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 UNITED
STATES

 SECURITIES
AND EXCHANGE COMMISSION

 Washington,
D.C. 20549

 FORM

ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

 For
the fiscal year ended December 31, 2023

 OR

 TRANSITION REPORT UNDER SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

 For
the transition period from _____________ to ___________________

 Commission
file number: 001-38325

Medical Corporation

 (Exact
name of registrant as specified in its charter)

 Delaware

 33-0936180

 (State or other jurisdiction

 of incorporation or organization)

 (I.R.S. Employer

 Identification No.)

Doppler

 Irvine,
 California 92618

 (Address
of principal executive offices)

 (949) 261-2900

 (Registrant's
telephone number, including area code)

 Securities
registered pursuant to Section 12(b) of the Act:

 Title of
 Each Class:

 Trading Symbol(s):

 Name of Each
 Exchange on Which Registered:

 Common Stock, $0.00001 par
 value

 NVNO

 The NASDAQ Stock Market
 LLC

 Securities
registered pursuant to Section 12(g) of the Act:

 None

by check mark if the registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities Act. Yes No

by check mark if the registrant is not required to file reports pursuant to Section 13 or Section 15(d) of the Act. Yes No

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

by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted 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 such files).

 Yes
 No

by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting
company, or an emerging growth company. See the definitions of "large accelerated filer," "accelerated filer,"
"smaller reporting company," and "emerging growth company" in Rule 12b-2 of the Exchange Act.

 Large accelerated filer

 Accelerated filer

 Non-accelerated filer

 Smaller reporting company

 Emerging growth 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.

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.

 If
securities are registered pursuant to Section 12(b) of the Act, indicate by check mark whether the financial statements of the registrant
included in the filing reflect the correction of an error to previously issued financial statements.

by check mark whether any of those error corrections are restatements that required a recovery analysis of incentive-based compensation
received by any of the registrant's executive officers during the relevant recovery period pursuant to §240.10D-1(b).

by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).

 Yes
 No

 The
aggregate market value of the voting and non-voting common stock held by non-affiliates of the registrant as of June 30, 2023 (the last
business date of the registrant's most recently completed second fiscal quarter), based on the last sale price of the registrant's
common stock on such date was $ 29.2 million.

 As
of February 27, 2024, there were 13,317,000 shares of common stock outstanding.

 TABLE
OF CONTENTS

 ITEM 1. Business

 ITEM 1A. Risk Factors

 ITEM 1B. Unresolved Staff Comments

 ITEM 1C. Cybersecurity

 ITEM 2. Properties

 ITEM 3. Legal Proceedings

 ITEM 4. Mine and Safety Disclosures

 ITEM 5. Market for Registrant's Common Equity, Related Stockholder Matters and Issuer of Equity Securities

 ITEM 6. [Reserved]

 ITEM 7. Management's Discussion and Analysis of Financial Condition and Results of Operations

 ITEM 7A. Quantitative and Qualitative Disclosures and Market Risk

 ITEM 8. Financial Statements and Supplementary Data

 ITEM 9. Changes In and Disagreements with Accountants on Accounting and Financial Disclosures

 ITEM 9A. Controls and Procedures

 ITEM 9B. Other Information

 ITEM 9C. Disclosure Regarding Foreign Jurisdictions That Prevent Inspections

 ITEM 10. Directors, Executive Officers and Corporate Governance

 ITEM 11. Executive Compensation

 ITEM 12. Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters

 ITEM 13. Certain Relationships and Related Transactions, and Director Independence

 ITEM 14. Principal Accounting Fees and Services

 ITEM 15. Exhibits and Financial Statements Schedules

 ITEM 16. Form 10-K Summary

 Signatures

 Financial Statements and Supplementary Data

 PART
I

 CAUTIONARY
NOTE ON FORWARD-LOOKING STATEMENTS

 This
Annual Report on Form 10-K contains, or may contain, certain "forward-looking statements" within the meaning of the Private
Securities Litigation Reform Act of 1995. Such forward-looking statements involve significant risks and uncertainties. Such statements
may include, without limitation, statements with respect to the Company's plans, objectives, projections, expectations and intentions
and other statements identified by words such as "may," "will," "could," "would," "should,"
"believes," "expects," "anticipates," "estimates," "intends," "plans,"
"potential" or similar expressions. These statements are based upon the current beliefs and expectations of the Company's
management and do not constitute guarantees of future performance. Actual results could differ materially from those contained in the
forward-looking statements and are subject to significant risks and uncertainties, including those discussed under "Risk Factors,"
as well as those discussed elsewhere in this Form 10-K. Actual results (including, without limitation, the actual timing for and results
of the clinical trials described herein, and FDA review of the Company's products in development) may differ significantly from
those set forth in the forward-looking statements. These forward-looking statements involve risks and uncertainties that are subject
to change based on various factors (many of which are beyond the Company's control).

 You
are further cautioned not to place undue reliance on these forward-looking statements, which speak only as of the date of this Form 10-K
or, in the case of documents referred to or incorporated by reference, the date of those documents.

 All
subsequent written or oral forward-looking statements attributable to us or any person acting on our behalf are expressly qualified in
their entirety by the cautionary statements contained or referred to in this section. We do not undertake any obligation to release publicly
any revisions to these forward-looking statements to reflect events or circumstances after the date of this Form 10-K or to reflect the
occurrence of unanticipated events, except as may be required under applicable U.S. securities law. If we do update one or more forward-looking
statements, no inference should be drawn that we will make additional updates with respect to those or other forward-looking statements.

 Unless
the context requires otherwise, references in this Annual Report on Form 10-K to "we," "us," "our,"
"our company," "NVNO", or similar terminology refer to enVVeno Medical Corporation.

 We
use our registered trademarks and trade names, such as VenoValve in this Annual Report on Form 10-K. Solely for convenience,
trademarks and trade names referred to in this Form 10-K appear without the and symbols, but those references are not intended
to indicate that we will not assert, to the fullest extent under applicable law, our rights, or that the applicable owner will not assert
its rights, to these trademarks and trade names. We do not intend our use or display of other companies' trade names or trademarks
to imply a relationship with, or endorsement or sponsorship of us by, any other companies.

 ITEM 1.

 Business

 Overview

Medical Corporation is a late clinical-stage medical device company focused on the advancement of innovative bioprosthetic (tissue-based)
solutions to improve the standard of care for the treatment of venous disease. Chronic Venous Disease (CVD) is the world's most
prevalent chronic disease, impacting approximately 70% of the adult population of the U.S. Chronic Venous Insufficiency (CVI), is a large
subset of CVD, which most often occurs when valves inside of the veins of the leg become damaged, resulting in the backwards flow of
blood (reflux), blood pooling in the lower leg, increased pressure in the veins of the leg (venous hypertension) and in severe cases,
venous ulcers that are difficult to heal. 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. pivotal study. The Company is also developing a second product called enVVe, which is a first-in-class, non-surgical,
transcatheter based replacement venous valve. The Company is currently conducting pre-clinical testing on enVVe. Both the VenoValve and
enVVe are designed to act as one-way valves, to help assist in propelling blood up the veins of the leg, and back to the heart and lungs.

 The
VenoValve and enVVe are being developed first for approval by the U.S. Food and Drug Administration (FDA). We expect the VenoValve to
be eligible for FDA approval first, followed two to three years later by enVVe. If approved, we expect the VenoValve and enVVe to co-exist,
with the VenoValve as a surgical replacement venous valve option and enVVe as a non-surgical replacement venous valve option, although
we cannot provide any assurance that either the VenoValve or enVVe will receive approval from the FDA (see the section entitled "Risk
Factors" in this Annual Report on Form 10-K). There are currently no devices approved as surgical or non-surgical replacement venous
valves, and there are currently no effective treatments for deep venous CVI caused by incompetent valves.

 Our
team of officers and directors has been affiliated with numerous medical devices that have received FDA approval or CE marking and
that have been commercially successful. We develop and manufacture our products in connection with our clinical trials in a 14,507
sq. ft. leased manufacturing facility in Irvine, California, which has been ISO 13485-2016 certified for the design, development and
manufacturing of tissue based implantable medical devices.

 CVI
Background

 Chronic
venous disease ("CVD") is the world's most prevalent chronic disease. CVD is clinically classified using a
standardized system known as CEAP (clinical, etiological, anatomical, and pathophysiological). The CEAP system consists of seven
clinical classifications (C0 to C6) with C4, C5 and C6 being the most severe categories of CVD.

 Chronic
Venous Insufficiency ("CVI") is a large subset of CVD and is generally used to describe patients with C4 to C6 CVD. CVI is
a debilitating condition that affects the venous system of the leg causing pain, swelling, edema, skin changes, and ulcerations.

 The
human leg contains three vein systems: the deep vein system, the superficial vein system, and the perforator vein system which connects
the deep system to the superficial system. The deep venous system is located below the muscle and facia in the center portion of the
leg and is responsible for approximately 90% of the blood flow. In order for blood to return to the heart from the foot, ankle, and lower
leg, the calf muscle serves as a pump and pushes the blood up the veins of the leg against gravity and through a series of one-way valves.
Each valve is supposed to open as blood passes through, and then close as blood progresses up the veins of the leg to the next valve.
CVI occurs when the one-way valves in the veins of the leg fail and become incompetent. When the valves fail, gravity causes the blood
to flow backwards and in the wrong direction (reflux). As blood pools in the lower leg, pressure inside the veins increases (venous hypertension).
Reflux, and the resulting venous hypertension, causes the leg to swell, resulting in debilitating pain, and in the most severe cases,
venous ulcers.

 Severe
CVI sufferers experience a significantly reduced quality of life. Daily activities such as preparing meals, housework, and personal hygiene
(washing and bathing) become difficult due to reduced mobility. For many severe CVI sufferers, intense pain, which frequently occurs
at night, prevents them from getting adequate sleep. Severe CVI sufferers are known to miss approximately 40% more workdays than the
average worker. A high percentage of venous ulcer patients also experience severe itching, leg swelling, and an odorous discharge. Wound
dressing changes, which occur several times a week, can be extremely painful. Venous ulcers from deep venous CVI are very difficult to
heal, and a significant percentage of venous ulcers remain unhealed for more than a year. Even if healed, recurrence rates for venous
ulcers are known to be high (20% to 40%) within the first year and as high as 60% after five years. Patients with severe CVI often become
housebound and experience social isolation due to difficulty with ambulation. As a result, studies have shown that patients with active
venous ulcers experience higher rates of anxiety and depression, with reported rates of anxiety of up to 30% and depression up to 40%.
Rates of depression caused by venous ulcers among the elderly are even higher, with 48% of elderly venous ulcer patients having severe
depressive symptoms.

 Prevalence
is generally defined as the portion of the population that has a given condition. Estimates indicate that the prevalence of people in
the U.S. with severe, deep venous CVI (C4 to C6 disease) with reflux to be approximately 20 million. Incidence is generally defined as
the number of new cases of an ailment that develop in a given time period. We estimate that approximately 3.5 million new patients with
severe deep venous CVI are diagnosed each year in the U.S. including patients that develop venous leg ulcers (C6 patients). The average
patient seeking treatment of a venous ulcer spends as much as $30,000 a year on wound care, and the total direct medical costs from venous
ulcer sufferers in the U.S. has been estimated to exceed $3 billion a year.

 VenoValve

 The
VenoValve is a porcine based replacement venous valve developed at enVVeno Medical to be surgically implanted in the deep
venous system of the leg to treat severe CVI caused by valvular incompetence. By reducing reflux and lowering pressure (venous
hypertension) within the deep venous system of the leg, the VenoValve has the potential to reduce or eliminate the symptoms of
severe deep venous CVI, including the potential to heal recurring venous leg ulcers. The VenoValve is implanted into the femoral
vein of the patient in an open surgical procedure via a 5-to-6-inch incision in the upper thigh. As our planned initial entrant to
the replacement venous valve market, we estimate that approximately 2.5 million people each year with severe deep venous CVI in the
U.S. would be candidates for the VenoValve.

 VenoValve
Clinical Status

 After
consultation with the FDA, and as a precursor to the U.S. pivotal trial, in 2020 we conducted a small first-in-human study for the
VenoValve in Colombia which included eleven (11) patients. The purpose of the first-in-human study was to provide proof of concept,
and to provide feedback to make any necessary product modifications or adjustments to our surgical implantation procedure for the
VenoValve prior to conducting the VenoValve pivotal trial. Endpoints for the VenoValve first-in-human study included safety (device
related adverse events), popliteal reflux time, measured by Duplex Ultrasound, rVCSS scoring, which is a measurement created by
international vascular societies and is used by the clinician to measure disease progression and regression, a VAS score used by the
patient to measure pain, and quality of life measurements.

 Results
from the one year first-in-human study were presented at the Charing Cross International Symposium in April of 2021. Among the
eleven (11) patients in the study, rVCSS scores improved an average of 6 points, popliteal reflux time improved an average of 54%,
and visual analog scale (VAS) scores, which are used by patients to measure pain, improved an average of 76%, all at one (1) year
when compared to pre-surgery levels. Revised Venous Clinical Severity Scoring (rVCSS) is a validated measurement commonly used to
objectively assess outcomes in the treatment of venous disease, and include ten characteristics consisting of physician assessments
and patient reported outcomes including pain, inflammation, skin changes such as pigmentation and induration, the number of active
ulcers, and ulcer duration. The improvement in VCSS scores was significant and indicates the VenoValve patients who had severe CVI
pre-surgery, had mild CVI or the complete absence of disease at one-year post surgery.

 Related
safety incidences during the one year first-in-human study for the VenoValve included one (1) fluid pocket (which was aspirated), intolerance
from Coumadin anticoagulation therapy, three (3) minor wound infections (treated with antibiotics), and one occlusion due to patient
non-compliance with anti-coagulation therapy.

 At
the end of the VenoValve first-in-human study, eight (8) study participants agreed to additional monitoring. In November of 2022, three-year, positive
follow-up data was presented for this cohort of patients at the 49th Annual VEITH Symposium in New York city.

 On
August 3, 2020, we announced that the FDA granted Breakthrough Device Designation status to the VenoValve. The FDA's Breakthrough
Devices Program was established to enable priority review for devices that provide more effective treatment or diagnosis of life threatening
or irreversibly debilitating diseases or conditions. The goal of the FDA's Breakthrough Devices Program is to provide patients
and health care providers with timely access to medical devices by speeding up their development, assessment, and review, while preserving
the FDA's mission to protect and promote public health.

 In
March 2021, we submitted an IDE application with the FDA and in April 2021, we received notification from the FDA that our IDE application
was approved. An investigational device exemption or IDE from the FDA is required before a medical device company can proceed with a
pivotal trial for a Class III medical device. This approval allowed us to proceed with our U.S. pivotal study for the VenoValve which
is called the SAVVE (Surgical Anti-reflux Venous Valve Endoprosthesis) clinical study. The SAVVE study is a prospective, non-blinded,
single arm, multi-center study of seventy-five (75) CVI patients enrolled at 21 U.S. sites.

 Efficacy
endpoints for the SAVVE pivotal study include rVCSS scores, which will be used to provide evidence of clinically meaningful benefit,
as well as reflux time measurements, VAS pain scores, quality of life measurements, ulcer healing (for CEAP class C6 patients), and intra-operative
and one-year vein patency and valve functionality. Safety endpoints include device related events and procedure related events –including mortality, pulmonary embolism, ipsilateral deep vein thrombosis, infection and bleeding.

 The
first patient in the SAVVE pivotal study was enrolled in October of 2021. Following enrollment of the first patient the SAVVE study was
delayed due to COVID-19 restrictions. In November of 2022, we announced we had passed a preliminary safety review by the FDA for the
first twenty (20) patients enrolled in the SAVVE trial. The FDA had requested that we submit preliminary safety data at thirty (30) days
post VenoValve implantation for the first twenty (20) patients enrolled in the study. The preliminary safety data included one (1)
device related (mild) and two (2) procedure related (moderate) adverse events. After review by the FDA, the study was cleared to continue
without modification or interruption.

 On
October 6, 2023, we announced we had achieved full enrollment (75 subjects) in the SAVVE trial, having enrolled eighteen (18) patients
over the final two (2) months of the study. Full enrollment occurred approximately four (4) months earlier than expected due to increased
demand for the VenoValve.

 On
November 16, 2023, we presented positive preliminary device related Material Adverse Event (MAE) data at the 50th Annual VEITH
Symposium. The preliminary device related MAE rate for the fully enrolled 75 subject study was eight percent (8%). MAEs for the
SAVVE study are defined as all-cause mortality, pulmonary embolisms (PEs), ipsilateral deep vein thromboses (DVTs), bleeding, and
deep wound infections, occurring within thirty (30) days of enrollment in the study. The report on MAEs presented at the conference
indicated no deaths, no pulmonary embolisms, and six (6) deep vein thromboses (DVTs), from the fully enrolled cohort of 75
patients. All DVTs were adjudicated as being mild in severity. Left untreated, post-thrombotic patients with severe CVI are
known to DVT recurrence rates as high as eighteen percent (18%) at one year.

 We
expect to release initial, topline rVCSS efficacy data from the SAVVE study at the VENOUS2024 American Venous Forum Annual Meeting on March 6, 2024. With the FDA indicating that one-year
data for all 75 patients will be necessary prior to the filing of the application seeking pre-market (PMA) approval for the VenoValve,
the Company will be eligible to file the PMA application seeking approval in Q4 of 2024.

 enVVe

 On
September 21, 2022, we announced the development of a non-surgical transcatheter based replacement venous valve called enVVe, for
the treatment of CVI of the deep veins of the leg. Initial preliminary bench testing and pre-clinical testing for enVVe have been successfully
completed.

 On
October 6, 2023, contemporaneously with the announcement of a twenty-eight-million-dollar capital raise, we announced plans to
expedite the development of enVVe. The Company expects to begin a six (6) month Good Laboratory Practice animal study for enVVe in the
first quarter of 2024 and to be ready to file for IDE approval for the enVVe pivotal trial, the Transcatheter Anti-Reflux, Venous
Valve Endoprosthesis or TAVVE, by the end of 2024.

 enVVe
is delivered into the femoral vein of the patient via a minimally invasive procedure requiring no general anesthesia and no overnight
hospital stay. Due to the minimally invasive nature of the procedure, we expect to be able to reach patients with less severe CVI or
who may otherwise not be good candidates for a surgical device, and estimate the U.S. market for enVVe to be approximately 3.5 million
patients.

 Government
Regulation

 Our
product candidates and our operations are subject to extensive regulation by the FDA, and other federal and state authorities in the
United States, as well as comparable authorities in foreign jurisdictions. Our product candidates are subject to regulation as medical
devices in the United States under the Federal Food, Drug, and Cosmetic Act ("FDCA"), as implemented and enforced by the
FDA. The FDA regulates the development, design, non-clinical and clinical research, manufacturing, safety, efficacy, labeling, packaging,
storage, installation, distribution, servicing, recordkeeping, premarket clearance or approval, adverse event reporting, advertising,
promotion, marketing, and import and export of medical devices to ensure that medical devices distributed domestically are safe and effective
for their intended uses and otherwise meet the requirements of the FDCA.

 PMA
Approval Pathway

 Class
III devices such as the VenoValve and enVVe generally require pre-market approval (PMA) before they can be marketed in the U.S. The PMA
review and approval process is more demanding than the 510(k) premarket notification process. In a PMA, the manufacturer must demonstrate
that the device is safe and effective, and the PMA must be supported by extensive data, including data from preclinical studies and human
clinical trials. The PMA also must contain a full description of the device and its components, a full description of the methods, facilities
and controls used for manufacturing, and proposed labeling. Following receipt of a PMA, the FDA determines whether the application is
sufficiently complete to permit a substantive review. If the FDA accepts the application for review, it has 180 days under the FDCA to
complete its review of a PMA, although in practice, the FDA's review often takes significantly longer, and can take several years.
An advisory panel of experts from outside the FDA may be convened to review and evaluate the application and provide recommendations
to the FDA as to the approvability of the device. The FDA may or may not accept the panel's recommendation. In addition, the FDA
generally will conduct a pre-approval inspection of the applicant or its third-party manufacturers' manufacturing facility or facilities
to ensure compliance with the QSR. The FDA will approve the new device for commercial distribution if it determines that the data and
information in the PMA constitute valid scientific evidence and that there is reasonable assurance that the device is safe and effective
for its intended use(s).

 The
FDA may approve a PMA with post-approval conditions intended to ensure the safety and effectiveness of the device, including, among
other things, restrictions on labeling, promotion, sale and distribution, and collection of long-term follow-up data from patients
in the clinical study that supported PMA approval, or requirements to conduct additional clinical studies post-approval. The FDA may
condition PMA approval on some form of post-market surveillance when deemed necessary to protect the public health or to provide
additional safety and efficacy data for the device in a larger population or for a longer period of use. In such cases, the
manufacturer might be required to follow certain patient groups for a number of years and to make periodic reports to the FDA on the
clinical status of those patients. Failure to comply with the conditions of approval can result in material adverse enforcement
action, including withdrawal of the PMA approval. Certain changes to an approved device, such as changes in manufacturing
facilities, methods or quality control procedures, or changes in the design performance specifications, which affect the safety or
effectiveness of the device, require submission of a PMA supplement. PMA supplements often require submission of the same type of
information as a PMA, except that the supplement is limited to information needed to support any changes from the device covered by
the original PMA and may not require as much clinical data or the convening of an advisory panel. Certain other changes to an
approved device require the submission of a new PMA, such as when the design change causes a different intended use, mode of
operation and technical basis of operation, or when the design change is so significant that a new generation of the device will be
developed, and the data that were submitted with the original PMA are not applicable for the change in demonstrating a reasonable
assurance of safety and effectiveness. Both the VenoValve and enVVe will require the approval of a PMA.

 Clinical
Trials in Support of PMA

 Clinical
trials are almost always required to support a PMA submission. All clinical investigations of devices to determine safety and effectiveness
must be conducted in accordance with the FDA's investigational device exemption (IDE) regulations, which govern investigational
device labeling, prohibit promotion of the investigational device and specify an array of recordkeeping, reporting and monitoring responsibilities
of study sponsors and study investigators. If the device presents a "significant risk," to human health, as defined by the
FDA, the FDA requires the device sponsor to submit an IDE application to the FDA, which must become effective prior to commencing human
clinical trials. A significant risk device is one that presents a potential for serious risk to the health, safety or welfare of a patient
and either is implanted, used in supporting or sustaining human life, substantially important in diagnosing, curing, mitigating or treating
disease or otherwise preventing impairment of human health, or otherwise presents a potential for serious risk to a subject. The VenoValve
required IDE applications prior to human testing in the United States, and we believe any future products such as the enVVe will also
require IDE applications before human testing in the United States.

 An
IDE application must be supported by appropriate data, such as animal and laboratory test results, showing that it is safe to test the
device in humans and that the testing protocol is scientifically sound. The IDE will automatically become effective 30 days after receipt
by the FDA unless the FDA notifies the company that the investigation may not begin. If the FDA determines that there are deficiencies
or other concerns with an IDE for which it requires modification, the FDA may permit a clinical trial to proceed under a conditional
approval.

 In
addition to IDE approval, a human study must be approved by, and conducted under the oversight of, an Institutional Review Board, or
IRB, for each clinical site. The IRB is responsible for the initial and continuing review of the study, and may pose additional requirements
for the conduct of the study. If an IDE application is approved by the FDA and one or more IRBs, human clinical trials may begin at a
specific number of investigational sites with a specific number of patients, as approved by the FDA. Acceptance of an IDE application
for review does not guarantee that the FDA will allow the IDE to become effective and, if it does become effective, the FDA may or may
not determine that the data derived from the trials support the safety and effectiveness of the device or warrant the continuation of
clinical trials. An IDE supplement must be submitted to, and approved by, the FDA before a sponsor or investigator may make a change
to the investigational plan that may affect its scientific soundness, study plan or the rights, safety or welfare of human subjects.
During a study, the sponsor is required to comply with the applicable FDA requirements, including, for example, trial monitoring, selecting
clinical investigators and providing them with the investigational plan, ensuring IRB review, adverse event reporting, record keeping
and prohibitions on the promotion of investigational devices or on making safety or effectiveness claims for them. The clinical investigators
in the clinical study are also subject to FDA's regulations and must obtain patient informed consent, rigorously follow the investigational
plan and study protocol, control the disposition of the investigational device and comply with all reporting and recordkeeping requirements.
Additionally, after a trial begins, we, the FDA or the IRB could suspend or terminate a clinical trial at any time for various reasons,
including a belief that the risks to study subjects outweigh the anticipated benefits.

 Post-market
Regulation

 After
a device is cleared or approved for marketing, numerous and pervasive regulatory requirements continue to apply. These include: establishing
registration and device listing with the FDA; QSR requirements, which require manufacturers, including third-party manufacturers, to
follow stringent design, testing, control, documentation and other quality assurance procedures during all aspects of the design and
manufacturing process; labeling regulations and FDA prohibitions against the promotion of investigational products, or "off-label"
uses of cleared or approved products; requirements related to promotional activities; clearance or approval of product modifications
that could significantly affect safety or effectiveness or that would constitute a major change in intended use of one of our cleared
devices; medical device reporting regulations, which require that a manufacturer report to the FDA if a device it markets may have caused
or contributed to a death or serious injury, or has malfunctioned and the device or a similar device that it markets would be likely
to cause or contribute to a death or serious injury, if the malfunction were to recur; correction, removal and recall reporting regulations,
which require that manufacturers report to the FDA field corrections and product recalls or removals if undertaken to reduce a risk to
health posed by the device or to remedy a violation of the FDCA; and post-market surveillance activities and regulations.

 Regulation
Outside of the U.S.

 Each
country or territory outside of the U.S. has its own rules and regulations with respect to the manufacture, marketing and sale of medical
devices. For example, in December of 2018, we received regulatory approval from Instituto Nacional de Vigilancia de Medicamentos y Alimentos,
the Colombian equivalent of the U.S. Food and Drug Administration, for our first-in-human study for the VenoValve in Colombia. At this
time, other than the first-in-human trial in Colombia, we have not determined which countries outside of the U.S., if any, we will seek
approval for our product candidates.

 Our
Competitive Strengths

 We
believe we will offer the venous disease treatment market a compelling value proposition with the launch of our product candidates, if
approved, for the following reasons:

 We have extensive experience
 of proprietary processing and manufacturing methodology specifically applicable to the design, processing, manufacturing and sterilization
 of our biologic tissue devices.

 We operate a 14,507 square
 foot manufacturing facility in Irvine, California. Our facility is designed expressly for the manufacture of Class III tissue based
 implantable medical devices and is equipped for research and development, prototype fabrication, current good manufacturing practices (cGMP), and manufacturing and shipping for Class III medical devices, including biologic cardiovascular devices.

 We have attracted senior
 executives who are experienced in research and development and who have worked on numerous medical devices that have received FDA
 approval or CE marking. We also have the advantage of an experienced board of directors and scientific advisory board who will provide
 guidance as we move towards market launch.

 Intellectual
Property

 We
possess an extensive proprietary processing and manufacturing methodology specifically applicable to the design, processing, manufacturing
and sterilization of biologic devices. This includes FDA compliant quality control and assurance programs, proprietary tissue processing
technologies demonstrated to eliminate recipient immune responses, trusted relationship with abattoir suppliers, and a combination of
tissue preservation and gamma irradiation that enhances device functions and guarantees sterility. We have filed numerous patent applications
for the VenoValve with the U.S. Patent and Trademark Office (USPTO) and throughout the world. We currently have twenty-six (26) patents
granted from agencies around the world including seven (7) from the USPTO.

 Employees

 As
of February 27, 2024, we had thirty-one (31) full-time employees. None of our employees are represented by a collective bargaining
agreement, and we have never experienced any work stoppage. We believe we have good relations with our employees.

