NanoVibronix Issues Letter to Shareholders ELMSFORD, N.Y.

Issues Letter to Shareholders

N.Y., November 14, 2023 (Business Wire) - NanoVibronix, Inc., (NASDAQ: NAOV), a medical device company that produces

the UroShield , PainShield and WoundShield Surface Acoustic Wave (SAW) Portable Ultrasonic Therapeutic Devices, today issued

a letter to shareholders from its Chief Executive Officer, Brian Murphy, providing a review of the third quarter 2023 and recent business

is committed to our strategic vision of developing, improving and commercializing our distinct and effective therapies, which we believe

enable healthcare providers to treat patients in need, fill a void in the market and have the potential to increase value for our shareholders.

We are focused on several areas that we believe will have a substantial impact on our growth and product adoption. Many of those areas

of focus have begun showing positive results, as reflected in our most recent quarter's financial results. Our products continue

to deliver impressive results with high patient satisfaction.

recorded revenues of $458,000 for the quarter ended September 30, 2023 with a loss from operations of $670,000. In the relative year-to-date

period, revenues increased 22% and the loss from operations was reduced by approximately 20%. Most significatnly, our short-term liquidity

concerns were alleviated by our sales of securities for net proceeds of approximately $4.2 million during the quarter. On our balance

sheet for the period ended September 30, 2023, we had $3.8 million of cash and receivables and inventory in excess of $3.1 million.

continue to make progress in two international markets where full reimbursement is being considered. This, again, will hopefully significantly

enhance our opportunities in these two key markets.

the U.K., we continue to leverage our contract with the National Health Services ("NHS") Supply Chain and our supplies reimbursement

through the NHS Prescription Services' Drug Tariff, which became effective on November 1. We continue to make progress with our

Uroshield product and are experiencing greater interest since the beginning of this month. Our UK distributor, Peak Medical Limited,

continues to actively pursue market opportunities throughout the country.

we are continuing to experience increased interest and demand in Australia and New Zealand and are working toward expanded distribution

continue to make progress in several channels of domestic sales and product adoption. We added Mio-Guard as an exclusive distributor

for our Sports segment of the pain business. They continue to make progress in that area. Our VA penetration continues to improve in

both facilities served as well as adoption within those facilities. Additionally, we continue to make progress in the Workers Compensation

area of our business, both on a direct basis and through our Durable Medical Equipment ("DME") exclusive distributor, whose

contract was recently extended.

have been working on several exciting improvements to the existing product portfolio as well as exploring new product opportunities.

Within the next 30 days, we plan to conduct onsite visits with two qualified product development organizations with the intent of partnering

with the most qualified partner.

ongoing efforts to obtain full approval from the Centers for Medicare & Medicaid Services ("CMS") with acceptable terms

is now in its fourth year. In the last cycle, our application for full approval was not approved due to a lack of "life-cycle"

testing. At that time, we engaged an independent testing laboratory, Carmel Labs, to conduct the required testing. The testing was intended

to satisfy the requirement for a three-year life expectancy with consideration to our patient use criteria. We submitted the final report

with our application to CMS in March 2023. The report provided the required information what we believe the regulatory agency was seeking.

CMS invited NanoVibronix to a public meeting to present our findings and to answer CMS's questions, which was held June 1, 2023.

We were notified in August 2023, that we did not satisfy their request. Subsequently, we requested and facilitated a meeting with CMS

leadership to clarify the deficiencies and asked them to reconsider. At this time, we are awaiting a response.

is currently approved in the Veterans Health system and several Worker's Compensation plans, Third Party Administrators and insurance

companies. Our revenues for this market in Q3 were approximately $227,000, and our goal is to more than double that number in Q4. Sales

continue to grow in both segments, and we are in the process of adding sales resources where we believe are appropriate.

University of Southampton recently completed its UroShield study and has submitted it for publication. The study, as announced on August

30, 2023, reported positive outcomes from a study of UroShield that was conducted at the University in the United Kingdom. There

are several market opportunities for UroShield, and as such, we are prioritizing our marketing efforts and initiating our "Gold

Standard" study with a major U.S. university.

remain focused on driving profitable growth by expanding and increasing our distribution and licensing channels, nurturing relationships

with new and existing accounts and engaging consumers through a variety of creative mediums. Today, we have initial distribution agreements

in place, a solid manufacturing partner and the necessary working capital to meet existing and anticipated demand.

continue to negotiate for sector-specific private label agreements. This strategy is intended to develop long lasting, profitable, forecastable

revenue. COVID-19 interupted our momentum, but we believe that we are on track to aggressively push these discussions forward.

the near-term, we are primarily focused on achieving the following milestones:

you for your continued support. We are optimistic for a promising 2024.

Inc. (NASDAQ: NAOV) is a medical device company headquartered in Elmsford, New York, with research and development in Nesher, Israel,

focused on developing medical devices utilizing its patented low intensity surface acoustic wave (SAW) technology. The proprietary technology

allows for the creation of low-frequency ultrasound waves that can be utilized for a variety of medical applications, including for disruption

of biofilms and bacterial colonization, as well as for pain relief. The devices can be administered at home without the assistance of

medical professionals. The Company's primary products include PainShield and UroShield , which are portable devices suitable

for administration at home without assistance of medical professionals. Additional information about NanoVibronix is available at: www.nanovibronix.com.

press release contains "forward-looking statements." Such statements may be preceded by the words "intends,"

"may," "will," "plans," "expects," "anticipates," "projects,"

"predicts," "estimates," "aims," "believes," "hopes," "potential"

or similar words. Forward-looking statements are not guarantees of future performance, are based on certain assumptions and are subject

to various known and unknown risks and uncertainties, many of which are beyond the Company's control, and cannot be predicted or

quantified; consequently, actual results may differ materially from those expressed or implied by such forward-looking statements. Such

risks and uncertainties include, without limitation, risks and uncertainties associated with: (i) market acceptance of our existing and

new products or lengthy product delays in key markets; (ii) negative or unreliable clinical trial results; (iii) inability to secure

regulatory approvals for the sale of our products; (iv) intense competition in the medical device industry from much larger, multinational

companies; (v) product liability claims; (vi) product malfunctions; (vii) our limited manufacturing capabilities and reliance on subcontractor

assistance; (viii) insufficient or inadequate reimbursements by governmental and/or other third party payers for our products; (ix) our

ability to successfully obtain and maintain intellectual property protection covering our products; (x) legislative or regulatory reform

impacting the healthcare system in the U.S. or in foreign jurisdictions; (xi) our reliance on single suppliers for certain product components,

(xii) the need to raise additional capital to meet our future business requirements and obligations, given the fact that such capital

may not be available, or may be costly, dilutive or difficult to obtain; (xiii) our conducting business in foreign jurisdictions exposing

us to additional challenges, such as foreign currency exchange rate fluctuations, logistical and communications challenges, the burden

and cost of compliance with foreign laws, and political and/or economic instabilities in specific jurisdictions; and (xiv) market and

other conditions. More detailed information about the Company and the risk factors that may affect the realization of forward-looking

statements is set forth in the Company's filings with the Securities and Exchange Commission (SEC), including the Company's

Annual Report on Form 10-K and its Quarterly Reports on Form 10-Q. Investors and security holders are urged to read these documents free

of charge on the SEC's web site at: http://www.sec.gov. The Company assumes no obligation to publicly update or revise its forward-looking

statements as a result of new information, future events, or otherwise, except as required by law.

Maas, Managing Principal, Hayden IR, LLC