NASDAQ:IRIX IRIDEX Q2 2023 Earnings Report $1.02 0.00 (0.00%) Closing price 05/21/2025 04:00 PM EasternExtended Trading$1.02 +0.00 (+0.10%) As of 05/21/2025 04:04 PM Eastern Extended trading is trading that happens on electronic markets outside of regular trading hours. This is a fair market value extended hours price provided by Polygon.io. Learn more. Earnings History IRIDEX EPS ResultsActual EPS-$0.17Consensus EPS -$0.11Beat/MissMissed by -$0.06One Year Ago EPSN/AIRIDEX Revenue ResultsActual Revenue$12.86 millionExpected Revenue$14.23 millionBeat/MissMissed by -$1.37 millionYoY Revenue GrowthN/AIRIDEX Announcement DetailsQuarterQ2 2023Date8/10/2023TimeN/AConference Call DateThursday, August 10, 2023Conference Call Time5:00PM ETUpcoming EarningsIRIDEX's Q2 2025 earnings is scheduled for Wednesday, August 6, 2025, with a conference call scheduled on Thursday, August 7, 2025 at 5:00 PM ET. Check back for transcripts, audio, and key financial metrics as they become available.Conference Call ResourcesConference Call AudioConference Call TranscriptPress Release (8-K)Quarterly Report (10-Q)Earnings HistoryCompany ProfilePowered by IRIDEX Q2 2023 Earnings Call TranscriptProvided by QuartrAugust 10, 2023 ShareLink copied to clipboard.There are 6 speakers on the call. Operator00:00:00Good day and thank you for standing by. Welcome to the Second Quarter 2023 IRIDEX Earnings Conference Call. At this time, all participants are in a listen only mode. After the speakers' presentation, there will be a question and answer session. Please be advised that today's conference is being recorded. Operator00:00:26I would now like to hand the conference over to your speaker today, Tripp Taylor, Investor Relations. Speaker 100:00:34Thank you, and thank you all for participating in today's call. Joining me are David Bruce, Chief Executive Officer and Fuad Ahmad, Interim Chief Financial Officer. Earlier today, IRIDEX released financial results for the quarter ended July 1, 2023. A copy of the press release is available on the company's website. Before we begin, I'd like to remind you that management will make statements during this call that include forward looking statements within the meaning of federal securities laws, which are made pursuant to the Safe Harbor provisions of the Private Securities Litigation Reform Act of 1995. Speaker 100:01:10Any statements made during this call that are not statements of historical fact, including, but not limited to, statements concerning our strategic goals and priorities, Product development matters, sales trends and the markets in which we operate. All forward looking statements are based All events to materially differ from those anticipated or implied by these forward looking statements. Accordingly, you should not place Reliance on these statements for a discussion of the risks and uncertainties associated with our business, please see the most Recent Form 10 ks and Form 10 Q filings with the SEC. IRIDEX disclaims any intention or obligation, except as required by law, To update or revise any financial projections or forward looking statements, whether because of new information, future events or otherwise. This conference call contains time sensitive information and is accurate only as of the live broadcast today, August 10, 2023. Speaker 100:02:19And with that, I'll turn the call over to Dave. Speaker 200:02:24Good afternoon, and thank you all for joining us. Today, I'll provide updates on our business progress and Fuad will then provide details on 2nd quarter financials And we'll open the call for questions. In the Q2 of 2023, we generated $12,900,000 in total revenue, A reduction of $900,000 versus last year's Q2. Continued moderate growth in glaucoma revenue was offset And this was our Q1 experiencing reduced royalty income resulting from the previously discussed expiration of licensed patents. As we continue to execute our strategy, We're managing through 2 dynamics that have impacted our growth. Speaker 200:03:13We experienced more cautious customer behavior, which lengthened capital purchasing cycles and softened our systems sales. Also our initiatives to accelerate glaucoma procedure adoption are taking longer to gain traction across the customer base. As a result, with first half of the year performance below our expectations, we are updating our guidance for the full Year 2023 and now expect revenue to be in the range of $55,000,000 to $57,000,000 Cyclo G6 probe sales of 61000 to 63000 units and expansion of the Cyclo G6 system installed base by 210 to 230 systems. Looking ahead, we believe our long term growth opportunity is strong Well, our glaucoma procedure growth rate is currently in the mid single digits. We believe we have the technology, Strategy and team to accelerate our growth from here. Speaker 200:04:24Our optimism is heightened is highlighted by the increasing clinical interest In MicroPulse TLT and the Cyclo G6 platform, as shown by 16 posters presented at the recent World Glaucoma Congress And the multiple levers we're implementing across our substantial user base to drive utilization. These include education on proper dosing and patient selection, the rollout of suite management software, targeting adoption among comprehensive ophthalmologists and most notably expanding clinical evidence supporting MicroPulse TLT through a large scale multicenter prospective clinical trial. These are necessary steps to retain attention in a crowded glaucoma device But together represent a larger scale opportunity to become a key treatment choice for the moderate stage glaucoma patient. In parallel, we recognize the need to preserve our capital runway to reach this longer term goal. On our last call, we talked about steps taken to reduce our operating Cash usage and this quarter's usage declined to $1,200,000 and additional cost controls and inventory reduction actions are in place to further decrease cash usage in the coming quarters. Speaker 200:05:43Revenue growth at the current rate of our higher margin disposable probes It is expected to continue reducing cash usage and bridge operations until our initiatives gain meaningful traction and accelerate growth. Looking closer at our glaucoma business, 2nd quarter cycle G6 revenue increased by 5% year over year to 3,700,000 Global adoption of the G6 platform continued as we increased our installed base of systems by 41 units in the quarter. Probe revenue increased by 9% year over year, driven by ASP increases and 4% volume growth. While the 15,500 probes sold in the quarter was below our expectation, we're encouraged by progress in several aspects of the business. Our current top initiative is educating customers on the updated MicroPulse TLT dosing recommendations to ensure clinicians achieve large IOP reductions and a strong safety profile with our glaucoma treatment. Speaker 200:06:49Using systems with suite management software aid surgeons in reliably delivery of the proper dose. The baseline dosing recommendations that were issued over a year ago by our clinical consensus panel were based on studies published at the time. Since then, more dosing studies, which I'll highlight later, have shown that higher dosing through slower sweep speeds improves patient outcomes. Training surgeons on dosing guidelines, ensuring proper technique through case support and upgrading system software requires a high touch effort from our team. With this approach, the process entails clinicians treating an initial cohort of patients with our proctoring, Then tracking results to confirm they achieved the desired outcomes at 30 90 day follow-up. Speaker 200:07:37We believe this process can contribute considerably The growth over time as some of our lower volume accounts increase their confidence in procedure outcomes and choose to treat a broader profile of patients with MicroPulse DLT. Another area of focus is targeting comprehensive ophthalmologist users. They largely see and manage glaucoma patients Earlier in the disease continuum, generally at the mild stage through moderate severity patients before referring to glaucoma specialists. This represents a larger provider and patient pool, second only to the mild stage population, which is primarily treated with SLT and medication drops. We see a significant opportunity for MPT LT to provide a clinical and business for these practices to manage their patients longer by treating patients they would otherwise have referred on. Speaker 200:08:33Retaining those patients in the practice to deliver future regular visits and diagnostic test revenue can approach $2,000 per patient per In recent surgical cases our team has proctored, we're observing the population being treated is about 40% Furthermore, we're seeing the average procedure volume by comprehensive users can be