 Corporate
Information

 We
were incorporated in Delaware on December 22, 1999. Our principal executive offices are located at 70 Doppler, Irvine, California, 92618,
and our telephone number is (949) 261-2900. Our corporate website address is www.envveno.com. The information contained on or accessible
through our website is not a part of this Annual Report, and the inclusion of our website address in this Annual Report is an inactive
textual reference only.

 ITEM 1A.

 Risk Factors

 Investing
in our securities involves a high degree of risk. You should carefully consider the risks and uncertainties described below, together
with all of the other information contained in this Annual Report, before deciding to invest in our securities. If any of the following
risks materialize, our business, financial condition, results of operation and prospects will likely be materially and adversely affected.
In that event, the market price of our common stock could decline, and you could lose all or part of your investment.

 Summary

 The
risk factors described below are a summary of the principal risk factors associated with an investment in us. These are not the only
risks we face. You should carefully consider these risk factors and the other reports and documents filed by us with the SEC.

 We have incurred significant
 losses since our inception, expect to incur significant losses in the future and may never achieve or sustain profitability;

 Our estimates of our expenses, ongoing losses, future revenue, capital requirements and our needs for, or ability
to obtain, additional financing;

 We depend entirely on the
 successful and timely regulatory approval and commercialization of our current, and any future, product candidates which may not
 receive regulatory approval or, if our current or future product candidates do receive regulatory approval, we may not be able to
 successfully commercialize them;

 The success of our current
 or future products, if approved, will be determined based on whether surgeons and patients in our target markets accept them;

 Failure to scale up the
 manufacturing process of our current or future product candidates in a timely manner, or at all;

 Our ability to retain and
 recruit key personnel, including the development of a sales and marketing infrastructure;

 Reliance on third party
 suppliers for certain components of our product candidates;

 If we successfully develop
 product candidates, our ability to commercialize and distribute our product candidates in the United States and internationally,
 depends on our ability to demonstrate the efficacy and financial viability of our products to doctors, hospitals, insurance companies,
 and other stakeholders;

 Changes in external competitive
 market factors;

 Uncertainties in generating
 sustained revenue or achieving profitability;

 Unanticipated working capital
 or other cash requirements;

 Changes in FDA regulations,
 including testing procedures, for medical devices and related promotional and marketing activities;

 Our ability to obtain and
 maintain intellectual property protection;

 Product liability lawsuits
 against us could cause us to incur substantial liabilities, limit sales of our existing product candidates and limit commercialization
 of any products that we may develop;

 Our ability to maintain
 the listing of our securities on the Nasdaq Capital Market; and

 Changes in our business
 strategy or an inability to execute our strategy due to unanticipated changes in the medical device industry.

 Risks
Related to Our Business and Strategy

 We
have incurred losses since our inception, expect to incur losses in the future and may never achieve or sustain profitability.

 We
have historically incurred losses, including net losses of $23.5 million and $24.7 million for the years ended December 31, 2023 and 2022,
respectively. Our losses have resulted primarily from our research programs and the development of our product candidates as well as
from costs related to general and administrative expenses relating to our operations. Currently, we are not generating revenue from operations,
and we expect to incur losses for the foreseeable future as we seek to obtain regulatory approval for our product candidates. Additionally,
we expect that our general and administrative expenses will increase due to the additional operational costs associated with our SAVVE
and TAVVE studies, as well as the anticipated expansion of our operations. We do not expect to generate significant revenue until any
of our product candidates are licensed or sold, if ever. We may never generate significant revenue or become profitable. Even if we do
achieve profitability, we may be unable to sustain or increase profitability on a quarterly or annual basis. Our failure to achieve and
subsequently sustain profitability could harm our business, financial condition, results of operations and cash flows.

 We
currently depend entirely on the successful and timely regulatory approval and commercialization of our current product candidates, and
any future product candidates, which may not receive regulatory approval or, if any of our product candidates do receive regulatory approval,
we may not be able to successfully commercialize them.

 We
currently have two product candidates, the VenoValve and the enVVe, and our business presently depends entirely on our success with these
product candidates. In order for our product candidates to succeed they need to be approved by regulatory authorities, which may never
happen. Our product candidates are based on technologies that have not been used previously in the manner we propose. Market acceptance
of our product candidates will largely depend on our ability to demonstrate their relative safety, efficacy, cost-effectiveness and ease
of use. We may not be able to successfully develop and commercialize our product candidates. If we fail to do so, we will not be able
to generate substantial revenues, if any.

 We
are subject to rigorous and extensive regulation by the FDA in the United States and by comparable agencies in other jurisdictions, including
the European Medicines Agency, or EMA, in the European Union, or EU. Our product candidates are currently in development and we have
not received FDA approval for them. Our product candidates may not be marketed in the United States until they have been approved by
the FDA and may not be marketed in other jurisdictions until they have received approval from the appropriate foreign regulatory agencies.
Each product candidate requires significant research, development, preclinical testing and extensive clinical investigation before submission
of any regulatory application for marketing approval.

 Obtaining
regulatory approval requires substantial time, effort and financial resources, and we may not be able to obtain approval of any of our
product candidates on a timely basis, or at all. The number, size, design and focus of preclinical and clinical trials that will be required
for approval by the FDA, the EMA or any other foreign regulatory agency varies depending on the device, the disease or condition that
the product candidates are designed to address and the regulations applicable to particular products. Preclinical and clinical data can
be interpreted in different ways, which could delay, limit or preclude regulatory approval. The FDA, the EMA and other foreign regulatory
agencies can delay, limit or deny approval of a product for many reasons, including, but not limited to:

 a product candidate may
 not be shown to be safe or effective;

 the clinical and other
 benefits of a product candidate may not outweigh its safety risks;

 we may not be able to enroll
 enough patients to complete our product studies;

 clinical trial results
 may be negative or inconclusive, or adverse medical events may occur during a clinical trial;

 trial patients may expire
 from reasons unrelated to our product, impairing our trials;

 the results of clinical
 trials may not meet the level of statistical significance required by regulatory agencies for approval;

 regulatory agencies may
 interpret data from pre-clinical and clinical trials in different ways than we do;

 regulatory agencies may
 not approve the manufacturing process or determine that the manufacturing is not in accordance with current good manufacturing practices,
 or cGMPs;

 a product candidate may
 fail to comply with regulatory requirements; and/or

 regulatory agencies might
 change their approval policies or adopt new regulations.

 If
our product candidates are not approved at all or quickly enough to provide net revenues to defray our operating expenses, our business,
financial condition, operating results and prospects could be harmed.

 If
we are unable to successfully raise additional capital, our future clinical trials and product development could be limited and our long-term
viability may be threatened.

 We
have experienced negative operating cash flows since our inception and have funded our operations primarily from proceeds received from
sales of our capital stock, and the issuance of convertible and non-convertible notes. We will need to seek additional funds in the future
through equity or debt financings, or strategic alliances with third parties, either alone or in combination with equity financings,
to complete our product development initiatives. These financings could result in substantial dilution to the holders of our common stock
or require contractual or other restrictions on our operations or on alternatives that may be available to us. If we raise additional
funds by issuing debt securities, these debt securities could impose significant restrictions on our operations. Any such required financing
may not be available in amounts or on terms acceptable to us, and the failure to procure such required financing could have a material
and adverse effect on our business, financial condition and results of operations, or threaten our ability to continue as a going concern.

 Our
present and future capital requirements will be significant and will depend on many factors, including:

 the progress and results
 of our development efforts for our product candidates;

 the costs, timing and outcome
 of regulatory review of our product candidates;

 the costs and timing of
 preparing, filing and prosecuting patent applications, maintaining and enforcing our intellectual property rights and defending any
 intellectual property-related claims;

 the effect of competing
 technological and market developments;

 market acceptance of our
 product candidates;

 the rate of progress in
 establishing coverage and reimbursement arrangements with domestic and international commercial third-party payors and government
 payors;

 the ability to achieve
 revenue growth and improve gross margins;

 the extent to which we
 acquire or in-license other products and technologies; and

 legal, accounting, insurance
 and other professional and business-related costs.

 We
may not be able to acquire additional funds on acceptable terms, or at all. If we are unable to raise adequate funds, we may have to
liquidate some or all of our assets or delay, reduce the scope of or eliminate some or all of our development programs.

 If
we do not have, or are not able to obtain, sufficient funds, we may be required to delay development or commercialization of our product
candidates. We also may have to reduce the resources devoted to our product candidates or cease operations. Any of these factors could
harm our operating results.

 We
may never be able to generate sufficient revenue from the commercialization of our product candidates to achieve and maintain profitability.

 Our
ability to operate profitably in the future will depend upon, among other items, our ability to (i) fully develop product
candidates, (ii) scale up our business and operational structure, (iii) obtain regulatory approval of product candidates from the
FDA and foreign regulators, (iv) market and sell product candidates, (v) successfully gain market acceptance of our product
candidates by doctors and patients, and (vi) obtain sufficient and on-time supply of components from our third-party suppliers. If our product candidates
are never successfully commercialized, we may never receive a return on our investments in product development, regulatory
compliance, manufacturing, and quality assurance, which may cause us to fail to generate revenue and gain economies of scale from
such investments.

 We
only utilize a few suppliers for porcine tissue for our product candidates and the loss of a supplier could have an adverse impact on
our business.

 We
rely on two domestic third-party vendors to supply porcine tissue for our product candidates. Our ability to supply our current and future
product candidates commercially, if approved, depends, in part, on our ability to obtain this porcine tissue in accordance with our specifications
and with regulatory requirements and in sufficient quantities to meet demand. Our ability to obtain porcine tissue may be affected by
matters outside our control, including that these suppliers may cancel our arrangements on short notice or have disruptions to their
operations.

 If
we are required to establish additional or replacement suppliers for the porcine tissue, it may not be accomplished timely and our operations
could be disrupted. Even if we are able to find replacement suppliers, the replacement suppliers may need to be qualified and may require
additional regulatory authority approval, which could result in further delay. In the event of a supply disruption, our product inventories
may be insufficient to supply our customers and the development of any future product candidates would be delayed, limited or prevented,
which could have an adverse impact on our business.

 We
depend upon third-party suppliers for certain components of our product candidates, making us vulnerable to supply problems and price
fluctuations, which could harm our business.

 We
rely on a number of third-party suppliers to provide certain components of our product candidates. We do not have long-term supply agreements
with most of our suppliers, and, in many cases, we purchase goods on a purchase order basis. Our suppliers may encounter problems for
a variety of reasons, including unanticipated demand from larger customers, failure to follow specific protocols and procedures, failure
to comply with applicable regulations, equipment malfunction, quality or yield problems and environmental factors, any of which could
delay or impede their ability to meet our demand. Our reliance on these third-party suppliers also subjects us to other risks that could
harm our business, including:

 interruption of supply
 resulting from modifications to, or discontinuation of, a supplier's operations;

 delays in product shipments
 resulting from defects, reliability issues or changes in components from suppliers;

 price fluctuations due
 to a lack of long-term supply arrangements for key components with our suppliers;

 errors in manufacturing
 components, which could negatively impact the effectiveness or safety of our product candidates or cause delays in shipment of our
 product candidates;

 discontinued production
 of components, which could significantly delay our production and sales and impair operating margins;

 inability to obtain adequate
 supplies in a timely manner or on commercially reasonable terms;

 difficulty locating and
 qualifying alternative suppliers, especially with respect to our sole-source supplies;

 delays in production and
 sales caused by switching components, which may require product redesign and/or new regulatory submissions;

 delays due to evaluation
 and testing of devices from alternative suppliers and corresponding regulatory qualifications;

 non-timely delivery of
 components due to our suppliers supplying products for a range of customers;

 the failure of our suppliers
 to comply with strictly enforced regulatory requirements, which could result in disruption of supply or increased expenses; and

 inability of suppliers
 to fulfill orders and meet requirements due to financial hardships.

 In
addition, there are a limited number of suppliers and third-party manufacturers that operate under the FDA's Quality System Regulation,
or QSR, requirements, maintain certifications from the International Organization for Standardization that are recognized as harmonized
standards in the European Economic Area, or EEA, and that have the necessary expertise and capacity to supply components for our product
candidates. As a result, it may be difficult for us to locate manufacturers for our anticipated future needs, and our anticipated growth
may strain the ability of our current suppliers to deliver products, materials and components to us. If we are unable to arrange for
third-party manufacturing of components for our product candidates, or to do so on commercially reasonable terms, we may not be able
to complete development of, market and sell our current or new product candidates. Further, any supply interruption from our suppliers
or failure to obtain additional suppliers for any of the components used in our product candidates would limit our ability to manufacture
our product candidates. Failure to meet these commitments could result in legal action by our customers, loss of customers or harm to
our ability to attract new customers, any of which could have a material and adverse effect on our business, financial condition, results
of operations and growth.

 If
we successfully develop product candidates, we will have to demonstrate the efficacy and financial viability of our products to doctors,
hospitals, insurance companies, and other stakeholders.

 There
are multiple stakeholders that determine the success of a medical device, including doctors, hospitals, medical insurance companies,
and others. Educating these stakeholders on the benefits of product candidates will require a significant commitment by a marketing team
and sales organization. Surgeons and hospitals may be slow to change their practices because of familiarity with existing devices and/or
treatments, perceived risks arising from the use of new devices, lack of experience using new devices, lack of clinical data supporting
the benefits of such devices or the cost of new devices. There may never be widespread adoption of our product candidates by surgeons
and hospitals. In addition, medical insurance companies would need to understand the costs and benefits of our product candidates compared
to the existing standards of care, if they are to provide reimbursement for the cost of our product candidates and the procedures to
implant our product candidates. We may have difficulty and may never achieve the market acceptance that we need from doctors, hospitals,
medical insurance companies and others that are necessary for a successful product.

 We
may be unable to convince hospital facilities to approve the use of our product candidates.

 In
the United States, in order for surgeons to use our product candidates, the hospital facilities where these surgeons treat patients will
typically require that the product candidates receive approval from the facility's VAC. VACs typically review the comparative effectiveness
and cost of medical devices used in the facility. The makeup and evaluation processes for VACs vary considerably, and it can be a lengthy,
costly and time-consuming effort to obtain approval by the relevant VAC. For example, even if we have an agreement with a hospital system
for the purchase of a product, in most cases, they must obtain VAC approval by each hospital within the system to sell at that particular
hospital. Additionally, hospitals typically require separate VAC approval for each specialty in which a product is used, which may result
in multiple VAC approval processes within the same hospital even if such product has already been approved for use by a different specialty
group. VAC approval is often needed for each different product to be used by the surgeons in that specialty. In addition, hospital facilities
and group purchasing organizations, or GPOs, which manage purchasing for multiple facilities, may also require us to enter into a purchasing
agreement and satisfy numerous elements of their administrative procurement process, which can also be a lengthy, costly and time-consuming
effort. If we do not receive access to hospital facilities in a timely manner, or at all, via these VAC and purchasing contract processes,
or otherwise, or if we are unable to secure contracts on commercially reasonable terms in a timely manner, or at all, our costs may increase,
our sales may decrease and our operating results may be harmed.

 We
face significant competition and our business prospects will depend on our ability to develop and commercialize our current product
candidates and may also depend on our ability to develop additional product candidates.

 The
medical device industry is highly competitive and subject to rapid change and technological advancements. New technologies,
techniques or products could emerge that might make our products obsolete or offer better combinations of price and performance than
the products and services that we plan to offer. Therefore, it is important to our business that we continue to develop and enhance
our product candidate offerings and potentially introduce new product candidates.

 Developing new product candidates is expensive and
time-consuming. Even if we are successful in developing additional product candidates, the success of any new product candidates or
enhancements to existing product candidates will depend on several factors, including our ability to:

 properly identify and anticipate
 surgeon and patient needs;

 develop and introduce new
 product candidates or enhancements in a timely manner;

 develop an effective and
 dedicated sales and marketing team;

 avoid infringing upon the
 intellectual property rights of others;

 demonstrate, if required,
 the safety and efficacy of new product candidates with data from preclinical studies and clinical trials;

 obtain the necessary regulatory
 clearances or approvals for new product candidates or enhancements;

 be fully FDA-compliant
 with marketing of new product candidates or modified product candidates;

 provide adequate training
 to potential users of our product candidates; and

 receive adequate coverage
 and reimbursement for procedures performed with our product candidates.

 If
we are unsuccessful in developing and commercializing additional devices in other areas, our ability to realize our revenue may be impaired.

 Existing markets for surgical devices are characterized by rapid technological change and innovation.
It is critical to our success that we anticipate changes in technology and customer requirements and physician, hospital and healthcare
provider practices. It is also important that we successfully introduce new, enhanced and competitive product candidates to meet our
prospective customers' needs on a timely and cost-effective basis. At the same time, however, we must carefully manage our introduction
of new product candidates. If potential customers believe that such product candidates will offer enhanced features or be sold for a
more attractive price, they may delay purchases until such product candidates are available. We may also continue to offer older products
as we transition to new product candidates, and we may not have sufficient experience managing transitions. If we do not successfully
innovate and introduce new technology into our anticipated product lines or successfully manage the transitions of our technology to
new product offerings, our revenue, results of operations and business could be adversely impacted.

 Our
competitors may be able to respond more quickly and effectively than we can to new or changing opportunities, technologies, industry
standards, distribution reach or customer requirements. We anticipate that we will face strong competition in the future as current or
future competitors develop new or improved product candidates and as new companies enter the market with novel technologies.

 If
we are unable to produce an adequate supply of our product candidates for use in our current and planned clinical trials or for commercialization
because of our limited manufacturing resources or our facility is damaged or becomes inoperable, our regulatory, development and commercialization
efforts may be delayed.

 Our
manufacturing resources for our product candidates are limited. We currently manufacture our product candidates for our research and
development and clinical trial purposes at our manufacturing facility in Irvine, California. If our existing manufacturing facility experiences
a disruption, we would have no other means of manufacturing our product candidates until we are able to restore the manufacturing capability
at our current facility or develop alternative manufacturing facilities. Any damage to or destruction of our facilities or our equipment,
prolonged power outage or contamination at our facilities would significantly impair our ability to produce our product candidates and
prepare our product candidates for clinical trials.

 Additionally,
to produce our product candidates in the quantities that we anticipate will be required for commercialization, we will have to
increase or "scale up" our production process over the current level of production. We may encounter difficulties in
scaling up our production, including issues involving yields, controlling and anticipating costs, quality control and assurance,
supply and shortages of qualified personnel. If our scaled-up production process is not efficient or results in a product that does
not meet quality or other standards, we may be unable to meet market demand and our revenues, business and financial prospects would
be adversely affected. Further, third parties with whom we may develop relationships may not have the ability to produce the
quantities of the materials we may require for clinical trials or commercial sales or may be unable to do so at prices that allow us
to price our products competitively.

 Our
facility and equipment would be costly to replace and could require substantial lead time to repair or replace. The facility may be harmed
or rendered inoperable by natural or man-made disasters, including earthquakes, flooding, fire, vandalism and power outages, which may
render it difficult to operate our business for some period of time. While we have taken precautions to safeguard our facilities, any
inability to operate our business during such periods could lead to the loss of customers or harm to our reputation. We also possess
insurance for damage to our property and the disruption of our business, but this insurance may not be sufficient to cover all of our
potential losses and this insurance may not continue to be available to us on acceptable terms, or at all.

 We
currently have no sales and marketing infrastructure and we may not be able to build a sales and marketing infrastructure sufficient
for us to commercialize our current product candidate or future product candidates, if approved, and may be unable to do so or may never
generate sufficient revenue to achieve or sustain profitability.

 In
order to commercialize products that are approved by regulatory agencies, we will have to increase our expenditures to undertake development
or commercialization activities. If we are unable to successfully execute commercialization activities, we may have to curtail the development
of our product candidates, reduce or delay development programs, delay potential commercialization of our product candidates or reduce
the scope of any sales or marketing activities.

 If
it becomes necessary for us to establish a sales and marketing infrastructure, we may not be able to do so or we may not realize a positive
return on this investment. We would have to compete with established and well-funded medical device companies to recruit, hire, train
and retain sales and marketing personnel. Once hired, the training process is lengthy because it requires significant education of new
sales representatives to achieve the level of clinical competency with our products expected by specialists. Upon completion of the training,
we expect our sales representatives would typically require lead time in the field to grow their network of accounts and achieve the
productivity levels we expect them to reach in any individual territory. If we are unable to attract, motivate, develop and retain a
sufficient number of qualified sales personnel, or if our sales representatives do not achieve the productivity levels in the time period
we expect them to, our revenue will not grow at the rate we expect and our business, results of operations and financial condition will
suffer. Also, to the extent we hire sales personnel from our competitors, we may be required to wait until applicable non-competition
provisions have expired before deploying such personnel in restricted territories or incur costs to relocate personnel outside of such
territories. Any of these risks may adversely affect our ability to increase sales of our product candidates. If we are unable to expand
our sales and marketing capabilities, we may not be able to effectively commercialize our product candidates, which would adversely affect
our business, results of operations and financial condition.

 Product
liability lawsuits against us could cause us to incur substantial liabilities, limit sales of our existing product candidates and limit
commercialization of any products that we may develop.

 Our
business exposes us to the risk of product liability claims that are inherent in the manufacturing, distribution, and sale of medical
devices. This risk exists even if a device is cleared or approved for commercial sale by the FDA and manufactured in facilities licensed
and regulated by the FDA or an applicable foreign regulatory authority. Manufacturing and marketing of our commercial devices and clinical
testing of our product candidates, may expose us to product liability and other tort claims. Furthermore, surgeons may misuse our product
candidates or use improper techniques if they are not adequately trained, potentially leading to injury and an increased risk of product
liability. If our product candidates are misused or used with improper technique, we may become subject to costly litigation by our customers
or their patients. Regardless of the merit or eventual outcome, product liability claims may result in:

 significant litigation costs;

 decreased demand for our product candidates and any
 future product candidates that we may develop;

 damage to our reputation;

 withdrawal of clinical trial participants;

 substantial monetary awards to trial participants,
 patients or other claimants;

 loss of revenue; and

 the inability to commercialize any product candidates
 that we may develop.

 Although
we maintain liability insurance, the coverage limits of our insurance policies may not be adequate, and one or more successful claims
brought against us may have a material adverse effect on our business and results of operations. If we are unable to obtain insurance
in the future at an acceptable cost or on acceptable terms with adequate coverage, we will be exposed to significant liabilities.

 The
loss of our executive officers or our inability to attract and retain qualified personnel may adversely affect our business, financial
conditions and results of operations.

 Our
business and operations depend to a significant degree on the skills, efforts and continued services of our executive officers who have
critical industry experience and relationships. Although we have entered into employment agreements with our executive officers, they
may terminate their employment with us at any time. Accordingly, these executive officers may not remain associated with us. The efforts
of these persons will be critical to us as we continue to develop our product candidates and business. We do not carry key person life
insurance on any of our management, which would leave our company uncompensated for the loss of any of our executive officers.

 Further,
competition for highly skilled and qualified personnel is intense. As such, our future viability and ability to achieve sales and profit
will also depend on our ability to attract, train, retain and motivate highly qualified personnel in the diverse areas required for continuing
our operations. If we were to lose the services one or more of our current executive officers or if we are unable to attract, hire and
retain qualified personnel, we may experience difficulties in competing effectively, developing and commercializing our products and
implementing our business strategies, which could have a material adverse effect on our business, operations and financial condition.

 Our
ability to use our net operating loss carryforwards and certain other tax attributes may be limited.

 The
Company has net operating loss carryforwards (NOLs) for both federal and state income tax purposes. As of December 31, 2023 and 2022,
federal NOLs, were approximately $61.7 million and $52.7 million, and state NOL's were approximately $61.1 million and $52.5 million.
Pre-2018 federal NOLs of $12.0 million have a limited carry forward period of twenty years and begin to expire in 2029. Federal NOLs
generated after 2017 can be carried forward indefinitely. State NOL's can be carried forward for twenty years and begin to expire
in 2028. The annual limit of deduction for federal purposes equals 80% of taxable income. Additionally, for both federal and state purposes,
the annual benefit the Company can derive from NOL's is limited because of ownership changes.

 In
general, a corporation that undergoes an "ownership change" (generally defined as a cumulative change in equity ownership
by "5% shareholders" that exceeds 50 percentage points over a rolling three-year period) may be subject to limitations on
its ability to utilize its NOLs and certain credit carryforwards to offset future taxable income and taxes. We have analyzed the tax
impacts of ownership changes that occurred in 2018, 2021 and in 2023. While those ownership changes have resulted in limits to the amount
of NOLs that may be used in a given year, these are all post 2017 NOLs and are carried forward indefinitely. Future changes in our stock
ownership, as well as other changes that may be outside of our control, could result in additional ownership changes. Our NOLs and credit
carryforwards may also be limited under similar provisions of state law. We have recorded a full valuation allowance related to our NOLs
and other deferred tax assets due to the uncertainty of the ultimate realization of the future tax benefits of such assets.

 To
the extent the Company utilizes its NOL carryforwards in the future, the tax years in which the attribute was generated may still be
adjusted upon examination by the Internal Revenue Service or state tax authorities of the future period tax return in which the attribute
is used.

 As
of December 31, 2023, we also had federal research and development tax credit carryforwards of approximately $0.2 million which begin
to expire in 2027.

 Risks
Related to Regulatory Approval and Other Governmental Regulations

 Our
business and product candidates are subject to extensive governmental regulation and oversight, and our failure to comply with applicable
regulatory requirements could harm our business.

 Our
product candidates and operations are subject to extensive regulation in the United States by the FDA and by regulatory agencies in other
countries where we anticipate conducting business activities. The FDA regulates the development, testing, manufacturing, labeling, storage,
record-keeping, promotion, marketing, sales, distribution and post-market support and reporting of medical devices in the United States.
The regulations to which we are subject are complex and may become more stringent over time. Regulatory changes could result in restrictions
on our ability to carry on or expand our operations, higher than anticipated costs or lower than anticipated sales.

 In
order to conduct a clinical investigation involving human subjects for the purpose of demonstrating the safety and effectiveness of a
medical device, a company must, among other things, apply for and obtain Institutional Review Board, or IRB, approval of the proposed
investigation. In addition, if the clinical study involves a "significant risk" (as defined by the FDA) to human health,
the sponsor of the investigation must submit and obtain FDA approval of an IDE application. Our product candidates are considered significant
risk devices requiring IDE approval prior to investigational use. We may not be able to obtain FDA and/or IRB approval to undertake clinical
trials in the United States for any new devices we intend to market in the United States in the future. If we do obtain such approvals,
we may not be able to conduct studies which comply with the IDE and other regulations governing clinical investigations or the data from
any such trials may not support clearance or approval of the investigational device. Failure to obtain such approvals or to comply with
such regulations could have a material adverse effect on our business, financial condition and results of operations. It is uncertain
whether clinical trials will meet desired endpoints, produce meaningful or useful data and be free of unexpected adverse effects, or
that the FDA will accept the validity of foreign clinical study data, and such uncertainty could preclude or delay market clearance or
authorizations resulting in significant financial costs and reduced revenue.

 Our
product candidates may be subject to extensive governmental regulation in foreign jurisdictions, such as the EEA, and our failure to
comply with applicable requirements could cause our business, results of operations and financial condition to suffer.

 In
the EEA, our product candidates will need to comply with the Essential Requirements set forth in Medical Device Regulation. Compliance
with these requirements is a prerequisite to be able to affix a CE mark to a product, without which a product cannot be marketed or sold
in the EEA. To demonstrate compliance with the Essential Requirements and obtain the right to affix the CE mark to our product candidates,
we must undergo a conformity assessment procedure, which varies according to the type of medical device and its classification. The conformity
assessment procedure requires the involvement of a Notified Body, which is an organization designated by a competent authority of an
EEA country to conduct conformity assessments. The Notified Body would audit and examine the Technical File and the quality system for
the manufacture, design and final inspection of our products. The Notified Body issues a CE Certificate of Conformity following successful
completion of a conformity assessment procedure and quality management system audit conducted in relation to the medical device and its
manufacturer and their conformity with the Essential Requirements. This Certificate entitles the manufacturer to affix the CE mark to
its medical products after having prepared and signed a related EC Declaration of Conformity.

