Negative ProfitabilityPersistently negative margins and returns mean the business has not yet achieved unit economics needed for sustainable profits. Continued losses will pressure cash reserves and make future investment dependent on financing, increasing dilution risk unless gross margins or volume improve materially.
Cash-flow PressureNegative operating cash flow shows core operations are not self-financing; even with FCF growth, the company must rely on external funding to cover operating needs. Over the medium term this constrains strategic flexibility and can force dilutive equity raises or curtailed commercial investment if trends persist.
Execution & Market Access RisksRevenue depends heavily on regulatory/reimbursement outcomes, surgeon adoption and distribution expansion. With a small team (37 employees) and early commercial footprint, execution risk is material: delays in approvals, slow adoption, or limited distribution can materially slow durable revenue growth.