significantly higher The last glaucoma growth initiative I'll discuss today is expanding the clinical data supporting MicroPulse TLT. There were 16 posters presented recently at the World Glaucoma Conference. All but one of these was physician sponsored and represents the broadening clinical interest And MicroPulse TLD. These studies contained over 850 combined eyes studied and cover Topics from traditional continuous wave applications to demonstrating structural safety and adjacent tissues The various patient cohort types with MicroPulse treatment and various dosing parameters. I'd like to highlight a few findings from these studies. Speaker 200:09:44On the topic of dose escalation, 3 different studies totaling 130 patients demonstrated over 30% reduction in IOP With greater efficacy from slower sweep speeds, while delivering the same excellent patient profile Safety profile. One of these studies was a randomized 60 patient prospective single center study. The patient inclusion criteria was a key target cohort of ours, post cataract and failed MIGS patients needing further treatment. Patients were randomly assigned to 3 different dosing protocols. Dose escalation was accomplished by slowing sweep speed, thereby extending the dwell time of probe energy and increasing the target tissue temperature or by adding additional passes to the probe. Speaker 200:10:31Higher IOP reductions were achieved by each escalated dose With an average 50% reduction at the highest dosing, while still maintaining the same safety profile across all doses. These types of findings can provide the confidence for surgeons to pursue higher efficacy with the comfort that safety will be maintained. The positive results of these dose escalation studies has provided IRIDEX the confidence to invest in a larger scale multicenter prospective trial. The goal of the trial will be to demonstrate the safety and effectiveness of MicroPulse TLT for the moderate stage We're finalizing selection of the CRO and identifying investigational centers interested in participating. We're still targeting 1st patient enrollment by year end. Speaker 200:11:29A successful study would provide powerful support for G6 adoption and utilization by an increasing number of clinicians. We remain confident we have the right product and a cost effective strategy to increase our penetration Shifting our focus now to update on the retina business. Revenue in the 2nd quarter declined to 6 $900,000 from $7,500,000 in the prior year period. While we continue to see strong interest in our PASCAL platform, Its growth was offset by softness in surgical and medical retina systems. As we mentioned on our last call, during the Q2, we saw lengthening sales cycles for Capital equipment amid uncertainty in the rising interest rate macro environment that seems to be stabilizing recently, but remains difficult We are tracking toward our U. Speaker 200:12:24S. Launch of the new single spot laser platform with Our new IRIDEX 532 and 577 versions in the Q4. As with the start of any new product cycle, When international distributors prepare for these transitions, inventories and order volumes can soften until the new products are available. This coupled with generally slower capital purchase cycles can soften demand and our 2nd quarter results exhibited that. As economic fears subside and new products clear international regulatory approvals, these challenges should turn to a growth tailwind in 2024. Speaker 200:13:05We will continue to execute our strategy and top initiatives with a constant focus on preserving our cash runway that In the Q2, we took steps to reduce our operating expenses and extend our runway and are tempering our project spending going forward. We also see meaningful recovery of cash by further reducing inventory in the 3rd 4th quarters That was built up to mitigate supply chain challenges. We continue to balance spending to support our growth plans against Cash usage rate to maintain a multiyear runway with current resources. Now I'd like to turn the call over to Fuad to cover Financial details. Speaker 300:13:50Thank you, Dave. Good afternoon, everyone, and thank you for joining us today. I would like to begin by reviewing our financial performance for the Q2 of fiscal 2023. Starting with revenue, Our total revenue for the Q2 was $12,900,000 representing a decrease of approximately 7% compared to the Q2 of last year. Modest growth from the cyclo G6 product family was offset by declines in the retina product line. Speaker 300:14:18Roughly half of the decline is also due to previously reported loss of royalty revenue in the quarter. Moving to product revenues. Total revenue from Cyclo G6 product family in the Q2 was $3,700,000 up 5% to the same period in 2022. We sold 15,500 Cyclo G6 probes in the 2nd quarter, representing revenue growth of 9% on 4% unit growth from the prior year period. We also sold 41 Cyclogeus Systems in the quarter compared to 48 in the prior year Our retina product revenue in the Q2 was $6,900,000 a decline of 9% from the prior period. Speaker 300:15:02This decline, we believe, is a result of macroeconomic uncertainties and a high interest rate environment. Other revenue, which includes royalties, services and other legacy products decreased 15% to $2,300,000 in the Q2 of 2023 compared The same period in 2022. This driven primarily by reduced royalty revenue from expiration of license patents as previously reported. Gross profit for the Q2 of 'twenty three was $5,400,000 compared to $6,300,000 in the prior year period. Gross margin was 41.7% compared to 45.6% in the Q2 of 'twenty 2. Speaker 300:15:47The decline in gross margin was a result of lower overhead absorption in the current period. Operating expenses for the Q2 were $8,300,000 a small decrease compared to $8,400,000 in the same period last year. Note that the current period includes over $200,000 of separation costs related to expense reductions implemented in the quarter. Our net loss in the Q2 of 'twenty three was $2,800,000 or net loss of $0.17 per share compared to a net loss of $2,200,000 or $0.14 per share for the same period in 'twenty two. We ended the quarter with cash and cash equivalents of $9,800,000 representing cash usage of $1,200,000 during the quarter, A substantial improvement from recent prior quarters. Speaker 300:16:39We remain focused on expense management and operating efficiencies and expect Steady improvement in coming quarters as we unwind inventory related investments and continue to execute on a prudent expense management strategy. To wrap up, given the softer results in the first half of the year, we are lowering our guidance for fiscal 2023. We now expect total revenue for fiscal 2023 to be $55,000,000 to $57,000,000 compared to Prior expectation of $57,000,000 to $59,000,000 G6 Pro unit sales are now expected to range from 61,000 to 63,000 From 65,000 to 67,000 previously and Cyclo G6 glaucoma laser system installed base is now expected to With that, Dave and I would like to turn the call over to the operator for questions. Operator? Operator00:17:45Thank you. Our first question comes from Scott Henry with ROTH Capital. You may proceed. Speaker 400:18:07Thank you and good afternoon. I've got a few questions. So I'll start with the micro oriented Questions. First, when I look at your guidance and I look at the quarter, it seems like you expect to rebound a little bit in retina. Is that correct? Speaker 400:18:23At least the second half of the year, you're not expecting this Q2 trend to maintain? Speaker 200:18:29That's right. Hey, Scott. The stabilization as we referred to it seems to be coming. You see it, you hear it in the greater economy as well. But We didn't see cancellations, just deferrals. Speaker 200:18:47People just took longer in their decision processes to order. And we think that's stabilizing. Those orders are coming in this quarter that were deferred last quarter And just feels like there's a general improvement in sentiment, interest rate increases appear to have Pretty much topped out and I think people perceiving that are moving forward with their plans. So we think the second half of the year can be closer to Expectations, but we were down enough in the first half of the year that we really need to adjust at full year guidance. Speaker 400:19:28Okay. And then shifting to G6, it seems like prices Strong. I mean, it just seems like you get a little more kick for price than I would have expected. Is that accurate? Speaker 500:19:41So we Speaker 200:19:44implemented a price increase around the middle of Last year, and so we were successful in having that hold in the marketplace. And so 2nd quarter and the first quarter demonstrated a bigger revenue increase than unit increase. That GAAP will start to subside as we