the visual cortex, which is rare. However, of the estimated 36 million blind people worldwide, there are approximately 5.8 million people who are legally
blind due to causes that are not otherwise treatable (including RP) or age-related macular degeneration (“AMD”). We continue to develop and refine our
estimates of the potential addressable market size as we evaluate the commercial prospects for Orion using a combination of published sources, third party
market research, and physician feedback. We currently estimate over 500,000 individuals in the US are legally blind due to retinitis pigmentosa, glaucoma,
diabetic retinopathy, optic nerve disease and eye injury. Of this population, we estimate the potential US addressable market is between 50,000 and 100,000
individuals with bi-lateral blindness at the light-perception level or worse. Our marketing approvals by the FDA and other regulatory agencies will
ultimately determine the subset of these patients who are eligible for the Orion based on our clinical trials and the associated results.
Our objective in designing and developing the Orion visual prosthesis system is to bypass the optic nerve and directly stimulate the part of the brain
responsible for human vision. A six-subject Early Feasibility Study of the Orion device is currently underway at UCLA and Baylor. Regularly scheduled
visits at both sites were placed on hold in mid-March due to Covid-19, however visits at UCLA resumed mid-September 2020. Regularly scheduled visits
at Baylor are still on hold but the site is preparing to resume the study soon. Our 12 month results for the six subjects indicate a good safety profile with
encouraging efficacy data and benefits in helping subjects perform their daily living tasks. We believe these data are encouraging and support advancement
of Orion into a larger pivotal clinical study. Early promising results are not necessarily indicative of results which may be obtained in large clinical trials.
No assurance can be given that we will achieve similar results in our larger Orion clinical trials. No peer-reviewed data is available yet for the Orion
system.
In November 2017, the FDA granted Breakthrough Devices Program designation for the Orion. This designation is given to a few select medical
devices in order to provide more effective treatment of life-threatening or irreversibly debilitating diseases or conditions. This program is intended to help
patients have more timely access to these medical devices by expediting their development, assessment, and review.
COVID-19 Pandemic
In accordance with local and state guidelines regarding the COVID-19 pandemic, we are requiring all of our employees to work remotely unless they
cannot perform their essential functions remotely, and have also suspended all non-essential travel for our employees. While many of our employees are
accustomed to working remotely, much of our workforce has not historically been remote. Although we continue to monitor the situation and may adjust
our current policies as more information and public health guidance becomes available, temporarily suspending travel and restricting the ability to do
business in person may create operational or other challenges, any of which could harm our business, financial condition and results of operations.
In addition, our clinical trials have been affected by the COVID-19 outbreak. Patient visits in ongoing clinical trials have been delayed, for example,
due to prioritization of hospital resources toward the COVID-19 outbreak, travel restrictions imposed by governments, and the inability to access sites for
initiation and monitoring. Also, some of our suppliers of certain materials used in the development of our product candidates are located in areas impacted
by COVID-19 which could limit our ability to obtain sufficient materials for our product candidates. COVID-19 has and will continue to adversely affect
global economies and financial markets, and may result in an economic downturn that could affect demand for our product candidates, if approved, and
impact our operating results. Even after the COVID-19 pandemic has subsided, we may continue to experience an adverse impact to our business as a result
of the continued global economic impact of the pandemic. We cannot anticipate all of the ways in which health epidemics such as COVID-19 could
adversely impact our business. Although we are continuing to monitor and assess the effects of the COVID-19 pandemic on our business, the ultimate
impact of the COVID-19 pandemic or a similar health epidemic is highly uncertain and subject to change. See the Risk Factors section for further
discussion of the possible impact of the COVID-19 pandemic on our business.
Recently Adopted Accounting Standards
ASU No. 2018-07, Improvements to Nonemployee Share-Based Payment Accounting. was issued with an effective date for public companies fiscal
years beginning after December 15, 2018, and interim periods within those fiscal years. For all other entities, the effective date is fiscal years beginning
after December 15, 2019. Previously, share-based payments to nonemployees were accounted for under Subtopic 505-50, which significantly differs from
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the guidance for share-based payments to employees under Topic 718. This ASU supersedes Subtopic 505-50 by expanding the scope of Topic 718 to
include nonemployee awards and generally aligning the accounting for nonemployee awards with the accounting for employee awards. We adopted this
ASU on January 1, 2019 with no material impact on our results of operations, financial position and cash flows.
We adopted ASU No. 2016-02—Leases (Topic 842), as amended, as of January 1, 2019, using the modified retrospective approach. The modified
retrospective approach provides a method for recording existing leases at the period of adoption without restating prior comparative periods which is the
method we have chosen. In addition, we elected the package of practical expedients permitted under the transition guidance within the new standard, which
among other things, allowed us to carry forward the historical lease classification. Adoption of the new standard resulted in the recording of right-of-use
assets and operating lease liabilities of approximately $2.6 million and $2.8 million, respectively, as of January 1, 2019. The difference of $0.2 million
between the right-of-use assets and operating lease liabilities, net of the deferred tax impact, was recorded as an adjustment to accumulated deficit at
January 1, 2019. The standard did not materially impact our consolidated net earnings and had no impact on cash flows.
We believe that any other recently issued, but not yet effective, authoritative guidance, if currently adopted, would not have a material impact on our
financial statement presentation or disclosures.
Critical Accounting Policies and Estimates
The following discussion and analysis of financial condition and results of operations is based upon our consolidated financial statements, which
have been prepared in conformity with accounting principles generally accepted in the United States of America. Certain accounting policies and estimates
are particularly important to the understanding of our financial position and results of operations and require the application of significant judgment by our
management or can be materially affected by changes from period to period in economic factors or conditions that are outside of our control. As a result,
they are subject to an inherent degree of uncertainty. In applying these policies, our management uses their judgment to determine the appropriate
assumptions to be used in the determination of certain estimates. Those estimates are based on our historical operations, our future business plans and
projected financial results, the terms of existing contracts, our observance of trends in the industry, information provided by our customers and information
available from other outside sources, as appropriate. See Note 2 of notes to our consolidated financial statements for a more complete description of our
significant accounting policies.
Revenue Recognition.
We generated our revenue from sales of our Argus II Retinal Prosthesis Systems, which include the implant and wearable
components. Our product sales generally consisted of the implant and related surgical supplies and may include a performance obligation related to post-
surgical support. We have discontinued sales of this product to focus on development of Orion.
We sold our products through two main sales channels: 1) directly to customers who use our products (the “Direct Channel”) and 2) to distribution
partners who resell our products (the “Indirect Channel”).
Under the Direct Channel, we sold our systems to and we received payment directly from customers who implanted our products. Under our Indirect
Channel, we entered into distribution agreements that allowed the distributors to sell our systems and fulfill performance obligations for surgical support
and post-surgical support.
We determined revenue recognition through the following steps:
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Identification of the contract, or contracts, with a customer
Identification of the performance obligations in the contract
Determination of the transaction price
Allocation of the transaction price to the performance obligations in the contract
Recognition of revenue when, or as, we satisfy a performance obligation
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Revenue was generally recognized upon surgical implant, unless we had a significant performance obligation for post-surgical support. We
recognized revenue when a material reversal was no longer probable. Conditions that precluded us from recognizing revenue generally involved new
customers with no reimbursement or reimbursement history, and depended on third-party behavior beyond our control, uncertain payment cycles over an
extended period of time, and our limited historical experience with these arrangements.
Stock-Based Compensation. Pursuant to Financial Accounting Standards Board ASC 718 Share-Based Payment (“ASC 718”), we record stock-
based compensation expense for all stock-based awards. Under ASC 718, we estimate the fair value of stock options granted using the Black-Scholes
option pricing model. The fair value for awards that are expected to vest is then amortized on a straight-line basis over the requisite service period of the
award, which is generally the option vesting term.
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The grant price of the issuances is determined based on the fair value of the shares at the date of grant.
The risk free interest rate for periods within the contractual life of the option is based on the U.S. treasury yield in effect at the time of grant.
We calculate the expected term of options using a weighted average of option vesting periods and an estimate of one-half of the period between
vesting and expiration of the option.
Volatility is determined based on our average historical volatilities since our trading history began in November 2014, and supplemented with
average historical volatilities of comparable companies in our industry.
Expected dividend yield is based on current yield at the grant date or the average dividend yield over the historical period. We have never
declared or paid dividends and have no plans to do so in the foreseeable future.
Patent Costs. We have over 300 domestic and foreign patents. Due to the uncertainty associated with the successful development of one or more
commercially viable products based on our research efforts and any related patent applications, all patent costs, including patent-related legal, filing fees
and other costs, including internally generated costs, are expensed as incurred. Patent costs are included in general and administrative expenses in the
consolidated statements of operations.
Results of Operations
Net sales. Our net sales were derived primarily from the sale of our Argus II product. We began selling the Argus II in Europe at the end of 2011,
Saudi Arabia in 2012, the United States and Canada in 2014, Turkey in 2015, Iran, Taiwan, South Korea and Russia in 2017, and Singapore in 2018. Given
the limited addressable market of the Argus II, we made the decision in 2018 to maximize capital efficiency with our Argus commercial and clinical
activities and increase our investment of resources with our Orion clinical and R&D programs. In October 2018, we announced a restructuring of our
international commercial activities and personnel. This restructuring resulted in a decision to no longer support new implants of Argus II in Turkey, Iran,
Singapore and Russia. Our sales were also impacted by our decision in May 2019 to suspend Argus II production and focus on our Orion platform. We
expect no further sales of Argus II.
Cost of sales. Cost of sales includes the salaries, benefits, material, overhead, third-party costs, warranty, charges for excess and obsolete inventory,
and other costs required to make our Argus II system at our Los Angeles, California facility. Our product involves technologically complex materials and
processes. We record cost of sales when products are implanted, which may differ from the period we are able to record revenue. Such timing differences
may cause our reported results of operations to be difficult to compare from period to period.
Operating Expenses. We generally recognize our operating expenses as incurred in four general operational categories: research and development,
clinical and regulatory, sales and marketing, and general and administrative. Our operating expenses also include a non-cash component related to the
amortization of stock-based compensation for research and development, clinical and regulatory, sales and marketing and general and administrative
personnel. From time-to-time we have received grants from institutions or agencies, such as the National Institutes of Health, to
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help fund the some of the cost of our development efforts. We have recorded these grants as reductions to operating expenses.
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Research and development expenses consist primarily of employee compensation and consulting costs related to the design, development, and
enhancements of our current and potential future products, offset by grant revenue received in support of specific research projects. We expense
our research and development costs as they are incurred. We expect research and development expenses to increase in the future as we pursue
further enhancements of our existing product and develop technology for our potential future products, such as the Orion Visual Cortical
Prosthesis. We also expect to receive additional grants in the future that will be offset primarily against research and development costs.
Clinical and regulatory expenses consist primarily of salaries, travel and related expenses for personnel engaged in clinical and regulatory
functions, as well as internal and external costs associated with conducting clinical trials and maintaining relationships with regulatory
agencies. We expect clinical and regulatory expenses to increase as we conduct clinical studies of potential future products such as the Orion
Visual Cortical Prosthesis.
Sales and marketing expenses consist primarily of salaries, commissions, travel and related expenses for personnel engaged in sales, marketing
and business development functions, as well as costs associated with promotional and other marketing activities, including the cost of units
consumed as demos or samples. We have suspended sales activities until such time as we are ready to market Orion.
General and administrative expenses consist primarily of salaries and related expenses for executive, legal, finance, human resources,
information technology and administrative personnel, as well as recruiting and professional fees, patent filing and annuity costs, insurance costs
and other general corporate expenses, including rent. We expect general and administrative expenses to increase as we add personnel and incur
additional costs related to the growth of our business and operate as a public company.
Comparison of the Years Ended December 31, 2020 and 2019
Worldwide commercial implant volume for the years ended December 31, 2020 and 2019 was as follows:
Europe and the Middle East
Asia
United States
Total
Years Ended December 31,
2019
2020
—
—
—
—
6
6
16
28
Net Sales. There were no net sales in 2020 compared to $3.4 million in 2019. There were no implants in 2020 as compared to 2019 when 26 implants
were recognized. We ceased sales of Argus II to focus on our new product Orion.
Cost of sales. Cost of sales decreased from $2.2 million in 2019 to a negative $0.5 million in 2020. In 2020, we ceased sales of Argus II, thus a
significant portion of our manufacturing activity related to Orion prototypes were reported in our research and development expenses. In addition, we
revised our expected warranty expenses due to our cessation of Argus II production and the related peripherals which resulted in a reduction of our
warranty liability of $0.5 million.
Research and development expense. Research and development expense decreased from $13.1 million in 2019 to $4.8 million in 2020, a decrease of
$8.3 million, or 63%. The decrease from the prior year was primarily due to decreased headcount and outside services.
Clinical and regulatory expense. Clinical and regulatory expense decreased from $3.4 million in 2019 to $1.7 million in 2020, a decrease of $1.7
million, or 50%. The decrease primarily related to costs associated with the Orion
53
feasibility study which were higher in 2019 at the times of the implants and our reduced costs due to the pandemic restricting our patient access. We expect
clinical and regulatory costs to increase in the future as we conduct additional clinical trials, such as the future pivotal study with Orion and if we enroll
additional subjects.
Selling and marketing expense. Selling and marketing expense decreased from $6.1 million in 2019 to $0.7 million in 2020, a decrease of $5.4
million or 89%. This decrease in spending is the result of our cancelation of our commercial activities associated with the Argus II until such time as we
produce a commercial product from our Orion platform.