 As
a general rule, demonstration of conformity of medical products and their manufacturers with the Essential Requirements must be based,
among other things, on the evaluation of clinical data supporting the safety and performance of the products during normal conditions
of use. Specifically, a manufacturer must demonstrate that the device achieves its intended performance during normal conditions of use
and that the known and foreseeable risks, and any adverse events, are minimized and acceptable when weighed against the benefits of its
intended performance, and that any claims made about the performance and safety of the device (e.g., product labeling and instructions
for use) are supported by suitable evidence. This assessment must be based on clinical data, which can be obtained from (1) clinical
studies conducted on the devices being assessed, (2) scientific literature from similar devices whose equivalence with the assessed device
can be demonstrated or (3) both clinical studies and scientific literature. However, the pre-approval and post-market clinical requirements
are much more rigorous. The conduct of clinical studies in the EEA is governed by detailed regulatory obligations. These may include
the requirement of prior authorization by the competent authorities of the country in which the study takes place and the requirement
to obtain a positive opinion from a competent Ethics Committee. This process can be expensive and time-consuming.

 The
FDA regulatory approval, clearance and license process is complex, time-consuming and unpredictable.

 In
the United States, our product candidates are regulated as medical devices. Before our medical device product candidates may be marketed
in the United States, we must submit, and the FDA must approve a PMA application. For the PMA approval process, the FDA must determine
that a proposed device is safe and effective for its intended use based, in part, on extensive data, including, but not limited to, technical,
pre-clinical, clinical trial, manufacturing and labeling data. In addition, modifications to products that are approved through a PMA
application generally require FDA approval. The time required to obtain approval, clearance or license by the FDA to market a new therapy
is unpredictable but typically takes years and depends upon many factors, including the substantial discretion of the FDA.

 Our
product candidates could fail to receive regulatory approval, clearance or license for many reasons, including the following:

 the FDA may disagree with
 the design or implementation of our clinical trials or study endpoints;

 we may be unable to demonstrate
 to the satisfaction of the FDA that our product candidates are safe and effective for their proposed indications or that our product
 candidates provide significant clinical benefits;

 the results of our clinical
 trials may not meet the level of statistical significance required by the FDA for approval, clearance or license or may not support
 approval of a label that could command a price sufficient for us to be profitable;

 the FDA may disagree with
 our interpretation of data from preclinical studies or clinical trials;

 the opportunity for bias
 in the clinical trials as a result of the open-label design may not be adequately handled and may cause our trial to fail;

 our product candidates
 may be subject to an FDA advisory committee review, which may be requested at the sole discretion of the FDA, and which may result
 in unexpected delays or hurdles to approval;

 the FDA may determine that
 the manufacturing processes at our facilities or facilities of third-party manufacturers with which we contract for clinical and
 commercial supplies are inadequate;

 the FDA may determine we
 cannot continue our clinical trials due to adverse patient reactions including patient deaths for reasons unrelated to our products;
 and

 the approval, clearance
 or license policies or regulations of the FDA may significantly change in a manner rendering our clinical data insufficient for approval.

 Even
if we were to obtain approval, clearance or license, the FDA may grant approval, clearance or license contingent on the performance of
costly post-marketing clinical trials or may approve our product candidates with a label that does not include the labeling claims necessary
or desirable for successful commercialization of our product candidates. Any of the above could materially harm our product candidates'
commercial prospects.

 Even
if our product candidates are approved by regulatory authorities, if we fail to comply with ongoing regulatory requirements, or if we
experience unanticipated problems with our product candidates, our product candidates could be subject to restrictions or withdrawal
from the market.

 The
manufacturing processes, post-approval clinical data and promotional activities of any product candidate for which we obtain marketing
approval will be subject to continual review and periodic inspections by the FDA and other regulatory bodies. Even if regulatory approval
of our product candidates is granted in the United States or elsewhere, the approval may be subject to limitations on the indicated uses
for which the product candidates may be marketed or contain requirements for costly post-marketing testing and surveillance to monitor
the safety or effectiveness of the product. Later discovery of previously unknown and unanticipated problems with our product candidates,
including but not limited to unanticipated severity or frequency of adverse events, delays or problems with the manufacturer or manufacturing
processes, or failure to comply with regulatory requirements, may result in restrictions on such product candidates or manufacturing
processes, withdrawal of the product candidates from the market, voluntary or mandatory recall, fines, suspension of regulatory approvals,
product seizures, injunctions or the imposition of civil or criminal penalties.

 We
are required to report certain malfunctions, deaths and serious injuries associated with our products once approved by regulatory bodies,
which can result in voluntary corrective actions or agency enforcement actions.

 All
manufacturers marketing medical devices in the EEA are legally bound to report incidents involving devices they produce or sell to the
regulatory agency, or competent authority, in whose jurisdiction the incident occurred. Under the EU Medical Devices Directive (Directive
93/42/EEC), an incident is defined as any malfunction or deterioration in the characteristics and/or performance of a device, as well
as any inadequacy in the labeling or the instructions for use which, directly or indirectly, might lead to or might have led to the death
of a patient, or user or of other persons or to a serious deterioration in their state of health. In addition, under the EU MDR, the
manufacturers are obligated to publish Periodic Safety Update Report (annually for high risk devices) which will be uploaded to EUDAMED
and require conformity assessment by Notified Bodies.

 Malfunction
or misuse of our product candidates could result in future voluntary corrective actions, such as recalls, including corrections (e.g.,
customer notifications), or agency action, such as inspection or enforcement actions. If malfunctions or misuse do occur, we may be unable
to correct the malfunctions adequately or prevent further malfunctions or misuse, in which case we may need to cease manufacture and
distribution of the affected products, initiate voluntary recalls, and redesign the products or the instructions for use for those products.
Regulatory authorities may also take actions against us, such as ordering recalls, imposing fines, or seizing the affected products.
Any corrective action, whether voluntary or involuntary, will require the dedication of our time and capital, may distract management
from operating our business, and may harm our business, results of operations and financial condition.

 Legislative
or regulatory reforms in the United States or the EU may make it more difficult and costly for us to obtain regulatory clearances or
approvals for product candidates or to manufacture, market or distribute product candidates after clearance or approval is obtained.

 From
time to time, legislation is drafted and introduced in the U.S. Congress that could significantly change the statutory provisions governing
the regulation of medical devices or the reimbursement thereof. In addition, the FDA regulations and guidance are often revised or reinterpreted
by the FDA in ways that may significantly affect our business and our product candidates. For example, as part of the Food and Drug Administration
Safety and Innovation Act, or FDASIA, Congress reauthorized the Medical Device User Fee Amendments with various FDA performance goal
commitments and enacted several "Medical Device Regulatory Improvements" and miscellaneous reforms, which are further intended
to clarify and improve medical device regulation both pre- and post-clearance or approval. Any new statutes, regulations or revisions
or reinterpretations of existing regulations may impose additional costs or lengthen review times of any future products or make it more
difficult to manufacture, market or distribute our product candidates or future products. We cannot determine what effect changes in
regulations, statutes, legal interpretation or policies, when and if promulgated, enacted or adopted may have on our business in the
future. Such changes could, among other things, require:

 additional testing prior
 to obtaining clearance or approval;

 changes to manufacturing
 methods;

 recall, replacement or
 discontinuance of our systems or future products; or

 additional record keeping.

 Any
of these changes could require substantial time and cost and could harm our business and our financial results.

 The
highly publicized PIP scandal (use of non-medical grade silicone in breast implants) in 2010 led to publishing the first version of EU
Medical Device Regulation (MDR) by European Commission in 2012. After 347 amendments by European Parliament in 2014, followed by various
versions, the final version of the new EU Medical Device Regulation (MDR 2017/745) was published on May 5, 2017. Notified Bodies are
currently not accepting any new CE Mark applications under MDD (Medical Device Directives). All new medical devices, including ours,
must undergo assessment under MDR.

 The
changes from EU Medical Device Directives (MDD) to Medical Device Regulation (MDR) are significant, with stricter clinical requirements
and post-market surveillance, shift from pre-approval to Life-cycle approach, centralized EUDAMED database for public transparency (e.g.
Periodic Safety Update Reports) and device registration, more device specific requirements (e.g. Common Specifications), legal liability
for defective devices, etc. The QMS audit under MDR will be much more rigorous, including audits and assessment of suppliers and device
testing. In addition, EU MDR introduces new stakeholders participating during the application review process, which will result in a
longer and more burdensome assessment of our new products. The new stakeholders will include Medical Device Coordination Group (MDCG)
established by Member States and Expert Panels appointed by European Union.

 Further,
under either the FDA's Medical Device Reporting or MDR regulations, we are required to report to the FDA any incident in which
our product candidates may have caused or contributed to a death or serious injury or in which our product malfunctioned and, if the
malfunction were to recur, would likely cause or contribute to death or serious injury. Any adverse event involving our products could
result in future voluntary corrective actions, such as product actions or customer notifications, or regulatory authority actions, such
as inspection, mandatory recall or other enforcement action. Repeated product malfunctions may result in a voluntary or involuntary product
recall, which could divert managerial and financial resources, impair our ability to manufacture our product candidates in a cost-effective
and timely manner and have an adverse effect on our reputation, financial condition and operating results.

 Moreover,
depending on the corrective action we take to redress a product's deficiencies or defects, the FDA may require us, or we may decide
that we will need, to obtain new approvals or clearances for the device before we may market or distribute the corrected device. Seeking
such approvals or clearances may delay our ability to replace the recalled devices in a timely manner. Moreover, if we do not adequately
address problems associated with our product candidates, we may face additional regulatory enforcement action, including FDA warning
letters, product seizure, injunctions, administrative penalties, withdrawals or clearances or approvals or civil or criminal fines. We
may also be required to bear other costs or take other actions that may have a negative impact on our sales as well as face significant
adverse publicity or regulatory consequences, which could harm our business, including our ability to market our product candidates in
the future.

 We
are subject to federal, state and foreign healthcare laws and regulations, and a finding of failure to comply with such laws and regulations
could have a material and adverse effect on our business.

 Our
operations are, and will continue to be, directly and indirectly affected by various federal, state or foreign healthcare laws, including,
but not limited to, those described below. These laws include:

 the federal Anti-Kickback
 Statute, which prohibits, among other things, persons from knowingly and willfully soliciting, receiving, offering or paying remuneration,
 directly or indirectly, in exchange for or to induce either the referral of an individual for, or the purchase, order or recommendation
 of, any good or service for which payment may be made under federal healthcare programs, such as the Medicare and Medicaid programs.
 A person or entity does not need to have actual knowledge of the federal Anti-Kickback Statute or specific intent to violate it to
 have committed a violation. In addition, the government may assert that a claim including items or services resulting from a violation
 of the federal Anti-Kickback Statute constitutes a false or fraudulent claim for purposes of the False Claims Act. Violations of
 the federal Anti-kickback Statute may result in substantial civil or criminal penalties, including criminal fines of up to $25,000,
 imprisonment of up to five years, civil penalties under the Civil Monetary Penalties Law of up to $50,000 for each violation, plus
 three times the remuneration involved, civil penalties under the federal False Claims Act of up to $11,000 for each claim submitted,
 plus three times the amounts paid for such claims and exclusion from participation in the Medicare and Medicaid programs;

 the federal False Claims
 Act, which prohibits, among other things, individuals or entities from knowingly presenting, or causing to be presented, claims for
 payment from Medicare, Medicaid or other federal third-party payors that are false or fraudulent. Suits filed under the False Claims
 Act, known as "qui tam" actions, can be brought by any individual on behalf of the government and such individuals, commonly
 known as "whistleblowers," may share in any amounts paid by the entity to the government in fines or settlement. When
 an entity is determined to have violated the False Claims Act, the government may impose penalties of not less than $5,500 and not
 more than $11,000, plus three times the amount of the damages that the government sustains due to the submission of a false claim
 and exclude the entity from participation in Medicare, Medicaid and other federal healthcare programs;

 the federal Civil Monetary
 Penalties Law, which prohibits, among other things, offering or transferring remuneration to a federal healthcare beneficiary that
 a person knows or should know is likely to influence the beneficiary's decision to order or receive items or services reimbursable
 by the government from a particular provider or supplier;

 HIPAA, as amended by the
 HITECH Act, and their respective implementing regulations, which governs the conduct of certain electronic healthcare transactions
 and protects the security and privacy of protected health information. Failure to comply with the HIPAA privacy and security standards
 can result in civil monetary penalties up to $50,000 per violation, not to exceed $1.5 million per calendar year for non-compliance
 of an identical provision, and, in certain circumstances, criminal penalties with fines up to $250,000 per violation and/or imprisonment.
 State attorneys general can bring a civil action to enjoin a HIPAA violation or to obtain statutory damages up to $25,000 per violation
 on behalf of residents of his or her state. HIPAA also imposes criminal penalties for fraud against any healthcare benefit program
 and for obtaining money or property from a healthcare benefit program through false pretenses and provides for broad prosecutorial
 subpoena authority and authorizes certain property forfeiture upon conviction of a federal healthcare offense. Significantly, the
 HIPAA provisions apply not only to federal programs, but also to private health benefit programs. HIPAA also broadened the authority
 of the U.S. Office of Inspector General of the U.S. Department of Health and Human Services to exclude participants from federal
 healthcare programs;

 the federal physician sunshine
 requirements under the Patient Protection and Affordable Care Act, or PPACA, which requires certain manufacturers of drugs, devices,
 biologics and medical supplies to report annually to the U.S. Department of Health and Human Services information related to payments
 and other transfers of value to physicians, which is defined broadly to include other healthcare providers and teaching hospitals
 and ownership and investment interests held by physicians and their immediate family members. Manufacturers are required to submit
 reports by the 90 th day of each calendar year. Failure to submit the required information may result in civil monetary
 penalties up to an aggregate of $150,000 per year (and up to an aggregate of $1 million per year for "knowing failures")
 for all payments, transfers of value or ownership or investment interests not reported in an annual submission, and may result in
 liability under other federal laws or regulations; and

 analogous state and foreign
 law equivalents of each of the above federal laws, such as anti-kickback and false claims laws which may apply to items or services
 reimbursed by any third- party payor, including commercial insurers; state laws that require device companies to comply with the
 industry's voluntary compliance guidelines and the applicable compliance guidance promulgated by the federal government or
 otherwise restrict payments that may be made to healthcare providers and other potential referral sources; state laws that require
 device manufacturers to report information related to payments and other transfers of value to physicians and other healthcare providers
 or marketing expenditures; and state laws governing the privacy and security of health information in certain circumstances, many
 of which differ from each other in significant ways and may not have the same effect, thus complicating compliance efforts. Any failure
 by us to ensure that our employees and agents comply with applicable state and foreign laws and regulations could result in substantial
 penalties or restrictions on our ability to conduct business in those jurisdictions, and our results of operations and financial
 condition could be materially and adversely affected.

 The
risk of our being found in violation of these laws is increased by the fact that many of them have not been fully interpreted by the
regulatory authorities or the courts, and their provisions are open to a variety of interpretations. Because of the breadth of these
laws and the narrowness of the statutory exceptions and safe harbors available under such laws, it is possible that some of our business
activities, including our relationships with surgeons and other healthcare providers, some of whom recommend, purchase and/or prescribe
our product candidates, and our distributors, could be subject to challenge under one or more of such laws.

 If
our operations are found to be in violation of any of the laws described above or any other governmental regulations that apply to us
now or in the future, we may be subject to penalties, including civil and criminal penalties, damages, fines, disgorgement, exclusion
from governmental health care programs and the curtailment or restructuring of our operations, any of which could adversely affect our
ability to operate our business and our financial results. Any action against us for violation of these laws, even if we successfully
defend against it, could cause us to incur significant legal expenses and divert our management's attention from the operation
of our business.

 Regulatory
healthcare reform measures and other legislative changes may have a material and adverse effect on business, results of operations and
financial condition.

 FDA
regulations and guidance are often revised or reinterpreted by FDA and such actions may significantly affect our business and our product
candidates. Any new regulations or revisions or reinterpretations of existing regulations may impose additional costs or lengthen review
times for our product candidates. Delays in receipt of, or failure to receive, regulatory approvals for our product candidates would
have a material and adverse effect on our business, results of operations and financial condition.

 In
March 2010, the PPACA was signed into law. Initially it included a deductible 2.3% excise tax on any entity that manufactures or imports
medical devices offered for sale in the United States, with limited exceptions. Although this excise tax was permanently repealed on
December 20, 2019, it or similar taxes, may be enacted in the future. Other elements of the PPACA remain in force, including comparative
effectiveness research, an independent payment advisory board and payment system reforms, including shared savings pilots and other provisions,
which may significantly affect the payment for, and the availability of, healthcare services and result in fundamental changes to federal
healthcare reimbursement programs, any of which may materially affect numerous aspects of our business, results of operations and financial
condition.

 In
addition, other legislative changes have been proposed and adopted in the United States since the PPACA was enacted. On August 2, 2011,
the Budget Control Act of 2011 created measures for spending reductions by Congress. A Joint Select Committee on Deficit Reduction, tasked
with recommending a targeted deficit reduction of at least $1.2 trillion for the years 2013 through 2021, was unable to reach required
goals, thereby triggering the legislation's automatic reduction to several government programs. This includes aggregate reductions
of Medicare payments to providers up to 2% per fiscal year, which went into effect on April 1, 2013, and will remain in effect through
2024 unless additional Congressional action is taken. On January 2, 2013, the American Taxpayer Relief Act of 2012, or the ATRA, was
signed into law which further reduced Medicare payments to certain providers, including hospitals.

 We
expect that additional state and federal healthcare reform measures will be adopted in the future, any of which could limit the amounts
that federal and state governments will pay for healthcare products and services, which could result in reduced demand for our product
candidates, if approved, and services or additional pricing pressures.

 Our
relationships with physician consultants, owners and investors could be subject to additional scrutiny from regulatory enforcement authorities
and could subject us to possible administrative, civil or criminal sanctions.

 Federal
and state laws and regulations impose restrictions on our relationships with physicians who are consultants, owners and investors. We
may enter into consulting agreements, license agreements and other agreements with physicians in which we provide cash as compensation.
We have or may have other written and oral arrangements with physicians, including for research and development grants and for other
purposes.

 We
could be adversely affected if regulatory agencies were to interpret our financial relationships with these physicians, who may be in
a position to influence the ordering of and use of our product candidates for which governmental reimbursement may be available, as being
in violation of applicable laws. If our relationships with physicians are found to be in violation of the laws and regulations that apply
to us, we may be required to restructure the arrangements and could be subject to administrative, civil and criminal penalties, including
exclusion from participation in government healthcare programs, imprisonment, and the curtailment or restructuring of our operations,
any of which could negatively impact our ability to operate our business and our results of operations.

 Our
company and many of our collaborators and potential collaborators are required to comply with the Federal Health Insurance Portability
and Accountability Act of 1996, the Health Information Technology for Economic and Clinical Health Act and implementing regulation affecting
the transmission, security and privacy of health information, and failure to comply could result in significant penalties.

 Numerous
federal and state laws and regulations, including the Health Insurance Portability and Accountability Act of 1996, or HIPAA, and the
Health Information Technology for Economic and Clinical Health Act, or the HITECH Act, govern the collection, dissemination, security,
use and confidentiality of health information that identifies specific patients. HIPAA and the HITECH Act require our surgeon and hospital
customers and potential customers to comply with certain standards for the use and disclosure of health information within their companies
and with third parties. The Privacy Standards and Security Standards under HIPAA establish a set of standards for the protection of individually
identifiable health information by health plans, health care clearinghouses and certain health care providers, referred to as Covered
Entities, and the business associates with whom Covered Entities enter into service relationships pursuant to which individually identifiable
health information may be exchanged. Notably, whereas HIPAA previously directly regulated only these Covered Entities, the HITECH Act
makes certain of HIPAA's privacy and security standards also directly applicable to Covered Entities' business associates.
As a result, both Covered Entities and business associates are now subject to significant civil and criminal penalties for failure to
comply with Privacy Standards and Security Standards.

 HIPAA
requires Covered Entities (like many of our customers and potential customers) and business associates to develop and maintain policies
and procedures with respect to protected health information that is used or disclosed, including the adoption of administrative, physical
and technical safeguards to protect such information. The HITECH Act expands the notification requirement for breaches of patient-identifiable
health information, restricts certain disclosures and sales of patient-identifiable health information and provides for civil monetary
penalties for HIPAA violations. The HITECH Act also increased the civil and criminal penalties that may be imposed against Covered Entities
and business associates and gave state attorneys general new authority to file civil actions for damages or injunctions in federal courts
to enforce the federal HIPAA laws and seek attorney fees and costs associated with pursuing federal civil actions. Additionally, certain
states have adopted comparable privacy and security laws and regulations, some of which may be more stringent than HIPAA.

 Any
new legislation or regulation in the area of privacy and security of personal information, including personal health information, could
also adversely affect our business operations. If we do not comply with existing or new applicable federal or state laws and regulations
related to patient health information, we could be subject to criminal or civil sanctions and any resulting liability could adversely
affect our financial condition.

 In
addition, countries around the world have passed or are considering legislation that would impose data breach notification requirements
and/or require that companies adopt specific data security requirements. If we experience a data breach that triggers one or more of
these laws, we may be subject to breach notification obligations, civil liability and litigation, all of which could also generate negative
publicity and have a negative impact on our business.

 We
are currently, and in the future may be, subject to various governmental regulations related to the manufacturing of product candidates,
and we may incur significant expenses to comply with, experience delays in our product commercialization as a result of and be subject
to material sanctions if we or our contract manufacturers violate these regulations.

 Our
manufacturing processes and facility are required to comply with the FDA's QSR, which covers the procedures and documentation of
the design, testing, production, control, quality assurance, labeling, packaging, sterilization, storage, and shipping of product candidates.
Although we believe we are compliant with the QSRs, the FDA enforces the QSR through periodic announced or unannounced inspections of
manufacturing facilities. We have been, and anticipate in the future being, subject to such inspections, as well as to inspections by
other federal and state regulatory agencies. We are required to register our manufacturing facility with the FDA and list all devices
that are manufactured. We also operate an International Organization for Standards, or ISO, 13485 certified facility and annual audits
are required to maintain that certification. The suppliers of our components are also required to comply with the QSR and are subject
to inspections. We have limited ability to ensure that any such third-party manufacturers will take the necessary steps to comply with
applicable regulations, which could cause delays in the delivery of our products. Failure to comply with applicable FDA requirements,
or later discovery of previously unknown problems with our products or manufacturing processes, including our failure or the failure
of one of our third-party manufacturers to take satisfactory corrective action in response to an adverse QSR inspection, can result in,
among other things:

 administrative or judicially imposed sanctions;

 injunctions or the imposition of civil penalties;

 recall or seizure of our product candidates;

 total or partial suspension of production or distribution;

 the FDA's refusal to grant future clearance or
 pre-market approval for our product candidates;

 withdrawal or suspension of marketing clearances or
 approvals;

 clinical holds;

 warning letters;

 refusal to permit the import or export of our product
 candidates; and

 criminal prosecution of us or our employees.

 Any
of these actions, in combination or alone, could prevent us from marketing, distributing, or selling our products and would likely harm
our business. In addition, a product defect or regulatory violation could lead to a government-mandated or voluntary recall by us. Regulatory
agencies in other countries have similar authority to recall devices because of material deficiencies or defects in design or manufacture
that could endanger health. Any recall would divert management attention and financial resources, could expose us to product liability
or other claims, including contractual claims from parties to whom we sold products and harm our reputation with customers. A recall
involving any of our product candidates would be particularly harmful to our business and financial results and, even if we remedied
a particular problem, would have a lasting negative effect on our reputation and demand for our products.

 Risks
Related to Our Intellectual Property

 If
we are unable to adequately protect our proprietary technology or obtain and maintain issued patents that are sufficient to protect our
product candidates, others could compete against us more directly, which could harm our business, financial condition and results of
operations.

 Our
success may depend in part on our ability to obtain and maintain patents and other intellectual property rights in the United States
and elsewhere and protecting our proprietary technologies. If we do not adequately protect our intellectual property and proprietary
technologies, competitors may be able to use our technologies and erode or negate any competitive advantage we may have, which could
harm our business and ability to achieve profitability.

 We
have filed patent applications for our products and related intellectual property with the U.S. Patent and Trademark Office and in
other jurisdictions. As of the December 31, 2023, we have been granted twenty-six (26) patents including seven (7) in the United
States and have another seventeen 17 applications in various stages of review including seven (7) in the United
States.

 Our
patents may not have, or our pending patent applications that mature into issued patents may not include, claims with a scope sufficient
to protect our products, any additional features we develop for our current products or any new products. Other parties may have developed
technologies that may be related or competitive to our products, may have filed or may file patent applications and may have received
or may receive patents that overlap or conflict with our patent applications, either by claiming the same methods or devices or by claiming
subject matter that could dominate our patent position. The patent positions of medical device companies, including our patent position,
may involve complex legal and factual questions, and, therefore, the scope, validity and enforceability of any patent claims that we
may obtain cannot be predicted with certainty. Patents, if issued, may be challenged, deemed unenforceable, invalidated or circumvented.
Proceedings challenging our patents could result in either loss of the patent or denial of the patent application or loss or reduction
in the scope of one or more of the claims of the patent or patent application. In addition, such proceedings may be costly. Thus, any
patents that we may own may not provide any protection against competitors. Furthermore, an adverse decision in an interference proceeding
can result in a third party receiving the patent right sought by us, which in turn could affect our ability to commercialize our implant
systems.

 Furthermore,
though an issued patent is presumed valid and enforceable, its issuance is not conclusive as to its validity or its enforceability and
it may not provide us with adequate proprietary protection or competitive advantages against competitors with similar products. Competitors
may also be able to design around our patents. Other parties may develop and obtain patent protection for more effective technologies,
designs or methods. We may not be able to prevent the unauthorized disclosure or use of our technical knowledge or trade secrets by consultants,
suppliers, vendors, former employees and current employees. The laws of some foreign countries do not protect our proprietary rights
to the same extent as the laws of the United States, and we may encounter significant problems in protecting our proprietary rights in
these countries. If any of these developments were to occur, they each could have a negative impact on our business and competitive position.

 Our
ability to enforce our patent rights depends on our ability to detect infringement. It may be difficult to detect infringers who do not
advertise the components that are used in their products. Moreover, it may be difficult or impossible to obtain evidence of infringement
in a competitor's or potential competitor's product. We may not prevail in any lawsuits that we initiate and the damages
or other remedies awarded if we were to prevail may not be commercially meaningful.

 In
addition, proceedings to enforce or defend our patents could put our patents at risk of being invalidated, held unenforceable or interpreted
narrowly. Such proceedings could also provoke third parties to assert claims against us, including that some or all of the claims in
one or more of our patents are invalid or otherwise unenforceable. If any of our patents covering our products are invalidated or found
unenforceable, our financial position and results of operations could be negatively impacted. In addition, if a court found that valid,
enforceable patents held by third parties covered one or more of our products, our financial position and results of operations could
be harmed.

 We
rely upon unpatented trade secrets, unpatented know-how and continuing technological innovation to develop and maintain our competitive
position, which we will seek to protect, in part, by entering into confidentiality agreements with our employees and our collaborators
and consultants. We also have agreements with our employees and selected consultants that obligate them to assign their inventions to
us and have non-compete agreements with some, but not all, of our consultants. It is possible that technology relevant to our business
will be independently developed by a person that is not a party to such an agreement. Furthermore, if the employees and consultants who
are parties to these agreements breach or violate the terms of these agreements, we may not have adequate remedies for any such breach
or violation, and we could lose our trade secrets through such breaches or violations. Further, our trade secrets could otherwise become
known or be independently discovered by our competitors.