go forward in the 3rd Q4 as we start to lap that timing of that increase And pretty much feedback equivalent by the beginning of 2024. But It was more of a one time event as opposed to a continued increase in the price. And that was primarily in U. Speaker 200:20:27S. Market and less so internationally. Speaker 400:20:34Okay. And final micro oriented question. This probe utilization has always been the hook to getting this compounding growth and you've Made adjustments, I guess, maybe the trial will help now, but how do you get that probe utilization per system getting to higher numbers than it currently is? Speaker 200:20:55Yes. So the root of the challenge is in driving the confidence to the point where clinicians Are just advising patients as they come through and recommending the procedure. On a broader set of patients, What we find is they'll pursue a group of patients and Maybe be happy with these results, but as our treatment is with any treatment in glaucoma, there's a percentage of those that You just don't get the outcome that you sought. And I feel like our customers tend to recall those Situations and question the procedure and if we're not there to reinforce it or even just ask them to well, let's look at the Consolidated data on your patients that they can back off to a smaller group of patients. And that's what we've been dealing with. Speaker 200:21:54So that's why our focus on higher efficacy With continued safety profile, because you have to have that, coupled with a means to achieve it with suite management software Plus some clinical evidence that it actually has worked in investigators' hands. Those are the tools that we're using to drive The change in perception, but it's in a noisy environment. There are a lot of other devices out there, Companies with more sales reps pursuing their various device sales, particularly in the mix space. Even though we're not directly competing with them, we are competing for the attention of the doctors. And so it's an effort. Speaker 200:22:48It's Feed on the street effort to focus on our target accounts and move them down that pathway. So that's the mechanism and it's going slower as we've reported than We aspire to, I'll say, as we put our guidance out at the beginning of the year. But we are quite confident that the results that are being achieved We'll ultimately prevail and the adoption will continue to broaden. Speaker 400:23:20Okay, great. Thank you. And I guess just one kind of big picture question And I apologize if it seems like I'm just thinking out loud in advance. When I look at the company, You guys have done a pretty good job. We just had one of the toughest quarters you've had in the past 5 quarters and you still only lost $1,000,000 So the business has been run well. Speaker 400:23:47The retina acquisition was fantastic. But when I think 12 to 18 months out, I don't know if you can grow fast enough to turn profitable. Maybe you can, maybe you can't. You're not going to lose a whole lot of money. But at some point, I would think you would want to be either a buyer or a seller In order to bring scale and to bring profitability to the company given the Economic environment we're in right now. Speaker 400:24:20And I just want to hear, I mean, ideally, you're a buyer, you find another great deal and that brings scale and you're profitable. But if you can't find anything because everything is too expensive, sometimes that's the best time to sell. But you just want to curious how you think of that Situation, I'm sure it's come across at a Board meeting or 2. Yes. Speaker 200:24:41And Look, that's the constant question as you manage a company. Whatever your growth rate, cash usage or cash generation, What's the right strategic point to change, either monetize or Leverage yourself to go in different directions or add different directions. So for us, we evaluate that not constantly, but on a regular basis and try to look at the opportunities availing us on both sides of the table and Make some decisions. We're not opposed to either direction, but the right opportunity has to come along. So we found it In the Topcon collaboration in 2021 and it took us a while to get to The consummation of that, but that turned out to be quite a good transaction for us In both business terms and capital and we'll continue to be open to those kinds of Thanks. Speaker 200:25:50Obviously, we're not announcing anything in particular and We have to go public with it when we made such a decision. So I'm not really ready to say that there's anything going on at this We are aware that Those kinds of decisions points come and cause us to be more focused and We'll communicate that when we're at the right point for such a thing. Speaker 400:26:27Okay. Thank you for the color on that. I appreciate the And thank you for taking the questions and my apologies for taking so much time. Thank you. Speaker 200:26:38No problem. Thank you, Scott. Operator00:26:41Thank you. One moment for questions. Our next question comes from Tom Steffen with Stifel. You may proceed. Speaker 500:26:52Great. Hey, guys. Thanks for the questions. I guess I'll piggyback sort of off that Hey, Dick. Piggyback, sort of off that last question, mainly just around the balance sheet. Speaker 500:27:06And maybe just to 0 in a little bit, can you guys just talk about where you think The burn might be exiting the year. And then rough expectations of maybe when you can turn the I think given with where the balance sheet currently is, that might have to come fairly soon. And when you do turn the corner on profitability, what are kind of the key drivers of that? Is it mix? Is it further cost reductions? Speaker 500:27:38Just any color here to give us Some comfort that the balance sheet, will, I guess, sort of reverse the other way in terms of strength and weakness. Speaker 200:27:51Yes. So, one of the impetus for our adjustments in the second quarter and We've been continuing to keep an eye on the opportunity to reduce inventory. So we do see the supply chain challenges softening And our need to carry a larger amount of inventory reducing. So we put upwards of $4,000,000 additional inventory in place from pre COVID periods and we've unwound some of that, but there's a fair amount more to go. So we think that that's actually a tailwind of capital Over the next quarters as well as a reduced operating cash usage And continued growth and we've looked at it extended lower growth is mid single digit growth rates And we can continue to reduce our cash usage and extract some cash from the balance sheet and have and we still see multi year runway. Speaker 200:28:55So exiting the year, we're not we don't give guidance on that, But we think this quarter is a representative quarter on the path downward and we can achieve something ultimately achieve something below $1,000,000 a quarter and continue to keep reducing that as we go forward. Now that's predicated on successful sales And we think we can increase the glaucoma growth rate, but it's been a challenge as we've Demonstrated in at least the 1st two quarters of this year. And then we do ultimately consider the Kind of the capital softness to be pretty temporary and that we can get back to growth on that front. And we have incremental cost reductions on the cost of goods sold side of things that can also help us with Cash flow. So, it's not that we have an excess of Capital and cross breakeven and build, but we have several years of execution capability And the ability to manage the expense side to maintain that as we've done Here in the middle of the year 2023. Speaker 500:30:24Got it. Helpful color. And Maybe my last tool just beyond glaucoma and the first I guess the first quick one. In the quarter, what was probe growth for G6 in the U. S. Speaker 500:30:39And OUS? That's the first part. And then the second part, Just on the guide for probes, it still implies 2H growth of, I think, High single digit percent year over year, but 1 inch was, I think, essentially flat against easier comps. So What gives you the confidence the guide down today is maybe enough of a reset? I mean, even if I look at utilization, I think it's expected to be flattish in 2H when it really has declined consistently year over year for a number of quarters now. Speaker 500:31:18So yes, 2 parter U. S. Versus OUS probes, growth rates there in the quarter and then just confidence that guidance on probes is a number that you can add? Speaker 200:31:29Yes. So the split we normally don't Talk about I think periodically we'll highlight an extra variation, but this particular quarter was about even. So they both, I think, grew in that kind of that mid single digit range on units. And I think we did call out particular weakness in the Q1 internationally. So when we look at To your