General and administrative expense. General and administrative expense decreased from $9.2 million in 2019 to $5.9 million in 2020, a decrease of
$3.3 million, or 36%. The decrease is primarily related to reduced personnel costs which includes a reduction in non-cash stock compensation expense.
Restructuring charges. We recorded non-cash restructuring charges of $1.2 million in 2020 comprised of $0.5 million to fully reserve our inventory
in connection with our decision to no longer market Argus II and $0.7 million to write-down our fixed assets that are not directly involved in the
development of Orion. We recorded a cash charge of $0.2 million in material and overhead costs associated with Argus II and a $0.8 million for severance
compensation and other associated costs all of which was substantially settled by December 31, 2020.We recorded a non-cash restructuring charge of $2.6
million in 2019 to our reserve for excess and obsolete inventory in connection with our plans to suspend Argus II production. In addition, we recognized
$0.8 million of pre-tax restructuring charges in 2019 consisting of severance and other employee termination benefits, substantially all of which was settled
in cash during 2019.
Net loss. The net loss was $14.9 million in 2020, as compared to $33.6 million in 2019. The $18.7 million decrease in net loss from 2019 to 2020 was
primarily attributable to a $19.8 million decrease in operating expenses due to cessation of Argus II commercial activities offset by a $0.7 million decrease
in gross profit.
Liquidity and Capital Resources
We have experienced recurring operating losses and negative operating cash flows since inception and have financed our working capital
requirements through the recurring sale of our equity securities in both public and private offerings.
Based on our current plans, we do not have sufficient funds to continue operating our business at current levels for at least 12 months from the date of
issuance of this Form 10K. However, our operating plan may change as a result of many factors currently unknown to us, and we may need to seek
additional funds sooner than planned, through public or private equity offerings or debt financings, grants, collaborations, strategic partnerships or other
sources. However, we may be unable to raise additional capital or enter into such other arrangements when needed on favorable terms or at all. If we are
unable to obtain funding on a timely basis, we may be required to significantly curtail, delay or discontinue one or more of our research or development
programs or the commercialization of Argus II or any other approved product candidates, or we may be unable to expand our operations, maintain our
current organization and employee base or otherwise capitalize on our business opportunities, as desired, which could materially affect our business,
financial condition and results of operations. As a result, management has concluded that there is substantial doubt about the Company’s ability to continue
as a going concern, and the Company’s independent registered public accounting firm, in its report on the Company’s 2020 consolidated financial
statements, has raised substantial doubt about the Company’s ability to continue as a going concern.
On December 8, 2020, we borrowed $1 million from Gregg Williams, Chairman of the Board of Directors of the Company and $1.2 million from two
unaffiliated shareholders. Each promissory note is unsecured and accrues interest at a rate of twelve percent (12%) per annum beginning on receipt of the
loan amounts. Principal and accrued interest under the promissory notes, are payable on December 31, 2021.
On May 5, 2020, we closed our underwritten public offering of 7,500,000 shares of common stock at an offering price of $1.00 per share for
aggregate net proceeds of approximately $6.7 million.
54
In the period from January 1, 2018 to February 28, 2018, we sold approximately 278,000 additional shares through our At Market Issuance Sales
agreement, raising gross proceeds of approximately $4.1 million and net proceeds of approximately $4.0 million after expenses. During December 2019,
we sold approximately 17,000 shares of common stock through the same agreement which provided net proceeds of $0.1 million. In April 2020, we
terminated the Sales Agreement with the Agents.
In a Rights Offering completed on February 22, 2019 we sold approximately 5,976,000 units, each priced at $5.792 for net proceeds of approximately
$34.4 million. Each unit consisted of one share and one immediately exercisable warrant having a strike price of $11.76 per share. Entities controlled by
Gregg Williams, our Chairman of the Board of Directors, acquired approximately 5,180,000 units in the offering for an aggregate investment of
approximately $30 million.
Working capital was a negative $0.9 million at December 31, 2020, as compared to $6.2 million at December 31, 2019, a decrease of $7.1 million.
Cash Flows from Operating Activities
During 2020, we used $16.8 million of cash in operating activities, consisting primarily of a net loss of $14.9 million, offset by non-cash charges of
$1.8 million for depreciation and amortization of property and equipment, stock-based compensation, restructuring charges for inventory impairment, and
$3.7 million from a net change in operating assets and liabilities.
During 2019, we used $27.6 million of cash in operating activities, consisting primarily of a net loss of $33.6 million, offset by non-cash charges of
$5.9 million for depreciation and amortization of property and equipment, stock-based compensation, restructuring charges for inventory impairment, and
$0.1 million from a net change in operating assets and liabilities.
Cash Flows from Investing Activities
Investing activities in 2020 and 2019 used $0.3 million and $0.5 million, respectively, of cash for the purchase of equipment. In 2020 the sale of
assets held for sale provided cash of $0.4 million.
Cash Flows from Financing Activities
Financing activities provided $8.6 million of cash in 2020, including 6.7 million from the net proceeds from the issuance of common stock and
warrants and $2.2 million from the issuance of debt offset by the repurchase of ESPP shares and fractional shares of $0.3 million.
Financing activities provided $35.0 million of cash in 2019, including $34.5 million from the net proceeds from the issuance of common stock and
warrants and $0.5 million from the issuance of common stock for ESPP purchases
Off-Balance Sheet Arrangements
At December 31, 2020, we did not have any transactions, obligations or relationships that could be considered off-balance sheet arrangements.
55
Item 7A. Quantitative and Qualitative Disclosures about Market Risk
Interest Rate Sensitivity
The primary objective of our investment activities is to maintain the safety of principal and preserve liquidity without incurring significant risk. We
invest cash in excess of our current needs in money market funds. In general, money market funds are not considered to be subject to interest rate risk
because the interest paid on such funds fluctuates with the prevailing interest rate. As of December 31, 2019, our cash equivalents consisted solely of
money market funds while as of December 31, 2020 we had no cash equivalents.
Exchange Rate Sensitivity
During 2019, approximately 69% of our revenue was denominated in U.S. dollars and 31% in Euros. For 2020 and 2019, the majority of our
operating expenses were denominated in U.S. dollars. We have not entered into foreign currency forward contracts to hedge our operating expense
exposure to foreign currencies, but we may do so in the future.
Item 8. Financial Statements and Supplementary Data
Our financial statements and supplementary data required by this Item are provided in the consolidated financial statements included in this Form 10-
K as listed in Item 15(a) of this Form 10-K.
Item 9. Changes in and Disagreements with Accountants on Accounting and Financial Disclosure
None.
Item 9A. Controls and Procedures
Evaluation of Disclosure Controls and Procedures
Disclosure controls and procedures are designed to ensure that information required to be disclosed by us in reports filed or submitted under the
Securities Exchange Act of 1934, as amended (the “Exchange Act”), is recorded, processed, summarized and reported within the time periods specified in
the SEC’s rules and forms. Disclosure controls and procedures include, without limitation, controls and procedures designed to ensure that information
required to be disclosed in reports filed or submitted under the Exchange Act is accumulated and communicated to management, including our principal
executive officer and principal financial officer, or persons performing similar functions, as appropriate to allow for timely decisions regarding required
disclosure. Due to inherent limitations, internal control over financial reporting may not prevent or detect misstatements. Further, projections of any
evaluation of effectiveness to future periods are subject to the risk that controls may become inadequate because of changes in conditions, or that degree of
compliance with the policies and procedures may deteriorate. Accordingly, even effective disclosure controls and procedures can only provide reasonable
assurance of achieving their control objectives.
As of December 31, 2020, management has concluded that our disclosure controls and procedures were effective based upon testing of our key
internal controls. Our management, including our CEO and CAO, has concluded that the consolidated financial statements included in this Annual Report
on Form 10-K fairly present, in all material respects, our financial position, results of operations and cash flows for the periods presented in this Annual
Report on Form 10-K in conformity with GAAP.
This annual report does not include an attestation report from our independent registered public accounting firm regarding internal control over
financial reporting. Management’s report was not subject to attestation by our independent registered public accounting firm pursuant to our non-
accelerated filer status.
Management’s Report on Internal Control over Financial Reporting
Our management is responsible for establishing and maintaining adequate internal control over financial reporting as defined in Rules 13a-15(f) and
15d-15(f) under the Exchange Act. Our internal control over financial reporting is designed to provide reasonable assurance regarding the reliability of
financial reporting and the preparation of
56
financial statements for external purposes in accordance with generally accepted accounting principles. Our internal control over financial reporting
includes those policies and procedures that:
1. Pertain to the maintenance of records that in reasonable detail accurately and fairly reflect the transactions and dispositions of our
assets;
2. Provide reasonable assurance that transactions are recorded as necessary to permit preparation of financial statements in accordance
with GAAP, and that our receipts and expenditures are being made only in accordance with the authorization of our management and directors;
and
3. Provide reasonable assurance regarding prevention or timely detection of unauthorized acquisition, use or disposition of our assets
that could have a material effect on the financial statements.
As of December 31, 2020, based on the criteria established in “Internal Control — Integrated Framework” (2013 Framework) issued by the
Committee of Sponsoring Organizations of the Treadway Commission, management has completed written documentation of its internal control policies,
procedures and controls and has completed its testing of its key controls. Based upon the results of this testing we have concluded that our internal control
over financial reporting was effective as of the end of the period covered by this Annual Report on Form 10-K.
Changes in Internal Control over Financial Reporting
There has been no change in our internal control over financial reporting that occurred during or subsequent to our fourth quarter of the year ended
December 31, 2020 that has materially affected, or is reasonably likely to materially affect, our internal control over financial reporting.
Inherent Limitations on Effectiveness of Controls
The design of any system of control is based upon certain assumptions about the likelihood of future events. There can be no assurance that any
design will succeed in achieving its stated objectives under all future events, no matter how remote, or that the degree of compliance with the policies or
procedures may not deteriorate. Because of its inherent limitations, disclosure controls and procedures may not prevent or detect all misstatements.
Accordingly, even effective disclosure controls and procedures can provide only reasonable assurance of achieving their control objectives. In addition, the
design of disclosure controls and procedures must reflect the fact that there are resource constraints and that management is required to apply its judgment
in evaluating the benefits of possible controls and procedures relative to their costs. Also, projections of any evaluation of effectiveness to future periods
are subject to the risk that controls may become inadequate because of changes in conditions, or that the degree of compliance with policies and procedures
may deteriorate.
Item 9B. Other Information
None.
57
PART III
Certain information required by Part III is omitted from this Annual Report on Form 10-K and is incorporated by reference from our definitive proxy
statement relating to our 2021 annual meeting of stockholders, pursuant to Regulation 14A of the Securities Exchange Act of 1934, as amended, also
referred to in this Annual Report on Form 10-K as our 2020 Proxy Statement, which we will file with the SEC not later than 120 days after the end of the
fiscal year covered by this Annual Report on Form 10-K.
Item 10. Directors, Executive Officers and Corporate Governance
Information regarding our directors, including the audit committee and audit committee financial experts, and executive officers, and compliance
with Section 16(a) of the Exchange Act will be included in an amendment to this Form 10-K or in our 2020 Proxy Statement and is incorporated herein by
reference.
Item 11. Executive Compensation
The information required by this item regarding executive compensation will be included in an amendment to this Form 10-K or in our 2020 Proxy
Statement and is incorporated herein by reference.
Item 12. Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters
The information required by this item regarding security ownership of certain beneficial owners and management will be included in an amendment
to this Form 10-K or in our 2020 Proxy Statement and is incorporated herein by reference.
Item 13. Certain Relationships and Related Transactions, and Director Independence
The information required by this item regarding certain relationships and related transactions and director independence will be included in an
amendment to this Form 10-K or in our 2020 Proxy Statement and is incorporated herein by reference.
Item 14. Principal Accounting Fees and Services
The information required by this item regarding principal accounting fees and services will be included in an amendment to this Form 10-K or in our
2020 Proxy Statement and is incorporated herein by reference.
Item 15. Exhibits, Financial Statement Schedules
(a) The following documents are included in this Annual Report on Form 10-K:
PART IV
1.
The consolidated financial statements listed in the accompanying Index to Consolidated Financial Statements are filed as part of this report.
2. All financial schedules have been omitted because the required information is either presented in the consolidated financial statements or the
notes thereto or is not applicable or required.
3.
The exhibits required by Item 601 of Regulation S-K and Item 15(b) of this Annual Report on Form 10-K are listed in the Exhibit Index
immediately preceding the exhibits and are incorporated herein. We have identified in the Exhibit Index each management contract and
compensation plan filed as an exhibit to this Annual Report on Form 10-K in response to Item 15(a)(3) of Form 10-K.
58
Exhibit No.