 Obtaining
and maintaining our patent protection depends on compliance with various procedures, document submission requirements, fee payments and
other requirements imposed by governmental patent agencies, and our patent protection could be reduced or eliminated for non-compliance
with these requirements.

 The
U.S. Patent and Trademark Office, or USPTO, and various foreign governmental patent agencies require compliance with a number of procedural,
documentary, fee payments such as maintenance and annuity fee payments and other provisions during the patent procurement process as
well as over the life span of an issued patent. There are situations in which noncompliance can result in abandonment or lapse of a patent
or patent application, resulting in partial or complete loss of patent rights in the relevant jurisdiction. In such an event, competitors
might be able to enter the market earlier than would otherwise have been the case.

 We
may incur substantial costs as a result of litigation or other proceedings relating to patent and other intellectual property rights
and we may be unable to protect our rights to, or use of, our technology.

 Our
success will depend in part on our ability to operate without infringing the intellectual property and proprietary rights of third parties.
Our business, product candidates and methods could infringe the patents or other intellectual property rights of third parties.

 The
medical device industry is characterized by frequent and extensive litigation regarding patents and other intellectual property rights.
Many medical device companies with substantially greater resources than us have employed intellectual property litigation as a way to
gain a competitive advantage. We may become involved in litigation, interference proceedings, oppositions, reexamination, protest or
other potentially adverse intellectual property proceedings as a result of alleged infringement by us of the rights of others or as a
result of priority of invention disputes with third parties, either in the United States or internationally. We may also become a party
to patent infringement claims and litigation or interference proceedings declared by the USPTO to determine the priority of inventions.
Third parties may also challenge the validity of any of our issued patents and we may initiate proceedings to enforce our patent rights
and prevent others from infringing on our intellectual property rights. Any claims relating to the infringement of third-party proprietary
rights or proprietary determinations, even if not meritorious, could result in costly litigation, lengthy governmental proceedings, diversion
of our management's attention and resources, or entrance into royalty or license agreements that are not advantageous to us. In
any of these circumstances, we may need to spend significant amounts of money, time and effort defending our position. Some of our competitors
may be able to sustain the costs of complex patent litigation more effectively than we can because they have substantially greater resources.
In addition, any uncertainties resulting from the initiation and continuation of any litigation could have a material adverse effect
on our ability to raise the funds necessary to continue our operations.

 Even
if we are successful in these proceedings, we may incur substantial costs and divert management time and attention in pursuing these
proceedings, which could have a material and adverse effect on us. If we are unable to avoid infringing the intellectual property rights
of others, we may be required to seek a license, defend an infringement action or challenge the validity of intellectual property in
court or redesign our product candidates.

 Risks
Related to Ownership of Our Securities

 The
trading price of our securities is likely to be volatile and could be subject to wide fluctuations in response to a variety of factors.

 The
trading price of our securities is likely to be volatile and could be subject to wide fluctuations in response to a variety of factors,
which include:

 whether we achieve our
 anticipated corporate objectives;

 actual or anticipated fluctuations
 in our financial condition and operating results;

 changes in financial or
 operational estimates or projections;

 the development status
 of our product candidates and when our product candidates receive regulatory approval if at all;

 our execution of our sales
 and marketing, manufacturing and other aspects of our business plan;

 performance of third parties
 on whom we rely to manufacture our product candidate components and product candidates, including their ability to comply with regulatory
 requirements;

 the results of our preclinical
 studies and clinical trials;

 results of operations that
 vary from those of our competitors and the expectations of securities analysts and investors;

 our announcement of significant
 contracts, acquisitions or capital commitments;

 announcements by our competitors
 of competing products or other initiatives;

 announcements by third
 parties of significant claims or proceedings against us;

 regulatory and reimbursement
 developments in the United States and internationally;

 future sales of our common
 stock to meet our business requirements;

 product liability claims;

 healthcare reform measures
 in the United States and elsewhere;

 additions or departures
 of key personnel; and

 general economic or political
 conditions in the United States or elsewhere.

 In
addition, the stock market in general, and the stock of medical device companies like ours, have experienced extreme price and volume
fluctuations that have often been unrelated or disproportionate to the operating performance of the issuer. These market and industry
factors may negatively affect the market price of our common stock, regardless of our actual operating performance.

 We
have issued a significant number of options and warrants and may continue to do so in the future. The vesting and, if applicable, exercise
of these securities and the sale of the shares of common stock issuable thereunder may dilute your percentage ownership interest and
may also result in downward pressure on the price of our common stock.

 As
of the date of this Annual Report, we have issued and outstanding options to purchase 4,771,043 shares of our common stock with a weighted
average exercise price of $7.86, 400,000 restricted stock units subject to vesting, and warrants to purchase 17,129,415 shares of
our common stock with a weighted average exercise price of $6.49. Further, we have 1,768,753 shares available for issuance under our
Amended and Restated 2016 Omnibus Incentive Plan. The number of shares subject to the Plan may be adjusted from time to time such that
shares authorized under the plan shall at all times be equal to at least 20% of the issued and outstanding shares of the Company on a
fully diluted basis. Because the market for our common stock is thinly traded, the sales and/or the perception that those sales may occur,
could adversely affect the market price of our common stock. Furthermore, the mere existence of a significant number of shares of common
stock issuable upon vesting and, if applicable, exercise of these securities may be perceived by the market as having a potential dilutive
effect, which could lead to a decrease in the price of our common stock.

 We
will need to raise additional capital to meet our business requirements in the future, and such capital raising may be costly or difficult
to obtain and can be expected to dilute current stockholders' ownership interests.

 We
will need to raise additional capital in the future. Such additional capital may not be available on reasonable terms or at all. Any
future issuance of our equity or equity-backed securities may dilute then-current stockholders' ownership percentages. If we are
unable to obtain required additional capital, we may have to curtail our growth plans or cut back on existing business.

 We
may incur substantial costs in pursuing future capital financing, including investment banking fees, legal fees, accounting fees, securities
law compliance fees, printing and distribution expenses and other costs. We may also be required to recognize non-cash expenses in connection
with certain securities we may issue, such as convertible notes, restricted stock, stock options and warrants, which may adversely impact
our financial condition.

 Future
sales or issuances of substantial amounts of our common stock could result in significant dilution.

 Any
future issuance of our equity or equity-backed securities, including, potentially, the issuance of securities in connection with a merger
transaction, may dilute then-current stockholders' ownership percentages and could also result in a decrease in the fair market
value of our equity securities, because our assets would be owned by a larger pool of outstanding equity. As stated above, we intend
to conduct additional rounds of financing in the future and we may need to raise additional capital through public or private offerings
of our common stock or other securities that are convertible into or exercisable for our common stock. We may also issue securities in
connection with hiring or retaining employees and consultants (including stock options issued under an equity incentive plan), as payment
to providers of goods and services, in connection with future acquisitions or for other business purposes. Our Board of Directors may
at any time authorize the issuance of additional common stock without stockholder approval, subject only to the total number of authorized
shares of common stock set forth in our articles of incorporation. The terms of equity securities issued by us in future transactions
may be more favorable to new investors, and may include dividend and/or liquidation preferences, superior voting rights and the issuance
of warrants or other derivative securities, which may have a further dilutive effect. Also, the future issuance of any such additional
shares of common stock or other securities may create downward pressure on the trading price of the common stock. There can be no assurance
that any such future issuances will not be at a price (or exercise prices) below the price at which shares of the common stock are then
traded on Nasdaq or other then-applicable over-the-counter quotation system or exchange.

 Our
failure to meet the continued listing requirements of Nasdaq could result in a de-listing of our Common Stock.

 While
we are currently in compliance with Nasdaq's continued listing requirements, we have received deficiency notices in the past and
there is no guarantee that we will be able to continue to meet the continued listing requirements of Nasdaq. In the event of a deficiency
notice, we would expect to take actions to restore our compliance with Nasdaq Marketplace Rules and prevent future non-compliance. However,
there can be no assurance we would be able to do so. In the event we are unable to do so, our securities may be delisted from The Nasdaq
Stock Market. Such a delisting would likely have a negative effect on the price of our Common Stock and would impair your ability to
sell or purchase our Common Stock when you wish to do so.

 Provisions
of our charter documents or Delaware law could delay or prevent an acquisition of us, even if the acquisition would be beneficial to
our stockholders, which could make it more difficult for you to change management.

 Provisions
in our amended and restated certificate of incorporation and our amended and restated bylaws may discourage, delay or prevent a merger,
acquisition or other change in control that stockholders may consider favorable, including transactions in which stockholders might otherwise
receive a premium for their shares. In addition, these provisions may frustrate or prevent any attempt by our stockholders to replace
or remove our current management by making it more difficult to replace or remove our board of directors. These provisions include, but
are not limited to:

 a classified board of directors
 so that not all directors are elected at one time;

 a prohibition on stockholder
 action through written consent;

 no cumulative voting in
 the election of directors;

 the exclusive right of
 our board of directors to elect a director to fill a vacancy created by the expansion of the board of directors or the resignation,
 death or removal of a director;

 a requirement that special
 meetings of the stockholders may be called only by our chairman of the board, chief executive officer or president, or by a resolution
 adopted by a majority of our board of directors;

 an advance notice requirement
 for stockholder proposals and nominations;

 the authority of our board
 of directors to issue preferred stock with such terms as our board of directors may determine; and

 a requirement of approval
 of not less than 50% of all outstanding shares of our capital stock entitled to vote to amend any bylaws by stockholder action, or
 to amend specific provisions of our amended and restated certificate of incorporation.

 In
addition, the Delaware General Corporate Law, or DGCL, prohibits a publicly held Delaware corporation from engaging in a business combination
with an interested stockholder, generally a person who, together with its affiliates, owns, or within the last three years has owned,
15% or more of our voting stock, for a period of three years after the date of the transaction in which the person became an interested
stockholder, unless the business combination is approved in a prescribed manner. Accordingly, the DGCL may discourage, delay, or prevent
a change in control of our company.

 Furthermore,
our amended and restated certificate of incorporation specifies that the Court of Chancery of the State of Delaware will be the sole
and exclusive forum for most legal actions involving actions brought against us by stockholders. We believe this provision benefits us
by providing increased consistency in the application of the DGCL by chancellors particularly experienced in resolving corporate disputes,
efficient administration of cases on a more expedited schedule relative to other forums and protection against the burdens of multi-forum
litigation. However, the provision may have the effect of discouraging lawsuits against our directors and officers.

 We
do not anticipate paying any cash dividends on our common stock in the foreseeable future and, as such, capital appreciation, if any,
of our common stock will be your sole source of gain for the foreseeable future.

 We
have never declared or paid cash dividends on our common stock. We do not anticipate paying any cash dividends on our common stock in
the foreseeable future. We currently intend to retain all available funds and any future earnings to fund the development and growth
of our business. In addition, and any future loan arrangements we enter into may contain, terms prohibiting or limiting the amount of
dividends that may be declared or paid on our common stock. As a result, capital appreciation, if any, of our common stock will be your
sole source of gain for the foreseeable future.

 ITEM 1B.

 Unresolved Staff Comments

 None

 ITEM 1C.

 Cybersecurity Risk

 The
Company's cybersecurity risks are theft of intellectual property, theft of other business data, fraud or extortion, lack of access to our information systems, harm to employees,
harm to business partners, violation of privacy laws, potential reputational risk, and litigation or other legal risk if a cybersecurity
incident were to occur. It is difficult to assign a monetary materiality assessment to these risks or to the impact if the Company were
to sustain a breach of its systems. Our approach is based on the premise that any cybersecurity incident could result in material harm to
the Company.

 Our
Audit Committee has been designated with oversight responsibility for cybersecurity risks and our Chief Financial Officer is
responsible for managing our efforts in this area. Neither the Chief Financial Officer nor any member of the Audit Committee has
relevant expertise in cybersecurity. Rather, the Company retains an outside technical expert to support our information
technology systems including addressing cybersecurity risks.

 We
conduct annual assessments of risks posed by cybersecurity threats in conjunction with our insurance renewal cycles. This includes a
thorough review of our systems and vulnerabilities. As a result of these assessments, we have implemented tools and
practices to proactively monitor our systems and user accounts including, but not limited to, deploying solutions to constantly
monitor users accessing systems, implementation of two factor authentication for logins, and improved rules for password
maintenance.

 Like
many companies, we make use of cloud-based solutions provided by several large service providers for critical information technology
infrastructure such as email and file storage. We do not maintain stand-alone servers for our email, file storage or other business applications.
In the normal course of our relationships with the providers of these services, we regularly monitor their message boards and other formal
and informal communications channels for signs of breaches of their systems. We also survey available public information for indications
that they have suffered a breach of their systems.

 Certain
of our business partners also maintain data related to our trials and ongoing product development on servers they maintain. We require
these partners to comply with all HIPAA standards for maintaining security of their systems where this data resides.

 ITEM
 2.

 Properties and Facilities

 We
lease a 14,507 square foot manufacturing facility in Irvine, California under a lease that expires on September 30, 2027. Our facility is designed expressly
for the manufacture of biologic vascular grafts and is equipped for research and development, prototype fabrication, cGMP
manufacturing and shipping for Class III medical devices, including biologic cardiovascular devices. We believe that our facilities
are sufficient for the near future as there is present capacity to manufacture up to approximately 24,000 venous valves per year to
meet potential market demands.

 ITEM 3.

 Legal Proceedings

 The
Company and its Chief Executive Officer are parties to civil complaints filed in the Superior Court for the State of California,
County of Orange by a former employee, Robert Rankin, who resigned as the Company's Chief Financial Officer, Secretary, and
Treasurer on March 30, 2020. Originally filed as two separate complaints, Rankin v. Hancock Jaffe Laboratories, Inc. et al., Case
No. 30-2020-01146555-CU-WR-CJC and Rankin v. Hancock Jaffe Laboratories, Inc. et al., Case No. 30-2020-01157857, they have now been
consolidated and will be tried concurrently.

 The complaints assert causes of action alleging constructive discharge
in violation of public policy, failure to timely pay Mr. Rankin's accrued and unused vacation and three months' severance
under his July 16, 2018 employment agreement, retaliation under Labor Code Section 1102.5, unfair competition, defamation, and sex-based
discrimination, and seeks damages for back pay, lost and unpaid wages, emotional and mental distress, consequential damages, punitive
damages, compensatory damages and attorney's fees and costs.

 The Company denies all claims in these matters, is vigorously defending
same, and has asserted counterclaims against Mr. Rankin contending that he breached his fiduciary duty and employment agreement with the
Company and the Company incurred damages as a result. The Company continues to believe it has meritorious defenses to these matters, which
are currently set for trial on May 13, 2024.

 ITEM
 4.

 Mine and Safety Disclosure

 Not
applicable.

 PART
II

 ITEM 5.

 Market for Registrant's
 Common Equity, Related Stockholder Matters and Issuer Purchases of Equity Securities

 Market
Information

 Our
common stock trades on Nasdaq under the symbol "NVNO."

 Holders
of Record

 On
February 27, 2024, the closing price per share of our common stock was $6.05 on The Nasdaq Capital
Market. We had approximately 72 stockholders of record as of February 27, 2024. On February 27, 2024 there were
13,317,000 shares of our common stock issued. In addition, we believe that a significant number of beneficial owners of our common
stock hold their shares in street name. We had a class of warrants that were listed on Nasdaq under the symbol
"NVNOW" which expired on May 31, 2023.

 Securities
Authorized for Issuance under Equity Compensation Plan

 The
following information is as of December 31, 2023.

 Plan Category

 securities to
 be issued upon
 exercise of
 outstanding
 options

 Weighted-average
 exercise price of
 outstanding
 options

 granted restricted
 stock unit awards
 outstanding

 securities
 remaining
 available for
 future
 issuance
 under equity
 compensation
 plans

 Equity compensation plans approved by security holders

 4,785,276

 $
 7.85

 400,000

 1,754,520

 Equity compensation plans not approved by security holders

 -

 -

 -

 4,785,276

 $
 7.85

 400,000

 1,754,520

 Dividend
Policy

 We
have never declared or paid any cash dividends on our capital stock. We do not anticipate paying cash dividends on our common stock in
the foreseeable future. We currently intend to retain all available funds and any future earnings to support our operations and finance
the growth and development of our business. Any future determination related to our dividend policy will be made at the discretion of
our board of directors and will depend upon, among other factors, our results of operations, financial condition, capital requirements,
contractual restrictions, business prospects, the requirements of current or then-existing debt instruments and other factors our board
of directors may deem relevant.

 Recent
Sales of Unregistered Securities

 None
other than as disclosed in the Company's current report on Form 8-K as filed with the Securities and Exchange Commission on October
12, 2023.

 Repurchases
of Equity Securities by Our Company

 None.

 ITEM 6.

 [Reserved]

 ITEM
 7.

 Management's Discussion and Analysis of Financial
 Condition and Results of Operations

 The
following discussion should be read in conjunction with our consolidated financial statements and the related notes contained elsewhere
in this Annual Report on Form 10-K and in our other Securities and Exchange Commission filings. The following discussion may contain
predictions, estimates, and other forward-looking statements that involve a number of risks and uncertainties, including those discussed
under "Risk Factors" and elsewhere in this Annual Report on Form 10-K. These risks could cause our actual results to differ
materially from any future performance suggested below.

 Overview

Medical Corporation is a late clinical-stage medical device company focused on the advancement of innovative bioprosthetic (tissue-based)
solutions to improve the standard of care for the treatment of venous disease. Chronic Venous Disease (CVD) is the world's most
prevalent chronic disease, impacting approximately 71% of the adult population of the U.S. Chronic Venous Insufficiency (CVI), is a large
subset of CVD, which most often occurs when valves inside of the veins of the leg become damaged, resulting in the backwards flow of
blood (reflux), blood pooling in the lower leg, increased pressure in the veins of the leg (venous hypertension) and in severe cases,
venous ulcers that are difficult to heal. 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. pivotal study. The Company is also developing a second product called enVVe, which is a first-in-class, non-surgical,
transcatheter based replacement venous valve. The Company is currently conducting pre-clinical testing on enVVe. Both the VenoValve and
enVVe are designed to act as one-way valves, to help assist in propelling blood up the veins of the leg, and back to the heart and lungs.

 The
VenoValve and enVVe are being developed first for approval by the U.S. Food and Drug Administration (FDA). We expect the VenoValve to
be eligible for FDA approval first, followed two to three years later by enVVe. If approved, we expect the VenoValve and enVVe to co-exist,
with the VenoValve as a surgical replacement venous valve option and enVVe as a non-surgical replacement venous valve option, although
we cannot provide any assurance that either the VenoValve or enVVe will receive approval from the FDA (see the section entitled "Risk
Factors" in our Annual Report on Form 10-K). There are currently no devices approved as surgical or non-surgical replacement venous
valves, and there are currently no effective treatments for deep venous CVI caused by incompetent valves.

 Our
team of officers and directors has been affiliated with numerous medical devices that have received FDA approval or CE marking and that
have been commercially successful. We develop and manufacture our products in a 14,507 sq. ft. leased manufacturing facility in Irvine,
California, which has been ISO 13485-2016 certified for the design, development and manufacturing of tissue based implantable medical
devices.

 Results
of Operations

 Comparison
of the year ended December 31, 2023 to the year ended December 31, 2022

 Revenues

 As
a late-stage clinical medical device Company, we are not currently generating revenue and our future revenue, if any, is dependent on our ability
to commercialize our product candidates. We do not expect to begin generating revenue with respect to any of our product candidates in
the near term. We hope to eventually achieve revenues by commercializing and selling our products or licensing our technologies to companies
that have the resources and infrastructure in place to manufacture, market and sell our products. The commercialization and/or licensing
of any of our products may take several years, if it is to occur at all, and depends on our ability to obtain regulatory approval.

 Net
Loss

 We
reported net losses of $23.5 million and $24.7 million for the years ended December 31, 2023 and 2022, respectively, representing a decrease
in net loss of $1.2 million or 5%, resulting from, as described in further detail below, an increase in operating expenses of $0.3 million,
and an increase in other income of $1.5 million.

 Selling,
General and Administrative Expenses

 For
the year ended December 31, 2023, selling, general and administrative expenses decreased by $3.3 million or 22%, to $11.7 million
from $15.0 million for the year ended December 31, 2022. This decrease is primarily driven by share-based compensation. Expense
related to grants made in 2021 was $4.2 million lower in 2023 than in 2022. This decrease was partially offset by the expense from
grants made in 2022, resulting in a net reduction of $3.6 million in share-based compensation from 2022 to 2023. Selling, general
and administrative expenses also decreased $0.2 million from warrants issued to a vendor in 2022 with no similar warrants issued in 2023, and $0.1 million from lower
insurance cost in 2023. These decreases were partially offset by $0.6 million of higher cash
compensation related to management bonuses paid during 2023 compared to 2022 when no bonus was paid.

 Research
and Development Expenses

 For
the year ended December 31, 2023, research and development expenses increased by $3.7 million or 37%, to $13.6 million from $9.9
million for the year ended December 31, 2022. The increase is due to an increase of $2.7 million in costs for the SAVVE trial from $3.5 million in 2022 to $6.2 million in 2023, and $1.1 million in compensation from the increases in staffing
also to support the SAVVE trial, partially offset by a decrease of $0.1 million in other lab costs for development and other preparation for the enVVe
trials.

 Other
Income

 Other
income in 2023 was $1.7 million consisting of $1.2 million in interest income and realized gains, and $0.5 million of unrealized gains,
all related to our investments in US Treasury securities. Interest income and realized gains were $0.2 million, and unrealized gains
were $0.1 million in 2022.

 Liquidity
and Capital Resources

 For
the year ended December 31, 2023, the Company incurred losses from operations of $25.2 million and used $18.9 million cash in operating
activities. The net cash used in operating activities during 2023 increased by $3.3 million from $15.6 million for the year ended December
31, 2022, primarily due to the increase in research and development expenses from 2022 to 2023. Our cash balance as of December 31, 2023, is $3.6 million. In addition, we have $42.8 million in investments, for
total cash and investments of $46.4 million.

 The
operating losses and the uses of cash are primarily due to the Company's product research and development and administrative activities.
Administrative functions relate to costs to support the Company's public reporting and investor relations activities as well as
internal administrative functions. Research and development activities are for continued product development and clinical trials for
the VenoValve and for the enVVe. The Company will continue to incur these costs to complete its clinical trials, enhance products, develop
new products, and operate as a public company for the foreseeable future as we seek to obtain regulatory approval for our studies and product candidates.
We are not currently generating revenue.

 We
do not currently have material commitments for capital expenditures or other expenditures with the exception of our facility lease commitment
of $0.3 million per year. We expect a modest increase in purchases of property and equipment as we continue SAVVE, commence TAVVE, and plan for
commercialization of the VenoValve.

 Our
future capital requirements will remain dependent upon a variety of factors, especially including the success of our clinical trials
and related product development costs and our ability to successfully bring products to market. We anticipate that our cash burn
rate will increase from current levels of approximately $4 million to $5 million per quarter to $5 million to $6 million per quarter in 2025. Even after considering this increase, we should have sufficient cash to
fund operations through late 2025.

 We
have historically funded our operations through financing activities such as the capital raise completed in 2023 and will need to raise additional capital in the future. Any inability to
raise additional financing would have a material adverse effect on us.

 Based
upon our cash and working capital as of December 31, 2023, we have sufficient capital resources to meet our obligations as they become
due within at least one year after the date of this Annual Report and sustain operations.

 Off-Balance
Sheet Arrangements

 None.

 Contractual
Obligations

 As
a "smaller reporting company" as defined by Item 10 of Regulation S-K, we are not required to provide the information requested
by paragraph (a)(5) of this Item.

 ITEM 7A.

 Quantitative and Qualitative Disclosure About Market
 Risk

 As
a "smaller reporting company" as defined by Item 10 of Regulation S-K, we are not required to provide information required
by this Item.

 ITEM
 8.

 Financial Statements
 and Supplementary Data

 Please
see the financial statements beginning on page F-1 following the signature pages in this Annual Report on Form 10-K and incorporated
herein by reference.

 ITEM 9.

 Changes in and Disagreements with Accountants on
 Accounting and Financial Disclosure

 Not
Applicable.

 ITEM
 9A.

 Controls and Procedures

 Evaluation
of Controls and Procedures

 Our
management carried out an evaluation, under the supervision and with the participation of our Chief Executive Officer (who is our Principal
Executive Officer) and our Chief Financial Officer (who is our Principal Financial Officer and Principal Accounting Officer), of the
effectiveness of the design of our disclosure controls and procedures (as defined by Exchange Act Rules 13a-15(e) or 15d-15(e)) as of
December 31, 2023, pursuant to Exchange Act Rule 13a-15(b). Based upon that evaluation, our Principal Executive Officer and Principal
Financial Officer concluded that our disclosure controls and procedures were effective as of December 31, 2023 to provide reasonable
assurance that information required to be disclosed by us in the reports that we file or submit under the Exchange Act is accumulated
and communicated to management, including our Chief Executive Officer and our Chief Financial Officer, as appropriate, to allow timely
decisions regarding required disclosure and are effective to provide reasonable assurance that such information is recorded, processed,
summarized and reported within the time periods specified by the Securities and Exchange Commission's rules and forms.

 Inherent
Limitations on Effectiveness of Controls

 It
should be noted that any system of controls, however well designed and operated, can provide only reasonable, and not absolute assurance,
that the objectives of the system will be met. In addition, the design of any control system is based in part upon certain assumptions
about the likelihood of future events. Because of these and other inherent limitations of control systems, there is only reasonable assurance
that our controls will succeed in achieving their goals under all potential future conditions.

 Management's
Report on Internal Control Over Financial Reporting

 There
were no changes in our internal control over financial reporting identified in connection with the evaluation required by Exchange Act
Rule 13a-15(d) during the quarter ended December 31, 2023 that have materially affected, or are reasonably likely to materially affect,
our internal control over financial reporting. Management, including the principal executive officer and principal financial officer,
does not expect that our disclosure controls and procedures or our internal control over financial reporting will prevent or detect all
error and all fraud. Controls and procedures, no matter how well designed and operated, can provide only reasonable assurance of achieving
their objectives and management necessarily applies its judgment in evaluating the cost-benefit relationship of possible controls and
procedures. Because of the inherent limitations in all control systems, no evaluation of controls can provide absolute assurance that
all control issues and instances of fraud, if any, within the Company have been detected. These inherent limitations include the realities
that judgments in decision-making can be faulty, and that breakdowns can occur because of a simple error or mistake. Additionally, controls
can be circumvented by the individual acts of some persons, by collusion of two or more people, or by management override of the controls.
The design of any system of controls also is based in part upon certain assumptions about the likelihood of future events, and there
can be no assurance that any design will succeed in achieving its stated goals under all potential future conditions. Over time, controls
may become inadequate because of changes in conditions, or deterioration in the degree of compliance with the policies or procedures.
Because of the inherent limitations in a cost-effective control system, misstatements due to error or fraud may occur and not be detected.
Our internal control over financial reporting is designed to provide reasonable assurance regarding the reliability of financial reporting
and the preparation of consolidated financial statements for external purposes in accordance with generally accepted accounting principles.

 Under
the supervision and with the participation of our management, including the principal executive officer and principal financial officer,
we conducted an evaluation as to the effectiveness of our internal control over financial reporting as of December 31, 2023. In making
this assessment, our management used the criteria for effective internal control set forth by the Committee of Sponsoring Organizations
of the Treadway Commission in the 2013 Internal Control – Integrated Framework. Based on this assessment, our management concluded
that our internal control over financial reporting was effective as of December 31, 2023.