second question, when you look at, okay, well, you were well below your expectation in the first half of the year and yet you're Kind of back to your intended growth rate in the second half of the year. Speaker 200:32:17Part of it is that What we believe is more of a one time decline of 1st quarter performance It won't be repeated in the subsequent two quarters. And we're also feeling that our programs Are succeeding that we are achieving incremental adoption. And frankly, the second piece of the net growth rate is reducing that decline where You have accounts that were running at one rate and then backed off either one of several users Decline, they weren't getting the results that they intended. Maybe we hadn't spent any time with them To bring them up to speed on current practices and assuring that their technique was there and they didn't get some results and they declined on usage. We think that message is getting out stronger and stronger and will continue to proliferate and people will understand that it's about the dosing that they're delivering and not the device itself or The technique and the procedure itself that's questionable. Speaker 200:33:36And we're seeing that anecdotally, say, for example, On a trade show, people will come to our booth and the tone of the conversations is around, if I'm not getting the results that are being reported in these What am I doing wrong? What do I need to do differently? And that's different from Say prior years where there was just a real question, does this thing really achieve the kinds of results because I'm not seeing them. So I think the mentality is changing, but it takes time, and that's where Giving guidance is a challenge and we have an optimism that we will be successful in delivering message and having people's behavior permanently changed and they will incorporate us in that moderate portion of the continuum and there's so many patients and Specialists in the comprehensive category that we really think good traction or A modest uptick attraction there can really provide some leverage. Speaker 500:34:52Got it. If I can just follow-up on some of your last Comments, just around the physician education, with the dosing recommendations and patient selection, I I think those initiatives started maybe it was late 2021 at AAL, if I'm remembering correctly. So The consensus panel and this initiative has been out there for a decent amount of time. So Dave, do you have any kind of tangible evidence, any figures you can provide maybe for those first 50 to 100 physicians who you interacted with regarding this Specific initiative around dosing, around patient selection, do you have any evidence that these things are working that Utilization is accelerating within these accounts. Maybe just to give us, maybe some confidence that, while these do take time to develop, Those early kind of cohorts of doctors, you're seeing that play out in the field. Speaker 500:35:57And hopefully that question makes sense. Speaker 200:36:00Yes, Yes. The pace of improvement is comes from two sides of the equation, right? I described Capturing new clinicians with new dosing and carrying them through until they see the results in their own practice and continue on with those patients. And that can take anywhere from a couple of months to 6 months or longer working with them. In terms of the dosing recommendations, the consensus panel recommendation was What we consider to be and I think they conveyed to be a baseline starting point. Speaker 200:36:43That's a safe place to start. But there is a continuum of dosing and escalated dosing to generate better outcomes, Better durability and what we're now seeing in the studies that are coming out, Maintaining a strong safety profile. That's a newer piece of the puzzle For clinicians that they can go from what was say a 20 second hemisphere sweep speed treatment And slow that down to a 32nd hemisphere treatment. So slowing it down by Over a third and still get better outcomes with the same safety profile. That has to work its way through the system. Speaker 200:37:34The study I was referring to, the single center study that was performed on Prospective 3 dosing arms of about 20 patients each It's a key piece of evidence that demonstrates that when you reduce sweep Speed, you get better outcomes and progressively better outcomes and a much higher percentage of success. So those are the kind of things we're seeing. And it just does take an extended period of time Where you make your incision, make your cut or put your plug and you get out close the hole And you're done. Ours, they look at it at 30 days and then at 90 days. So it's a slower moving proof, so to speak. Speaker 200:38:37And then on the opposite side, we do still experience those customers who either we haven't communicated that message or they aren't receptive to it and they may have a lesser experience than they want and choose to use it on fewer patients or stop using it. And that's a subtraction from the growth piece we get. So our net number in the mid single digits, We think can improve both more success with newer sites and bringing up to speed I'm dosing existing happy users, so they broaden the patients they use them on and give us a net growth number and then reducing the declines. And we're talking about the difference our guidance was in the 10% growth range. We're tracking around 5%. Speaker 200:39:29The difference in success of those efforts can make that 5% swing up pretty quickly. So That's how we're viewing it and pursuing it. And we're confident that that will ultimately prevail and and the growth rates will increase. Speaker 500:39:49Okay. So the early kind of cohorts of your installed base that You went to with these dosing recommendations, still kind of TBD on if That is driving accelerated utilization. And I guess, should we start can we start to see some evidence By the end of this year or Speaker 200:40:17Yes, I think What you're asking for is us to report on maybe some subsets of patients sorry, some subsets of users In these various categories and how the traction has been achieved on those. We can take a look at that and potentially address that in future calls. Operator00:40:40Perfect. Speaker 500:40:41Yes, I think that would be really helpful. Thanks for the time. Speaker 200:40:47Okay. Thank you, John. Operator00:40:50Thank you. I'd now like to turn the call Back over to Dave Bruce for any closing remarks. Speaker 200:40:57Thank you all for joining the call. Looking forward to reporting improvements in coming quarters and thank you for your confidence in the company. That's all for today. Operator00:41:11Thank you. This concludes today's conference call. Thank you for participating. You may now disconnect.Read morePowered by Key Takeaways In Q2 FY2023 IRIDEX reported $12.9 M in revenue, down 7% year-over-year, with a 5% increase in Cyclo G6 glaucoma product sales offset by reduced retina product and royalty income. The company updated its full-year guidance to $55 M–$57 M in total revenue, expects 61,000–63,000 Cyclo G6 probes and 210–230 net system installations. IRIDEX aims to accelerate glaucoma adoption by educating physicians on higher-dose MicroPulse TLT protocols, deploying suite management software and targeting comprehensive ophthalmologists to broaden patient reach. Strengthening clinical support, 16 physician-sponsored posters demonstrated over 30% IOP reduction with dose escalation, and a large multicenter prospective trial is planned to start by year-end. Operationally, IRIDEX reduced Q2 cash burn to $1.2 M and implemented additional cost controls and inventory reductions to preserve a multi-year capital runway. A.I. generated. May contain errors.Conference Call Audio Live Call not available Earnings Conference CallIRIDEX Q2 202300:00 / 00:00Speed:1x1.25x1.5x2x Earnings DocumentsPress Release(8-K)Quarterly report(10-Q) IRIDEX Earnings HeadlinesStockNews.com Initiates Coverage on IRIDEX (NASDAQ:IRIX)May 22 at 1:40 AM | americanbankingnews.comIRIDEX Faces Nasdaq Delisting Over Equity ShortfallMay 22 at 12:22 AM | investing.comJuly 2025 Rule Change to Impact Retirement InvestorsThere's a massive change from a new rule going into effect this July. And it's one the Big Banks are already using to their advantage… It allows them to treat this new asset like actual cash.May 22, 2025 | Premier Gold Co (Ad)IRIDEX Corporation (NASDAQ:IRIX) Q1 2025 Earnings Call TranscriptMay 16, 2025 | insidermonkey.comIRIDEX Corp.May 15, 2025 | money.usnews.comIRIDEX Corporation, Inc. (IRIX) Q1 2025 Earnings Call TranscriptMay 13, 2025 | seekingalpha.comSee More IRIDEX Headlines Get Earnings Announcements in your inboxWant to stay updated on the latest earnings announcements and upcoming reports for companies like IRIDEX? Sign up for