1.1
Form of Underwriting Agreement(1)
EXHIBIT INDEX
Exhibit Description
3.1(a)
Restated Articles of Incorporation of the Registrant as amended(1)
3.2
4.1
4.2
4.3
4.4
10.1
10.2
10.3
10.4
10.5
10.6
10.7
10.8
10.9
10.10
10.11
10.12
10.13
10.14
10.15
21.1
24.1
31.1*
31.2*
32.1*
Amended and Restated Bylaws of the Registrant, as currently in effect(1)
Form of the Registrant’s common stock certificate(1)
Form of Underwriter’s Warrant(1)
Form of Warrant Agreement and Form of Warrant Certificate(2)
Form of Amendment No.1 to Warrant Agreement(3)
Form of Indemnification Agreement between Registrant and each of its directors and officers(1)+
2003 Equity Incentive Plan(1)+
2003 Form of Employee Option Agreement(1)+
2011 Equity Incentive Plan, as amended(4)+
2011 Form of Employee Option Agreement(1)+
Standard Multi-Tenant Office Lease – Net, dated April 15, 2014, between Registrant and Mann Biomedical Park LLC(1)
Cost Reimbursement Consortium Research Agreement between Registrant and Doheny Eye Institute(1)
Second Sight Medical Product, Inc. 2015 Employee Stock Purchase Plan (5)+
Executive Employment Agreement between Registrant and Will McGuire (6)+
Executive Employment Agreement between Registrant and John Blake (7)(+)
Securities Purchase Agreement among Registrant, Gregg G. Williams 2006 Trust and Sam B. William 1995 Generation-Skipping Trust
dated May 3, 2018(8)
Securities Purchase Agreement among Registrant, Gregg G. Williams 2006 Trust and Sam B. William 1995 Generation-Skipping Trust
dated August 14, 2018(9)
Executive Employment Agreement between Registrant and William Patrick Ryan(10)(+)
Securities Purchase Agreement among Registrant, Gregg G. Williams 2006 Trust and Sam B. William 1995 Generation-Skipping Trust
dated October 18, 2018(11)
Securities Purchase Agreement among Registrant, Gregg G. Williams 2006 Trust and Sam B. William 1995 Generation-Skipping Trust
dated December 12, 2018(12)
List of subsidiaries of the Registrant.(1)
Power of Attorney (include on signature page)
Certification of Principal Executive Officer of Second Sight Medical Products, Inc. pursuant to Section 302 of the Sarbanes-Oxley Act of
2002
Certification of Principal Financial and Accounting Officer of Second Sight Medical Products, Inc. pursuant to Section 302 of the
Sarbanes-Oxley Act of 2002
Certifications of Principal Executive Officer and Principal Financial and Accounting Officer of Second Sight Medical Products, Inc.
pursuant to Rule 13a-14(b) under the Exchange Act and 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-
Oxley Act of 2002
*
+
Included herein.
Indicates management contract or compensatory plan.
101.INS
101.SCH
101.CAL
101.DEF
XBRL Instance Document
XBRL Taxonomy Extension Schema Document
XBRL Taxonomy Extension Calculation Linkbase Document
XBRL Taxonomy Extension Definition Linkbase Document
59
101.LAB
101.PRE
XBRL Taxonomy Extension Label Linkbase Document
XBRL Taxonomy Extension Presentation Linkbase Document
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
(12)
Incorporated by reference to the registrant’s registration statement on Form S-1, file no. 333-198073, originally filed with the Securities and
Exchange Commission on August 12, 2014, as amended.
Incorporated by reference to the registrant’s registration statement on Form S-1, file no. 333-215463, originally filed with the Securities and
Exchange Commission on January 9, 2017, as amended.
Incorporated by reference to registrant’s current report on Form 8-K filed with the Securities and Exchange Commission on February 22, 2019.
Incorporated by reference to registrant’s definitive proxy statement on Schedule 14A, filed with the Securities and Exchange Commission on April
15, 2016.
Incorporated by reference to registrant’s definitive proxy statement on Schedule 14A, filed with the Securities and Exchange Commission on April
16, 2015.
Incorporated by reference to registrant’s current report on Form 8-K filed with the Securities and Exchange Commission on June 25, 2015.
Incorporated by reference to registrant’s current report on Form 8-K filed with the Securities and Exchange Commission on March 27, 2018.
Incorporated by reference to registrant’s current report on Form 8-K filed with the Securities and Exchange Commission on May 8, 2018.
Incorporated by reference to registrant’s current report on Form 8-K filed with the Securities and Exchange Commission on August 16, 2018.
Incorporated by reference to registrant’s current report on Form 8-K filed with the Securities and Exchange Commission on September 4, 2018.
Incorporated by reference to registrant’s current report on Form 8-K filed with the Securities and Exchange Commission on October 22, 2018.
Incorporated by reference to registrant’s current report on Form 8-K filed with the Securities and Exchange Commission on December 14, 2018.
60
SIGNATURES
Pursuant to the requirements of Section 13 or 15(d) 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.
Dated: March 16, 2021
Second Sight Medical Products, Inc.
/s/ Matthew Pfeffer
Matthew Pfeffer
Acting Chief Executive Officer
POWER OF ATTORNEY AND SIGNATURES
The undersigned officers and directors of Second Sight Medical Products, Inc., each hereby severally constitutes and appoints Matthew Pfeffer as his
true and lawful attorney-in-fact and agent, with full power of substitution to sign and execute on behalf of the undersigned any and all amendments to this
Annual Report on Form 10-K, and to perform any acts necessary in order to file the same, with all exhibits thereto and other documents in connection
therewith with the Securities and Exchange Commission, granting unto said attorney-in-fact and agent full power and authority to do and perform each and
every act and thing requested and necessary to be done in connection therewith, as fully to all intents and purposes as he might or could do in person,
hereby ratifying and confirming all that said attorney-in-fact and agent, or their or his or her substitutes, shall do or cause to be done by virtue hereof.
Pursuant to the requirements of the Securities Exchange Act of 1934, this Report has been signed below by the following persons on behalf of the
Registrant and in the capacities and on the dates indicated.
Name
Title
Date
/s/ Matthew Pfeffer
Matthew Pfeffer
/s/ Edward Sedo
Edward Sedo
/s/ Gregg Williams
Gregg Williams
/s/ Jonathan Will McGuire
Jonathan Will McGuire
/s/ Aaron Mendelsohn
Aaron Mendelsohn
Acting Chief Executive Officer and Director
(Principal Executive Officer)
Acting Chief Accounting Officer
(Principal Financial and Accounting Officer)
March 16, 2021
March 16, 2021
Chairman of the Board
March 16, 2021
Director
Director
March 16, 2021
March 16, 2021
61
SECOND SIGHT MEDICAL PRODUCTS, INC.
AND SUBSIDIARY
INDEX TO CONSOLIDATED FINANCIAL STATEMENTS
Report of Independent Registered Public Accounting Firm
Consolidated Balance Sheets as of December 31, 2020 and 2019
Consolidated Statements of Operations for the Years Ended December 31, 2020 and 2019
Consolidated Statements of Comprehensive Loss for the Years Ended December 31, 2020 and 2019
Consolidated Statements of Stockholders’ Equity (Deficit) for the Years Ended December 31, 2020 and 2019
Consolidated Statements of Cash Flows for the Years Ended December 31, 2020 and 2019
Notes to Consolidated Financial Statements for the Years Ended December 31, 2020 and 2019
62
Page
63
65
66
67
68
69
70
REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM
To the Board of Directors and Stockholders of
Second Sight Medical Products, Inc. and Subsidiary
Opinion on the Consolidated Financial Statements
We have audited the accompanying consolidated balance sheets of Second Sight Medical Products, Inc. and Subsidiary (the “Company”) as of December
31, 2020 and 2019, and the related consolidated statements of operations, comprehensive loss, stockholders’ equity (deficit), and cash flows, for each of
the two years in the period ended December 31, 2020, and the related notes (collectively referred to as the “consolidated financial statements”). In our
opinion, the consolidated financial statements present fairly, in all material respects, the financial position of the Company as of December 31, 2020 and
2019, and the results of their operations and their cash flows for each of the two years in the period ended December 31, 2020, in conformity with
accounting principles generally accepted in the United States of America.
Basis for Opinion
These consolidated financial statements are the responsibility of the Company’s management. Our responsibility is to express an opinion on the
Company’s consolidated financial statements based on our audits. We are a public accounting firm registered with the Public Company Accounting
Oversight Board (United States) (“PCAOB”) and are required to be independent with respect to the Company in accordance with the U.S. federal
securities laws and the applicable rules and regulations of the Securities and Exchange Commission and the PCAOB.
We conducted our audits in accordance with the standards of the PCAOB. Those standards require that we plan and perform the audit to obtain reasonable
assurance about whether the consolidated financial statements are free of material misstatement, whether due to error or fraud. The Company is not
required to have, nor were we engaged to perform an audit of its internal control over financial reporting. As part of our audits, we are required to obtain
an understanding of internal control over financial reporting but not for the purpose of expressing an opinion on the effectiveness of the Company’s
internal control over financial reporting. Accordingly, we express no such opinion.
Our audits included performing procedures to assess the risks of material misstatement of the consolidated financial statements, whether due to error or
fraud, and performing procedures that respond to those risks. Such procedures included examining, on a test basis, evidence regarding the amounts and
disclosures in the consolidated financial statements. Our audits also included evaluating the accounting principles used and significant estimates made by
management, as well as evaluating the overall presentation of the consolidated financial statements. We believe that our audits provide a reasonable basis
for our opinion.
Going Concern
The accompanying consolidated financial statements have been prepared assuming that the Company will continue as a going concern. As more fully
discussed in Note 1 to the consolidated financial statements, the Company is subject to the risks and uncertainties associated with a business with one
product line and limited revenues. The Company has incurred significant operating losses and negative operating cash flows from operations since
inception. The Company’s continued operations are dependent upon its ability to raise additional funds through equity or debt financing. There can be no
assurances that the Company will be able to secure any such additional financing on acceptable terms and conditions, or at all. These conditions raise
substantial doubt about the Company’s ability to continue as a going concern. Management’s plans in regard to these matters are also described in Note 1.
The consolidated financial statements do not include any adjustments that might result from the outcome of this uncertainty.
63
Critical Audit Matters
The critical audit matters communicated below are matters arising from the current period audit of the consolidated financial statements that were
communicated or required to be communicated to the Company’s Audit Committee and that: (1) relate to accounts or disclosures that are material to the
consolidated financial statements and (2) involved our especially challenging, subjective, or complex judgments. The communication of critical audit
matters does not alter in any way our opinion on the consolidated financial statements, taken as a whole, and we are not, by communicating the critical
audit matters below, providing separate opinions on the critical audit matters or on the accounts or disclosures to which they relate.
Product Warranties
As described in Note 2 to the consolidated financial statements, the Company estimates the accruals for product warranties based on historical warranty
experience and current product performance trends. Management periodically assesses the adequacy of the recorded warranty liabilities and adjusts the
amounts as necessary.
We identified product warranties accrual as a critical audit matter. The methods and underlying assumptions involved in assessing the adequacy of
warranty liabilities involve management estimates and judgment based on reported claims, replacement costs, and historical settlement amounts, among
other items. Auditing management’s estimate of the Company’s product warranties was challenging due to the significant judgment and subjectivity
required to evaluate the reasonableness of future warranty claims.
To evaluate management’s estimate of product warranties, our audit procedures included, among others, evaluating the underlying data used by
management to estimate the accrual, making inquiries of operational and executive management regarding knowledge of known product warranty claims
and evaluating whether they were appropriately considered in the determination of the product warranty accrual, comparing the product warranty accrual
in prior years to the actual product warranty claims paid in subsequent years, and developing an expectation for the accrual based on the historical amounts
recorded and compared our expectation to the amount recorded by management.
Accounting for Grant Revenue
As described in Note 2 to the financial statements, grant revenue is recognized in the period during which the Company incurs the related costs, provided
that the Company has incurred the cost in accordance with the specifications and work plans determined between the Company and the government entity.
We identified the accounting for grant revenue as a critical audit matter. Significant judgment was used in determining whether the grant is a contract with
a customer, which in turn led to a high degree of auditor judgment in performing procedures and evaluating audit evidence.
The following are the primary procedures we performed to address this critical audit matter. We reviewed the grant agreement to identify significant terms.
We reviewed management’s accounting treatment and evaluated whether such was reasonable. We selected a sample of grant related costs recognized
during the current year and reviewed the supporting documents.
/s/ Gumbiner Savett Inc.
We have served as the Company's auditor since 2014
Santa Monica, California
March 16, 2021
64
SECOND SIGHT MEDICAL PRODUCTS, INC.
AND SUBSIDIARY
Consolidated Balance Sheets
(In thousands)
ASSETS
Current assets:
Cash and cash equivalents
Accounts receivable, net
Inventories, net
Prepaid expenses and other current assets
Total current assets
Property and equipment, net
Right-of-use assets
Deposits and other assets
Total assets
LIABILITIES AND STOCKHOLDERS’ EQUITY (DEFICIT)
Current liabilities:
Accounts payable
Accrued expenses
Accrued compensation expense
Accrued clinical trial expenses
Current operating lease liabilities
Current debt
Contract liabilities
Total current liabilities
Long term operating lease liabilities
Total liabilities
Commitments and contingencies
Stockholders’ equity (deficit):
$
$
$
December 31,
2020
2019
3,177 $
—
—
1,092
4,269
174
—
17
11,327
455
1,029
299
13,110
1,122
2,342
25
4,460 $
16,599
486 $
875
173
1,063
—
2,200
335
5,132
—
5,132
1,093
1,889
2,698
707
237
—
335
6,959
2,365
9,324
Preferred stock, no par value, 10,000 shares authorized; none outstanding
Common stock, no par value; 300,000 shares authorized; shares issued and outstanding: 23,214 and
15,643 at December 31, 2020 and December 31, 2019, respectively
Additional paid-in capital
Accumulated other comprehensive loss
Accumulated deficit
Total stockholders’ equity (deficit)
—
—
270,126
49,314
(448)
(319,664)
(672)
264,008
48,613
(562)
(304,784)
7,275
Total liabilities and stockholders’ equity (deficit)
$
4,460 $
16,599
See accompanying notes to consolidated financial statements.