 This
Annual Report on Form 10-K does not include an attestation report of our independent registered public accounting firm regarding internal
control over financial reporting. Management's report was not subject to attestation by the Company's independent registered
public accounting firm pursuant to an exemption from Section 404(b) of the Sarbanes-Oxley Act of 2002 that permits the Company to provide only management's
report in this Annual Report on Form 10-K. Accordingly, our management's assessment of the effectiveness of our internal control
over financial reporting as of December 31, 2023 has not been audited by our auditors, Marcum LLP.

 Item 9B.

 Other Information

 Not
Applicable.

 Item 9C.

 Disclosure Regarding Foreign Jurisdictions That
 Prevent Inspections

 Not
Applicable.

 PART
III

 ITEM 10.

 Directors, Executive Officers and Corporate Governance

 Listed
below are the names of the directors and executive officers of the Company, their ages as of the date of this Annual Report, their positions
held and the year they commenced service with the Company.

 Name

 Age

 Position(s)
 Held

 Year
 of Service Commencement

 Robert A. Berman

 Director, Chief Executive Officer

 2018

 Craig Glynn

 Chief Financial Officer and Treasurer

 2020

 Dr. Francis Duhay

 2018

 Dr. Sanjay Shrivastava

 2018

 Matthew M. Jenusaitis

 2019

 Robert C. Gray

 2019

 Marc H. Glickman, M.D.

 Senior Vice President and Chief Medical Officer

 2016

A. Berman Robert Berman has served as our Chief Executive Officer and a member of our Board of Directors since April of 2018.
Mr. Berman has over 25 years of experience in a broad variety of areas including healthcare, finance, acquisitions, marketing, compliance,
turnarounds, and the development and licensing of emerging technologies. From September 2012 until July 2017, he served as the President,
Chief Executive Officer, and a member of the Board of Directors of ITUS Corporation (now called Anixa Biosciences), which at the time
he joined the company was a developer of flat panel display technologies, and under his leadership became a Nasdaq listed cancer therapeutics
company. From 2000 to March 2007, Mr. Berman was the Chief Operating Officer and General Counsel of Acacia Research Corporation, where
he successfully transitioned the company from being an incubator of internet startups into a preeminent, publicly traded company for
licensing and enforcing patented technologies with a market cap exceeding $2 billion. Mr. Berman started his career at the law firm of
Blank Rome. Mr. Berman has a B.S. in Entrepreneurial Management from the Wharton School of the University of Pennsylvania and holds a
J.D. from the Northwestern University School of Law, where he is an adjunct faculty member. We believe that Mr. Berman is qualified to
serve as a member of our board of directors because of his experience in a broad variety of areas including healthcare, finance, acquisitions,
marketing, compliance, turnarounds, and the development and licensing of emerging technologies.

 Dr.
Francis Duhay has served as member of our board of directors since October 2018. He is an accomplished heart surgeon, entrepreneur,
and corporate executive. Board certified in general (UCSF) and cardiothoracic surgery (Duke), his seminal work in minimally invasive
cardiac surgery led to 32 patents for surgical devices used in thousands of heart operations. Dr Duhay left clinical practice for industry
in 2008, where he served as Vice President and General Manager of the nascent transcatheter heart valve therapy program (Ascendra) at
Edwards Lifesciences ("Edwards"), the world's leading manufacturer of bioprosthetic heart valves. With European CE
Mark, he oversaw growth in sales of transcatheter heart valves from $3M to over $250M within the first four years of commercial launch.
Promoted to Vice President of Global Medical & Clinical Affairs, he led planning and execution of four US FDA pivotal clinical trials.
He was eventually promoted to Chief Medical Officer, where, in addition to overseeing Global Medical & Clinical Affairs, he supported
other areas within Edwards including Health Economics & Reimbursement in its successful application for a procedure code, payment,
and coverage of transcatheter aortic valve replacement (TAVR), and Regulatory Affairs, as an industry representative and clinical expert
on the ISO 5840:2014 and 5910:2018 cardiac valve working groups. After departing Edwards, he co-founded and led Koa Accel, a major medical
device accelerator in the Orange County, CA, ecosystem. This bore three medical device startups – Makani Science (selected into
the 2021 cohort of the prestigious Y-Combinator), Kino Discovery (selected into the 2021 cohort of MedTech Innovator), and Kahala Biosciences.
Most recently, Dr Duhay served as Senior Vice President of Global Medical & Clinical Affairs for Olympus Corporation, the world's
leading manufacturer of colonoscopes, duodenoscopes, bronchoscopes, and cystoscopes. We believe that Dr. Duhay is qualified to serve
as a member of our board of directors because he is a trained cardiac and thoracic surgeon and former Chief Medical Officer at Edwards
Life Sciences.

 Dr.
Sanjay Shrivastava has served as a member of our board of directors since October 2018. He has been involved in developing, commercializing,
evaluating, and acquiring medical devices for more than 23 years, including serving in leadership positions in research and development,
business development, and marketing at J&J, BTG, plc, Medtronic, Abbott Vascular, and Edwards Life Sciences. He is presently serving
as the chief executive officer at Innova Vascular, Inc., a privately funded medical device company engaged in peripheral venous thrombectomy
space. Prior to this, he co-founded BlackSwan Vascular, Inc., where he served on its board of directors and led a strategic alliance
including the acquisition deal with Sirtex Medical. Sirtex Medical's parent company acquired BlackSwan Vascular, Inc. in 2023.
Dr. Shrivastava worked on several acquisition and investment deals during his roles as a senior director, business development at J&J
and a vice president, upstream marketing and strategy at BTG, plc, which had an annual revenue of about $800 million and is now part
of Boston Scientific Corporation through an acquisition. At Medtronic, Dr. Shrivastava was the Director of Global Marketing for the Cardiac
and Vascular Group where he helped build the embolization business, from its initiation to a substantial revenue with a very high CAGR
over a period of six years. Dr. Shrivastava was part of the peripheral vascular business at Abbott Vascular and worked on trans-catheter
heart valve repair and replacement products at Edwards Life Sciences. Dr. Shrivastava received his Bachelor of Engineering degree at
the Indian Institute of Technology and a doctorate degree in materials science and engineering from the University of Florida. We believe
that Dr. Shrivastava is qualified to serve as a member of our board of directors because of having served in Chief Executive Officer
and board of director positions at several medical device start-ups, and leadership positions in research and development, business development,
and marketing at Innova Vascular, Inc., BTG, Medtronic, Abbott Vascular, and Edwards Life Sciences.

 Matthew
M. Jenusaitis has served as a member of our board of directors since September 2019. He has over 30 years of health care experience
with an emphasis on building and selling companies that develop medical devices to treat vascular diseases. Since March 2015, Mr. Jenusaitis
has been a senior administrative executive at the UC San Diego Health System. He currently serves as the Chief Administrative Officer
for UCSD's Moore's Cancer Center and UCSD Oncology. From June 2009 to March 2015, Mr. Jenusaitis was President and CEO of
OCTANe Foundation for Innovation, a non-profit focused on the development of innovation in Orange County, CA. Over the course of his
career, Mr. Jenusaitis has been on the board of directors of Pulsar Vascular (2008-2017), which was sold to Johnson and Johnson, Creagh
Medical (2008-2015), which was sold to SurModics, and Precision Wire Components (2009-2014), which was sold to Creganna Medical. Mr.
Jenusaitis was also a Senior Vice President at ev3 (April 2006 to July 2008), which was sold to Covidian and later purchased by Medtronics.
In addition, Mr. Jenusaitis was the President of the Peripheral Division at Boston Scientific (July 2003 to August 2005) and was an Executive
in Residence at Warburg Pincus (September 2005 to March 2006). Mr. Jenusaitis has an MBA from the University of California, Irvine, a
Masters Degree in Biomedical Engineering from Arizona State University, and a Bachelors Degree in Chemical Engineering from Cornell University.
We believe that Mr. Jenusaitis is qualified to serve as a member of our board of directors because of over 30 years of health care experience
with an emphasis on building and selling companies that develop medical devices to treat vascular diseases and his prior board experiences.

C. Gray has served as a member of our board of directors since September 2019. He had a 20-year career at Highmark, Inc., one
of America's largest health insurance organizations, which serves over 20 million subscribers, and includes Highmark Blue Cross
Blue Shield Pennsylvania, Highmark Blue Cross Blue Shield Delaware, and Highmark Blue Cross Blue Shield West Virginia, which he retired
from in 2008. While at Highmark, Mr. Gray helped increase revenues to $12.3 billion from $6.9 billion, and helped generate an operating
gain of $375 million from an operating loss of $91 million. In addition to being the board chairman, Chief Executive Officer, and President
of several of Highmark's subsidiaries and affiliated companies, Mr. Gray was the Chief Financial Officer of Highmark's parent
company and was the primary contact to Highmark's board of directors for Highmark's audit, investment and compensation (incentive
plans) committees. His many responsibilities at Highmark included rate setting and reimbursement negotiations. Following Highmark, Mr.
Gray co-founded U.S. Holdings LLC (U.S. Implants LLC.), a national distributor of orthopedic implants, and has served as Vice President
since 2009. Since 2011, Mr. Gray has also been self-employed as a strategy and financial consultant. Mr. Gray engaged in Postgraduate
Studies at the University of North Carolina–Chapel Hill and has an undergraduate degree from Bucknell University. We believe that
Mr. Gray is qualified to serve as a member of our board of directors because of his financial and medical reimbursement expertise having
served as the Chief Financial Officer at Highmark, Inc., one of America's largest health insurance organization.

 Marc
H. Glickman, M.D. has served as our Senior Vice President and Chief Medical Officer since May 2016 and served as member of our
board of directors from July 2016 to August 2017. In 1981, Dr. Glickman started a vascular practice in Norfolk, Virginia. He established
the first Vein Center in Virginia and also created a dialysis access center. He was employed by Sentara Health Care as director of Vascular
Services until he retired in 2014. Dr. Glickman is a board certified vascular surgeon. Dr. Glickman received his Doctor of Medicine from
Case Western Reserve, in Cleveland, Ohio and completed his residency at the University of Washington, Seattle. He is board certified
in Vascular Surgery and was the past president of the Vascular Society of the Americas. He has served on the advisory boards of Possis
Medical, Cohesion Technologies, Thoratec, GraftCath, Inc., TVA medical, Austin, Texas.

 Craig
Glynn was hired as our interim Chief Financial Officer in April 2020 and has subsequently been elevated to our fulltime Chief
Financial Officer effective January 2021. Mr. Glynn has more than thirty-nine years of experience providing financial services to a variety
of public and private companies, including in the role as Chief Financial Officer. In 2012, Mr. Glynn founded Edward Thomas Associates,
a firm that provides public and private companies with accounting and finance services, including chief financial officer services. Mr.
Glynn has been a Managing Director of Edward Thomas Associates since 2012. Mr. Glynn has a proven record of success managing the financial
aspects of dynamic organizations either as a member of the management team or in a consulting capacity. He started his career as an auditor
with Deloitte and went on to be the CFO and Controller of several technology, manufacturing, and distribution companies. Mr. Glynn earned
his BS and MS degrees in Accounting from California State University Northridge. He is a member of the American Institute of CPAs.

 Family
Relationships

 There
are no arrangements between our directors and any other person pursuant to which our directors were nominated or elected for their positions.
There are no family relationships between any of our directors or executive officers.

 Section
16(a) Beneficial Ownership Reporting Compliance

 Section
16(a) of the Exchange Act requires our directors, executive officers and ten percent stockholders to file initial reports of ownership
and reports of changes in ownership of our common stock with the Commission. Directors, executive officers and ten percent stockholders
are also required to furnish us with copies of all Section 16(a) forms that they file. Based upon a review of these filings, we believe
that all required Section 16(a) reports were made on a timely basis during fiscal year 2023.

 Board
Composition

 Our
business and affairs are organized under the direction of our board of directors, which currently consists of five members. Our directors
hold office until the earlier of their death, incapacity, removal or resignation, or until their successors have been elected and qualified.
Our board of directors does not have a formal policy on whether the roles of a Chief Executive Officer and Chairman of our board of directors
should be separate. The primary responsibilities of our board of directors are to provide oversight, strategic guidance, counseling,
and direction to our management. Our board of directors meets on a regular basis. Our bylaws provide that the authorized number of directors
may be changed only by resolution of the board of directors.

 We
have no formal policy regarding board diversity. Our priority in selection of board members is identification of members who will further
the interests of our stockholders through his or her established record of professional accomplishment, the ability to contribute positively
to the collaborative culture among board members, knowledge of our business and understanding of the competitive landscape.

 Our
amended and restated certificate of incorporation divides our board of directors into three classes, with staggered three-year terms,
as follows:

 Class
I Directors (serving until the 2024 Annual Meeting of Stockholders, or until their earlier death, disability, resignation or removal):

 Dr.
Francis Duhay* and Dr. Sanjay Shrivastava*

 Class
II Directors (serving until the 2025 Annual Meeting of Stockholders, or until their earlier death, disability, resignation or removal):

 Matthew
M. Jenusaitis*, Robert A. Berman

 Class
III Director (serving until the 2026 Annual Meeting of Stockholders, or until his earlier death, disability, resignation or removal):

C. Gray*

 (*)
Independent Director.

 At
each annual meeting of stockholders to be held after the initial classification, the successors to directors whose terms then expire
will serve until the third annual meeting following their election and until their successors are duly elected and qualified. The authorized
size of our board of directors is currently five members. The authorized number of directors may be changed only by resolution of the
board of directors. Any additional directorships resulting from an increase in the number of directors will be distributed between the
three classes so that, as nearly as possible, each class will consist of one-third of the directors. This classification of the board
of directors may have the effect of delaying or preventing changes in our control or management. Our directors may be removed for cause
by the affirmative vote of the holders of at least 66 2/3% of our voting stock.

Independence

 The
Nasdaq Marketplace Rules require a majority of a listed company's board of directors to be comprised of independent directors within
one year of listing. In addition, the Nasdaq Marketplace Rules require that, subject to specified exceptions, each member of a listed
company's audit, compensation and nominating and corporate governance committees be independent and that audit committee members
also satisfy independence criteria set forth in Rule 10A-3 under the Exchange Act.

 Under
Rule 5605(a)(2) of the Nasdaq Marketplace Rules, a director will only qualify as an "independent director" if, in the opinion
of our board of directors, that person does not have a relationship that would interfere with the exercise of independent judgment in
carrying out the responsibilities of a director. In order to be considered independent for purposes of Rule 10A-3 of the Exchange Act,
a member of an audit committee of a listed company may not, other than in his or her capacity as a member of the audit committee, the
board of directors, or any other board committee, accept, directly or indirectly, any consulting, advisory, or other compensatory fee
from the listed company or any of its subsidiaries or otherwise be an affiliated person of the listed company or any of its subsidiaries.

 Our
board of directors has reviewed the composition of our board of directors and its committees and the independence of each director. Based
upon information requested from and provided by each director concerning his background, employment and affiliations, including family
relationships, our board of directors has determined that each of Dr. Duhay, Mr. Gray, Mr. Jenusaitis and Dr. Shrivastava is an "independent
director" as defined under Rule 5605(a)(2) of the Nasdaq Marketplace Rules. Our board of directors also determined that Mr. Gray,
Mr. Jenusaitis and Dr. Shrivastava will serve on our audit committee, Mr. Gray and Mr. Jenusaitis and Dr. Shrivastava will serve on our
compensation committee, and Dr. Duhay, Mr. Jenusaitis and Dr. Shrivastava will serve on our nominating and corporate governance committee,
and that each of the committees satisfy the independence standards for such committees established by the SEC and the Nasdaq Marketplace
Rules, as applicable. In making such determinations, our board of directors considered the relationships that each such non-employee
director has with our company and all other facts and circumstances our board of directors deemed relevant in determining independence,
including the beneficial ownership of our capital stock by each non-employee director.

 Meetings
of the Board and Stockholders

 Our
board of directors met in person and telephonically six times during 2023 and also acted by unanimous written consent. There were four
Audit Committee meetings and three Compensation meetings held in 2023. Our board of directors had 100% attendance for the Annual Meeting
that was held on December 5, 2023. It is our policy that all directors must attend all stockholder meetings, barring extenuating circumstances.

 Board
Committees

 Our
board of directors has established three standing committees—audit, compensation, and nominating and corporate governance—each
of which operates under a charter that has been approved by our board of directors. Copies of each committee's charter are posted
on the Investors section of our website, which is located at www.envveno.com. Each committee has the composition and responsibilities
described below. Our board of directors may from time to time establish other committees.

 Audit
Committee

 Our
audit committee consists of Mr. Gray, who is the chair of the audit committee, Mr. Jenusaitis and Dr. Shrivastava. Our board of directors
has determined that each of the members of our audit committee satisfies the Nasdaq Marketplace Rules and SEC independence requirements.
The functions of this committee include, among other things:

 evaluating the performance,
 independence and qualifications of our independent auditors and determining whether to retain our existing independent auditors or
 engage new independent auditors;

 reviewing and approving
 the engagement of our independent auditors to perform audit services and any permissible non-audit services;

 reviewing our annual and
 quarterly financial statements and reports, including the disclosures contained under the caption "Management's Discussion
 and Analysis of Financial Condition and Results of Operations," and discussing the statements and reports with our independent
 auditors and management;

 reviewing with our independent
 auditors and management significant issues that arise regarding accounting principles and financial statement presentation and matters
 concerning the scope, adequacy and effectiveness of our financial controls;

 reviewing our major financial
 risk exposures, including the guidelines and policies to govern the process by which risk assessment and risk management is implemented;
 and

 reviewing and evaluating
 on an annual basis the performance of the audit committee, including compliance of the audit committee with its charter.

 Our
board of directors has determined that Mr. Gray qualifies as an "audit committee financial expert" within the meaning of
applicable SEC regulations and meets the financial sophistication requirements of the Nasdaq Marketplace Rules. Both our independent
registered public accounting firm and management periodically meet privately with our audit committee.

Committee

 Our
compensation committee consists of Dr. Shrivastava, who is the chair of the committee, Mr. Gray and Mr. Jenusaitis. Our board of directors
has determined that each of the members of our compensation committee is an outside director, as defined pursuant to Section 162(m) of
the Internal Revenue Code of 1986, as amended, or the Code, and satisfies the Nasdaq Marketplace Rules independence requirements. The
functions of this committee include, among other things:

 reviewing, modifying and
 approving (or if it deems appropriate, making recommendations to the full board of directors regarding) our overall compensation
 strategy and policies;

 reviewing and approving
 the compensation, the performance goals and objectives relevant to the compensation, and other terms of employment of our Chief Executive
 Officers and our other executive officers;

 reviewing and approving
 (or if it deems appropriate, making recommendations to the full board of directors regarding) the equity incentive plans, compensation
 plans and similar programs advisable for us, as well as modifying, amending or terminating existing plans and programs;

 reviewing and approving
 the terms of any employment agreements, severance arrangements, change in control protections and any other compensatory arrangements
 for our executive officers;

 reviewing with management
 and approving our disclosures under the caption "Compensation Discussion and Analysis" in our periodic reports or proxy
 statements to be filed with the SEC; and

 preparing the report that
 the SEC requires in our annual proxy statement.

 Nominating
and Corporate Governance Committee

 Our
nominating and corporate governance committee consists of Dr. Duhay, who is the chair of the committee, Mr. Jenusaitis and Dr. Shrivastava.
Our board of directors has determined that each of the members of this committee satisfies the Nasdaq Marketplace Rules independence
requirements. The functions of this committee include, among other things:

 identifying, reviewing
 and evaluating candidates to serve on our board of directors consistent with criteria approved by our board of directors;

 evaluating director performance
 on our board of directors and applicable committees of our board of directors and determining whether continued service on our board
 of directors is appropriate;

 evaluating, nominating
 and recommending individuals for membership on our board of directors; and

 evaluating nominations
 by stockholders of candidates for election to our board of directors.

 Code
of Conduct

 Our
board of directors has adopted a written code of conduct that applies to our directors, officers and employees, including our principal
executive officer, principal financial officer, principal accounting officer or controller, or persons performing similar functions.
We have posted on our website a current copy of the code and all disclosures that are required by law or Nasdaq Marketplace Rules concerning
any amendments to, or waivers from, any provision of the code.

 Insider
Trading Policy

 The
Company has adopted an insider trading policy governing the purchase, sale, and/or other dispositions of the Company's securities
by directors, officers and employees. The policy is designed to promote compliance with insider trading laws, rules and regulations,
and any listing standards applicable to the Company.

 Board
Leadership Structure

 Our
board of directors is free to select the Chairman of the board of directors and a Chief Executive Officer in a manner that it considers
to be in the best interests of our company at the time of selection. Currently, Robert A. Berman serves as our Chief Executive Officer.
The office of the Chairman of the board of directors has been vacant since May 2019. We currently believe that this leadership structure
is in our best interests and strikes an appropriate balance between our Chief Executive Officer's responsibility for the day-to-day
management of our company and the Chairman of the board of directors' responsibility to provide oversight, including setting the
board of directors' meeting agendas and presiding at executive sessions of the independent directors. Additionally, four of our
five members of our board of directors have been deemed to be "independent" by the board of directors, which we believe provides
sufficient independent oversight of our management. Our board of directors has not designated a lead independent director.

 Our
board of directors, as a whole and also at the committee level, plays an active role overseeing the overall management of our risks.
Our Audit Committee reviews risks related to financial and operational items with our management and our independent registered public
accounting firm. Our board of directors is in regular contact with our Chief Executive Officer, who reports directly to our board of
directors and who supervises day-to-day risk management.

 Role
of Board in Risk Oversight Process

 Our
board of directors believes that risk management is an important part of establishing, updating and executing on our business strategy.
Our board of directors has oversight responsibility relating to risks that could affect the corporate strategy, business objectives,
compliance, operations, and the financial condition and performance of our company. Our board of directors focuses its oversight on the
most significant risks facing us and on our processes to identify, prioritize, assess, manage and mitigate those risks. Our board of
directors receives regular reports from members of our senior management on areas of material risk to us, including strategic, operational,
financial, legal and regulatory risks. While our board of directors has an oversight role, management is principally tasked with direct
responsibility for management and assessment of risks and the implementation of processes and controls to mitigate their effects on us.

 Certain
Legal Proceedings

 None
of the Company's directors or executive officers have been involved, in the past ten years and in a manner material to an evaluation
of such director's or officer's ability or integrity to serve as a director or executive officer, in any of those "Certain
Legal Proceedings" more fully detailed in Item 401(f) of Regulation S-K, which include but are not limited to, bankruptcies, criminal
convictions and an adjudication finding that an individual violated federal or state securities laws.

 ITEM
 11.

 Executive Compensation

 The
following table sets forth total compensation paid to our named executive officers for the years ended December 31, 2023 and 2022. Individuals
we refer to as our "named executive officers" include our current Chief Executive Officer, our current Chief Financial Officer
and our other most highly compensated executive officer whose salary and bonus for services rendered in all capacities exceeded $100,000
during the fiscal year ended December 31, 2023.

 Name and Principal Position

 Year

 Salary
 ($)

 Bonus
 ($)

 Option
 Awards
 ($)

 Other Equity
 Incentive Plan
 ($)

 Nonqualified
 Deferred
 Earnings
 ($)

 All Other
 ($)

 Total
 ($)

 Robert A. Berman

 2023

 500,000

 500,000

 854,393
 (1)

 -

 16,491
 (6)

 1,870,884

 Chief Executive Officer

 2022

 450,000

 -

 -

 -

 16,476
 (7)

 466,476

 Craig Glynn

 2023

 250,000

 50,000

 213,598
 (2)

 -

 13,693
 (8)

 527,291

 Chief Financial Officer

 2022

 225,000

 -

 -

 -

 3,821
 (9)

 228,821

 Marc H. Glickman, M.D.

 2023

 367,500

 73,500

 284,798
 (3)

 -

 50,586
 (10)

 776,384

 Chief Medical Officer and Senior Vice President

 2022

 350,000

 -

 -

 -

 -

 54,973
 (11)

 404,973

 Dr. Hamed Alavi

 2023

 300,000

 60,000

 284,798
 (4)

 -

 24,390
 (12)

 669,188

 Senior Vice President & Chief Technology Officer

 2022

 240,000

 -

 467,032
 (5)

 -

 20,966
 (13)

 727,998

 (1)

 fair value of 300,000 stock options granted on December 5, 2023, computed in accordance with FASB ASC Topic 718. The options vest

 (2)

 fair value of 75,000 stock options granted on December 5, 2023, computed in accordance with FASB ASC Topic 718. The options vest

 (3)

 fair value of 100,000 stock options granted on December 5, 2023, computed in accordance with FASB ASC Topic 718. The options vest

 (4)

 fair value of 100,000 stock options granted on December 5, 2023, computed in accordance with FASB ASC Topic 718. The options vest

 (5)

 fair value of 100,000 stock options granted on November 30, 2022, computed in accordance with FASB ASC Topic 718. The options vest

 (6)

 of $1,241 and 401(k) match of $15,250.

 (7)

 of $1,226 and 401(k) match of $15,250.

 (8)

 of $1,241 and 401(k) match of $12,452.

 (9)

 of $1,225 and 401(k) match of $2,596.

 (10)

 of $35,336 and 401(k) match of $15,250.

 (11)

 of $39,723 and 401(k) match of $15,250.

 (12)

 of $9,505 and 401(k) match of $14,885.

 (13)

 of $9,211 and 401(k) match of $11,755.

 Employment
Agreements

 We
have entered into various employment agreements with certain of our executive officers. Set forth below is a summary of many of the material
provisions of such agreements, which summaries do not purport to contain all of the material terms and conditions of each such agreement.
For purposes of the following employment agreements:

 "Cause" generally
 means the executive's (i) willful misconduct or gross negligence in the performance of his or her duties to us; (ii) willful
 failure to perform his or her duties to us or to follow the lawful directives of the Chief Executive Officer (other than as a result
 of death or disability); (iii) indictment for, conviction of or pleading of guilty or nolo contendere to, a felony or any crime involving
 moral turpitude: (iv) repeated failure to cooperate in any audit or investigation of our business or financial practices; (v) performance
 of any material act of theft, embezzlement, fraud, malfeasance, dishonesty or misappropriation of our property; or (vi) material
 breach of his or her employment agreement or any other material agreement with us or a material violation of our code of conduct
 or other written policy.

 "Good reason"
 generally means, subject to certain notice requirements and cure rights, without the executive's consent, (i) material diminution
 in his or her base salary or annual bonus opportunity; (ii) material diminution in his or her authority or duties (although a change
 in title will not constitute "good reason"), other than temporarily while physically or mentally incapacitated, as required
 by applicable law; (iii) relocation of his or her primary work location by more than 25 miles from its then current location; or
 (iv) a material breach by us of a material term of the employment agreement.

 "Change of control"
 generally means (i) the acquisition, other than from us, by any individual, entity or group (within the meaning of Section 13(d)(3)
 or Section 14(d)(2) of the Exchange Act), other than us or any subsidiary, affiliate (within the meaning of Rule 144 promulgated
 under the Securities Act) or employee benefit plan of ours, of beneficial ownership (within the meaning of Rule 13d-3 promulgated
 under the Exchange Act) of more than 50% of the combined voting power of our then outstanding voting securities entitled to vote
 generally in the election of directors; (ii) a reorganization, merger, consolidation or recapitalization of us, other than a transaction
 in which more than 50% of the combined voting power of the outstanding voting securities of the surviving or resulting entity immediately
 following such transaction is held by the persons who, immediately prior to the transaction, were the holders of our voting securities;
 or (iii) a complete liquidation or dissolution of us, or a sale of all or substantially all of our assets.

