The only reason it could possible be is that SP just doesn't carry the benefits that Titan wanted us to believe it does.
I bet most surgeons would prefer to just do it laparoscopically through an incision rather than inserting this snake arm POS and doing it like some kind of try-hard techno cool guy.
Seriously I bet it just comes down to laparoscopically being faster, easier, and cheaper. What they can't do laparoscopically is probably because they require multiple angles of attack and that's where multi-port comes in.
Surprised it's STILL in the .40's. Given that they have debts, no product, no potential for a product, and a big group of incompetent criminals on the payroll, I would think their market cap would be -.40.