Earnings360's daily newsletter to receive timely earnings updates on IRIDEX and other key companies, straight to your email. Email Address About IRIDEXIRIDEX (NASDAQ:IRIX), an ophthalmic medical technology company, provides therapeutic based laser systems, delivery devices, and consumable instrumentation to treat sight-threatening eye diseases in ophthalmology. It offers laser consoles, such as Cyclo G6 laser system for use in the treatment of glaucoma; IQ 532 and IQ 577 laser systems, which are used for the treatment of retinal disorders; and OcuLight TX, OcuLight SL, OcuLight SLx, OcuLight GL, and OcuLight GLx laser photocoagulation systems that are used to treat proliferative diabetic retinopathy, macular holes, retinal tears, and detachments. The company also provides delivery devices, including TxCell scanning laser delivery system that allows the physician to perform multi-spot pattern scanning; slit lamp adapter, which allows the physician to utilize a standard slit lamp in diagnosis and treatment procedures; and laser indirect ophthalmoscope for use in procedures to treat peripheral retinal disorders. It offers MicroPulse P3 Probe, which is used with its Cylco G6 laser system to perform MicroPulse transscleral laser therapy; G-Probe, which is used in procedures to treat uncontrolled glaucoma; G-Probe and G-Probe Illuminate, which are used in procedures to treat refractory glaucoma; and EndoProbe family of products for use in vitrectomy procedures. The company serves ophthalmologists, research and teaching hospitals, government installations, surgical centers, hospitals, veterinary practices, and office clinics. It markets its products through direct and independent sales force in the United States, as well as through independent distributors internationally. The company was formerly known as IRIS Medical Instruments, Inc. and changed its name to IRIDEX Corporation in November 1995. IRIDEX Corporation was incorporated in 1989 and is headquartered in Mountain View, California.View IRIDEX ProfileRead more More Earnings Resources from MarketBeat Earnings Tools Today's Earnings Tomorrow's Earnings Next Week's Earnings Upcoming Earnings Calls Earnings Newsletter Earnings Call Transcripts Earnings Beats & Misses Corporate Guidance Earnings Screener Earnings By Country U.S. Earnings Reports Canadian Earnings Reports U.K. Earnings Reports Latest Articles Alibaba's Earnings Just Changed Everything for the StockCisco Stock Eyes New Highs in 2025 on AI, Earnings, UpgradesSymbotic Gets Big Earnings Lift: Is the Stock Investable Again?D-Wave Pushes Back on Short Seller Case With Strong EarningsAppLovin Surges on Earnings: What's Next for This Tech Standout?Can Shopify Stock Make a Comeback After an Earnings Sell-Off?Rocket Lab: Earnings Miss But Neutron Momentum Holds Upcoming Earnings PDD (5/27/2025)AutoZone (5/27/2025)Bank of Nova Scotia (5/27/2025)NVIDIA (5/28/2025)Synopsys (5/28/2025)Bank of Montreal (5/28/2025)Salesforce (5/28/2025)Costco Wholesale (5/29/2025)Marvell Technology (5/29/2025)Canadian Imperial Bank of Commerce (5/29/2025) Get 30 Days of MarketBeat All Access for Free Sign up for MarketBeat All Access to gain access to MarketBeat's full suite of research tools. 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There are 6 speakers on the call. Operator00:00:00Good day and thank you for standing by. Welcome to the Second Quarter 2023 IRIDEX Earnings Conference Call. At this time, all participants are in a listen only mode. After the speakers' presentation, there will be a question and answer session. Please be advised that today's conference is being recorded. Operator00:00:26I would now like to hand the conference over to your speaker today, Tripp Taylor, Investor Relations. Speaker 100:00:34Thank you, and thank you all for participating in today's call. Joining me are David Bruce, Chief Executive Officer and Fuad Ahmad, Interim Chief Financial Officer. Earlier today, IRIDEX released financial results for the quarter ended July 1, 2023. A copy of the press release is available on the company's website. Before we begin, I'd like to remind you that management will make statements during this call that include forward looking statements within the meaning of federal securities laws, which are made pursuant to the Safe Harbor provisions of the Private Securities Litigation Reform Act of 1995. Speaker 100:01:10Any statements made during this call that are not statements of historical fact, including, but not limited to, statements concerning our strategic goals and priorities, Product development matters, sales trends and the markets in which we operate. All forward looking statements are based All events to materially differ from those anticipated or implied by these forward looking statements. Accordingly, you should not place Reliance on these statements for a discussion of the risks and uncertainties associated with our business, please see the most Recent Form 10 ks and Form 10 Q filings with the SEC. IRIDEX disclaims any intention or obligation, except as required by law, To update or revise any financial projections or forward looking statements, whether because of new information, future events or otherwise. This conference call contains time sensitive information and is accurate only as of the live broadcast today, August 10, 2023. Speaker 100:02:19And with that, I'll turn the call over to Dave. Speaker 200:02:24Good afternoon, and thank you all for joining us. Today, I'll provide updates on our business progress and Fuad will then provide details on 2nd quarter financials And we'll open the call for questions. In the Q2 of 2023, we generated $12,900,000 in total revenue, A reduction of $900,000 versus last year's Q2. Continued moderate growth in glaucoma revenue was offset And this was our Q1 experiencing reduced royalty income resulting from the previously discussed expiration of licensed patents. As we continue to execute our strategy, We're managing through 2 dynamics that have impacted our growth. Speaker 200:03:13We experienced more cautious customer behavior, which lengthened capital purchasing cycles and softened our systems sales. Also our initiatives to accelerate glaucoma procedure adoption are taking longer to gain traction across the customer base. As a result, with first half of the year performance below our expectations, we are updating our guidance for the full Year 2023 and now expect revenue to be in the range of $55,000,000 to $57,000,000 Cyclo G6 probe sales of 61000 to 63000 units and expansion of the Cyclo G6 system installed base by 210 to 230 systems. Looking ahead, we believe our long term growth opportunity is strong Well, our glaucoma procedure growth rate is currently in the mid single digits. We believe we have the technology, Strategy and team to accelerate our growth from here. Speaker 200:04:24Our optimism is heightened is highlighted by the increasing clinical interest In MicroPulse TLT and the Cyclo G6 platform, as shown by 16 posters presented at the recent World Glaucoma Congress And the multiple levers we're implementing across our substantial user base to drive utilization. These include education on proper dosing and patient selection, the rollout of suite management software, targeting adoption among comprehensive ophthalmologists and most notably expanding clinical evidence supporting MicroPulse TLT through a large scale multicenter prospective clinical trial. These are necessary steps to retain attention in a crowded glaucoma device But together represent a larger scale opportunity to become a key treatment choice for the moderate stage glaucoma patient. In parallel, we recognize the need to preserve our capital runway to reach this longer term goal. On our last call, we talked about steps taken to reduce our operating Cash usage and this quarter's usage declined to $1,200,000 and additional cost controls and inventory reduction actions are in place to further decrease cash usage in the coming quarters. Speaker 200:05:43Revenue growth at the current rate of our higher margin disposable probes It is expected to continue reducing cash usage and bridge operations until our initiatives gain meaningful traction and accelerate growth. Looking closer at our glaucoma business, 2nd quarter cycle G6 revenue increased by 5% year over year to 3,700,000 Global adoption of the G6 platform continued as we increased our installed base of systems by 41 units in the quarter. Probe revenue increased by 9% year over year, driven by ASP increases and 4% volume growth. While the 15,500 probes sold in the quarter was below our expectation, we're encouraged by progress in several aspects of the business. Our current top initiative is educating customers on the updated MicroPulse TLT dosing recommendations to ensure clinicians achieve large