A. Berman

 On
March 30, 2018, we entered into an employment agreement with Robert A. Berman, our current Chief Executive Officer and director.
Pursuant to the terms of his employment agreement, Mr. Berman's base salary was initially $400,000, subject to annual review
and adjustment at the discretion of our compensation committee. In November 2021 the board of directors increased Mr. Berman's
base salary to $450,000 for 2022 and $500,000 commencing in 2023. Mr. Berman also participates in an annual discretionary bonus pool
where he is eligible for a bonus of up to 60% of his base salary, subject to the achievement of key performance indicators, as
determined by our compensation committee, and may also receive additional discretionary bonuses as determined by our compensation
committee. Mr. Berman's employment agreement may be terminated at any time with or without cause and with or without notice or
for good reason thereunder.

 Mr. Berman is entitled to participate
in our employee benefit, pension and/or profit sharing plans, and we will pay certain health and dental premiums on his behalf. Mr. Berman's
employment agreement prohibits him from inducing, soliciting or entertaining any of our employees to leave our employ during the term
of the agreement and for 12 months thereafter.

 Pursuant to the terms of his employment
agreement, Mr. Berman is entitled to severance in the event of certain terminations of employment. In the event Mr. Berman's employment
is terminated by us without cause and other than by reason of disability or he resigns for good reason, subject to his timely executing
a release of claims in our favor and in addition to certain other accrued benefits, he is entitled to receive 12 months of continued base
salary (or 24 months if such termination occurs within 24 months following a change of control).

 In connection with his employment, Mr. Berman received an initial equity grant of an option to
purchase 43,209 shares for $10.00 per share, with 8,642 vesting on the date of his Employment Agreement, March 30, 2018, and the
remaining 80% vested ratably on a monthly basis over the following 24 months. In February 2021, the board of directors approved an
option grant to Mr. Berman to purchase 838,000 shares of common stock at an exercise price of $8.20 per shares (the closing price of
the Company's common stock on February 18, 2021). The stock option vested in equal quarterly installments over a two-year
period. In November 2021, the board of directors approved an option grant to Mr. Berman to purchase 349,781 shares of common stock
at an exercise price of $6.70 per shares (the closing price of the Company's common stock on November 30, 2021). The stock
option vests in equal quarterly installments over a three-year period. Also in November 2021, the board of directors granted Mr.
Berman 200,000 restricted stock units. The restricted stock units were initially subject to milestone-based vesting as follows: (i)
50% upon SAVVE (Surgical Anti-reflux Venous Valve Endoprosthesis) endpoints being achieved, and (ii) 50% upon the Pre-Market
Approval of the VenoValve. On December 5, 2023, the Board removed the first vesting condition and conditioned vesting of all 200,000
of the restricted stock units on the Pre-Market Approval of the VenoValve. In December 2023, the board of directors approved an
option grant to Mr. Berman to purchase 300,000 shares of common stock at an exercise price of $3.59 per shares (the closing price of
the Company's common stock on December 4, 2023). The stock option vests in equal quarterly installments over a three-year
period. Additionally, the board of directors paid Mr. Berman a cash
bonus of $500,000 for 2023.

 Craig
Glynn

 On
February 19, 2021, the Company entered into an employment agreement with Mr. Glynn, in connection with Mr. Glynn's elevation
to full time Chief Financial Officer, treasurer and secretary of the Company. Pursuant to the employment agreement, Mr. Glynn
provided for an initial salary of $225,000 per year, subject to annual review and adjustment at the discretion of the Board. In
November 2022 the board of directors increased Mr. Glynn's base salary to $250,000. Mr. Glynn also participates in an annual
year-end discretionary bonus pool where he is eligible for a bonus of up to 20% of his base salary, subject to the achievement of
key performance indicators, as determined by our compensation committee, and may also receive additional discretionary bonuses as
determined by our compensation committee. The board of directors paid Mr. Glynn a cash bonus of $50,000 for 2023. The
employment agreement further provides that Mr. Glynn is entitled to participate in any employee benefit plans that the Company has
adopted or may adopt.

 Pursuant
to the terms of the employment agreement, Mr. Glynn's employment is terminable due to Mr. Glynn's disability or death, for
"Cause" (as defined in the employment agreement) or without "Cause" by the Company, and for "Good Reason"
(as defined in the employment agreement) or voluntarily by Mr. Glynn. In the event of Mr. Glynn's death or disability, or termination
for "Cause" by the Company or without "Good Reason" by Mr. Glynn, Mr. Glynn (or his estate) is entitled to receive
any unpaid base salary through the termination date, reimbursement for unreimbursed business expenses, accrued but unused vacation time
in accordance with the Company's policy and any other payments or benefits that Mr. Glynn is entitled to in accordance with any
Company benefit plans (collectively, the "Accrued Benefits"). Upon termination without "Cause" (other than by
reason of death or disability) or resignation for "Good Reason," Mr. Glynn will be entitled to three months of severance
for each year Mr. Glynn is employed up to one year of severance, in addition to all Accrued Benefits. Any outstanding unvested securities
owned by Mr. Glynn on the termination date will vest (or terminate) in accordance with the terms of such grant.

 In February 2021, the board of directors approved an option grant to Mr. Glynn to purchase 324,000 shares of common
stock of the Company at an exercise price of $8.20 per shares (the closing price of the Company's common stock on February 18, 2021).
The stock options vest in equal quarterly installments over a three-year period with a six-month cliff. In November 2021, the board of
directors approved an option grant to Mr. Glynn to purchase 125,925 shares of common stock at an exercise price of $6.70 per shares (the
closing price of the Company's common stock on November 30, 2021). The stock option vests in equal quarterly installments over a
three-year period. In November 2021, the board of directors granted Mr. Glynn 50,000 restricted stock units. The restricted stock units
were initially subject to milestone-based vesting as follows: (i) 50% upon SAVVE (Surgical Anti-reflux Venous Valve Endoprosthesis) endpoints
being achieved, and (ii) 50% upon the Pre-Market Approval of the VenoValve. On December 5, 2023, the Board removed the first vesting condition
and conditioned vesting of all 50,000 of the restricted stock units on the Pre-Market Approval of the VenoValve. In December 2023, the
board of directors approved an option grant to Mr. Glynn to purchase 75,000 shares of common stock at an exercise price of $3.59 per shares
(the closing price of the Company's common stock on December 4, 2023). The stock option vests in equal quarterly installments over
a three-year period.

 Marc
H. Glickman, M.D.

 On
July 22, 2016, we entered into an employment agreement with Marc H. Glickman, M.D., our Senior Vice President and Chief Medical Officer
(the "Pre-existing Employment Agreement"). Pursuant to the terms of his Pre-existing Employment Agreement, Dr. Glickman's
base salary was $300,000, subject to annual review and adjustment at the discretion of our board of directors. In connection with his Pre-existing Employment Agreement, Dr. Glickman received an initial equity
grant of an option to purchase up to 7,380 shares of our common stock with 20% of the shares vesting immediately and 80% vesting on a
monthly basis over 24 months thereafter. The initial term of Dr. Glickman's Pre-existing Employment Agreement ended on December
31, 2018 and was automatically extended for an additional three-year term.

 On
July 26, 2019, we entered into an employment agreement with Dr. Glickman (the "New Employment Agreement") that supersedes
the terms of the Pre-existing Employment Agreement. Pursuant to the terms of the New Employment Agreement, Dr. Glickman's base
salary is $350,000 per year, subject to annual review and adjustment at the discretion of the Board. In December 2022, the board of directors
increased Mr. Glickman's base salary to $367,500. Dr. Glickman also participates in an annual year-end discretionary bonus
pool where he is eligible for a bonus of up to 20% of his base salary, subject to the achievement of key performance indicators, as determined
by our compensation committee, and may also receive additional discretionary bonuses as determined by our compensation committee.

 In connection with entering into the New Employment Agreement, Dr. Glickman's
existing seven thousand three hundred and eighty (7,380) options ("Existing Options") to purchase Company common stock at
two hundred and fifty dollars ($250.00) per share until October 1, 2026, were repriced to fifty dollars ($50.00) per share. Additionally,
Dr. Glickman, in connection with the New Employment Agreement, was granted stock options for the right to purchase seven thousand two
hundred (7,200) common stock at a price equal to fifty dollars ($50.00) per share exercisable until July 26, 2029, which vested quarterly
over a three (3) year period.

 Pursuant to the terms of the New
Employment Agreement, Dr. Glickman is an at-will employee and is entitled to severance in the event of certain terminations of his employment.
In the event that Dr. Glickman's employment is terminated by the Company without Cause (as defined in the New Employment Agreement),
other than by reason of Disability (as defined in the New Employment Agreement), or he resigns for Good Reason (as defined in the New
Employment Agreement), subject to his timely executing a release of claims in favor of the Company and in addition to certain other accrued
benefits, Dr. Glickman is entitled to receive three months of his base salary for each year that he has been employed by the Company at
the time of termination, up to a total of one year of his base salary.

 In February 2021, the board of directors approved an option grant to Dr. Glickman to purchase 406,000 shares
of common stock at an exercise price of $8.20 per shares (the closing price of the Company's common stock on February 18, 2021).
The stock option vested in equal quarterly installments over a two-year period. In November 2021, the board of directors approved an
option grant to Mr. Glickman to purchase 265,700 shares of common stock at an exercise price of $6.70 per shares (the closing price of
the Company's common stock on November 30, 2021). The stock option vests in equal quarterly installments over a three-year period.
Also in November 2021, the board of directors granted Mr. Glickman 100,000 restricted stock units. The restricted stock units were initially
subject to milestone-based vesting as follows: (i) 50% upon SAVVE (Surgical Anti-reflux Venous Valve Endoprosthesis) endpoints being
achieved, and (ii) 50% upon the Pre-Market Approval of the VenoValve. On December 5, 2023, the Board removed the first vesting condition
and conditioned vesting of all 100,000 of the restricted stock units on the Pre-Market Approval of the VenoValve. In December 2023, the
board of directors approved an option grant to Mr. Glickman to purchase 100,000 shares of common stock at an exercise price of $3.59
per shares (the closing price of the Company's common stock on December 4, 2023). The stock option vests in equal quarterly installments
over a three-year period. Additionally, the board of directors paid Mr. Glickman a cash bonus of $73,500 for 2023.

 Hamed
Alavi

 On
July 29, 2020, we entered into an employment agreement with Dr. Hamed Alavi, our Senior Vice President and Chief Technology Officer
(the "Employment Agreement"). Pursuant to the terms of the Employment Agreement, Mr. Alavi's base salary was
$190,000, subject to annual review and adjustment at the discretion of our board of directors. Mr. Alavi also participates in an
annual year-end discretionary bonus pool where he is eligible for a bonus of up to 25% of his base salary, subject to the
achievement of key performance indicators, as determined by our compensation committee, and may also receive additional
discretionary bonuses as determined by our compensation committee. In November 2021 the board of directors increased Mr. Alavi's base salary to $240,000 and, in November 2022, the board of
directors increased Mr. Alavi's annual base salary to $300,000. Additionally, the board of directors paid Mr. Alavi a cash
bonus of $60,000 for 2023.

 Pursuant to the terms of the employment
agreement, Mr. Alavi's employment is terminable due to Mr. Alavi's disability or death, for "Cause" (as defined
in the employment agreement) or without "Cause" by the Company, and for "Good Reason" (as defined in the employment
agreement) or voluntarily by Mr. Alavi. In the event of Mr. Alavi's death or disability, or termination for "Cause"
by the Company or without "Good Reason" by Mr. Alavi, Mr. Alavi (or his estate) is entitled to receive any unpaid base salary
through the termination date, reimbursement for unreimbursed business expenses, accrued but unused vacation time in accordance with the
Company's policy and any other payments or benefits that Mr. Alavi is entitled to in accordance with any Company benefit plans (collectively,
the "Accrued Benefits"). Upon termination without "Cause" (other than by reason of death or disability) or resignation
for "Good Reason," Mr. Alavi will be entitled to three months of severance for each year Mr. Alavi is employed up to one year
of severance, in addition to all Accrued Benefits. Any outstanding unvested securities owned by Mr. Alavi on the termination date will
vest (or terminate) in accordance with the terms of such grant.

In February 2021, the board of directors approved an option grant to Mr. Alavi to purchase 320,000 shares of common stock of the
Company at an exercise price of $8.20 per shares (the closing price of the Company's common stock on February 18, 2021). The
stock options vest in equal quarterly installments over a three year period with a six month cliff. In November 2021, the board of
directors approved an option grant to Mr. Alavi to purchase 125,925 shares of common stock at an exercise price of $6.70 per shares
(the closing price of the Company's common stock on November 30, 2021). The stock option vests in equal quarterly installments
over a three year period. Also in November 2021, the board of directors granted Mr. Alavi 50,000 restricted stock units. The
restricted stock units were initially subject to milestone-based vesting as follows: (i) 50% upon SAVVE (Surgical Anti-reflux Venous
Valve Endoprosthesis) endpoints being achieved, and (ii) 50% upon the Pre-Market Approval of the VenoValve. On December 5, 2023, the
Board removed the first vesting condition and conditioned vesting of all 50,000 of the restricted stock units on the Pre-Market
Approval of the VenoValve. In December 2023, the board of directors approved an option grant to Mr. Alavi to purchase 100,000 shares
of common stock at an exercise price of $3.59 per shares (the closing price of the Company's common stock on December 4,
2023). The stock option vests in equal quarterly installments over a three-year period. The employment agreement further provides
that Mr. Alavi is entitled to participate in any employee benefit plans that the Company has adopted or may adopt.

 Potential
Payments Upon Termination or Change-in-Control

 Pursuant
to the terms of the employment agreements discussed above, we will pay severance in the event of certain terminations of employment.
In the event employment is terminated by us without cause and other than by reason of disability or if the executive resigns for good
reason, subject to his or her timely executing a release of claims in our favor and in addition to certain other accrued benefits, he
or she is entitled to receive severance pursuant to the terms of his or her employment agreements discussed above.

 Outstanding
Equity Awards at Fiscal Year-End

 The
following table sets forth information regarding equity awards held by our named executive officers as of December 31, 2023.

 Name

 securities
 underlying
 unexercised
 options (#)
 exercisable

 securities
 underlying
 unexercised
 options (#)
 unexercisable

 incentive plan
 awards:
 securities
 underlying
 unexercised
 unearned
 options (#)

 Option
 exercise
 price
 ($)

 Option
 expiration date

 Robert A. Berman,

 43,209
 (1)

 -

 N/A

 $
 10.00

 September 23, 2028

 Chief Executive Officer

 40,000
 (2)

 -

 $
 10.00

 July 18, 2030

 838,000
 (3)

 -

 $
 8.20

 February 18, 2031

 233,187
 (4)

 116,594
 (4)

 $
 6.70

 November 30, 2031

 7,222
 (10)

 292,778
 (10)

 $
 3.59

 December 2, 2033

 Marc H. Glickman, M.D.

 7,200
 (5)

 -

 N/A

 $
 50.00

 July 25, 2029

 Chief Medical Officer and

 7,380
 (5)

 -

 N/A

 $
 50.00

 October 1, 2026

 Senior Vice President

 40,000
 (2)

 -

 -

 $
 10.00

 July 18, 2030

 406,000
 (3)

 -

 $
 8.20

 February 18, 2031

 177,133
 (4)

 88,567
 (4)

 $
 6.70

 November 30, 2031

 2,407
 (10)

 97,593
 (10)

 $
 3.59

 December 2, 2033

 Craig Glynn,

 4,000
 (7)

 -

 N/A

 $
 10.00

 July 18, 2030

 Chief Financial Officer (6)

 309,900
 (8)

 14,100
 (8)

 $
 8.20

 February 18, 2031

 83,950
 (4)

 41,975
 (4)

 $
 6.70

 November 30, 2031

 1,806
 (10)

 73,194
 (10)

 $
 3.59

 December 2, 2033

 Dr. Hamed Alavi

 8,000
 (7)

 -
 (7)

 N/A

 $
 10.00

 July 18, 2030

 Senior Vice President and

 306,076
 (8)

 13,924
 (8)

 $
 8.20

 February 18, 2031

 Chief Technology Officer

 83,950
 (4)

 41,975
 (4)

 $
 6.70

 November 30, 2031

 33,332
 (9)

 66,668
 (9)

 $
 6.70

 November 30, 2032

 2,407
 (10)

 97,593
 (10)

 $
 3.59

 December 2, 2033

 (1)

 September 24, 2018, and vested 20% on the date of his Employment Agreement, March 30, 2018, and the remaining 80% vests ratably on
 a monthly basis over the 24 months following the date of his Employment Agreement.

 (2)

 July 18, 2020 and vest ratably on a monthly basis over 36 months.

 (3)

 February 18, 2021 and vest ratably on a quarterly basis over two years.

 (4)

 November 30, 2021 and vest ratably on a quarterly basis over three years.

 (5)

 On July 26, 2019, the Company
 entered a new employment agreement with Dr. Glickman that superseded the terms of his existing employment agreement. In connection
 with entering into the new employment agreement, Dr. Glickman's existing 7,380 options that were granted on October 1, 2016
 were repriced from $250.00 to $50.00 per share. Additionally, on July 26, 2019, Dr. Glickman was granted 7,200 options at $50.00
 per share vesting quarterly over a three-year period.

 (6)

 Mr. Glynn was elevated
 to permanent Chief Financial Officer in January 2021.

 (7)

 July 18, 2020 and vest ratably on a quarterly basis over three years.

 (8)

 February 18, 2021 and vest ratably on a quarterly basis over three years.

 (9)

 November 30, 2022 and vest ratably on a quarterly basis over three years.

 (10)

 December 5, 2023 and vest ratably on a quarterly basis over three years.

 Name

 Grant Date

 unearned
 restricted
 stock units
 that have not
 vested

 Market
 value of
 unearned
 restricted
 stock units
 that have not
 vested (a)

 Robert A. Berman, Chief Executive Officer

 11/30/2021

 200,000
 (1)

 $
 1,028,000

 Marc H. Glickman, M.D., Chief Medical Officer and Senior Vice President

 11/30/2021

 100,000
 (1)

 $
 514,000

 Craig Glynn, Chief Financial Officer

 11/30/2021

 50,000
 (1)

 $
 257,000

 Dr. Hamed Alavi, Senior Vice President and Chief Technology Officer

 11/30/2021

 50,000
 (1)

 $
 257,000

 (a)

 Determined by multiplying
 the number of restricted stock units that have not vested by $5.14, the closing price of NVNO's common stock on December 30,
 2023, the last trading day of 2023.

 (1)

 On November 30, 2021, Mr.
 Berman was granted 200,000 restricted stock units, Dr. Glickman was granted 100,000 restricted stock units, Mr. Glynn was granted
 50,000 restricted stock units and Mr. Alavi was granted 50,000 restricted stock units. The restricted stock units were initially
 subject to milestone-based vesting as follows: (i) 50% upon SAVVE (Surgical Anti-reflux Venous Valve Endoprosthesis) endpoints being
 achieved, and (ii) 50% upon the Pre-Market Approval of the VenoValve. On December 5, 2023, the Board removed the first vesting condition
 and conditioned vesting of all of the restricted stock units on the Pre-Market Approval of the VenoValve.

 Employee
Benefit Plans

 Amended
and Restated 2016 Omnibus Incentive Plan

 On
October 1, 2016, our board of directors and our stockholders adopted and approved the enVVeno Medical Corporation 2016 Omnibus Incentive
Plan, and, subsequently, on April 26, 2018, our board of directors and our stockholders adopted and approved the Amended and Restated
2016 Omnibus Incentive Plan which was subsequently amended by Amendment No. 1 to the Amended and Restated 2016 Omnibus Incentive Plan
following receipt of stockholder approval on December 17, 2020 and by Amendment No. 2 to the Amended and Restated 2016 Omnibus Incentive
Plan following receipt of stockholder approval on November 30, 2021 (as amended, the "2016 Plan"). The principal features
of the 2016 Plan are summarized below. This summary is qualified in its entirety by reference to the text of the 2016 Plan, which is
filed as an exhibit to this Annual Report on Form 10-K.

 Share
Reserve

 We
currently have reserved 6,939,796 shares of our common stock for issuance under the 2016 Plan, provided, however, if at any time the
Company issues additional shares of Common Stock or securities that are convertible or exercisable into shares of Common Stock (other
than pursuant to the Plan) then the number of shares authorized to be awarded under the Plan shall increase to an amount equal to no
less than 20% of the issued and outstanding shares of common stock of the Company on a fully diluted basis. Such increase, if any, shall
occur automatically upon each applicable issuance of securities by the Company. All shares available for issuance under the Plan may
be granted as incentive stock options under Code Section 422. The shares of common stock issuable under the 2016 Plan will consist of
authorized and unissued shares, treasury shares or shares purchased on the open market or otherwise, all as determined by our company
from time to time.

 If
any award is cancelled, terminates, expires or lapses for any reason prior to the issuance of shares or if shares are issued under the
2016 Plan and thereafter are forfeited to us, the shares subject to such awards and the forfeited shares will not count against the aggregate
number of shares of common stock available for grant under the 2016 Plan. In addition, the following items will not count against the
aggregate number of shares of common stock available for grant under the 2016 Plan: (1) shares issued under the 2016 Plan repurchased
or surrendered at no more than cost or pursuant to an option exchange program, (2) any award that is settled in cash rather than by issuance
of shares of common stock, (3) shares surrendered or tendered in payment of the option price or purchase price of an award or any taxes
required to be withheld in respect of an award or (4) awards granted in assumption of or in substitution for awards previously granted
by an acquired company.

 Administration

 The
2016 Plan may be administered by our board of directors or our compensation committee. Our compensation committee, in its discretion,
selects the individuals to whom awards may be granted, the time or times at which such awards are granted and the terms and conditions
of such awards. Our board of directors also has the authority, subject to the terms of the 2016 Plan, to amend existing options (including
to reduce the option's exercise price), to institute an exchange program by which outstanding options may be surrendered in exchange
for options that may have different exercise prices and terms, restricted stock, and/or cash or other property.

 Eligibility

 Awards
may be granted under the 2016 Plan to officers, employees, directors, consultants and advisors of us and our affiliates. Incentive stock
options may be granted only to employees of us or our subsidiaries.

 Awards

 The
2016 Plan permits the granting of any or all of the following types of awards:

 Stock Options. Stock
 options entitle the holder to purchase a specified number of shares of common stock at a specified price (the exercise price), subject
 to the terms and conditions of the stock option grant. Our compensation committee may grant either incentive stock options, which
 must comply with Code Section 422, or nonqualified stock options. Our compensation committee sets exercise prices and terms and conditions,
 except that stock options must be granted with an exercise price not less than 100% of the fair market value of our common stock
 on the date of grant (excluding stock options granted in connection with assuming or substituting stock options in acquisition transactions).
 Unless our compensation committee determines otherwise, fair market value means, as of a given date, the closing price of our common
 stock. At the time of grant, our compensation committee determines the terms and conditions of stock options, including the quantity,
 exercise price, vesting periods, term (which cannot exceed 10 years) and other conditions on exercise.

 Stock Appreciation Rights.
 Our compensation committee may grant SARs, as a right in tandem with the number of shares underlying stock options granted under
 the 2016 Plan or as a freestanding award. Upon exercise, SARs entitle the holder to receive payment per share in stock or cash, or
 in a combination of stock and cash, equal to the excess of the share's fair market value on the date of exercise over the grant
 price of the SAR. The grant price of a tandem SAR is equal to the exercise price of the related stock option and the grant price
 for a freestanding SAR is determined by our compensation committee in accordance with the procedures described above for stock options.
 Exercise of a SAR issued in tandem with a stock option will reduce the number of shares underlying the related stock option to the
 extent of the SAR exercised. The term of a freestanding SAR cannot exceed 10 years, and the term of a tandem SAR cannot exceed the
 term of the related stock option.

 Restricted Stock, Restricted
 Stock Units and Other Stock-Based Awards. Our compensation committee may grant awards of restricted stock, which are shares of
 common stock subject to specified restrictions, and restricted stock units, or RSUs, which represent the right to receive shares
 of our common stock in the future. These awards may be made subject to repurchase, forfeiture or vesting restrictions at our compensation
 committee's discretion. The restrictions may be based on continuous service with us or the attainment of specified performance
 goals, as determined by our compensation committee. Stock units may be paid in stock or cash or a combination of stock and cash,
 as determined by our compensation committee. Our compensation committee may also grant other types of equity or equity-based awards
 subject to the terms and conditions of the 2016 Plan and any other terms and conditions determined by our compensation committee.

 Performance Awards.
 Our compensation committee may grant performance awards, which entitle participants to receive a payment from us, the amount of which
 is based on the attainment of performance goals established by our compensation committee over a specified award period. Performance
 awards may be denominated in shares of common stock or in cash, and may be paid in stock or cash or a combination of stock and cash,
 as determined by our compensation committee. Cash-based performance awards include annual incentive awards.

 Clawback

 All
cash and equity awards granted under the 2016 plan will be subject to all applicable laws regarding the recovery of erroneously awarded
compensation pursuant to Rule 10D-1 of the Exchange Act, any implementing rules and regulations under such laws, any policies we adopted
to implement such requirements and any other compensation recovery policies as we may adopt from time to time, including our recently adopted clawback policy that was adopted in accordance with Nasdaq rules.

 Change
in Control

 Under
the 2016 Plan, in the event of a change in control (as defined in the 2016 Plan), outstanding awards will be treated in accordance with
the applicable transaction agreement. If no treatment is provided for in the transaction agreement, each award holder will be entitled
to receive the same consideration that stockholders receive in the change in control for each share of stock subject to the award holder's
awards, upon the exercise, payment or transfer of the awards, but the awards will remain subject to the same terms, conditions and performance
criteria applicable to the awards before the change in control, unless otherwise determined by our compensation committee. In connection
with a change in control, outstanding stock options and SARs can be cancelled in exchange for the excess of the per share consideration
paid to stockholders in the transaction, minus the option or SARs exercise price.

 Subject
to the terms and conditions of the applicable award agreements, awards granted to non-employee directors will fully vest on an accelerated
basis, and any performance goals will be deemed to be satisfied at target. For awards granted to all other service providers, vesting
of awards will depend on whether the awards are assumed, converted or replaced by the resulting entity.

 For awards that are not
 assumed, converted or replaced, the awards will vest upon the change in control. For performance awards, the amount vesting will
 be based on the greater of (1) achievement of all performance goals at the "target" level or (2) the actual level of
 achievement of performance goals as of our fiscal quarter end preceding the change in control, and will be prorated based on the
 portion of the performance period that had been completed through the date of the change in control.

 For awards that are assumed,
 converted or replaced by the resulting entity, no automatic vesting will occur upon the change in control. Instead, the awards, as
 adjusted in connection with the transaction, will continue to vest in accordance with their terms and conditions. In addition, the
 awards will vest if the award recipient has a separation from service within two years after a change in control by us other than
 for "cause" or by the award recipient for "good reason" (each as defined in the applicable award agreement).
 For performance awards, the amount vesting will be based on the greater of (1) achievement of all performance goals at the "target"
 level or (2) the actual level of achievement of performance goals as of our fiscal quarter end preceding the change in control, and
 will be prorated based on the portion of the performance period that had been completed through the date of the separation from service.

 Amendment
and Termination of the 2016 Plan

 Unless
earlier terminated by our board of directors, the 2016 Plan will terminate, and no further awards may be granted, 10 years after October
1, 2016, the date on which it was approved by our stockholders. Our board of directors may amend, suspend or terminate the 2016 Plan
at any time, except that, if required by applicable law, regulation or stock exchange rule, stockholder approval will be required for
any amendment. The amendment, suspension or termination of the 2016 Plan or the amendment of an outstanding award generally may not,
without a participant's consent, materially impair the participant's rights under an outstanding award.