65
SECOND SIGHT MEDICAL PRODUCTS, INC.
AND SUBSIDIARY
Consolidated Statements of Operations
(In thousands, except per share data)
Net sales
Cost of sales
Gross profit
Operating expenses:
Research and development, net of grants
Clinical and regulatory, net of grants
Selling and marketing
General and administrative
Restructuring charges
Total operating expenses
Loss from operations
Interest income
Net loss
Net loss per common share – basic and diluted
Weighted average shares outstanding – basic and diluted
$
$
$
Years Ended December 31,
2020
— $
(500)
500
4,836
1,687
701
5,943
2,229
15,396
(14,896)
16
(14,880) $
(0.72) $
20,575
2019
3,379
2,152
1,227
13,143
3,354
6,101
9,226
3,357
35,181
(33,954)
362
(33,592)
(2.28)
14,708
See accompanying notes to consolidated financial statements.
66
SECOND SIGHT MEDICAL PRODUCTS, INC.
AND SUBSIDIARY
Consolidated Statements of Comprehensive Loss
(In thousands)
Net loss
Other comprehensive income (loss):
Foreign currency translation adjustments
Comprehensive loss
Years Ended December 31,
2020
2019
(14,880) $
(33,592)
114
(14,766) $
13
(33,579)
$
$
See accompanying notes to consolidated financial statements.
67
Balance, December 1, 2019
Adoption of ASC Topic 842 Leases
(see note 2)
Warrants modification (see note 6)
Issuance of common stock and warrants in
connection with rights offering, net
of issuance costs
Issuance of common stock in connection with
employee stock purchase plan
Stock-based compensation expense
Issuance of shares of common stock, net of
issuance costs
Release of restricted stock units
Comprehensive loss:
Net loss
Foreign currency translation adjustment
Comprehensive loss
Balance, December 31, 2019
Repurchase of fractional shares in connection
with reverse stock split
Issuance of common stock and warrants in
connection with rights offering, net of
issuance costs
Issuance of common stock in connection with
ATM
Stock-based compensation expense
Repurchase of ESPP shares as part of a
rescission offer
Cash-less exercise of underwriter’s warrants
Release of restricted stock units
Comprehensive loss:
Net loss
Foreign currency translation adjustment
Comprehensive loss
Balance, December 31, 2020
SECOND SIGHT MEDICAL PRODUCTS, INC.
AND SUBSIDIARY
Consolidated Statements of Stockholders’ Equity (Deficit)
(In thousands)
Common Stock
Shares
Amount
Additional
Paid-in
Capital
Accumulated
Other
Comprehensive
Loss
Accumulated
Deficit
Total
Stockholders’
Equity(Deficit)
9,542
$
229,019 $
44,111 $
(575) $
269,471 $
—
—
—
—
5,976
34,399
484
—
106
—
—
—
—
264,008 $
(11)
6,393
6
—
(270)
—
—
99
—
17
9
—
—
—
15,643
(2)
7,500
1
—
(39)
96
15
—
—
—
23,214
$
$
—
1,577
—
—
2,925
—
—
—
—
—
48,613 $
—
280
—
421
—
—
—
—
—
—
270,126 $
—
—
—
49,314 $
See accompanying notes to consolidated financial statements.
68
—
—
—
—
—
—
—
—
13
13
(562) $
—
—
—
—
—
—
—
—
114
114
(448) $
(144)
(1,577)
—
—
—
—
—
(33,592)
—
(33,592)
(304,784) $
—
—
—
—
—
—
—
(14,880)
—
(14,880)
(319,664) $
3,084
(144)
—
34,399
484
2,925
106
—
(33,592)
(13)
(33,579)
7,275
(11)
6,673
6
421
(270)
—
—
(14,880)
114
(14,766)
(672)
SECOND SIGHT MEDICAL PRODUCTS, INC.
AND SUBSIDIARY
Consolidated Statements of Cash Flows
(In thousands)
Cash flows from operating activities:
Net loss
Adjustments to reconcile net loss to net cash used in operating activities:
Depreciation and amortization of property and equipment
Stock-based compensation
Non-cash lease expense
Bad debt expense
Restructuring charges-inventory impairment
Changes in operating assets and liabilities:
Accounts receivable
Inventories
Prepaid expenses and other assets
Accounts payable
Accrued expenses
Accrued compensation expenses
Accrued clinical trial expenses
Contract liabilities
Net cash used in operating activities
Cash flows from investing activities:
Purchases of property and equipment
Sale of assets held for sale
Net cash provided (used) in investing activities
Cash flows from financing activities:
Net proceeds from sale of common stock and/or warrants
Repurchase of ESPP shares and fractional shares in connection with reverse
stock split
Debt financing
Proceeds from exercise of options, warrants and employee stock purchase plan options
Net cash provided by financing activities
Effect of exchange rate changes on cash and cash equivalents
Cash and cash equivalents:
Net Increase (decrease)
Balance at beginning of year
Balance at end of year
Non-cash financing activities:
Fair value of warrants issued in connection with issuance of common stock $280 $—
$
See accompanying notes to consolidated financial statements.
69
Years Ended December 31,
2020
2019
$
(14,880) $
(33,592)
164
421
3
—
1,214
461
529
(785)
(1,051)
(731)
(2,524)
357
—
(16,822)
(330)
398
68
6,679
(281)
2,200
—
8,598
6
(8,150)
11,327
3,177 $
397
2,925
17
—
2,587
48
(347)
1,070
(213)
(472)
8
(226)
169
(27,629)
(493)
—
(493)
34,505
—
—
484
34,989
(11)
6,856
4,471
11,327
SECOND SIGHT MEDICAL PRODUCTS, INC.
AND SUBSIDIARY
Notes to Consolidated Financial Statements
1. Organization and Business Operations
Second Sight Medical Products, Inc. (“Second Sight,” the “Company,” “we,” “us,” “our” or similar terms), was incorporated in the State of
California in 2003. We develop, manufacture and market implantable visual prosthetics that are intended to deliver useful artificial vision to blind
individuals. We are a recognized global leader in neuromodulation devices for blindness, and are committed to developing new technologies to treat the
broadest population of sight-impaired individuals.
In 2007, Second Sight formed Second Sight (Switzerland) Sàrl, initially to manage clinical trials for its products in Europe, and later to manage sales
and marketing in Europe, the Middle East and Asia Pacific. As the laws of Switzerland require at least two corporate stockholders, Second Sight
(Switzerland) Sàrl is 99.5% owned directly by us and 0.5% owned by an executive of Second Sight, who is acting as our nominee. Accordingly, Second
Sight (Switzerland) Sàrl, is considered 100% owned for financial statement purposes and is consolidated with Second Sight for all periods presented.
We are currently developing the Orion® Visual Cortical Prosthesis System (“Orion”), an implanted cortical stimulation device intended to provide
useful artificial vision to individuals who are blind due to a wide range of causes, including glaucoma, diabetic retinopathy, optic nerve injury or disease, or
forms of cancer and trauma. A feasibility study of the Orion device is currently underway at the Ronald Reagan UCLA Medical Center in Los Angeles
(“UCLA”) and Baylor College of Medicine in Houston (“Baylor”).
Our commercially approved product, the Argus® II retinal prosthesis system (“Argus II”), entered clinical trials in 2006, received CE Mark approval
for marketing and sales in the European Union (“EU”) in 2011, and received approval by the United States Food and Drug Administration (“FDA”) for
marketing and sales in the United States in 2013. We began selling the Argus II in Europe at the end of 2011, Saudi Arabia in 2012, the United States and
Canada in 2014, Turkey in 2015, Iran, Taiwan, South Korea and Russia in 2017, and Singapore in 2018. Given the limited addressable market of Argus II,
we have made the decision to maximize capital efficiency with our Argus commercial and clinical activities and increase our investment of resources with
our Orion clinical and R&D programs.
Going Concern
From inception, our operations have been funded primarily through the sales of our common stock and warrants, as well as from the issuance of
convertible debt, research and clinical grants, and limited product revenue generated from the sale of our Argus II product. Funding of our business since
2018 has been primarily provided by:
•
•
•
•
•
On December 8, 2020, we borrowed $1 million from Gregg Williams, Chairman of the Board of Directors of the Company and $1.2 million
from two unaffiliated shareholders
On May 5, 2020, we closed our underwritten public offering of 7,500,000 shares of common stock at an offering price of $1.00 per share for
aggregate net proceeds of approximately $6.7 million
Issues of common stock and warrants in a Rights Offering in February 2019 which provided $34.4 million of net cash proceeds
Issuances of common stock through our At Market Issuance Sales Agreement during the fourth quarter of 2019 which provided $0.1 million of
net cash proceeds
Revenue of $3.4 million for the years ended December 31, 2019 generated by sales of our Argus II product.
In a Rights Offering completed on February 22, 2019 we sold approximately 5,976,000 units, each priced at $5.792 for net proceeds of approximately
$34.4 million. Each unit consisted of one share and one immediately exercisable warrant having a strike price of $11.76 per share. Entities controlled by
Gregg Williams, our Chairman of the Board of Directors, acquired approximately 5,180,000 units in the offering for an aggregate investment of
approximately $30 million.
70
The Company’s financial statements have been presented on the basis that its business is a going concern, which contemplates the realization of
assets and the satisfaction of liabilities in the normal course of business. We are subject to the risks and uncertainties associated with a business with one
product line and limited commercial product revenues, including limitations on our operating capital resources and uncertain demand for our product. We
have incurred recurring operating losses and negative operating cash flows since inception, and we expect to continue to incur operating losses and
negative operating cash flows for at least the next few years. On January 25, 2019, we received a letter from The Nasdaq Stock Market advising us that for
30 consecutive trading days preceding the date of the letter, the bid price of our common stock had closed below the $1.00 per share minimum required for
continued listing on The Nasdaq Capital Market pursuant to listing rules, and therefore we could have been subject to delisting if we did not regain
compliance within the compliance period (or the compliance period as may be extended). On January 6, 2020 we initiated a reverse 1-for-8 (1:8) reverse
stock split, which reduced our outstanding shares and increased our per share price which regained compliance with Nasdaq rules.
Based on our current plans, we do not have sufficient funds to continue operating our business at current levels for at least 12 months from the date of
issuance of these financial statements. However, our operating plan may change as a result of many factors currently unknown to us, and we may need to
seek additional funds sooner than planned, through public or private equity offerings or debt financings, grants, collaborations, strategic partnerships or
other sources. However, we may be unable to raise additional capital or enter into such other arrangements when needed on favorable terms or at all. If we
are unable to obtain funding on a timely basis, we may be required to significantly curtail, delay or discontinue one or more of our research or development
programs or any other approved product candidates, or we may be unable to expand our operations, maintain our current organization and employee base
or otherwise capitalize on our business opportunities, as desired, which could materially affect our business, financial condition and results of operations.
As a result, management has concluded that there is substantial doubt about our ability to continue as a going concern, and our independent registered
public accounting firm, in its report on our 2020 consolidated financial statements, has raised substantial doubt about our ability to continue as a going
concern.
Reverse Stock Split
On December 31, 2019, the Company effected a reverse stock split of the outstanding shares of its no-par value common stock and outstanding
warrants to purchase its common stock by a ratio of 1-for-8 (1:8). The common stock and warrants began trading on the Nasdaq Capital Market on a split-
adjusted basis on January 6, 2020.
The accompanying consolidated financial statements and notes thereto give retrospective effect to the reverse stock split for all periods presented. All
issued and outstanding common stock, options and warrants exercisable for common stock, restricted stock units, and per share amounts contained in our
consolidated financial statements have been retrospectively adjusted.
2. Summary of Significant Accounting Policies
Principles of Consolidation
The accompanying consolidated financial statements have been prepared in accordance with United States generally accepted accounting principles
(“GAAP”) and include the financial statements of Second Sight and Second Sight Switzerland. Intercompany balances and transactions have been
eliminated in consolidation.
Use of Estimates
The preparation of financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the reported
amounts of assets and liabilities at the date of the financial statements and the reported amounts of expenses during the reporting period. We base our
estimates on historical experience and on various assumptions that are believed to be reasonable in relation to the financial statements taken as a whole
under the circumstances, the results of which form the basis for making judgments about the carrying values of assets and liabilities that are not readily
apparent from other sources. Management regularly evaluates the key factors and assumptions used to develop the estimates utilizing currently available
information, changes in facts and circumstances, historical experience and reasonable assumptions. After such evaluations, if deemed appropriate, those
71
estimates are adjusted accordingly. Actual results could differ from those estimates. Significant estimates include those related to assumptions used in
accruals for potential liabilities, valuing equity instruments and stock-based compensation, and the realization of deferred tax assets. Actual results could
differ from those estimates
Cash and Cash Equivalents
We consider all highly liquid investments with a maturity of three months or less at the date of purchase to be cash equivalents. Cash is carried at
cost, which approximates fair value, and cash equivalents are carried at fair value. We generally invest funds that are in excess of current needs in high
credit quality instruments such as money market funds.
Accounts receivable
Trade accounts receivable are stated net of an allowance for doubtful accounts. We perform ongoing credit evaluations of our customers’ financial
condition and generally require no collateral from our customers or interest on past due amounts. We estimate the allowance for doubtful accounts based on
review and analysis of specific customer balances that may not be collectible and how recently payments have been received. Accounts are considered for
write-off when they become past due and when it is determined that the probability of collection is remote. Allowance for doubtful accounts amounted to
approximately $0.1 million and $0.1 million at December 31, 2020 and 2019, respectively.