IOP reductions and a strong safety profile with our glaucoma treatment. Speaker 200:06:49Using systems with suite management software aid surgeons in reliably delivery of the proper dose. The baseline dosing recommendations that were issued over a year ago by our clinical consensus panel were based on studies published at the time. Since then, more dosing studies, which I'll highlight later, have shown that higher dosing through slower sweep speeds improves patient outcomes. Training surgeons on dosing guidelines, ensuring proper technique through case support and upgrading system software requires a high touch effort from our team. With this approach, the process entails clinicians treating an initial cohort of patients with our proctoring, Then tracking results to confirm they achieved the desired outcomes at 30 90 day follow-up. Speaker 200:07:37We believe this process can contribute considerably The growth over time as some of our lower volume accounts increase their confidence in procedure outcomes and choose to treat a broader profile of patients with MicroPulse DLT. Another area of focus is targeting comprehensive ophthalmologist users. They largely see and manage glaucoma patients Earlier in the disease continuum, generally at the mild stage through moderate severity patients before referring to glaucoma specialists. This represents a larger provider and patient pool, second only to the mild stage population, which is primarily treated with SLT and medication drops. We see a significant opportunity for MPT LT to provide a clinical and business for these practices to manage their patients longer by treating patients they would otherwise have referred on. Speaker 200:08:33Retaining those patients in the practice to deliver future regular visits and diagnostic test revenue can approach $2,000 per patient per In recent surgical cases our team has proctored, we're observing the population being treated is about 40% Furthermore, we're seeing the average procedure volume by comprehensive users can be significantly higher The last glaucoma growth initiative I'll discuss today is expanding the clinical data supporting MicroPulse TLT. There were 16 posters presented recently at the World Glaucoma Conference. All but one of these was physician sponsored and represents the broadening clinical interest And MicroPulse TLD. These studies contained over 850 combined eyes studied and cover Topics from traditional continuous wave applications to demonstrating structural safety and adjacent tissues The various patient cohort types with MicroPulse treatment and various dosing parameters. I'd like to highlight a few findings from these studies. Speaker 200:09:44On the topic of dose escalation, 3 different studies totaling 130 patients demonstrated over 30% reduction in IOP With greater efficacy from slower sweep speeds, while delivering the same excellent patient profile Safety profile. One of these studies was a randomized 60 patient prospective single center study. The patient inclusion criteria was a key target cohort of ours, post cataract and failed MIGS patients needing further treatment. Patients were randomly assigned to 3 different dosing protocols. Dose escalation was accomplished by slowing sweep speed, thereby extending the dwell time of probe energy and increasing the target tissue temperature or by adding additional passes to the probe. Speaker 200:10:31Higher IOP reductions were achieved by each escalated dose With an average 50% reduction at the highest dosing, while still maintaining the same safety profile across all doses. These types of findings can provide the confidence for surgeons to pursue higher efficacy with the comfort that safety will be maintained. The positive results of these dose escalation studies has provided IRIDEX the confidence to invest in a larger scale multicenter prospective trial. The goal of the trial will be to demonstrate the safety and effectiveness of MicroPulse TLT for the moderate stage We're finalizing selection of the CRO and identifying investigational centers interested in participating. We're still targeting 1st patient enrollment by year end. Speaker 200:11:29A successful study would provide powerful support for G6 adoption and utilization by an increasing number of clinicians. We remain confident we have the right product and a cost effective strategy to increase our penetration Shifting our focus now to update on the retina business. Revenue in the 2nd quarter declined to 6 $900,000 from $7,500,000 in the prior year period. While we continue to see strong interest in our PASCAL platform, Its growth was offset by softness in surgical and medical retina systems. As we mentioned on our last call, during the Q2, we saw lengthening sales cycles for Capital equipment amid uncertainty in the rising interest rate macro environment that seems to be stabilizing recently, but remains difficult We are tracking toward our U. Speaker 200:12:24S. Launch of the new single spot laser platform with Our new IRIDEX 532 and 577 versions in the Q4. As with the start of any new product cycle, When international distributors prepare for these transitions, inventories and order volumes can soften until the new products are available. This coupled with generally slower capital purchase cycles can soften demand and our 2nd quarter results exhibited that. As economic fears subside and new products clear international regulatory approvals, these challenges should turn to a growth tailwind in 2024. Speaker 200:13:05We will continue to execute our strategy and top initiatives with a constant focus on preserving our cash runway that In the Q2, we took steps to reduce our operating expenses and extend our runway and are tempering our project spending going forward. We also see meaningful recovery of cash by further reducing inventory in the 3rd 4th quarters That was built up to mitigate supply chain challenges. We continue to balance spending to support our growth plans against Cash usage rate to maintain a multiyear runway with current resources. Now I'd like to turn the call over to Fuad to cover Financial details. Speaker 300:13:50Thank you, Dave. Good afternoon, everyone, and thank you for joining us today. I would like to begin by reviewing our financial performance for the Q2 of fiscal 2023. Starting with revenue, Our total revenue for the Q2 was $12,900,000 representing a decrease of approximately 7% compared to the Q2 of last year. Modest growth from the cyclo G6 product family was offset by declines in the retina product line. Speaker 300:14:18Roughly half of the decline is also due to previously reported loss of royalty revenue in the quarter. Moving to product revenues. Total revenue from Cyclo G6 product family in the Q2 was $3,700,000 up 5% to the same period in 2022. We sold 15,500 Cyclo G6 probes in the 2nd quarter, representing revenue growth of 9% on 4% unit growth from the prior year period. We also sold 41 Cyclogeus Systems in the quarter compared to 48 in the prior year Our retina product revenue in the Q2 was $6,900,000 a decline of 9% from the prior period. Speaker 300:15:02This decline, we believe, is a result of macroeconomic uncertainties and a high interest rate environment. Other revenue, which includes royalties, services and other legacy products decreased 15% to $2,300,000 in the Q2 of 2023 compared The same period in 2022. This driven primarily by reduced royalty revenue from expiration of license patents as previously reported. Gross profit for the Q2 of 'twenty three was $5,400,000 compared to $6,300,000 in the prior year period. Gross margin was 41.7% compared to 45.6% in the Q2 of 'twenty 2. Speaker 300:15:47The decline in gross margin was a result of lower overhead absorption in the current period. Operating expenses for the Q2 were $8,300,000 a small decrease compared to $8,400,000 in the same period last year. Note that the current period includes over $200,000 of separation costs related to expense reductions implemented in the quarter. Our net loss in the Q2 of 'twenty three was $2,800,000 or net loss of $0.17 per share compared to a net loss of $2,200,000 or $0.14 per share for the same period in 'twenty two. We ended the quarter with cash and cash equivalents of $9,800,000 representing cash usage of $1,200,000 during the quarter, A substantial improvement from recent prior quarters. Speaker 300:16:39We remain focused on expense management and operating efficiencies and expect Steady improvement in coming quarters as we unwind inventory related investments and continue to execute on a prudent expense management strategy. To wrap up, given the softer results in the first half of the year, we are lowering our guidance for fiscal 2023. We now expect total revenue for fiscal 2023 to be $55,000,000 to $57,000,000 compared to Prior