 Limitation
of Liability and Indemnification Matters

 Our
amended and restated certificate of incorporation limits the liability of our directors for monetary damages for breach of their fiduciary
duties, except for liability that cannot be eliminated under the DGCL. Consequently, our directors will not be personally liable for
monetary damages for breach of their fiduciary duties as directors, except liability for any of the following:

 any breach of their duty
 of loyalty to us or our stockholders;

 acts or omissions not in
 good faith or that involve intentional misconduct or a knowing violation of law;

 unlawful payments of dividends
 or unlawful stock repurchases or redemptions as provided in Section 174 of the DGCL; or

 any transaction from which
 the director derived an improper personal benefit.

 Our
amended and restated bylaws also provide that we will indemnify our directors and executive officers and may indemnify our other officers
and employees and other agents to the fullest extent permitted by law. Our amended and restated bylaws also permit us to secure insurance
on behalf of any officer, director, employee or other agent for any liability arising out of his or her actions in this capacity, regardless
of whether our amended and restated bylaws would permit indemnification. We have obtained directors' and officers' liability
insurance.

 We
have entered into separate indemnification agreements with our directors and executive officers, in addition to indemnification provided
for in our amended and restated bylaws. These agreements, among other things, provide for indemnification of our directors and executive
officers for expenses, judgments, fines and settlement amounts incurred by this person in any action or proceeding arising out of this
person's services as a director or executive officer or at our request. We believe that these provisions and agreements are necessary
to attract and retain qualified persons as directors and executive officers.

 The
above description of the indemnification provisions of our amended and restated bylaws and our indemnification agreements is not complete
and is qualified in its entirety by reference to these documents, each of which is incorporated by reference as an exhibit to this Annual
Report on Form 10-K.

 The
limitation of liability and indemnification provisions in our amended and restated certificate of incorporation and amended and restated
bylaws may discourage stockholders from bringing a lawsuit against directors for breach of their fiduciary duties. They may also reduce
the likelihood of derivative litigation against directors and officers, even though an action, if successful, might benefit us and our
stockholders. A stockholder's investment may be harmed to the extent we pay the costs of settlement and damage awards against directors
and officers pursuant to these indemnification provisions. Insofar as indemnification for liabilities under the Securities Act may be
permitted to directors, officers or persons controlling us pursuant to the foregoing provisions, we have been informed that in the opinion
of the SEC such indemnification is against public policy as expressed in the Securities Act and may be unenforceable. There is no pending
litigation or proceeding naming any of our directors or officers as to which indemnification is being sought, nor are we aware of any
pending or threatened litigation that may result in claims for indemnification by any director or officer.

 The
Board determines the form and amount of director compensation after its review of recommendations made by the Compensation Committee.
A substantial portion of each director's annual retainer is in the form of equity. Under the Company's nonemployee director
compensation program members of the Board who are not also Company employees ("Non-Employee Directors") are granted options
worth up to thirty-seven thousand five hundred dollars ($37,500) per annum (the "Annual Award"). A Non-Employee Director
who is newly appointed to the Board other than in connection with an annual meeting of stockholders will generally receive a grant of
two thousand four hundred (2,400) options and RSUs worth up to seventy-five thousand dollars ($75,000) upon appointment (an "Initial
Award"), which covers their compensation for their first three years of service. The Initial Award and Annual Award to Non-Employee
Directors will vest as long as they remain directors in equal annual portions over three years following the date on which the award
is granted.

 The
table below shows the compensation paid to our non-employee directors during 2023 and 2022.

 Name

 Fees earned or paid in cash

 Stock awards ($)

 Option awards
 ($)(3)

 Non-equity incentive plan compensation ($)

 Nonqualified deferred compensation earnings
 ($)

 All other compensation
 ($)

 Total
 ($)

 Francis Duhay, M.D.

 2023

 $
 32,500

 -

 $
 (1)

 -

 -

 -

 $
 70,000

 2022

 $
 32,500

 -

 $
 (2)

 -

 -

 -

 $
 70,000

 Dr. Sanjay Shrivastava

 2023

 $

 -

 $
 (1)

 -

 -

 -

 $

 2022

 $

 -

 $
 (2)

 -

 -

 -

 $

 Robert Gray

 2023

 $
 40,000

 -

 $
 (1)

 -

 -

 -

 $
 77,500

 2022

 $
 40,000

 -

 $
 (2)

 -

 -

 -

 $
 77,500

 Matthew Jenusaitis

 2023

 $

 -

 $
 (1)

 -

 -

 -

 $

 2022

 $

 -

 $
 (2)

 -

 -

 -

 $

 (1)
Under the Company's nonemployee director compensation program, Dr. Duhay, Dr. Shrivastava, Mr. Gray and Mr. Jenusaitis were
each granted 8,403 options to purchase shares of our common stock on November 30, 2022, as part of their compensation for the year
ending December 31, 2023, at an exercise price of $6.70 per share. The options were valued at $4.46 per share as of the date of the
grant and vested in equal quarterly portions starting on March 31, 2023 and through December 31, 2023, such that they were fully
vested at December 31, 2023. The grant date value of each grant determined in accordance with FASB ASC Topic 718 was
$37,500.

 (2)
Under the Company's nonemployee director compensation program, Dr. Duhay, Dr. Shrivastava, Mr. Gray and Mr. Jenusaitis were each
granted 7,211 options to purchase shares of our common stock on November 30, 2021, as part of their compensation for the year ending
December 31, 2022, at an exercise price of $6.70 per share. The options were valued at $5.20 per share as of the date of the grant. The
grant date value of each grant determined in accordance with FASB ASC Topic 718 was $37,500.

 (3)
Under the Company's nonemployee director compensation program, Dr. Duhay, Dr. Shrivastava, Mr. Gray and Mr. Jenusaitis were each
granted 13,856 options to purchase shares of our common stock on December 5, 2023, as part of their compensation for the year ending
December 31, 2024, at an exercise price of $3.59 per share. The options were valued at $2.71 per share as of the date of the grant and
will vest in equal quarterly portions starting on March 31, 2024 and through December 31, 2024, such that they will fully vest at December
31, 2024. The grant date value of each grant determined in accordance with FASB ASC Topic 718 was $37,500.

 ITEM 12.

 Security
 Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters

 The
following table lists, as of February 27, 2024, the number of shares of common stock of our Company that are beneficially owned by
(i) each person or entity known to our Company to be the beneficial owner of more than 5% of the outstanding common stock; (ii) each
officer and director of our Company; and (iii) all officers and directors as a group.

 Applicable
percentage ownership is based on 13,317,000 shares of common stock outstanding as the date of this Form 10-K. We have determined beneficial
ownership in accordance with the rules of the SEC. These rules generally attribute beneficial ownership of securities to persons who
possess sole or shared voting or dispositive power with respect to such securities. In addition, pursuant to such rules, we deemed outstanding
shares of common stock subject to options or warrants held by that person that are currently exercisable or exercisable within 60 days
of February 27, 2023. We did not deem such shares outstanding, however, for the purpose of computing the percentage ownership of any
other person. Except as indicated by the footnotes below, we believe, based on the information furnished to us, that the beneficial owners
named in the table below have sole voting and dispositive power with respect to all shares of our common stock that they beneficially
own, subject to applicable community property laws.

 Beneficial Ownership

 Name and Address of Beneficial Owner (1)

 Shares

 Percentage

 5% Stockholders

 Perceptive Life Sciences Master Fund Ltd. (2)

 1,394,716

 9.9
 %

 Named Executive Officers and Directors

 Robert A. Berman (3)

 1,226,002

 8.4
 %

 Marc Glickman, M.D. (4)

 672,196

 4.8
 %

 Hamed Alavi (5)

 493,679

 3.6
 %

 Craig Glynn (6)

 430,499

 3.1
 %

 Francis Duhay, M.D. (7)

 52,062

 *

 Dr. Sanjay Shrivastava (8)

 35,039

 *

 Robert Gray (9)

 38,006

 *

 Matthew Jenusaitis (10)

 37,276

 *

 All directors and executive officers as a group (7 persons)

 2,984,758

 18.4
 %

 *
Represents beneficial ownership of less than 1%.

 (1)

 Except as otherwise noted
 below, the address for each person or entity listed in the table is c/o enVVeno Medical Corporation, 70 Doppler, Irvine, California
 92618.

 (2)

 Based on a Schedule 13G
filed by the Perceptive Live Sciences Master Fund Ltd. (the "Master Fund"). The Master Fund directly holds 623,315
 shares of common stock and 2,620,227 pre-funded warrants. The pre-funded warrants may not be exercised if the Master Fund would beneficially
 own more than 9.9% of the Company's outstanding shares of common stock after giving effect to such exercise. Perceptive Advisors
 serves as the investment manager to the Master Fund and may be deemed to beneficially own such shares. Mr. Edelman is the managing
 member of Perceptive Advisors and may be deemed to beneficially own such shares.

 (3)

 Includes 1,215,766 shares
 of common stock issuable upon exercise of options that are currently exercisable or exercisable within 60 days of February 27, 2024.

 (4)

 Includes 670,596 shares
 of common stock that are issuable upon exercise of options that are currently exercisable or exercisable within 60 days of February

 (5)

 Includes 493,679 shares
 of common stock that are issuable upon exercise of options that are currently exercisable or exercisable within 60 days of February

 (6)

 Includes 430,499 shares
 of common stock that are issuable upon exercise of options that are currently exercisable or exercisable within 60 days of February

 (7)

 Includes 31,151 shares
 of common stock that are issuable upon exercise of options that are currently exercisable or exercisable within 60 days of February

 (8)

 Includes 31,151 shares
 of common stock that are issuable upon exercise of options that are currently exercisable or exercisable within 60 days of February

 (9)

 Includes 30,351 shares
 of common stock that are issuable upon exercise of options that are currently exercisable or exercisable within 60 days of February

 (10)

 Includes 30,351 shares
 of common stock that are issuable upon exercise of options that are currently exercisable or exercisable within 60 days of February

 ITEM 13.

 Certain
 Relationships and Related Transactions, and Director Independence

 The
following is a description of transactions since January 1, 2023 to which we were a party in which (i) the amount involved exceeded or
will exceed the lesser of (A) $120,000 or (B) one percent of our average total assets at year end for the last two completed fiscal years
and (ii) any of our directors, executive officers or holders of more than 5% of our capital stock, or any member of the immediate family
of, or person sharing the household with, any of the foregoing persons, who had or will have a direct or indirect material interest,
other than equity and other compensation, termination, change in control and other similar arrangements, which are described under "Executive
Compensation."

 Perceptive
Life Sciences Master Fund, Ltd.

 Perceptive
Life Sciences Master Fund, Ltd. ("Perceptive"), a holder of greater than 5% of our Common Stock based on the Schedule 13G/A
filed by Perceptive on February 14, 2023, participated as an investor in a financing with the Company pursuant to a purchase agreement
that was executed on October 6, 2023. Pursuant to the purchase agreement, Perceptive purchased pre-funded warrants (the "Pre-Funded
Warrants") to purchase 861,192 shares of Common Stock, Tranche A Warrants (the "Tranche A Warrants") to purchase 861,192
shares of Common Stock, and Tranche B Warrants (the "Tranche B Warrants") to purchase 861,192 shares of Common Stock for
a combined purchase price per Pre-Funded Warrant and accompanying Tranche A Warrant and Tranche B Warrant of $5.8059. The warrants are
immediately exercisable at an exercise price of $6.945 per share for the Tranche A Warrants, $8.334 per share for the Tranche B Warrants,
and a nominal exercise price of $0.0001 per share for the Pre-Funded Warrants. The Tranche A Warrants will expire on the date that is
the earlier of (i) 5:00 p.m. Eastern time on the thirtieth (30th) calendar day following the release by the Company of initial top line
efficacy data including rVCSS data constituting a 3 or more point improvement for the SAVVE clinical trial or (ii) October 11, 2024.
The Tranche B Warrants will expire on the date that is the earlier of (i) 5:00 p.m. Eastern time on the thirtieth (30th) calendar day
following the PMA Approval by the U.S. FDA for the VenoValve or (ii) October 12, 2026. The Pre-Funded Warrants will terminate when they
are exercised in full. The offering closed on October 11, 2023.

 Indemnification
of Officers and Directors

 Our
amended and restated certificate of incorporation and amended and restated bylaws provide that we will indemnify each of our directors
and officers to the fullest extent permitted by the DGCL. Further, we intend to enter into indemnification agreements with each of our
directors and officers, and we intend to purchase a policy of directors' and officers' liability insurance that insures our
directors and officers against the cost of defense, settlement or payment of a judgment under certain circumstances. For further information,
see "Executive Compensation—Limitations of Liability and Indemnification Matters."

 To
the best of our knowledge, during the past two fiscal years, other than as set forth above, there were no material transactions, or series
of similar transactions, or any currently proposed transactions, or series of similar transactions, to which we were or are to be a party,
in which the amount involved exceeds the lesser of (A) $120,000 or (B) one percent of our average total assets at year end for the last
two completed fiscal years, and in which any director or executive officer, or any security holder who is known by us to own of record
or beneficially more than 5% of any class of our common stock, or any member of the immediate family of any of the foregoing persons,
has an interest (other than compensation to our officers and directors in the ordinary course of business).

 Policies
and Procedures for Related Party Transactions

 All
future transactions between us and our officers, directors or five percent stockholders, and respective affiliates will be on terms no
less favorable than could be obtained from unaffiliated third parties and will be approved by a majority of our independent directors
who do not have an interest in the transactions and who had access, at our expense, to our legal counsel or independent legal counsel.

Independence

 The
information provided in Item 10, under the subheading "Director Independence" is incorporated herein.

 ITEM 14.

 Principal
 Accounting Fees and Services

 Audit
Fees. The aggregate fees billed by Marcum LLP (" Marcum ") for professional services rendered for the audit of our
annual financial statements, review of the financial information included in our Forms 10-Q for the respective periods and other required
filings with the SEC for the years ended December 31, 2023 and 2022 totaled $177,000 and $197,000, respectively. The above amounts are for services rendered in connection with audits and reviews of financial statements and the
issuance of consents in connection with registration statements.

 All
Other Fees. None.

 Procedures
For Board of Directors Pre-Approval of Audit and Permissible Non-Audit Services of Independent Auditor

 Our
audit committee is ultimately responsible for reviewing and approving, in advance, any audit and any permissible non-audit engagement
or relationship between us and our independent registered public accounting firm. Our engagement of Marcum to conduct all audit and permissible
non-audit related activities incurred during fiscal years 2023 and 2022 were approved by our audit committee in accordance with these
procedures.

 PART
IV

 ITEM 15.

 Exhibits
 and Financial Statements Schedules

 1.

 Consolidated Financial
 Statements

 Our
financial statements and the notes thereto, together with the report of our independent registered public accounting firm on those financial
statements, are hereby filed as part of this report beginning on page F-1.

 2.

 Financial Statement Schedules

 All
financial statement schedules have been omitted since the required information is not applicable or is not present in amounts sufficient
to require submission of the schedule, or because the information required is included in the consolidated financial statements and notes
thereto.

 3.

 Exhibits

 The
following is a complete list of exhibits filed as part of this Form 10-K. Exhibit numbers correspond to the numbers in the Exhibit Table
of Item 601 of Regulation S-K.

 Exhibit
 Number

 Description

 3.1

 Fifth Amended and Restated Certificate of Incorporation (incorporated by reference to Exhibit 3.1 of the Registrant's Current Report on Form 8-K filed on September 16, 2020).

 3.2

 Amended and Restated Bylaws (incorporated by reference to Exhibit 3.2 to the Registrant's Current Report on Form 8-K filed on June 6, 2018).

 3.3

 Certificate of Amendment to the Fifth Amended and Restated Certificate of Incorporation (incorporated by reference to Exhibit 3.1 to the Registrant's Current Report on Form 8-K filed on December 2, 2020).

 3.4

 Certificate of Amendment to the Fifth Amended and Restated Certificate of Incorporation (incorporated by reference to Exhibit 3.1 to the Registrant's Current Report on Form 8-K filed on October 1, 2021).

 4.1

 Specimen common stock certificate (incorporated by reference to Exhibit 4.1 to the Registrant's Registration Statement on Form S-1 (No. 333-220372) filed on September 7, 2017).

 4.2

 Form of Warrant (incorporated by reference to Exhibit 4.1 to the Registrant's Current Report on Form 8-K filed on March 2, 2020).

 4.3

 Form of Warrant (incorporated by reference to Exhibit 4.1 to the Registrant's Current Report on Form 8-K filed on April 28, 2020).

 4.4

 Form of Warrant (incorporated by reference to Exhibit 4.1 to the Registrant's Current Report on Form 8-K filed on June 3, 2020).

 4.5

 Form of Warrant Agent Agreement, inclusive of Form of Warrant (incorporated by reference to Exhibit 4.1 to the Registrant's Current Report on Form 8-K filed on July 21, 2020).

 4.6

 Form of Private Placement Warrant (incorporated by reference to Exhibit 4.18 to the Registrant's Registration Statement on Form S-1/A (No. 333-239658) filed on July 16, 2020).

 4.7

 Form of Warrant (incorporated by reference to Exhibit 4.1 to the Registrant's Current Report on Form 8-K filed on October 8, 2020).

 4.8

 Form of Warrant Agent Agreement (including Form of Warrant Certificate) (incorporated by reference to Exhibit 4.20 to the Registrant's Registration Statement on Form S-1/A (No. 333 -251528) filed on February 5, 2021).

 4.9

 Form of Pre-Funded Warrant (incorporated by reference to Exhibit 4.1 to the Registrant's Current Report on Form 8-K filed on September 8, 2021).

 4.10

 Form of Warrant (incorporated by reference to Exhibit 4.2 to the Registrant's Current Report on Form 8-K filed on September 8, 2021).

 4.11

 Form of Pre-Funded Warrant (incorporated by reference to Exhibit 4.1 of the Registrant's Current Report on Form 8-K filed on October 12, 2023).

 4.12

 Form of Tranche A Warrant (incorporated by reference to Exhibit 4.2 of the Registrant's Current Report on Form 8-K filed on October 12, 2023).

 4.13

 Form of Tranche B Warrant (incorporated by reference to Exhibit 4.3 of the Registrant's Current Report on Form 8-K filed on October 12, 2023).

 4.14

 Form of Placement Agent Warrant (incorporated by reference to Exhibit 4.4 of the Registrant's Current Report on Form 8-K filed on October 12, 2023).

 4.15

 Description of the Company's Securities Registered under Section 12 of the Exchange Act (incorporated by reference to Exhibit 4.21 to the Registrant's Annual Report on Form 10-K for the year ended December 31, 2020)

 10.1

 Form of Indemnification Agreement (incorporated by reference to Exhibit 10.30 to the Registrant's Registration Statement on Form S-1/A (No. 333-220372) filed on December 14, 2017).

 10.2

 Employment Agreement, dated as of March 30, 2018, by and between the Registrant and Robert A. Berman. (incorporated by reference to Exhibit 10.47 to the Registrant's Registration Statement on Form S-1/A (No. 333-220372) filed on April 16, 2018).

 10.3

 Amended and Restated 2016 Omnibus Incentive Plan (incorporated by reference to Exhibit 10.50 to the Registrant's Registration Statement on Form S-1/A (No. 333-220372) filed on May 14, 2018).

 10.4

 Amendment No. 1 to Amended and Restated 2016 Omnibus Incentive Plan. (incorporated by reference to Exhibit 10.4 to the Registrant's Annual Report on Form 10-K for the year ended December 31, 2020).

 10.5

 Amendment No. 2 to Amended and Restated 2016 Omnibus Incentive Plan. (incorporated by reference to Exhibit 10.5 to the Registrant's Annual Report on Form 10-K for the year ended December 31, 2021).

 10.6

 Form of Stock Option Grant under Amended and Restated 2016 Omnibus Incentive Plan (incorporated by reference to Exhibit 10.44 to the Registrant's Annual Report on Form 10-K for the year ended December 31, 2018).

 10.7

 Form of Restricted Stock Unit under Amended and Restated 2016 Omnibus Incentive Plan (incorporated by reference to Exhibit 10.45 to the Registrant's Annual Report on Form 10-K for the year ended December 31, 2018).

 10.8

 Employment Agreement, dated as of July 26, 2019, by and between enVVeno Medical Corporation and Marc Glickman, M.D. (incorporated by reference to Exhibit 10.1 to the Registrant's Current Report on Form 8-K filed on August 1, 2019).

 10.9

 Employment Agreement, dated as of February 19, 2021, by and between enVVeno Medical Corporation and Craig Glynn (incorporated by reference to Exhibit 10.18 to the Registrant's Annual Report on Form 10-K for the year ended December 31, 2020).

 10.10

 Employment Agreement, dated as of July 29, 2020, by and between enVVeno Medical Corporation and Hamed Alavi. (incorporated by reference to Exhibit 10.21 to the Registrant's Annual Report on Form 10-K for the year ended December 31, 2022).*

 10.11

 Form of Securities Purchase Agreement, dated October 6, 2023 (incorporated by reference to Exhibit 10.1 of the Registrant's Current Report on Form 8-K filed on October 12, 2023).

 10.12

 Form of Placement Agency Agreement, dated October 6, 2023 (incorporated by reference to Exhibit 10.2 of the Registrant's Current Report on Form 8-K filed on October 12, 2023).

 10.13

 Form of Registration Rights Agreement, dated October 6, 2023 (incorporated by reference to Exhibit 10.3 of the Registrant's Current Report on Form 8-K filed on October 12, 2023).

 14.1

 Code of Conduct (incorporated by reference to Exhibit 14.1 to the Registrant's Annual Report on Form 10-K for the year ended December 31, 2020).

 19.1

 Insider Trading Policy*

 21.1

 Subsidiaries of the registrant incorporated by reference to Exhibit 21.1 to the Registrant's Annual Report on Form 10-K for the year ended December 31, 2020).

 23.1

 Consent of Marcum LLP, independent registered public accounting firm*

 31.1

 Certification of Chief Executive Officer pursuant to Rule 13a-14(a) or Rule 15d-14(a) of the Exchange Act. *

 31.2

 Certification of Chief Financial Officer pursuant to Rule 13a-14(a) or Rule 15d-14(a) of the Sarbanes-Oxley Act. *

 Certification of Chief Executive Officer and Chief Financial Officer pursuant to Rule 13a-14(a) or Rule 15d-14(a) of the Exchange Act**

 99.1

 Compensation Clawback Policy

 101.INS

 101.SCH

 Schema Document*

 101.CAL

 Calculation Linkbase Document*

 101.DEF

 Definition Linkbase Document*

 101.LAB

 Label Linkbase Document*

 101.PRE

 Presentation Linkbase Document*

 *

 Filed herewith.

 **

 Furnished and not filed
 herewith.

 ITEM
16. Form 10-K Summary

 Not
applicable

 SIGNATURES

 Pursuant
to the requirements of Section 12 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.

 Date: February 29, 2024

 By:

 /s/
 Robert Berman

 Robert Berman

 Chief Executive Officer

 (Principal Executive Officer)

 By:

 /s/
 Craig Glynn

 Craig Glynn

 Chief Financial Officer

 (Principal Financial and
 Accounting Officer)

 ANNUAL
REPORT ON FORM 10-K

TO AUDITED FINANCIAL STATEMENTS

 Report of Independent Registered Public Accounting Firm (PCAOB: 688)

 Balance Sheets as of December 31, 2023 and 2022

 Statements of Operations for the Years Ended December 31, 2023 and 2022

 Statements
of Stockholders' Equity for the Years Ended December 31, 2023 and 2022

 Statements of Cash Flows for the Years Ended December 31, 2023 and 2022

 Notes to Financial Statements

 F- 1

 REPORT
OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM

 To
the Shareholders and Board of Directors of

Medical Corporation

 Opinion
on the Financial Statements

 We
have audited the accompanying balance sheets of enVVeno Medical Corporation (the "Company") as of December 31, 2023 and 2022,
the related statements of operations, changes in stockholders' equity and cash flows for each of the two years in the period ended
December 31, 2023, and the related notes (collectively referred to as the "financial statements"). In our opinion, the financial
statements present fairly, in all material respects, the financial position of the Company as of December 31, 2023 and 2022, and the
results of its operations and its cash flows for each of the two years in the period ended December 31, 2023, in conformity with accounting
principles generally accepted in the United States of America.

 Basis
for Opinion

 These
financial statements are the responsibility of the Company's management. Our responsibility is to express an opinion on the Company's
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 audits to obtain
reasonable assurance about whether the 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 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 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 financial statements. We believe that our audits
provide a reasonable basis for our opinion.

 Critical
Audit Matters

 Critical
audit matters are matters arising from the current period audit of the financial statements that were communicated or required to be
communicated to the audit committee and that: (1) relate to accounts or disclosures that are material to the financial statements and
(2) involved our especially challenging, subjective, or complex judgments. We determined that there are no critical audit matters.

 /s/
Marcum LLP

 Marcum LLP

 We have served as the Company's
auditor since 2015.

 New York, NY

 February 29, 2024

 F- 2

 BALANCE
SHEETS

 2023

 2022

 2023

 2022

 (In thousands except par values, unless otherwise indicated)

 Assets

 Current Assets:

 Cash and cash equivalents

 $
 3,620

 $
 4,555

 Short-term investments

 42,792

 34,489

 Prepaid expenses and other current assets

 Total Current Assets

 46,923

 39,436

 Property and equipment, net

 Operating lease right-of-use assets, net

 1,347

 1,673

 Security deposits and other assets

 Total Assets

 $
 48,635

 $
 41,661

 Liabilities and Stockholders' Equity

 Current Liabilities:

 Accounts payable, accrued expenses and other current liabilities

 $
 1,033

 $
 1,216

 Current portion of operating lease liabilities

 Total Current Liabilities

 1,371

 1,530

 Long-term operating lease liabilities

 1,064

 1,402

 Total Liabilities

 2,435

 2,932

 Commitments and Contingencies

 -

 -

 Stockholders' Equity:

 Preferred stock, par value $ 0.00001, 10,000 shares authorized: no shares issued or outstanding

 -

 -

 Common stock, par value $ 0.00001, 250,000 shares authorized, 13,317 and 9,472 shares issued and outstanding as of December 31, 2023 and December 31, 2022, respectively

 -

 -

 Additional paid-in capital

 176,236

 145,249

 Accumulated deficit

 ( 130,036
)

 ( 106,520
)

 Total Stockholders' Equity

 46,200

 38,729

 Total Liabilities and Stockholders' Equity

 $
 48,635

 $
 41,661

 The
accompanying notes are an integral part of these financial statements.

 F- 3

 STATEMENTS
OF OPERATIONS

 2023

 2022

 For the Years Ended

 2023

 2022

 (In thousands except per share data)

 Operating Expenses:

 Research and development expenses

 $
 13,583

 $
 9,914

 Selling, general and administrative expenses

 11,655

 15,018

 Loss from Operations

 ( 25,238
)

 ( 24,932
)

 Other Income:

 Realized gain from sales of trading securities

 1,074

 Unrealized gain from trading securities

 Interest income

 Total Other Income

 1,722

 Net Loss

 $
 ( 23,516
)

 $
 ( 24,669
)

 Net Loss Per Basic and Diluted Common Share:

 $
 ( 1.91
)

 $
 ( 2.20
)

 Weighted Average Number of Common Shares Outstanding:

 Basic and diluted

 12,301

 11,230

 The
accompanying notes are an integral part of these financial statements.

