NVNOHIGH SIGNALREGULATORY10-K

NVNO received a not-approvable letter from the FDA for its lead VenoValve product in August 2025, forcing a complete strategic pivot to its next-generation enVVe System while revenue collapsed substantially.

The FDA rejection of VenoValve represents a major setback for this medical device company, essentially eliminating years of development work and forcing management to refocus entirely on the enVVe System. With substantially reduced revenue and continued significant operating losses, the company faces execution risk on its pivot strategy while burning through cash reserves.

Comparing 2026-03-26 vs 2025-02-28View on EDGAR →
FINANCIAL ANALYSIS

NVNO's financial position deteriorated meaningfully, with revenue declining substantially year-over-year while operating losses remained severe at $20.9M despite some modest improvement. The company reduced R&D spending by 18.5% to $10.0M, likely reflecting the pivot away from the rejected VenoValve program. Despite the challenging operational performance, cash and equivalents increased 75% to $3.1M, though total assets declined 34% to $29.6M and stockholders' equity fell 36% to $27.1M, indicating continued balance sheet pressure from ongoing losses.

FINANCIAL STATEMENT CHANGES
Capital Expenditure
Cash Flow
-86.5%
$37K$5K

Capex reduced 86.5% — investment cycle winding down or capital discipline; may improve near-term free cash flow.

Revenue
P&L
-83.3%
$187K$31K

Revenue declined 83.3% — significant demand weakness or market share loss warrants investigation.

Cash & Equivalents
Balance Sheet
+74.7%
$1.8M$3.1M

Cash position surged 74.7% — strong cash generation or capital raise providing significant financial cushion.

Stockholders Equity
Balance Sheet
-35.6%
$42.2M$27.1M

Equity declined sharply — large losses, buybacks, or write-downs reducing book value significantly.

Total Assets
Balance Sheet
-34.2%
$45.0M$29.6M

Total assets contracted 34.2% — asset sales, write-downs, or balance sheet optimization underway.

Current Assets
Balance Sheet
-34.1%
$43.7M$28.8M

Current assets declined 34.1% — monitor working capital adequacy and short-term liquidity.

R&D Expense
P&L
-18.5%
$12.2M$10.0M

R&D spending cut 18.5% — could signal cost discipline or concerning reduction in innovation investment.

Total Liabilities
Balance Sheet
-13%
$2.8M$2.4M

Liabilities reduced 13% — deleveraging improves balance sheet strength and financial flexibility.

Operating Income
P&L
+12.3%
-$23.8M-$20.9M

Operating income improving — cost discipline or growing revenue base absorbing fixed costs.

Net Income
P&L
+10.8%
-$21.8M-$19.5M

Net income grew 10.8% — bottom-line growth signals improving overall business health.

LANGUAGE CHANGES
NEW — 2026-03-26
PRIOR — 2025-02-28
ADDED
As of March 24, 2026, there were 655,521 shares of common stock outstanding.
Chronic Venous Disease ( CVD ) is the world s most prevalent chronic disease, impacting approximately 70% of the adult population of the U.S.
The Company is developing a replacement venous valve for patients suffering from severe CVI of the deep venous system of the leg.
The Company first developed the VenoValve , which was a first-in-class surgical replacement venous valve (the Company received a not-approvable letter from the FDA in response to its PMA application for the VenoValve in August 2025).
The Company is now focused on its next-generation, non-surgical venous valve product, called the enVVe System.
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REMOVED
As of February 25, 2025, there were 17,536,000 shares of common stock outstanding.
Chronic Venous Disease (CVD) is the world s most prevalent chronic disease, impacting approximately 70% of the adult population of the U.S.
The Company is developing surgical and non-surgical replacement venous valves for patients suffering from severe CVI of the deep venous system of the leg.
The Company s lead product is the VenoValve , which is a first-in-class surgical replacement venous valve that is currently being evaluated in a U.S.
The Company is also developing a second product called enVVe , which is a first-in-class, non-surgical, transcatheter based replacement venous valve.
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