expectation of $57,000,000 to $59,000,000 G6 Pro unit sales are now expected to range from 61,000 to 63,000 From 65,000 to 67,000 previously and Cyclo G6 glaucoma laser system installed base is now expected to With that, Dave and I would like to turn the call over to the operator for questions. Operator? Operator00:17:45Thank you. Our first question comes from Scott Henry with ROTH Capital. You may proceed. Speaker 400:18:07Thank you and good afternoon. I've got a few questions. So I'll start with the micro oriented Questions. First, when I look at your guidance and I look at the quarter, it seems like you expect to rebound a little bit in retina. Is that correct? Speaker 400:18:23At least the second half of the year, you're not expecting this Q2 trend to maintain? Speaker 200:18:29That's right. Hey, Scott. The stabilization as we referred to it seems to be coming. You see it, you hear it in the greater economy as well. But We didn't see cancellations, just deferrals. Speaker 200:18:47People just took longer in their decision processes to order. And we think that's stabilizing. Those orders are coming in this quarter that were deferred last quarter And just feels like there's a general improvement in sentiment, interest rate increases appear to have Pretty much topped out and I think people perceiving that are moving forward with their plans. So we think the second half of the year can be closer to Expectations, but we were down enough in the first half of the year that we really need to adjust at full year guidance. Speaker 400:19:28Okay. And then shifting to G6, it seems like prices Strong. I mean, it just seems like you get a little more kick for price than I would have expected. Is that accurate? Speaker 500:19:41So we Speaker 200:19:44implemented a price increase around the middle of Last year, and so we were successful in having that hold in the marketplace. And so 2nd quarter and the first quarter demonstrated a bigger revenue increase than unit increase. That GAAP will start to subside as we go forward in the 3rd Q4 as we start to lap that timing of that increase And pretty much feedback equivalent by the beginning of 2024. But It was more of a one time event as opposed to a continued increase in the price. And that was primarily in U. Speaker 200:20:27S. Market and less so internationally. Speaker 400:20:34Okay. And final micro oriented question. This probe utilization has always been the hook to getting this compounding growth and you've Made adjustments, I guess, maybe the trial will help now, but how do you get that probe utilization per system getting to higher numbers than it currently is? Speaker 200:20:55Yes. So the root of the challenge is in driving the confidence to the point where clinicians Are just advising patients as they come through and recommending the procedure. On a broader set of patients, What we find is they'll pursue a group of patients and Maybe be happy with these results, but as our treatment is with any treatment in glaucoma, there's a percentage of those that You just don't get the outcome that you sought. And I feel like our customers tend to recall those Situations and question the procedure and if we're not there to reinforce it or even just ask them to well, let's look at the Consolidated data on your patients that they can back off to a smaller group of patients. And that's what we've been dealing with. Speaker 200:21:54So that's why our focus on higher efficacy With continued safety profile, because you have to have that, coupled with a means to achieve it with suite management software Plus some clinical evidence that it actually has worked in investigators' hands. Those are the tools that we're using to drive The change in perception, but it's in a noisy environment. There are a lot of other devices out there, Companies with more sales reps pursuing their various device sales, particularly in the mix space. Even though we're not directly competing with them, we are competing for the attention of the doctors. And so it's an effort. Speaker 200:22:48It's Feed on the street effort to focus on our target accounts and move them down that pathway. So that's the mechanism and it's going slower as we've reported than We aspire to, I'll say, as we put our guidance out at the beginning of the year. But we are quite confident that the results that are being achieved We'll ultimately prevail and the adoption will continue to broaden. Speaker 400:23:20Okay, great. Thank you. And I guess just one kind of big picture question And I apologize if it seems like I'm just thinking out loud in advance. When I look at the company, You guys have done a pretty good job. We just had one of the toughest quarters you've had in the past 5 quarters and you still only lost $1,000,000 So the business has been run well. Speaker 400:23:47The retina acquisition was fantastic. But when I think 12 to 18 months out, I don't know if you can grow fast enough to turn profitable. Maybe you can, maybe you can't. You're not going to lose a whole lot of money. But at some point, I would think you would want to be either a buyer or a seller In order to bring scale and to bring profitability to the company given the Economic environment we're in right now. Speaker 400:24:20And I just want to hear, I mean, ideally, you're a buyer, you find another great deal and that brings scale and you're profitable. But if you can't find anything because everything is too expensive, sometimes that's the best time to sell. But you just want to curious how you think of that Situation, I'm sure it's come across at a Board meeting or 2. Yes. Speaker 200:24:41And Look, that's the constant question as you manage a company. Whatever your growth rate, cash usage or cash generation, What's the right strategic point to change, either monetize or Leverage yourself to go in different directions or add different directions. So for us, we evaluate that not constantly, but on a regular basis and try to look at the opportunities availing us on both sides of the table and Make some decisions. We're not opposed to either direction, but the right opportunity has to come along. So we found it In the Topcon collaboration in 2021 and it took us a while to get to The consummation of that, but that turned out to be quite a good transaction for us In both business terms and capital and we'll continue to be open to those kinds of Thanks. Speaker 200:25:50Obviously, we're not announcing anything in particular and We have to go public with it when we made such a decision. So I'm not really ready to say that there's anything going on at this We are aware that Those kinds of decisions points come and cause us to be more focused and We'll communicate that when we're at the right point for such a thing. Speaker 400:26:27Okay. Thank you for the color on that. I appreciate the And thank you for taking the questions and my apologies for taking so much time. Thank you. Speaker 200:26:38No problem. Thank you, Scott. Operator00:26:41Thank you. One moment for questions. Our next question comes from Tom Steffen with Stifel. You may proceed. Speaker 500:26:52Great. Hey, guys. Thanks for the questions. I guess I'll piggyback sort of off that Hey, Dick. Piggyback, sort of off that last question, mainly just around the balance sheet. Speaker 500:27:06And maybe just to 0 in a little bit, can you guys just talk about where you think The burn might be exiting the year. And then rough expectations of maybe when you can turn the I think given with where the balance sheet currently is, that might have to come fairly soon. And when you do turn the corner on profitability, what are kind of the key drivers of that? Is it mix? Is it further cost reductions? Speaker 500:27:38Just any color here to give us Some comfort that the balance sheet, will, I guess, sort of reverse the other way in terms of strength and weakness. Speaker 200:27:51Yes. So, one of the impetus for our adjustments in the second quarter and We've been continuing to keep an eye on the opportunity to reduce inventory. So we do see the supply chain challenges softening And our need to carry a larger amount of inventory reducing. So we put upwards of $4,000,000 additional inventory in place from pre COVID periods and we've unwound some of that, but there's a fair amount more to go. So we think that that's actually a tailwind of capital Over the next quarters as well as a reduced operating cash usage And continued growth and we've looked at it extended lower growth is mid single digit growth rates And we can continue to reduce our cash usage and extract some cash from the balance sheet and have and we still see multi year runway. Speaker 200:28:55So exiting the year, we're not we don't give guidance on that, But we think this quarter is a representative quarter on the path downward