Inventories
Inventories are stated at the lower of cost or net realizable value determined by the first-in, first-out method. Inventories consist primarily of raw
materials, work in progress and finished goods, which includes all direct material, labor and other overhead costs. We establish a reserve to mark down our
inventory for estimated unmarketable inventory equal to the difference between the cost of inventory and the estimated net realizable value based on
assumptions about the usability of the inventory, future demand and market conditions. If actual market conditions are less favorable than those projected
by management, additional inventory reserve may be required.
Property and Equipment
Property and equipment are recorded at historical cost less accumulated depreciation and amortization. Improvements are capitalized, while
expenditures for maintenance and repairs are charged to expense as incurred. Upon disposal of depreciable property, the appropriate property accounts are
reduced by the related costs and accumulated depreciation. The resulting gains and losses are reflected in the consolidated statements of operations.
Depreciation is provided for using the straight-line method in amounts sufficient to relate the cost of assets to operations over their estimated service
lives. Leasehold improvements are amortized over the shorter of the life of the asset or the related lease term. Estimated useful lives of the principal classes
of assets are as follows:
Lab equipment
Computer hardware and software
Leasehold improvements
Furniture, fixtures and equipment
5 – 7 years
3 – 7 years
2 – 5 years or the term of the lease, if shorter
5 – 10 years
We review our property and equipment for impairment annually or whenever events or changes in circumstances indicate that the carrying value of such
assets may not be recoverable. As a result of our decision to cease marketing of Argus II we recorded an impairment of $0.7 million related to our fixed
assets used primarily for Argus activities. We sold a substantial number of our fixed assets for net proceeds of $0.4 million in July 2020.
Depreciation and amortization of property and equipment amounted to $0.2 million and $0.4 million for the years ended December 31, 2020 and 2019,
respectively.
Research and Development
72
Research and development costs are charged to operations in the period incurred and amounted to $4.8 million, and $13.1 million net of grant revenue,
for the years ended December 31, 2020 and 2019, respectively.
Patent Costs
Due to the uncertainty associated with the successful development of one or more commercially viable products based on our research efforts and any
related patent applications, all patent costs, including patent-related legal, filing fees and other costs, including internally generated costs, are expensed as
incurred. Patent costs were $0.2 million and $0.4 million for the years ended December 31, 2020 and 2019, respectively, and are included in general and
administrative expenses in the consolidated statements of operations.
Revenue Recognition
We generated our revenue from the sale of our Argus II Retinal Prosthesis System, which includes the implant and wearable components. Our
product sales generally consisted of the implant and related surgical supplies and may include a performance obligation related to post-surgical support.
We sold our products through two main sales channels: 1) directly to customers who use our products (the “Direct Channel”) and 2) to distribution
partners who resell our products (the “Indirect Channel”).
Under the Direct Channel, we sold our systems to and we received payment directly from customers who implant our products. Under our Indirect
Channel, we have entered into distribution agreements that allow the distributors to sell our systems and fulfill performance obligations for surgical
support and post-surgical support.
We determine revenue recognition through the following steps:
•
•
•
•
•
Identification of the contract, or contracts, with a customer
Identification of the performance obligations in the contract
Determination of the transaction price
Allocation of the transaction price to the performance obligations in the contract
Recognition of revenue when, or as, we satisfy a performance obligation
Revenue was generally recognized upon surgical implant, unless we have a significant performance obligation for post-surgical support. We
recognized revenue when a material reversal is no longer probable. Conditions that precluded us from recognizing revenue generally involved new
customers with no reimbursement or reimbursement history, and depended on third-party behavior beyond our control, uncertain payment cycles over an
extended period of time, and our limited historical experience with these arrangements.
Grant Receipts and Liabilities
From time to time, we receive grants that help fund specific development programs. Any amounts received pursuant to grants are offset against the
related operating expenses as the costs are incurred. During the years ended December 31, 2020 and 2019 grants offset against operating expenses were
$1.3 million and $0.9 million, respectively.
Concentration of Risk
Credit Risk
Financial instruments that subject us to concentrations of credit risk consist primarily of cash, money market funds, and trade accounts receivable. We
maintain cash and money market funds with financial institutions that management deems credit worthy, and at times, cash balances may be in excess of
FDIC and SIPC insurance limits of $250,000 and $500,000 (including cash of $250,000), respectively. We extend differing levels of credit to customers,
and typically do not require collateral.
We also maintain cash at a bank in Switzerland. Accounts at said bank are insured up to an amount specified by the deposit insurance agency of
Switzerland.
73
Customer Concentration
The following tables provide information about disaggregated revenue by service type, customer and geographical market.
The following table shows our revenues by customer type during the years ended December 31, 2020 and 2019 (in thousands):
Direct Channel
Indirect Channel
Total
$
$
2020
2019
—
—
—
$
$
2,861
518
3,379
During the year ended December 31, 2019 five customers represented 61% of revenue. No other customer represented 10% or more of revenue.
As of December 31, 2020 and 2019, the following customers comprised more than 10% accounts receivable:
Customer 1
Customer 2
Customer 3
Geographic Concentration
2020
2019
—%
—%
—%
35%
33%
32%
During the years ended December 31, 2020 and 2019, regional revenue, based on customer locations which comprised 10% or more of revenues,
consisted of the following:
United States
Italy
China
Sources of Supply
2020
2019
—%
—%
—%
65%
19%
10%
Several of the components, materials and services used in our current Argus II product are available from only single suppliers, and substitutes for
these items cannot be obtained easily or would require substantial design or manufacturing modifications. Any significant problem experienced by one of
our sole source suppliers could result in a delay or interruption in the supply of components to us until that supplier cures the problem or an alternative
source of the component is located and qualified. Even where we could qualify alternative suppliers, the substitution of suppliers may be at a higher cost
and cause time delays that impede the production of Orion and Argus II, reduce gross profit margins and impact our ability to deliver our products as may
be timely required to meet demand.
Foreign Operations
The accompanying consolidated financial statements as of December 31, 2020 and 2019 include assets amounting to approximately $18,000 and
$1.3 million, respectively, relating to our operations in Switzerland. Unanticipated events in foreign countries could disrupt our operations and impair the
value of these assets.
Fair Value of Financial Instruments
74
The authoritative guidance with respect to fair value establishes a fair value hierarchy that prioritizes the inputs to valuation techniques used to
measure fair value into three levels and requires that assets and liabilities carried at fair value be classified and disclosed in one of three categories, as
presented below. Disclosure as to transfers in and out of Levels 1 and 2, and activity in Level 3 fair value measurements, is also required.
Level 1. Observable inputs such as quoted prices in active markets for an identical asset or liability that we have the ability to access as of the
measurement date. Financial assets and liabilities utilizing Level 1 inputs include active-exchange traded securities and exchange-based derivatives.
Level 2. Inputs, other than quoted prices included within Level 1, which are directly observable for the asset or liability or indirectly observable
through corroboration with observable market data. Financial assets and liabilities utilizing Level 2 inputs include fixed income securities, non-exchange
based derivatives, mutual funds, and fair-value hedges.
Level 3. Unobservable inputs in which there is little or no market data for the asset or liability which requires the reporting entity to develop its own
assumptions. Financial assets and liabilities utilizing Level 3 inputs include infrequently-traded non-exchange-based derivatives and commingled
investment funds, and are measured using present value pricing models.
We determine the level in the fair value hierarchy within which each fair value measurement falls in its entirety, based on the lowest level input that is
significant to the fair value measurement in its entirety. In determining the appropriate levels, we perform an analysis of the assets and liabilities at each
reporting period end.
Cash equivalents, which include money market funds, are the only financial instrument measured and recorded at fair value in assets or liabilities on
our consolidated balance sheet, and they are valued using Level 1 inputs.
Stock-Based Compensation
Pursuant to FASB ASC 718 Share-Based Payment (“ASC 718”), we record stock-based compensation expense for all stock-based awards.
Under ASC 718, we estimate the fair value of stock options granted using the Black-Scholes option pricing model. The fair value for awards that are
expected to vest is then amortized on a straight-line basis over the requisite service period of the award, which is generally the option vesting term.
The fair value of each stock option award is estimated on the date of grant using the Black-Scholes option valuation model. The assumptions used in
the Black-Scholes valuation model are as follows:
•
•
•
•
•
The grant price of the issuances is determined based on the fair value of the shares at the date of grant.
The risk free interest rate for periods within the contractual life of the option is based on the U.S. treasury yield in effect at the time of grant.
We calculate the expected term of options using a weighted average of option vesting periods and an estimate of one-half of the period between
vesting and expiration of the option.
Volatility is determined based on our average historical volatilities since our trading history began in November 2014, supplemented with
average historical volatilities of comparable companies in our similar industry.
Expected dividend yield is based on current yield at the grant date or the average dividend yield over the historical period. We have never
declared or paid dividends and have no plans to do so in the foreseeable future.
Comprehensive Income or Loss
75
We comply with provisions of FASB ASC 220, Comprehensive Income, which requires companies to report all changes in equity during a period,
except those resulting from investment by owners and distributions to owners, for the period in which they are recognized. Comprehensive income is
defined as the change in equity during a period from transactions and other events from non-owner sources.
Comprehensive and other comprehensive income (loss) is reported on the face of the financial statements. For the years ended December 31, 2020
and 2019 comprehensive income (loss) is the total of net income (loss) and other comprehensive income (loss) which, for us, consists entirely of foreign
currency translation adjustments and there were no material reclassifications from other comprehensive loss to net loss during the years ended December
31, 2020 and 2019.
Foreign Currency Translation and Transactions
The financial statements and transactions of the subsidiary’s operations are reported in the local (functional) currency of Swiss francs (CHF) and
translated into U.S. dollars in accordance with U.S. GAAP. Assets and liabilities of those operations are translated at exchange rates in effect at the balance
sheet date. The resulting gains and losses from translating foreign currency financial statements are recorded as other comprehensive income (loss).
Revenues and expenses are translated at the average exchange rate for the reporting period. Foreign currency transaction gains (losses) resulting from
exchange rate fluctuations on transactions denominated in a currency other than the foreign operations’ functional currencies are included in expenses in
the consolidated statements of operations.
Income Taxes
We account for income taxes under an asset and liability approach for financial accounting and reporting for income taxes. Accordingly, we
recognize deferred tax assets and liabilities for the expected impact of differences between the financial statements and the tax basis of assets and liabilities.
We record a valuation allowance to reduce our deferred tax assets to the amount that is more likely than not to be realized. In the event we were to
determine that we would be able to realize our deferred tax assets in the future in excess of our recorded amount, an adjustment to the deferred tax assets
would be credited to operations in the period such determination was made. Likewise, should we determine that we would not be able to realize all or part
of our deferred tax assets in the future, an adjustment to the deferred tax assets would be charged to operations in the period such determination was made.
We have incurred losses for tax purposes since inception and have significant tax losses and tax credit carryforwards.
As of December 31, 2020, we had federal and state of California income tax net operating loss carryforwards, which may be applied to future taxable
income, of approximately $116.1 million and $58.1 million, respectively. To the extent that we continue to generate taxable losses, unused losses will carry
forward to offset future taxable income, if any, until these unused losses expire. However, we may be unable to use these losses to offset taxable income
before our unused losses expire at various dates that range from 2035 through 2037 for federal net operating losses generated before 2018. Federal net
operating losses generated for year 2018 and forward do not expire. State net operating losses expire from 2033 through 2040. Under Section 382 of the
Internal Revenue Code of 1986, as amended, or the Code, if a corporation undergoes an “ownership change,” generally defined as a greater than 50
percentage point change (by value) in its equity ownership over a three-year period, the corporation’s ability to use its pre-change net operating loss, or
NOL, carryforwards to offset its post-change taxable income may be limited. Limitations may also apply to the utilization of other pre-change tax attributes
as a result of an ownership change.
We experienced an “ownership change” within the meaning of Section 382(g) of the Internal Revenue Code of 1986, as amended, during the second quarter
of 2017. The ownership change will subject our net operating loss carryforwards to an annual limitation, which will significantly restrict our ability to
use them to offset taxable income in periods following the ownership change. In general, the annual use limitation equals the aggregate value of our stock
at the time of the ownership change multiplied by a tax-exempt interest rate specified by the Internal Revenue Service. We have analyzed the available
information to determine the amount of the annual limitation. Based on information available us, the 2017 limitation is estimated to range between be $1.4
million and $3.7 million annually. In total, we estimate that the 2017 ownership change will result in approximately $120 million and $56 million of federal
and state net operating loss carryforwards expiring unused.
76
Product Warranties
Our policy is to warrant all shipped products against defects in materials and workmanship for up to two years by replacing failed parts. We also
provide a three-year manufacturer’s warranty covering implant failure by providing a functionally-equivalent replacement implant. Accruals for product
warranties are estimated based on historical warranty experience and current product performance trends and are recorded at the time revenue is recognized
as a component of cost of sales. The warranty liabilities are reduced by material and labor costs used to replace parts over the warranty period in the periods
in which the costs are incurred. We periodically assess the adequacy of our recorded warranty liabilities and adjust the amounts as necessary. During 2020
we reduced our warranty expense by $0.5 million due to the discontinued sales of Argus II and the resultant end of the product warranty periods. The
warranty liabilities are included in accrued expenses in the consolidated balance sheets.
