Persistent Cash BurnOperating cash flow has been consistently negative and increased in 2025, indicating continued reliance on financing until adjusted EBITDA and operating cash flow turn positive. Sustained negative free cash flow elevates execution and refinancing risk if growth or margin improvements slow.
Rising Operating ExpensesMaterial OpEx expansion—driven by R&D, sales & marketing and G&A—has widened GAAP losses. Unless substantial operating leverage appears, persistent high SG&A and R&D run rates will delay profitability, making positive margin trends contingent on very strong continued revenue growth.
Execution & Utilization RiskMultiple product launches and an early-stage user base mean adoption depth is still developing. Execution shortfalls in training, commercialization, or slower surgeon utilization per trained user would compress near-term revenue and delay achieving unit leverage, increasing the risk profile over the coming 2–6 months.