and we can achieve something ultimately achieve something below $1,000,000 a quarter and continue to keep reducing that as we go forward. Now that's predicated on successful sales And we think we can increase the glaucoma growth rate, but it's been a challenge as we've Demonstrated in at least the 1st two quarters of this year. And then we do ultimately consider the Kind of the capital softness to be pretty temporary and that we can get back to growth on that front. And we have incremental cost reductions on the cost of goods sold side of things that can also help us with Cash flow. So, it's not that we have an excess of Capital and cross breakeven and build, but we have several years of execution capability And the ability to manage the expense side to maintain that as we've done Here in the middle of the year 2023. Speaker 500:30:24Got it. Helpful color. And Maybe my last tool just beyond glaucoma and the first I guess the first quick one. In the quarter, what was probe growth for G6 in the U. S. Speaker 500:30:39And OUS? That's the first part. And then the second part, Just on the guide for probes, it still implies 2H growth of, I think, High single digit percent year over year, but 1 inch was, I think, essentially flat against easier comps. So What gives you the confidence the guide down today is maybe enough of a reset? I mean, even if I look at utilization, I think it's expected to be flattish in 2H when it really has declined consistently year over year for a number of quarters now. Speaker 500:31:18So yes, 2 parter U. S. Versus OUS probes, growth rates there in the quarter and then just confidence that guidance on probes is a number that you can add? Speaker 200:31:29Yes. So the split we normally don't Talk about I think periodically we'll highlight an extra variation, but this particular quarter was about even. So they both, I think, grew in that kind of that mid single digit range on units. And I think we did call out particular weakness in the Q1 internationally. So when we look at To your second question, when you look at, okay, well, you were well below your expectation in the first half of the year and yet you're Kind of back to your intended growth rate in the second half of the year. Speaker 200:32:17Part of it is that What we believe is more of a one time decline of 1st quarter performance It won't be repeated in the subsequent two quarters. And we're also feeling that our programs Are succeeding that we are achieving incremental adoption. And frankly, the second piece of the net growth rate is reducing that decline where You have accounts that were running at one rate and then backed off either one of several users Decline, they weren't getting the results that they intended. Maybe we hadn't spent any time with them To bring them up to speed on current practices and assuring that their technique was there and they didn't get some results and they declined on usage. We think that message is getting out stronger and stronger and will continue to proliferate and people will understand that it's about the dosing that they're delivering and not the device itself or The technique and the procedure itself that's questionable. Speaker 200:33:36And we're seeing that anecdotally, say, for example, On a trade show, people will come to our booth and the tone of the conversations is around, if I'm not getting the results that are being reported in these What am I doing wrong? What do I need to do differently? And that's different from Say prior years where there was just a real question, does this thing really achieve the kinds of results because I'm not seeing them. So I think the mentality is changing, but it takes time, and that's where Giving guidance is a challenge and we have an optimism that we will be successful in delivering message and having people's behavior permanently changed and they will incorporate us in that moderate portion of the continuum and there's so many patients and Specialists in the comprehensive category that we really think good traction or A modest uptick attraction there can really provide some leverage. Speaker 500:34:52Got it. If I can just follow-up on some of your last Comments, just around the physician education, with the dosing recommendations and patient selection, I I think those initiatives started maybe it was late 2021 at AAL, if I'm remembering correctly. So The consensus panel and this initiative has been out there for a decent amount of time. So Dave, do you have any kind of tangible evidence, any figures you can provide maybe for those first 50 to 100 physicians who you interacted with regarding this Specific initiative around dosing, around patient selection, do you have any evidence that these things are working that Utilization is accelerating within these accounts. Maybe just to give us, maybe some confidence that, while these do take time to develop, Those early kind of cohorts of doctors, you're seeing that play out in the field. Speaker 500:35:57And hopefully that question makes sense. Speaker 200:36:00Yes, Yes. The pace of improvement is comes from two sides of the equation, right? I described Capturing new clinicians with new dosing and carrying them through until they see the results in their own practice and continue on with those patients. And that can take anywhere from a couple of months to 6 months or longer working with them. In terms of the dosing recommendations, the consensus panel recommendation was What we consider to be and I think they conveyed to be a baseline starting point. Speaker 200:36:43That's a safe place to start. But there is a continuum of dosing and escalated dosing to generate better outcomes, Better durability and what we're now seeing in the studies that are coming out, Maintaining a strong safety profile. That's a newer piece of the puzzle For clinicians that they can go from what was say a 20 second hemisphere sweep speed treatment And slow that down to a 32nd hemisphere treatment. So slowing it down by Over a third and still get better outcomes with the same safety profile. That has to work its way through the system. Speaker 200:37:34The study I was referring to, the single center study that was performed on Prospective 3 dosing arms of about 20 patients each It's a key piece of evidence that demonstrates that when you reduce sweep Speed, you get better outcomes and progressively better outcomes and a much higher percentage of success. So those are the kind of things we're seeing. And it just does take an extended period of time Where you make your incision, make your cut or put your plug and you get out close the hole And you're done. Ours, they look at it at 30 days and then at 90 days. So it's a slower moving proof, so to speak. Speaker 200:38:37And then on the opposite side, we do still experience those customers who either we haven't communicated that message or they aren't receptive to it and they may have a lesser experience than they want and choose to use it on fewer patients or stop using it. And that's a subtraction from the growth piece we get. So our net number in the mid single digits, We think can improve both more success with newer sites and bringing up to speed I'm dosing existing happy users, so they broaden the patients they use them on and give us a net growth number and then reducing the declines. And we're talking about the difference our guidance was in the 10% growth range. We're tracking around 5%. Speaker 200:39:29The difference in success of those efforts can make that 5% swing up pretty quickly. So That's how we're viewing it and pursuing it. And we're confident that that will ultimately prevail and and the growth rates will increase. Speaker 500:39:49Okay. So the early kind of cohorts of your installed base that You went to with these dosing recommendations, still kind of TBD on if That is driving accelerated utilization. And I guess, should we start can we start to see some evidence By the end of this year or Speaker 200:40:17Yes, I think What you're asking for is us to report on maybe some subsets of patients sorry, some subsets of users In these various categories and how the traction has been achieved on those. We can take a look at that and potentially address that in future calls. Operator00:40:40Perfect. Speaker 500:40:41Yes, I think that would be really helpful. Thanks for the time. Speaker 200:40:47Okay. Thank you, John. Operator00:40:50Thank you. I'd now like to turn the call Back over to Dave Bruce for any closing remarks. Speaker 200:40:57Thank you all for joining the call. Looking forward to reporting improvements in coming quarters and thank you for your confidence in the company. That's all for today. Operator00:41:11Thank you. This concludes today's conference call. Thank you for participating. You may now disconnect.Read morePowered by