Presentation of sales and value added taxes
We collect value added tax on our sales in Europe and certain states in the United Sates impose a sales tax on our sales to nonexempt customers. We
collect that valued added and sales tax from customers and remit the entire amount to the respective authorities. Our accounting policy is to exclude the tax
collected and remitted to the authorities from revenues and cost of revenues.
Net Loss per Share
Our computation of earnings per share (“EPS”) includes basic and diluted EPS. Basic EPS is measured as the income (loss) available to common
shareholders divided by the weighted average number of common shares outstanding for the period. Diluted EPS is similar to basic EPS but presents the
dilutive effect on a per share basis of potential common shares (e.g., convertible notes payable, convertible preferred stock, common stock warrants and
stock options) as if they had been converted at the beginning of the periods presented, or the issuance date, if later. Potential common shares that have an
anti-dilutive effect (i.e., those that increase income per share or decrease loss per share) are excluded from the calculation of diluted EPS.
Loss per common share is computed by dividing net loss by the weighted average number of shares of common stock outstanding during the
respective periods. Basic and diluted loss per common share is the same for all periods presented because all common stock warrants and common stock
options outstanding were anti-dilutive.
At December 31, 2020, and 2019, we excluded the outstanding securities summarized below, which entitle the holders thereof to ultimately acquire
shares of common stock, from our calculation of earnings per share, as their effect would have been anti-dilutive (in thousands).
Underwriter’s warrants
Warrants issued with rights offerings
Common stock options
Restricted stock units
Employee stock purchase plan
Total
Operating Segments
2020
2019
77
7,682
196
—
—
7,955
—
7,682
984
61
53
8,780
Operating segments are identified as components of an enterprise about which separate discrete financial information is available for evaluation by the
chief operating decision-maker in making decisions regarding resource allocation and assessing performance. Our chief operating decision-maker reviews
financial information presented on a consolidated basis. Accordingly, we consider ourselves to be in a single reporting segment, specifically the discovery,
development and commercialization of visual prosthetics for profoundly blind individuals. We historically managed our Argus II and Orion programs on a
consolidated basis within this single operating segment and do not assess the performance of our product lines or geographic regions on other measures of
income or expense, such as program expense, operating income or net income. Our underlying technology consists of hardware components (implanted and
wearable) and software. A vast majority of this underlying technology is shared between our Argus II and Orion branded systems. While we have ceased
production and marketing the Argus II product indicated for
77
individuals with retinitis pigmentosa, we are developing Orion as a next generation product with potential to treat a broader market of blind individuals,
including the retinitis pigmentosa market.
Restructuring Charge
On March 31, 2020, due to the COVID-19 pandemic and related inability to secure additional funding, we laid off the majority of our employees and
reduced our operating expenses significantly to allow for our continuing business operations. Due to our focus on Orion and wind down of selling and
marketing activities related to Argus II, we recorded further impairment charges to our inventory of $0.5 million and $0.7 million to our fixed assets used
primarily for Argus activities. We also incurred $1.0 million in severance payments and other costs associated with the wind down, all of which were
substantially paid by December 31, 2020.
Recently Adopted Accounting Standards
ASU No. 2018-07, Improvements to Nonemployee Share-Based Payment Accounting was issued with the effective date for public companies fiscal
years beginning after December 15, 2018, and interim periods within those fiscal years. For all other entities, the effective date is fiscal years beginning
after December 15, 2019. Previously, share-based payments to nonemployees were accounted for under Subtopic 505-50, which significantly differs from
the guidance for share-based payments to employees under Topic 718. This ASU supersedes Subtopic 505-50 by expanding the scope of Topic 718 to
include nonemployee awards and generally aligning the accounting for nonemployee awards with the accounting for employee awards. We adopted this
ASU on January 1, 2019 with no material impact on our results of operations, financial position and cash flows.
We adopted ASU No. 2016-02—Leases (Topic 842), as amended, as of January 1, 2019, using the modified retrospective approach. The modified
retrospective approach provides a method for recording existing leases at the period of adoption without restating prior comparative periods. In addition,
we elected the package of practical expedients permitted under the transition guidance within the new standard, which, among other things, allowed us to
carry forward the historical lease classification.
Adoption of the new standard resulted in the recording of right-of-use assets and operating lease liabilities of approximately $2.6 million and $2.8
million respectively, as of January 1, 2019. The difference of $0.2 million between the right-of-use assets and operating lease liabilities, net of the deferred
tax impact, was recorded as an adjustment to accumulated deficit at January 1, 2019. The standard did not materially impact our consolidated net loss and
had no impact on cash flows.
We believe that any other recently issued, but not yet effective, authoritative guidance, if currently adopted, would not have a material impact on our
financial statement presentation or disclosures.
3. Money Market Funds
Money market funds included in cash equivalents at December 31, 2020 were $3.1 million. Money market funds included in cash equivalents at
December 31, 2019 totaled $11.3 million .
The following table presents money market funds at their level within the fair value hierarchy at December 31, 2020 and 2019 (in thousands).
December 31, 2020:
Money market funds
December 31, 2019:
Money market funds
Total
Level 1
Level 2
Level 3
$
3,122 $
3,122 $
— $
$
11,307 $
11,307 $
— $
—
—
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4. Selected Balance Sheet Detail
Inventories, net
Inventories consisted of the following at December 31, 2020 and 2019 (in thousands):
Raw materials
Work in process
Finished goods
$
2020
2019
— $
—
295
295
(295)
803
1,716
2,069
4,588
(3,559)
1,029
Allowance for excess and obsolescence
Inventories, net
We recorded $0.5 million and $2.6 million as an impairment charge during the years ended December 31, 2020 and December 31, 2019, respectively,
related to our plans to suspend and eventually discontinue Argus II production which is recorded in restructuring charges in the consolidated statements of
operations. See note 2 for further details.
— $
$
Property and equipment, net of accumulated depreciation and amortization
Property and equipment consisted of the following at December 31, 2020 and 2019 (in thousands):
Laboratory equipment
Computer hardware and software
Leasehold improvements
Furniture, fixtures and equipment
Accumulated depreciation and amortization
Property and equipment, net
$
$
2020
2019
584 $
69
—
—
653
(479)
174 $
2,724
1,672
304
78
4,778
(3,656)
1,122
As a result of our decision to cease marketing of Argus II we recorded an impairment of $0.7 million related to our fixed assets used primarily for Argus
activities which is recorded in restructuring charges in the consolidated statements of operations. We sold a substantial number of our fixed assets for net
proceeds of $0.4 million in July 2020.
Debt
On December 8, 2020, we borrowed $1 million from Gregg Williams, Chairman of the Board of Directors of the Company and $1.2 million from two
unaffiliated shareholders. Each promissory note is unsecured and accrues interest at a rate of twelve percent (12%) per annum beginning on receipt of the
loan amounts. Principal and accrued interest under the promissory notes, are payable on December 31, 2021.
Contract Liabilities
Contract liabilities consisted of the following at December 31, 2020 and 2019 (in thousands):
Beginning Balance
Consideration received in advance of revenue recognition
Revenue recognized
Ending Balance
2020
2019
335 $
—
—
335 $
167
387
(219)
335
$
$
79
Allowance for Doubtful Accounts
Allowance for doubtful accounts consisted of the following at December 31, 2020 and 2019 (in thousands):
Beginning Balance
Additions
Write-offs
Ending Balance
5. Grants
$
$
2020
2019
117 $
—
—
117 $
181
1
(65)
117
We received an award for $1.6 million grant (with the intent to fund $6.4 million over five years subject to annual review and approval) from the
National Institutes of Health (NIH) to fund the “Early Feasibility Clinical Trial of a Visual Cortical Prosthesis” that commenced in January 2018. The NIH
grant funds ongoing and planned clinical activities and will be used to conduct and support clinical testing of five subjects implanted with the Orion™
Cortical Visual Prosthesis (Orion), submit and obtain Investigational Device Exemption approval from the U.S. Food and Drug Administration (FDA), and
fund an Institutional Review Board approval for a larger and final clinical study as approved by the FDA. During the year ended December 31, 2020, we
received a total of $0.4 million of grant funds primarily from this grant. During the year ended December 31, 2019, we received a total of $0.9 million of
grant funds primarily from this grant. Subsequent to year end, we received an additional $0.3 million of grant funds.
6. Warrants
Underwriter’s Warrant Issued in Public Offering
As a component of the funding underwriting fee of our May 5, 2020 public underwriting offer, we granted 375,000 warrants at an exercise price of
$1.25 which expire on May 5, 2025. At December 31, 2020, 77,250 of the warrants are still outstanding. Warrants of 297,750 were exercised on a cash-less
basis in December, 2020 resulting in the issuance of 95,434 shares of common stock.
Underwriter’s Warrant Issued in IPO
As a component of the IPO underwriting fee, we granted the underwriter a warrant to purchase 100,625 shares of our common stock at an exercise
price of $90.00 per share, which was 25 percent above the offering price to the investors. The warrant was exercisable, in whole or in part, for a period
commencing 180 days after the effective date of the registration statement (November 18, 2014) and ending on the fifth anniversary date of the effective
date of the registration statement. The remaining underwriter’s warrants to purchase 100,250 of our common stock expired on November 18, 2019.
Warrants Issued in Rights Offerings
On February 22, 2019, we completed a registered rights offering to existing stockholders in which we sold approximately 5,976,000 units at $5.792
per unit, which was the adjusted closing price of our common stock on that date. Each Unit consisted of a share of our common stock and a warrant to
purchase an additional share of our stock for $11.76. The warrants had a five-year life and trade on Nasdaq under the symbol EYESW.
On March 6, 2017, we completed a registered rights offering to existing stockholders in which we sold approximately 1,706,000 units at $11.76 per
unit, which was the adjusted closing price of our common stock on that date. Each unit consisted of a share of our common stock and a warrant to purchase
an additional share of our stock for $11.76. The warrants have a five-year life and have been approved for trading on Nasdaq under the symbol EYESW. As
of December 31, 2020, 632 of the warrants associated with the rights offering had been exercised.
We extended the term of 1.7 million warrants issued in our March 2017 rights offering by approximately two years effective as of February 15, 2019
as part of our February 2019 rights offering. We determined the fair value of
80
the March 2017 Warrants immediately before and after the modification. The fair value of the March 2017 Warrants after the modification was increased by
approximately $1.6 million, resulting in an accounting adjustment to additional paid-in capital and accumulated deficit in the consolidated statements of
shareholders’ equity. The assumptions used in the determination of fair value of the warrants before and after the extension included a risk free interest rate
of 2.50% and 2.49%, expected volatility of 81% and 82%, and expected lives of 3.08 years and 5.08 years, respectively and 0% dividend yields for both.
81
A summary of warrant activity for the years ended December 31, 2020 and 2019 is presented below (in thousands, except per share and contractual
life data):
Warrants outstanding at December 31, 2018
Granted
Exercised
Forfeited or expired
Warrants outstanding at December 31, 2019
Granted
Exercised
Forfeited or expired
Warrants outstanding at December 31, 2020
Warrants exercisable at December 31, 2020
Number of Shares
Weighted Average
Exercise Price
Weighted Average
Remaining
Contractual Life
(in Years)
1,806
5,976
—
(100)
7,682
375
(298)
—
7,759
7,759
16.08
11.76
—
90.00
11.76
1.25
1.25
—
11.66
11.66
3.21
3.21
Warrants exercisable at December 31, 2020 had $48,000 in intrinsic value.
7. Employee Benefit Plans
We have a 401(k) Savings Retirement Plan (the “Plan”) that covers substantially all full-time employees who meet the plan’s eligibility requirements
and provides for an employee elective contribution. The Plan provides for employer matching contributions. Employer contributions are discretionary and
determined annually by the Board of Directors. For the years ended December 31, 2020 and 2019, employer contributions to the Plan totaled $0.1 million
and $0.2 million, respectively.
We are required to contribute to a government-sponsored pension plan for the employees of our Switzerland-based subsidiary. For the years ended
December 31, 2020 and 2019, the employer’s portion of the amounts contributed to the subsidiary’s pension plan on behalf of those employees was $0.01
million and $0.1 million, respectively.
8. Equity Securities
On June 4, 2019, our shareholders approved an amendment to our articles of incorporation increasing our authorized no par value common shares
from 200,000,000 to 300,000,000. The Board of Directors has the authority to establish the rights, preferences, privileges and restrictions granted to and
imposed upon the holders of preferred stock and common stock.
Common Stock Issuable
Non-employee members of our Board are generally compensated by cash and stock option grants. For the twelve months ended December 31, 2020
our members were compensated $0.1 million and $0.1 million was accrued for future stock option grants at December 31, 2020. For the twelve months
ended December 31, 2019 our members were compensated $0.2 million and also received stock options valued at $0.2 million.
Rights Offerings
In a rights offering completed on February 22, 2019, we sold approximately 5,976,000 units, each priced at $5.792 for net proceeds of approximately
$34.4 million. Each unit consisted of one share and one immediately exercisable warrant having an exercise price of $11.76 per share. Entities controlled
by Gregg Williams, our Chairman of the Board of Directors, acquired approximately 5,180,000 units in the offering for an aggregate investment of
approximately $30 million.
82
At-the-Market Sales Agreement
During December 2019, we issued approximately 17,000 shares of common stock for net proceeds of approximately $0.1 million as part of our At
the Market Issuance Sales Agreement (“Sales Agreement”).