 F- 4

 STATEMENTS
OF CHANGES IN STOCKHOLDERS' EQUITY

 (In
thousands, unless otherwise indicated)

 Shares

 Amount

 Capital

 Deficit

 Common Stock

 Additional
 Paid-in

 Accumulated

 Total
 Stockholders'

 Shares

 Amount

 Capital

 Deficit

 Balance at January 1, 2023

 9,472

 $
 -

 $
 145,249

 $
 ( 106,520
)

 $
 38,729

 Common stock and warrants issued in private placement offering

 3,845

 -

 25,791

 25,791

 Shared-Based Compensation

 -

 -

 5,196

 -

 5,196

 Net loss

 -

 -

 -

 ( 23,516
)

 ( 23,516
)

 Balance at December 31, 2023

 13,317

 $

 -

 $
 176,236

 $

 ( 130,036
)

 $
 46,200

 Common Stock

 Additional
 Paid-in

 Accumulated

 Total
 Stockholders'

 Shares

 Amount

 Capital

 Deficit

 Balance at January 1, 2022

 9,470

 $
 -

 $
 136,255

 $
 ( 81,851
)

 $
 54,404

 Balance

 9,470

 $
 -

 $
 136,255

 $
 ( 81,851
)

 $
 54,404

 Shared-Based Compensation

 -

 8,994

 -

 8,994

 Net loss

 -

 -

 -

 ( 24,669
)

 ( 24,669
)

 Balance at December 31, 2022

 9,472

 $
 -

 $
 145,249

 $

 ( 106,520
)

 $

 38,729

 Balance

 9,472

 $
 -

 $
 145,249

 $

 ( 106,520
)

 $

 38,729

 The
accompanying notes are an integral part of these financial statements.

 F- 5

 STATEMENTS
OF CASH FLOWS

 (In thousands, unless otherwise indicated)

 2023

 2022

 For the Years Ended

 (In thousands, unless otherwise indicated)

 2023

 2022

 Cash Flows from Operating Activities

 Net loss

 $
 ( 23,516
)

 $
 ( 24,669
)

 Adjustments to reconcile net loss to net cash used in operating activities:

 Share-based compensation

 5,196

 8,994

 Depreciation and amortization

 Amortization of right-of-use assets

 Unrealized gain from investments

 ( 468
)

 ( 49
)

 Changes in operating assets and liabilities:

 Prepaid expenses and other current assets

 ( 119
)

 ( 80
)

 Security deposit and other assets

 -

 Accounts payable

 ( 221
)

 Accrued expenses

 ( 161
)

 Operating lease liabilities

 ( 314
)

 ( 290
)

 Net Cash Used in Operating Activities

 ( 18,858
)

 ( 15,619
)

 Cash Flows from Investing Activities

 Maturities of investments

 48,685

 13,688

 Purchase of investments

 ( 56,520
)

 ( 48,127
)

 Purchases of property and equipment

 ( 33
)

 ( 115
)

 Net Cash Used in Investing Activities

 ( 7,868
)

 ( 34,554
)

 Cash Flows from Financing Activities

 Proceeds from private placement offering

 25,791

 -

 Net Cash Provided by Financing Activities

 25,791

 -

 Net Decrease in Cash and Cash Equivalents

 ( 935
)

 ( 50,173
)

 Cash and cash equivalents - Beginning of year

 4,555

 54,728

 Cash and cash equivalents - End of year

 $
 3,620

 $
 4,555

 The
accompanying notes are an integral part of these financial statements.

 F- 6

 NOTES

 Note
1 – Business Organization and Nature of Operations

Medical Corporation is a late clinical-stage medical device company focused on the advancement of innovative bioprosthetic (tissue-based)
solutions to improve the standard of care for the treatment of venous disease. 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 surgical replacement venous valve that is currently being
evaluated in a U.S. pivotal study. The Company is also developing a second product called enVVe, which is a first-in-class, non-surgical,
transcatheter based replacement venous valve. The Company is currently conducting pre-clinical testing on enVVe. Both the VenoValve and
enVVe are designed to act as one-way valves, to help assist in propelling blood up the veins of the leg, and back to the heart and lungs.

 The
VenoValve and enVVe are being developed first for approval by the U.S. Food and Drug Administration (FDA). We expect the VenoValve to
be eligible for FDA approval first, followed two to three years later by enVVe. If approved, we expect the VenoValve and enVVe to co-exist,
with the VenoValve as a surgical replacement venous valve option and enVVe as a non-surgical replacement venous valve option

 Note
2 – Management's Liquidity Plan

 As
of December 31, 2023, the Company had a cash balance of $ 3.6
million, investments of $ 42.8
million and working capital of $ 45.6
million. Although the Company expects to continue incurring losses for the foreseeable future and may need to raise additional
capital to sustain its operations, pursue its product development initiatives and penetrate markets for the sale of its products,
Management believes that our capital resources are sufficient to meet our obligations as they become due within one year after the
date of this Annual Report.

 Note
3 – Significant Accounting Policies

 Use
of Estimates

 The
preparation of financial statements in conformity with accounting principles generally accepted in the United States of America requires
management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosures of contingent
liabilities at the dates of the financial statements and the reported amounts of revenues and expenses during the reporting periods.
Actual results could differ from these estimates. Significant estimates and assumptions include the valuation allowance related to the
Company's deferred tax assets, and the valuation of warrants.

 Investments

 We
consider all highly liquid interest-earning investments with a maturity of three months or less at the date of purchase to be cash equivalents.
The fair values of these investments approximate their carrying values. Investments with original maturities of greater than three months
and remaining maturities of less than one year are classified as short-term investments. Investments with maturities beyond one year
are classified as long-term investments.

 Debt
investments are classified as trading securities and realized gains and losses are recorded using the specific identification method.
Changes in fair value, excluding credit losses and impairments, are recorded in unrealized gains (losses) from investments. Fair value
is calculated based on publicly available market information. If the cost of an investment exceeds its fair value, we evaluate, among
other factors, general market conditions, credit quality of debt instrument issuers, and the extent to which the fair value is less than
cost. We recognize interest income based on the stated coupon rate of the investments purchased.

 Property
and Equipment, Net

 Property
and equipment are stated at cost, net of accumulated depreciation using the straight-line method over their estimated useful lives, which
range from 5 to 7 years. Leasehold improvements are amortized over the lesser of (a) the useful life of the asset; or (b) the remaining
lease term. Expenditures for maintenance and repairs, which do not extend the economic useful life of the related assets, are charged
to operations as incurred, and expenditures, which extend the economic life are capitalized. When assets are retired, or otherwise disposed
of, the costs and related accumulated depreciation or amortization are removed from the accounts and any gain or loss on disposal is
recognized.

 Impairment
of Long-lived Assets

 The
Company reviews for the impairment of long-lived assets whenever events or changes in circumstances indicate that the carrying amount
of an asset may not be recoverable. An impairment loss would be recognized when estimated future cash flows expected to result from the
use of the asset and its eventual disposition are less than its carrying amount.

 F- 7

 NOTES

 Income
Taxes

 The
Company follows the asset and liability method of accounting for income taxes under ASC 740, "Income Taxes." Deferred tax
assets and liabilities are recognized for the estimated future tax consequences attributable to differences between the financial statement
carrying amounts of existing assets and liabilities and their respective tax bases. Deferred tax assets and liabilities are measured
using enacted tax rates expected to apply to taxable income in the years in which those temporary differences are expected to be recovered
or settled. The effect on deferred tax assets and liabilities of a change in tax rates is recognized in income in the period that included
the enactment date. Valuation allowances are established, when necessary, to reduce deferred tax assets to the amount expected to be
realized.

 ASC
740 prescribes a recognition threshold and a measurement attribute for the financial statement recognition and measurement of tax positions
taken or expected to be taken in a tax return. For those benefits to be recognized, a tax position must be more likely than not to be
sustained upon examination by taxing authorities. The Company recognizes accrued interest and penalties related to unrecognized tax benefits
as income tax expense. There were no unrecognized tax benefits and no amounts accrued for interest and penalties as of December 31, 2023
and December 31, 2022. The Company is currently not aware of any issues under review that could result in significant payments, accruals
or material deviation from its position.

 Fair
Value of Financial Instruments

 The
Company measures the fair value of financial assets and liabilities based on the guidance of Financial Accounting Standards Board ("FASB")
Accounting Standards Codification ("ASC") ASC 820 "Fair Value Measurements and Disclosures" ("ASC 820")
which defines fair value, establishes a framework for measuring fair value, and expands disclosures about fair value measurements.

 FASB
ASC 820 defines fair value as the exchange price that would be received for an asset or paid to transfer a liability (an exit price)
in the principal or most advantageous market for the asset or liability in an orderly transaction between market participants on the
measurement date. ASC 820 also establishes a fair value hierarchy, which requires an entity to maximize the use of observable inputs
and minimize the use of unobservable inputs when measuring fair value. ASC 820 describes three levels of inputs that may be used to measure
fair value:

 Level 1

 Quoted prices available
 in active markets for identical assets or liabilities trading in active markets.

 Level 2

 Observable inputs other
 than quoted prices included in Level 1, such as quotable prices for similar assets and liabilities in active markets; quoted prices
 for identical or similar assets and liabilities in markets that are not active; or other inputs that are observable or can be corroborated
 by observable market data.

 Level 3

 Unobservable inputs that
 are supported by little or no market activity and that are significant to the fair value of the assets or liabilities. This includes
 certain pricing models, discounted cash flow methodologies and similar valuation techniques that use significant unobservable inputs.

 Financial
instruments, including accounts payable are carried at cost, which management believes approximates fair value due to the short-term
nature of these instruments.

 Net
Loss per Share

 The
Company computes basic and diluted loss per share by dividing net loss attributable to common stockholders by the weighted average number
of common shares outstanding during the period including warrants exercisable for little or no cash consideration. Basic and diluted
net loss per common share are the same since the inclusion of common stock issuable pursuant to the exercise of warrants and options,
would have been anti-dilutive.

 F- 8

 NOTES

 Stock-Based

 The
Company has an Equity Incentive Plan under which the Board of Directors may grant restricted stock or stock options to employees and
nonemployees. The accounting treatment for share-based payments to employees and non-employees is substantially equivalent.

 Share-based
compensation cost is recorded for all option grants and awards of non-vested stock based on the grant date fair value of the award, and
is recognized over the service period required for the award.

 The
fair value of the Company's stock options is estimated at the date of grant using the Black-Scholes based option valuation model.
For the expected term, the Company uses SEC Staff Accounting Bulletin No. 107 simplified method for "plain vanilla" options
with following characteristics: (i) the share options are granted at the market price on the grant date; (ii) exercisability is conditional
on performing service through the vesting date on most options; (iii) if an employee terminates service prior to vesting, the employee
would forfeit the share options; (iv) if an employee terminates service after vesting, the employee would have 30 to 90 days to exercise
the share options; and (v) the share options are nontransferable and nonhedgeable.

 The
Company estimated the expected term of the options using the simplified method. The Company uses its stock's historical market
information to calculate volatility used in estimating fair value of options granted. The volatility assumption is based on the historical
volatility of the Company's common stock with an equivalent remaining expected term. The risk-free interest rate is based on the
implied yield available on U.S. treasury zero-coupon issues with an equivalent remaining expected term. The dividend yield assumption is based on the Company's history and expectation of future dividend payouts
on the common stock.

 For
option grants without performance conditions, the Company recognizes compensation expense over the requisite service period ratably,
recognizing expense for each tranche of each grant starting on the grant date. For grants that have both service and performance conditions,
the Company recognizes compensation expense using the graded attribution method. Compensation expense for grants with performance conditions
is recognized only for those awards expected to vest.

 Forfeitures
of unvested stock options are recorded when they occur.

 Loss
Contingencies

 The
Company will accrue an estimated loss if information available before the financial statements are issued or are available to be issued
indicates that it is probable that an asset had been impaired or a liability had been incurred at the date of the financial statements
and the amount of loss can be reasonably estimated.

 F- 9

 NOTES

 Note
4 – Concentrations

 The
Company maintains cash with major financial institutions. Cash held in United States bank institutions is currently insured by the Federal
Deposit Insurance Corporation ("FDIC") up to $ 250,000 at each institution. There were aggregate uninsured cash balances of
$ 3.4 million as of December 31, 2023.

 Note
5 – Investments

 The
components of investments were as follows at December 31, 2023 and December 31, 2022:

 Schedule of Components of Investments

 (In
thousands)

 December 31, 2023

 December 31, 2022

 Cash
 Equivalents

 Short-Term
 Investment

 Cash
 Equivalents

 Short-Term
 Investments

 Fair Value Level 1

 U.S. Government securities

 $
 3,187

 $
 42,792

 $
 4,040

 $
 34,489

 Total debt investments

 $
 3,187

 $
 42,792

 $
 4,040

 $
 34,489

 Unrealized
gains of $ 0.5 million
and unrealized losses of $ 0.1 million for the year ended December 31, 2023 and 2022, respectively, from fixed-income securities and primarily
attributable to changes in interest rates.

 Note
6 – Property and Equipment

 As
of December 31, 2023, and 2022, property and equipment consist of the following:

of Property and Equipment

 2023

 2022

 Laboratory equipment

 $

 $

 Computer equipment and software

 Furniture and fixtures and leasehold improvements

 Total property and equipment

 1,403

 1,370

 Less: accumulated depreciation

 ( 1,069
)

 ( 849
)

 Property and equipment, net

 $

 $

 Depreciation
expense was $ 0.2 million and $ 0.2 million for the years ended December 31, 2023 and 2022, respectively. Depreciation expense is reflected
in general and administrative expenses in the accompanying statements of operations.

 F- 10

 NOTES

 Note
7 – Right-of-Use Assets and Lease Liabilities

 On
November 17, 2021, the Company amended its operating lease for its manufacturing facility in Irvine, California, to extend the term an
additional 60 months from its September 30, 2022 expiration date to a new expiration date of September 30, 2027. The initial lease rate
at the date of the amendment was $ 30,206 per month with escalating payments. In connection with the lease, the Company is obligated to
pay $ 7,254 monthly for operating expenses for building repairs and maintenance. The Company has no other operating or financing leases
with terms greater than 12 months.

 The
Company determined the lease liabilities using the Company's estimated incremental borrowing rate of 3.95 % to estimate the present
value of the remaining monthly lease payments.

 Our
operating lease cost is as follows (in thousands):

of Operating Lease Cost

 For the Year Ended
 December 31, 2023

 Operating lease cost

 $

 Supplemental
cash flow information related to our operating lease is as follows:

of Supplemental Cash Flow Information Related to Operating Lease

 (Dollars in thousands)

 For the Year Ended
 December 31, 2023

 Operating cash flow information:

 Cash paid for amounts included in the measurement of lease liabilities

 $

 Remaining
lease term and discount rate for our operating lease is as follows:

of Operating Remaining Lease Term and Discount Rate

 December 31, 2023

 Remaining lease term

 3.7 years

 Discount rate

 3.95
 %

 Maturity
of our lease liabilities by fiscal year for our operating lease is as follows:

of Maturity of Lease Liabilities

 Year ended December 31, 2024

 $

 Year ended December 31, 2025

 Year ended December 31, 2026

 Year ended December 31, 2027

 Total

 $
 1,512

 Less: Imputed interest

 ( 110
)

 Present value of our lease liability

 $
 1,402

 F- 11

 NOTES

 Note
8 – Accounts payable, accrued expenses and other current liabilities

 As
of December 31, 2023 and 2022, accounts payable, accrued expenses and other current liabilities consist of the following:

of Accounts Payable Accrued Expenses and Other Current Liabilities

 2023

 2022

 Accounts Payable

 $

 $

 Accrued compensation costs

 Other

 Accrued expenses

 $
 1,033

 $
 1,216

 Note
9 – Income Taxes

 The
following summarizes the Company's income tax provision (benefit):

of Income Tax Provision (Benefit)

 For the Years Ended

 (Dollars in thousands)

 2023

 2022

 Federal:

 Current

 $
 -

 $
 -

 Federal: Current

 $
 -

 $
 -

 Deferred

 ( 4,165
)

 ( 3,773
)

 Federal: Deferred

 ( 4,165
)

 ( 3,773
)

 State and local:

 Current

 -

 -

 State and local: Current

 -

 -

 Deferred

 ( 1,388
)

 ( 1,258
)

 State and local: Deferred

 ( 1,388
)

 ( 1,258
)

 Federal, State and Local, Tax Expense

 ( 5,553
)

 ( 5,031
)

 Change in valuation allowance

 5,553

 5,031

 Income tax provision (benefit)

 $
 -

 $
 -

 The
reconciliation between the U.S. statutory federal income tax rate and the Company's effective tax rate for the year's ended
December 31, 2023 and 2022 is as follows:

of Effective Income Tax Rate Reconciliation

 For
 the Years Ended

 2023

 2022

 Tax benefit at federal statutory
 rate

 ( 21.0

)%

 ( 21.0

)%

 State taxes, net of federal benefit

 ( 7.0

)%

 ( 5.1

)%

 Nondeductible compensation

 4.7

 %

 5.7

 %

 Permanent differences

 0.2

 %

 0.1

 %

 True up adjustments

 ( 0.5

)%

 ( 0.1

)%

 Change in valuation allowance

 23.6

 %

 20.4

 %

 Effective income tax
 rate

 0.0

 %

 0.0

 %

 F- 12

 NOTES

 Significant
components of the Company's deferred tax assets at December 31, 2023 and 2022 are as follows:

of Deferred Tax Assets and Liabilities

 2023

 2022

 Deferred tax assets:

 Net operating loss carryforwards

 $
 17,229

 $
 14,747

 Research and development credit carryforwards

 Research and development expense

 5,367

 2,527

 Intangible assets

 Operating lease liability

 Stock-based compensation

 1,889

 1,554

 Impairment loss

 Total gross deferred tax assets

 25,419

 19,878

 Deferred tax liabilities

 Operating lease asset

 ( 377
)

 ( 468
)

 Unrealized gain on short-term investments

 ( 131

)

 -

 Property and equipment

 ( 19
)

 ( 71
)

 Total net deferred tax assets

 24,892

 19,339

 Less: valuation allowance

 ( 24,892
)

 ( 19,339
)

 Total

 $
 -

 $
 -

 ASC
740 requires that the tax benefit of net operating losses, temporary differences and credit carryforwards be recorded as an asset to
the extent that management assesses that realization is "more likely than not." Realization of the future tax benefits is
dependent on the Company's ability to generate sufficient taxable income within the carryforward period. Because of the Company's
history of operating losses, management believes that recognition of the deferred tax assets arising from the above listed future tax
benefits is currently not more likely than not to be realized and, accordingly, has provided a full valuation allowance. The valuation
allowance increased by $ 5.6 million and $ 5.0 million during the years ended December 31, 2023 and 2022, respectively.

 Under
Section 382 of the Internal Revenue Code of 1986, as amended, if a corporation undergoes an "ownership change" (generally
defined as a greater than 50% 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 and other pre-change tax attributes to offset its post-change income taxes
may be limited. In accordance with Section 382 of the Internal Revenue Code, the usage of the Company's NOL carry forwards are
subject to annual limitations due to greater than 50 % ownership changes in 2018 and 2021.

 At
December 31, 2023 and 2022, the Company had post-ownership change net operating loss carryforwards for federal income tax purposes of
approximately $ 61.7 million and $ 52.7 million, respectively. Pre-2018 federal NOLs of approximately $ 12.0 million may be carried forward
for twenty years and begin to expire in 2029. Based on the 2020 and 2021 ownership changes, the Company expects $ 10.4 million of its
pre-2018 federal NOLs to expire unused. Under current federal tax law, post-2017 federal NOLs in the aggregate amount of $ 50.3 million
can be carried forward indefinitely although the annual limit of deduction equals 80 % of taxable income. To the extent the Company utilizes
its NOL carryforwards in the future, the tax years in which the attribute was generated may still be adjusted upon examination by the
Internal Revenue Service or state tax authorities of the future period tax return in which the attribute is utilized. The Company also
has federal research and development tax credit carryforwards of approximately $ 0.2 million which begin to expire in 2027.

 As
of December 31, 2023 and 2022, the Company had net operating loss carryforwards for state income tax purposes of approximately $ 61.1 million
and $ 52.5 million, respectively, which can be carried forward for twenty years and begin to expire in 2029.

 The
Company files income tax returns in the U.S. federal jurisdiction as well as California and local jurisdictions and is subject to examination
by those taxing authorities. The Company's federal income taxes for the years beginning in 2019 remain subject to examination.
The Company's state and local income tax returns for the years beginning in 2020 remain subject to examination. No tax audits were
initiated during 2023 or 2022.

 Management
has evaluated and concluded that there were no material uncertain tax positions requiring recognition in the Company's financial
statements as of December 31, 2023 and 2022. The Company does not expect any significant changes in its unrecognized tax benefits within
twelve months of the reporting date. The Company's policy is to classify assessments, if any, for tax related interest as interest
expense and penalties as general and administrative expenses in the statements of operations.

 F- 13

 NOTES

 Note
10 – Commitments and Contingencies

 Litigation
Claims and Assessments

 In
the normal course of business, the Company may be involved in legal proceedings, claims and assessments. The Company records legal costs
associated with loss contingencies as incurred and accrues for all probable and estimable settlements.

Rankin Complaints

 T he Company and its Chief Executive Officer
are parties to civil complaints filed by a former employee, Robert Rankin, who resigned as the Company's Chief Financial Officer,
Secretary, and Treasurer on March 30, 2020. Originally filed as two separate complaints, Rankin v. Hancock Jaffe Laboratories, Inc. et
al., Case No. 30-2020-01146555-CU-WR-CJC and Rankin v. Hancock Jaffe Laboratories, Inc. et al., Case No. 30-2020-01157857, they have now
been consolidated and will be tried concurrently.

 The complaints assert causes of action alleging constructive discharge in violation of public policy, failure to
timely pay Mr. Rankin's accrued and unused vacation and three months' severance under his July 16, 2018 employment agreement,
Retaliation under Labor Code Section 1102.5, unfair competition, defamation, and sex-based discrimination, and seeks damages for back
pay, lost and unpaid wages, emotional and mental distress, consequential damages, punitive damages, compensatory damages and attorney's
fees and costs.

 The Company denies all claims in these matters, is vigorously defending same, and has asserted counterclaims against
Mr. Rankin contending that he breached his fiduciary duty and employment agreement with the Company and the Company incurred damages as
a result. The Company continues to believe it has meritorious defenses to these matters, which are currently set for trial on May 13,
2024.

 As
of the date of these financial statements, the amount of loss or range of loss associated with these complaints, if any, cannot be reasonably
estimated. Accordingly, no amounts related to these complaints are accrued as of December 31, 2023.

 F- 14

 NOTES
TO CONDENSED FINANCIAL STATEMENTS

 Note
11 – Stockholders' Equity

Issuance

 The
Company entered into a financing transaction in 2023 whereby it raised net proceeds of $ 25.8 million and issued 3.8 million shares of
common stock, 9.6 million warrants subject to performance conditions, 1.0 million prefunded warrants and 0.2 million warrants to the
placement agent. The weighted average exercise price of the warrants is $ 6.94.

 Transaction
fees in connection with the capital raise were $ 2.2 million.

 If
the performance conditions are not achieved, 50% of the performance warrants will expire in October 2024 and 50% in October 2026. If
the performance conditions are achieved the holder has 30 days to exercise.

 The
warrants have a fair value of $ 19.7 million based on the Black Scholes method and the following weighted average input assumptions:

of Estimated Fair values and Assumptions

 Expected
 term in years

 2.07

 Volatility

 76.4

 %

 Risk
 free interest rate

 5.07

 %

 Dividend
 yield

 0.0

 %

 Warrants

 A
summary of warrant activity during the years ended December 31, 2023 and 2022 is presented below:

 Schedule of Stock Warrant Activity

 Common Stock

 Warrants

 Weighted
 Average
 Exercise
 Price

 Weighted
 Average
 Remaining
 Life in
 Years

 Intrinsic
 Value

 Outstanding, January 1, 2022

 6,311,705

 $
 8.80

 Issued

 4.85

 Exercised

 -

 -

 Cancelled

 ( 35,047
)

 109.50

 Outstanding, January 1, 2023

 6,351,658

 $
 8.21

 6.01

 $

 Issued

 10,889,238

 6.93

 Exercised

 -

 -

 Cancelled

 ( 111,481
)

 146.94

 Outstanding and exercisable, December 31, 2023

 17,129,415

 $
 6.49

 3.03

 $

 F- 15

 NOTES

 Note
12 – Share Based Compensation

 Omnibus
Incentive Plan

 The
Company issues share-based awards under its Company's 2016 Omnibus Incentive Plan, which enables the Company to grant stock options,
stock appreciation rights, restricted stock, restricted stock units, unrestricted stock, other share based awards and cash awards to
associates, directors, consultants, and advisors of the Company and its affiliates, and to improve the ability of the Company to attract,
retain, and motivate individuals upon whom the Company's sustained growth and financial success depend, by providing such persons
with an opportunity to acquire or increase their proprietary interest in the Company. Stock options granted under the 2016 Plan may be
non-qualified stock options or incentive stock options, within the meaning of Section 422(b) of the Internal Revenue Code of 1986, except
that stock options granted to outside directors and any consultants or advisers providing services to the Company or an affiliate shall
in all cases be non-qualified stock options. The option price must be at least 100% of the fair market value on the date of grant and
if issued to a 10% or greater shareholder must be 110% of the fair market value on the date of the grant.

 The
2016 Plan is to be administered by the Board, which has discretion over the awards and grants thereunder. No awards may be issued after
November 21, 2026.

 The
Plan was adopted in 2016 and amended in 2018, 2020 and 2021 to increase the number of shares authorized to be awarded under the Plan.
The number of shares subject to the Plan is automatically adjusted from time to time such that shares authorized under the plan shall
always be equal to at least 20 % of the issued and outstanding shares of the Company on a fully diluted basis. As of December 31, 2023
there are 6,939,796 shares authorized under the Plan which is equal to the 20 % minimum.

 Stock
Options

 The
fair value of each option grant is estimated at the grant date using the Black Scholes method. The following assumptions were used in
estimating fair value:

 of Stock Options Assumptions in Estimated Fair Value

 2023

 2022

 Expected term

 5.5 – 6.5 years

 5.5 – 6.5 years

 Volatility

 92.5 – 93.5

 %

 96.0 – 101.5

 %

 Risk free interest rate

 3.63 – 4.23

 %

 1.88 – 4.74

 %

 Dividend yield

 0.00

 %

 0.00

 %

 A
summary of the option activity during the years ended December 31, 2023 and 2022 is presented below:

 Schedule of Stock Option Activity

 Weighted

 Weighted

 Average

 Average

 Remaining

 Aggregate

 Exercise

 Life

 Intrinsic

 Options

 Price

 In Years

 Value

 Outstanding, January 1, 2022

 3,441,907

 $
 9.16

 Granted

 413,612

 6.71

 Forfeited

 ( 61,067
)

 7.87

 Outstanding, December 31, 2022

 3,794,452

 $
 8.91

 8.5

 $
 -

 Granted

 1,026,424

 3.88

 Forfeited

 ( 35,600
)

 6.72

 Outstanding, December 31, 2023

 4,785,276

 $
 7.85

 8.0

 $
 1,444

 Exercisable, December 31, 2023

 3,189,735

 $
 9.29

 7.3

 $

 The
Company includes share-based compensation expense in selling, general and administrative expenses, and recognized $ 5.2 million and $ 9.0
million during the years ended December 31, 2023 and 2022, respectively.

 As
of December 31, 2023, there was $ 5.9 million of unrecognized share-based compensation expense related to outstanding stock options and
restricted stock units that will be recognized over the weighted average remaining vesting period of 1.9 years.

 Restricted
Stock Units

 The
Company also issues restricted shares and restricted stock units under the 2016 Plan. A summary of the restricted share and restricted
stock units activity during the years ended December 31, 2023 and 2022 is presented below:

of Restricted Stock Units

 Restricted Shares

 Outstanding, January 1, 2022

 402,082

 Granted

 -

 Shares vested

 ( 2,082
)

 Outstanding, December 31, 2022

 400,000

 Granted

 -

 Shares Vested

 -

 Outstanding, December 31, 2023

 400,000

 F- 16