9. Stock-Based Compensation
Stock Options
Under the 2003 Plan, as restated in June 2011, we were authorized to issue options covering up to 437,500 shares of common stock. Effective June 1,
2011, we adopted the 2011 Equity Incentive Plan (the “2011 Plan”). The maximum number of shares with respect to which options could be granted under
the 2011 Plan was 937,500 shares, which is offset and reduced by options previously granted under the 2003 Plan. The option price is determined by the
Board of Directors but cannot be less than the fair value of the shares at the grant date. Generally, the options vest ratably over either four or five years and
expire ten years from the grant date. Both plans provide for accelerated vesting if there is a change of control, as defined in the plans.
The 2011 Plan was further amended in 2015, 2016, 2017 and 2018 bringing the number of shares issuable under the Plan to 1,500,000.
No option shall be granted under the 2011 Plan after May 31, 2021.
We recognized stock-based compensation cost of $0.4 million and $2.9 million during 2020 and 2019, respectively. The calculated value of each
option grant was estimated on the date of grant using the Black-Scholes option-pricing model with the following assumptions:
Risk-free interest rate
Expected dividend yield
Expected volatility
Expected term
Weighted-average grant date calculated fair value
.
83
2020
0.31% – 1.50%
0%
78.0% to 96.0%
6.02 years
$
3.72 $
2019
1.43% – 2.63%
0%
72.0%
5.50-6.08 years
3.97
A summary of stock option activity for the years ended December 31, 2020 and 2019 is presented below (in thousands, except per share and
contractual life data):
Number
of
Shares
Weighted
Average
Exercise
Price
Weighted
Average
Remaining
Contractual
Life (in Years)
Options outstanding at December 31, 2018
Granted
Exercised
Forfeited or expired
Options outstanding at December 31, 2019
Granted
Exercised
Forfeited or expired
Options outstanding at December 31, 2020
Options exercisable at December 31, 2020
890 $
336
—
(242)
984 $
228
—
(1,016)
196 $
133 $
30.68
6.13
—
32.75
21.78
5.49
—
19.34
15.48
20.43
The exercise prices of common stock options outstanding and exercisable are as follows at December 31, 2020 (in thousands):
Exercise Price
Options
Outstanding
(Shares)
Options
Exercisable
(Shares)
$
$
$
$
$
0.90 to 0.91
5.67 to 6.64
13.84 to 16.40
32.80 to 40.00
72.08 to 104.72
22
95
54
11
14
196
7.65
7.10
2
56
50
11
14
133
Stock options exercisable at December 31, 2020 had minimal intrinsic value. As of December 31, 2020, there was $0.2 million of total unrecognized
compensation cost related to the outstanding stock options that will be recognized over a weighted average period of 2.84 years.
During the year ended December 31, 2020, we granted stock options to purchase 227,701 shares of common stock to certain employees and directors.
The options are exercisable for a period of ten years from the date of grant at prices ranging from $0.90 to $5.98 per share, which was the fair value of our
common stock on the respective grant dates. The options generally vest over a period of four years. The fair value of these options, as calculated pursuant
to the Black-Scholes option-pricing model, was determined to be $0.8 million ($0.69 to $4.05 per share).
In October 2017 and in January 2018 we granted stock options to purchase 18,750 and 3,750 shares of common stock, respectively, to an outside
contractor in connection with his services. The options were exercisable for a period of ten years from the date of grant at a price of $9.68 and $16.48
respectively, per share, which was the fair value of our common stock on each grant date. The options were scheduled to vest over a four year period. The
unvested portion of these stock options was re-measured by us at each reporting period. The contractor’s services ended during 2019 and these options
expired. For the year ended December 31, 2019 $12,000 was expensed for these grants.
Employee Stock Purchase Plan
We adopted an employee stock purchase plan in June 2015 for all eligible employees. Under the plan, shares of our common stock may be purchased
at six-month intervals at 85% of the lower of the closing price of the common
84
stock (i) on the first trading day of the offering period or (ii) on the last trading day of the purchase period. An employee may purchase in any one calendar
year shares of common stock having an aggregate fair market value of up to $25,000 determined as of the first trading day of the offering period.
Additionally, a participating employee may not purchase more than 12,500 shares of common stock in any one offering period. At December 31, 2020,
241,719 shares were issued under the stock purchase plan. Although we originally registered shares for sale to employees under our 2015 Employee Stock
Purchase Plan, as amended, we discovered that we had inadvertently exceeded the number of shares registered. We offered to rescind the sale of up to
45,468 shares of our common stock to persons who purchased those shares under the ESPP and to reimburse any losses upon the sale of up to an additional
2,470 shares of our common stock from persons who purchased shares from our ESPP but have resold such shares, in each case, because these shares may
not have been exempt from registration under the Securities Act of 1933. It may also be possible that by not disclosing that the shares were unregistered,
we may face contingent liability for noncompliance with applicable federal and state securities laws. The rescission of these share purchases resulted in the
repurchase and cancelation of 39,467 shares of our common stock. The total cost for the repurchase of these shares and the reimbursement of any losses
from the sale of such shares totaled approximately $270,000.
We may continue to have potential liability even after this rescission offer is made due to our issuances of securities in possible violation of the
federal and state securities laws. The Securities Act does not expressly provide that a rescission offer will terminate a purchaser's right to rescind a sale of
stock that was not registered or exempt from the registration requirements of the Securities Act. Should any offerees reject the rescission offer, we may
continue to be potentially liable under the Securities Act for the purchase price or for certain losses if the shares have been sold.
Restricted Stock Units
The following table presented below summarizes Restricted Stock Unit (RSU) activity for the years ended December 31, 2020 and 2019 (in
thousands, except per share data):
Outstanding as of December 31, 2018
Awarded
Vested
Forfeited/canceled
Outstanding as of December 31, 2019
Awarded
Vested
Forfeited/canceled
Outstanding as of December 31, 2020
Number
of Awards
Weighted
Average
Grant Date
Fair Value
Per Share
4 $
66
9
—
61 $
—
15
46
— $
99.44
6.00
52.08
—
5.92
—
5.92
5.92
—
As of December 31, 2020, there was no unrecognized compensation cost related to RSUs as they have all been canceled.
85
The total stock-based compensation recognized for stock-based awards granted in the consolidated statements of operations for the years ended
December 31, 2020 and 2019 is as follows (in thousands):
Cost of sales
Research and development
Clinical and regulatory
Selling and marketing
General and administrative
Total
10. Income Taxes
$
$
2020
2019
— $
127
51
41
202
421 $
172
552
107
481
1,613
2,925
Deferred income taxes reflect the net tax effects of temporary differences between the carrying amounts of assets and liabilities for financial reporting
purposes and the amounts used for income tax purposes. Significant components of our deferred tax assets as of December 31, 2020 and 2019 are
summarized below (in thousands):
Stock-based compensation
Research credits
Depreciation
Net operating loss carryforwards
Inventory reserve
Other
Total deferred tax assets
Valuation allowance
Net deferred tax assets
2020
2019
380 $
8,848
(52)
30,492
82
375
40,125
(40,125)
— $
4,637
8,208
(45)
26,339
827
669
40,635
(40,635)
—
$
$
In assessing the potential realization of these deferred tax assets, we consider whether it is more likely than not that some portion or all of the
deferred tax assets will be realized. The ultimate realization of deferred tax assets is dependent upon us attaining future taxable income during the periods
in which those temporary differences become deductible. As of December 31, 2020 and 2019, management was unable to determine if it is more likely than
not that our deferred tax assets will be realized, and has therefore recorded an appropriate valuation allowance against deferred tax assets at such dates.
No federal tax provision has been provided for the years ended December 31, 2020 and 2019 due to the losses incurred during such periods. Our
effective tax rate is different from the federal statutory rate of 21% due primarily to operating losses that receive no tax benefit as a result of a valuation
allowance recorded for such losses.
We experienced an “ownership change” within the meaning of Section 382(g) of the Internal Revenue Code of 1986, as amended, during the second quarter
of 2017. The ownership change will subject our net operating loss carryforwards to an annual limitation, which will significantly restrict our ability to use
them to offset taxable income in periods following the ownership change. In general, the annual use limitation equals the aggregate value of our stock at the
time of the ownership change multiplied by a tax-exempt interest rate specified by the Internal Revenue Service. We analyzed the available information to
determine the amount of the annual limitation. Based on information available to us, the 2017 limitation is estimated to range between $1.4 million and
$3.7 million annually. In total, we estimate that the 2017 ownership change will result in approximately $120 million and $56 million of federal and state
net operating loss carryforwards, respectively, expiring unused.
As of December 31, 2020, after the ownership change under Section 382(g), we had federal and state income tax net operating loss carryforwards,
which may be applied to future taxable income, of approximately $116.1 million and $58.1 million, respectively. The federal net operating loss
carryforwards for years before 2018 will expire at various dates from 2035 through 2037. The federal net operating loss carryforwards for 2018 and
forward do not
86
expire. The state net operating loss carryforwards will expire at various dates from 2033 through 2040. We also have a federal and state research and
development tax credit carryforwards totaling approximately $4,880,000 and $5,022,000, respectively. The federal research and development tax credit
carryforwards will expire at various dates from 2023 through 2040. The state research and development tax credit carryforwards do not expire.
We file income tax returns in the U.S. federal jurisdiction and various states and are subject to income tax examinations by federal tax authorities for
tax years ended 2016 and later and by state authorities for tax years ended 2015 and later. We currently are not under examination by any tax authority. Our
policy is to record interest and penalties on uncertain tax positions as income tax expense. As of December 31, 2020, and 2019, we have no accrued interest
or penalties related to uncertain tax positions. Second Sight Switzerland, our foreign subsidiary, has not had any taxable income in the prior and current
years.
11. Product Warranties
A summary of activity of our warranty liabilities, which are included in accrued expenses in the accompanying consolidated balance sheets, for the
years ended December 31, 2020 and 2019 is presented below (in thousands):
Balance, beginning of year
Additions
Settlements
Adjustments and other
Total
2020
2019
$
$
1,575 $
—
(875)
(500)
200 $
1,572
359
(356)
—
1,575
During 2020 we reduced our warranty expense by $0.5 million due to the discontinued sales of Argus II and the resultant end of the product warranty
periods.
12. Right-of-use Assets and Operating Lease Liabilities
We lease certain office space and equipment for our use. Leases with an initial term of 12 months or less are not recorded on the balance sheet. Lease
costs are recognized in the income statement over the lease term on a straight-line basis. Depreciation is computed using the straight-line method over the
estimated useful life of the respective assets. The depreciable life of assets and leasehold improvements are limited by the expected lease term. Our lease
agreements do not contain any material residual value guarantees or restrictive covenants. As most of our leases do not provide an implicit rate, we used
our estimated incremental borrowing rate of 10% based on the information available at commencement date in determining the present value of lease
payments. On May 18, 2020 we entered into a Letter Agreement with Sylmar Biomedical Park, LLC (the “Landlord”), pursuant to which the parties
agreed to accelerate the expiration dates of our existing leases (the “Leases”), to a date not later than June 18, 2020 (“Accelerated Termination Date”). We
agreed to pay the Landlord (i) $210,730 to bring the Leases current (the “Owed Rent”) and to remit (ii) a one-time early termination fee in the amount of
$150,000 (the “Early Termination Amount”). Prior to the early termination agreed in this letter we were obligated to pay aggregate base rent of
approximately $0.9 million and common area maintenance expenses for the term remaining under the Leases through the respective expiration dates in
February 2022 and April 2023. The Landlord acknowledged that as of the date of the Letter Agreement the Owed Rent and the Early Termination Amount
constituted all amounts owing to the Landlord under the Leases. As a result of the letter agreement, we wrote down the right-of-use assets and extinguished
related lease liabilities in the amounts of $2.3 million and $2.4 million, respectively. We paid an early termination fee of $150,000 which was expensed in
our restructuring charges for the nine months ended September 30, 2020. Due to the termination of this lease there are no right-of-use assets or current or
long term lease liabilities at December 31, 2020.
87
13. Commitments and Contingencies
License Agreements
We have exclusive licensing agreements to utilize certain patents, related to the technology for visual prostheses. We have determined that only the
agreement with Doheny Eye Institute (“DEI”) applies to Argus II requiring future royalty payments through 2033. We have agreed to pay to DEI royalties
for licensed products sold or leased by us. The royalty rate is 0.5%, based on related net sales of the patented portion of licensed products.
In the past we have paid royalties under a license agreement with the Johns Hopkins University (“JHU”). The JHU agreement expired, along with
the underlying patents, in 2018. Pursuant to these agreements, DEI and JHU, we have incurred costs of approximately $1,000 and $7,000 for the years
ended December 31, 2020 and 2019, respectively.
Indemnification Agreements
We maintain indemnification agreements with our directors and officers that may require us to indemnify them against liabilities that arise by reason
of their status or service as directors or officers, except as prohibited by applicable law.
Clinical Trial Agreements
Based upon FDA approval of Argus II, which was obtained in February 2013, we were required to collect follow-up data from subjects enrolled in
our pre-approval trial for a period of up to ten years post-implant, which was extended through the year 2019. In addition, we are conducting three post-
market studies to comply with U.S. FDA, French, and European post-market surveillance regulations and requirements and a six subject initial feasibility
clinical study of Orion. We have contracted with various universities, hospitals, and medical practices to provide these services. Payments are based on
procedures performed for each subject and are charged to clinical and regulatory expense as incurred. Total amounts charged to expense for the years ended
December 31, 2020 and 2019 were $1.1 million and $2.4 million, respectively.
California Board Representation
California’s gender diversity law, which went into effect on January 1, 2019, requires publicly held corporations with principal executive offices in
California to have at least one female director by December 31, 2019 and a minimum that increases to two or three female directors by December 31, 2021
if the corporation has five directors or six or more directors, respectively. We have no female board members currently. We may be assessed penalties and
fines under California’s board gender diversity statute and have accrued $100,000 as of December 31, 2020.
Litigation, Claims and Assessments
Three oppositions filed by Pixium are pending in the European Patent Office, each challenging the validity of a European patent owned by us. The
outcome of the challenges are not certain, however, if successful, they may affect our ability to block competitors from utilizing our patented technology.
We believe a successful challenge will not have a material effect on our ability to manufacture and sell our products, or otherwise have a material effect on
our operations.
We are party to litigation arising in the ordinary course of business. It is our opinion that the outcome of such matters will not have a material effect
on our financial statements, however the results of litigation and claims are inherently unpredictable. Regardless of outcome, litigation can have an adverse
impact on us because of defense and settlement costs, diversion of management resources and other factors.
88
13. Quarterly Financial Summary (unaudited)
(in thousands, except per share data)
Product sales
Gross profit
Operating loss
Net loss
Net loss per share – basic and diluted
Product sales
Gross profit
Operating loss
Net loss
Net loss per share – basic and diluted
14. Subsequent Event
Memorandum of Understanding
Three Months Ended
December 31,
2020
September 30,
2020
June 30,
2020
March 31,
2020
$
$
$
$
$
— $
500 $
(1,274) $
(1,291) $
(0.06) $
— $
— $
(1,602) $
(1,603) $
(0.07) $
— $
— $
(3,116) $
(3,100) $
(0.15) $
—
—
(8,904)
(8,886)
(0.57)
Three Months Ended
December 31,
2019
September 30,
2019
June 30,
2019
March 31,
2019
$
$
$
$
$
497 $
373 $
(8,126) $
(7,868) $
(0.50) $
472 $
108 $
(7,619) $
(7,584) $
(0.48) $
1,282 $
349 $
(8,441) $
(8,440) $
(0.56) $
1,128
397
(9,768)
(9,700)
(0.80)
On January 5, 2021, Second Sight entered into a Memorandum of Understanding with Pixium Vision, publicly held French company (“Pixium”).
Pursuant to the terms of the Memorandum of Understanding, which sets forth the framework of the principal actions to be taken, (i) Second Sight
will raise additional working capital of at least $25,000,000 in a private placement of equity securities of Second Sight to accredited investors (the “Fund
Raising”); (ii) Pixium will contribute to Second Sight certain assets in exchange for newly issued common stock of Second Sight (the “Contribution”); and
(iii) Second Sight will transfer its Orion assets to a newly formed subsidiary (“SpinCo”), the share capital of which would be partially spun-off to the
shareholders of Second Sight (the “Spin-Off” and, together with the Fund Raising and the Contribution, the “Business Combination”).
In connection with the Contribution contemplated by the Memorandum of Understanding, Second Sight and Pixium will enter into a Contribution
Agreement. Pursuant to the terms of the Contribution Agreement, subject to certain closing conditions set forth therein, Pixium will contribute to Second
Sight all the assets and liabilities in relation to its activity specialized in neuromodulation technology used in the treatment of blindness (i.e., the
Contribution). In consideration of the Contribution, Second Sight shall issue to Pixium 34,876,043 new shares (the “Share Consideration”), representing
approximately 60% of the share capital and voting rights of Second Sight. The Contribution shall be subject to the prior irrevocable completion of the
Fund Raising by Second Sight.
The Memorandum of Understanding further contemplates that Second Sight and SpinCo will enter into a Separation and Distribution Agreement and
an Exclusive License Agreement.
Pursuant to the terms of the Separation and Distribution Agreement, Second Sight will transfer to SpinCo certain intellectual property related to
Orion and other tangible and non-tangible assets, and SpinCo will (i) assume from Second Sight certain liabilities arising out of the operations of SpinCo’s
business and (ii) distribute by way of a stock dividend to holders of shares of Second Sight’s common stock, on a pro rata basis, sixty percent (60%) of all
of the issued and outstanding shares of common stock of SpinCo.
Second Sight intends to file with the U.S. Securities and Exchange Commission a Form 10 for the purpose of registering shares of common stock of
SpinCo for trading pursuant to the Securities Exchange Act of 1934, as amended.
89
The contribution of assets and liabilities by Second Sight to SpinCo is intended to qualify as tax-free exchange governed by Section 351 of the U.S.
Internal Revenue Code of 1986, as amended (the “Code”), and the distribution of the SpinCo shares is intended to be a taxable distribution of property
governed by Sections 301 and 311(b) of the Code.
Pursuant to the terms of the Exclusive License Agreement between Second Sight and SpinCo, Second Sight will grant to SpinCo an exclusive
worldwide, royalty-free license, with the right to sublicense, under certain patents and technology (“Licensed IP”) related to the Orion Visual Cortical
Prosthesis System (the “Orion System”), to research, develop, make, have made, use, sell, offer for sale, have sold and import products (including, without
limitation, the Orion System) in the field of diagnosing, preventing, treating, and/or curing diseases and conditions in humans and animals by means of an
implant that interfaces with the brain, including related devices, software, and related components (the “Field”). Under the agreement, SpinCo has granted
Second Sight an exclusive right of first refusal to commercialize any product in the Field with respect to each bona fide third party offer to acquire the right
to commercialize one or more products. The Exclusive License Agreement provides for arrangements for prosecution, maintenance, and enforcement of
rights, and third-party infringement claims related to the Licensed IP. The Exclusive License Agreement may be terminated by either party for cause and
contains customary indemnification provisions.
In connection with the Business Combination, Second Sight will also use commercially reasonable efforts to reincorporate into a Delaware
corporation.
Consummation of the Business Combination is expected to occur early in the second quarter of 2021 and is subject to certain customary closing
conditions including, among others, (i) appointment by the Commercial court of Paris of valuing auditor(s) to confirm that the value of the assets being
contributed by Pixium to Second Sight is at least equal to the value of the Share Consideration, (ii) approval of the transaction by each of the Pixium and
Second Sight shareholders, (iii) clearance from the French Minister for the Economy, (iv) the closing of the Fund Raising, and (v) the authorization for
listing of the Share Consideration on the Nasdaq market.
Second Sight has made customary representations and warranties in the Memorandum of Understanding and has agreed to customary covenants
relating to, among other matters, (i) the operation of its business between the execution of the Memorandum of Understanding and the completion of the
Business Combination, (ii) using commercially reasonable efforts to obtain the requisite approval of the shareholders of Second Sight, and (iii) non-
solicitation of competing acquisition proposals.
The Memorandum of Understanding contains certain termination rights for Second Sight and Pixium. Upon termination of the Memorandum of
Understanding, Second Sight may be required to pay Pixium a termination fee, or Pixium may be required to pay Second Sight a termination fee,
depending on the circumstances under which the Memorandum of Understanding is terminated.
Second Sight will be required to pay a termination fee of up to $1,000,000 to Pixium if the Memorandum of Understanding is terminated because (i)
Second Sight breached representations, warranties or covenants in the Memorandum of Understanding such that the conditions to closing are not satisfied,
(ii) Second Sight failed to convene Second Sight shareholders meeting to approve the Business Combination, or (iii) Second Sight breached its non-
solicitation obligations under the Memorandum of Understanding or terminated the Memorandum of Understanding because of a superior offer.
Pixium will be required to pay a termination fee of up to $1,000,000 to Second Sight, if the Memorandum of Understanding is terminated because (i)
Pixium breached representations, warranties or covenants in the Memorandum of Understanding such that the conditions to closing are not satisfied, or (ii)
Pixium failed to convene Pixium shareholders meeting to approve the Business Combination or (iii) Pixium breached its non-solicitation obligations under
the Memorandum of Understanding or terminated the Memorandum of Understanding because of a superior offer.
Lease Agreement
On January 22, 2021, we entered into a lease agreement, effective February 1, 2021, to sub-lease office space to replace our existing
headquarters. We will pay $17,000 per month, increasing to $17,500 per month on February 1,
90
2022, plus operating expenses, to lease 17,290 square feet of office space at 13170 Telfair Avenue, Sylmar CA 91342. Additionally, we receive full rent
abatement for March 2021, and half rent abatement for March 2022. The sub-lease is for two years and two months. We are not affiliates with, or related to,
or otherwise have any other relationship with the other parties, other than the lease.
Nasdaq Notice
By notice dated January 4, 2021, Nasdaq advised us that since the Company has not held an annual meeting of shareholders within twelve months of
the end of the Company’s fiscal year end, we are no longer in compliance with the Nasdaq Listing Rules (the” Listing Rules”) for continued listing. On
February 18, 2021, the Company submitted a plan for correction of this deficiency to Nasdaq. Subsequently, on February 23, 2021 we were granted an
extension of time to regain compliance with these Rules until May 30, 2021. If we do not regain compliance with the Rules or receive a further extension
by that date, our common stock will be subject to delisting
FDA Approval of Argus 2s
By letter dated February 26, 2021, the Center for Devices and Radiological Health (CDRH) of the U.S. Food and Drug Administration (FDA)
approved the Argus 2s Retinal Prosthesis System developed by Second Sight Medical Products, Inc. Argus 2s is a redesigned set of external hardware
(glasses and video processing unit) to be used in combination with previously implanted Argus II systems for the treatment of retinitis pigmentosa (RP).
We issued a press release on March 5, 2021 entitled Second Sight Medical Products, Inc. Receives FDA Approval for the Argus 2s Retinal Prosthesis
System. Argus II, and now Argus 2s, are approved under a humanitarian device exemption (HDE). The approval is contingent upon the Company filing
periodic reports with CDRH, use only under prescription, under the supervision of an institutional review board (IRB), and taking all other required actions
under FDA rules. We expect that the Argus 2s will be adapted to be the external system for the next generation Orion Visual Cortical Prosthesis System
currently under development.
A decision on when or if to begin production of the newly approved hardware is pending completion of our planned business combination with
Pixium, which currently is in progress. Should the business combination be completed, the new management team will then evaluate how best to proceed
with the Argus 2s Retinal Prosthesis System, as well as all other products in development.
91
Exhibit 31.1
CERTIFICATION OF THE CHIEF EXECUTIVE OFFICER
PURSUANT TO RULE 13a-14(a) AND 15d-14(a) OF THE SECURITIES EXCHANGE ACT, AS ADOPTED PURSUANT
TO SECTION 302 OF THE SARBANES-OXLEY ACT OF 2002
I, Matthew Pfeffer, hereby certify that:
1.
2.
3.
4.
I have reviewed this Annual Report on Form 10-K of Second Sight Medical Products, Inc.;
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;
Based on my knowledge, the 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;
The registrant’s other certifying officer(s) 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)
(b)
(c)
(d)
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;
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;
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
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 the 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(s) 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)
(b)
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
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.
Date: March 16, 2021
/s/ Matthew Pfeffer
Matthew Pfeffer
Acting Chief Executive Officer
(Principal Executive Officer)
Exhibit 31.2
CERTIFICATION OF THE CHIEF FINANCIAL OFFICER
PURSUANT TO RULE 13a-14(a) AND 15d-14(a) OF THE SECURITIES EXCHANGE ACT, AS ADOPTED PURSUANT
TO SECTION 302 OF THE SARBANES-OXLEY ACT OF 2002
I, Edward Sedo, certify that:
1.
2.
3.
4.
I have reviewed this Annual Report on Form 10-K of Second Sight Medical Products, Inc.;
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;
Based on my knowledge, the 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;
The registrant’s other certifying officer(s) 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)
(b)
(c)
(d)
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;
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;
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
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(s) 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)
(b)
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
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.
Date: March 16, 2021
/s/ Edward Sedo
Edward Sedo
Acting Chief Accounting Officer
(Principal Financial and Accounting Officer)
Certifications of Principal Executive Officer and Principal Financial Officer
Pursuant to 18 U.S.C. Section 1350, As Adopted Pursuant To
Section 906 of the Sarbanes-Oxley Act of 2002
Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002 (18 U.S.C. 1350), Matthew Pfeffer, Acting Chief Executive Officer (Principal
Executive Officer) and Edward Sedo, Acting Chief Accounting Officer (Principal Financial and Accounting Officer) of Second Sight Medical Products,
Inc. (the “Company”), each hereby certifies that, to the best of his knowledge:
1.
The Annual Report of the Company on Form 10-K (the “Report”) for the fiscal year ended December 31, 2020, to which this Certification is attached
as Exhibit 32.1, fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934; and
2.
The information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the Company.
Exhibit 32.1
Date: March 16, 2021
/s/ Matthew Pfeffer
Matthew Pfeffer
Acting Chief Executive Officer
(Principal Executive Officer)
/s/ Edward Sedo
Edward Sedo
Acting Chief Accounting Officer
(Principal Financial and Accounting Officer)
This certification accompanies the Form 10-K to which it relates, is not deemed filed with the Securities and Exchange Commission and is not to be
incorporated by reference into any filing of Second Sight Medical Products, Inc. under the Securities Act of 1933, as amended, or the Securities Exchange
Act of 1934, as amended (whether made before or after the date of the Form 10-K), irrespective of any general incorporation language contained in such
filing.