OEM/PLM SUPPLY AGREEMENT

Exhibit 10.10

CONFIDENTIAL TREATMENT REQUESTED

Certain portions of this document have been omitted pursuant to a request for Confidential Treatment and, where applicable, have been marked with “[***]” to indicate where omissions have been made. The confidential material has been filed separately with the Securities and Exchange Commission.

OEM/PLM SUPPLY AGREEMENT

This OEM/PLM and SUPPLY AGREEMENT (“Agreement”) is made by and between, Black Tie Medical, Inc., dba Tulip Medical Products (“TULIP”) and Establishment Labs S.A., a company organized and existing under the laws of Costa Rica (“XXXX”) as of July 31, 2016 (“Effective Date”) pursuant to the following terms, conditions and recitals:

RECITALS

WHEREAS, TULIP is in the business of manufacturing and selling medical devices typically used in connection with liposuction and fat transfer procedures in the cosmetic surgery field;

WHEREAS, TULIP presently sells its disposable and reusable devices through various distribution channels worldwide;

WHEREAS, TULIP owns several patents, trademarks, trade secrets and other intellectual property used in or in connection with its commercial operations;

WHEREAS, XXXX is in the business of manufacturing and selling medical products typically used in connection with breast augmentation procedures in the cosmetic surgery field on a global basis;

WHEREAS, XXXX has designed and developed proprietary products subject to patent applications and other intellectual property protections;

WHEREAS, XXXX has designed and is presently seeking patent and other intellectual property protections for a specific style of injector tip which can be combined with one or more types of TULIP proprietary cannula hubs to make a device (the “XXXX/TULIP PRODUCT”) convenient and marketable for use in connection with other ESLA products;

WHEREAS, XXXX desires to market an all-inclusive kit of medical devices and • other products which includes TULIP products and/or the XXXX/TULIP PRODUCTS;

WHEREAS, the parties wish to enter into a supply and OEM/PLM agreement under which TULIP will manufacture and deliver to XXXX prepackaged kits and individual products to be included in other XXXX kits which XXXX will then market to its customers on a worldwide basis; and

WHEREAS, the parties wish to respect and protect their respective intellectual property rights, including patents, trademarks and tradesecrets, relating to the individual devices covered by the supply and OEM/PLM agreement.

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NOW, THEREFORE, IN CONSIDERATION OF THE ABOVE recitals, which are a material part of this Agreement, and the mutual promises and covenants contained herein, the parties agree as follows:

BASIC TERMS OF THE AGREEMENT

1.    Definitions. The following bold terms shall be defined as set forth below for purposes of this Agreement:

1.1 “Affiliate” means any company controlled by, controlling, or under common Control with Supplier.

1.2 “Delivery Point” means ELSA’s facilities located at Costa Rica, Alajuela, Coyol Free Xxxx 0xx Xx, Xxxxxxxx X-X0.

1.3 “Products” shall mean the products specifically listed in Exhibit “A”, the XXXX/TULIP PRODUCTS, and any other products that the parties from time to time hereafter may mutually agree to add to this Agreement, for TULIP to make and/or assemble and deliver to XXXX under the terms and conditions of this Agreement.

1.4 “Trademark” means any trademark, logo, or service xxxx, whether or not registered, used to represent or describe the Products of TULIP, including but not limited to those identified in the attached Exhibit “B”.

2.    Appointment of Supplier.

2.1    During the term of this Agreement, XXXX shall regard TULIP as its preferred supplier for the Products and will purchase its requirements for the Products directly from TULIP.

2.2    TULIP will use best diligent efforts to search for methods and means that will lead to improvements, including cost reductions while maintaining the same or improved quality of the Products. XXXX will cooperate with TULIP in these efforts. XXXX shall comply with all applicable laws and regulations relating to the sale of the Products.

3.    Agreement to Supply Products.

3.1    Supply and Purchase Agreement. TULIP Agrees to supply Products to XXXX and XXXX agrees to purchase Products from TULIP pursuant to the terms and • conditions of this Agreement. TULIP will cause the Products to be manufactured in accordance with applicable industry standards. TULIP also agrees that ELSA’s quality assurance group shall have the right from time to time upon reasonable written notice to perform quality audits of TULIP’s facilities (or the facilities of TULIP’s subcontractors) to ensure that the Products are manufactured in compliance with standard industry practices. All costs and expenses associated

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with such audits shall be the sole responsibility of XXXX. It is further understood that TULIP shall have primary responsibility for management of its suppliers and the resolution of technical issues.

3.2    Changes. TULIP shall notify XXXX in writing and shall receive ELSA’s acceptance in writing, prior to the implementation of any material design change which differs from those designs used originally to produce the Products.

3.3    Additional Products. XXXX shall have the right to add additional Products of TULIP to this Agreement upon acceptance by TULIP.

3.4    Insurance. The parties represent and warrant that they have procured and will continue to maintain throughout the duration the of this Agreement and for four (4) years thereafter, appropriate liability insurance coverage issued by reputable insurance companies providing coverage for any and all claims arising out of or relating to the purchase, sale or use of any Products covered by this Agreement. Prior to placing the first order under this Agreement, the parties will make all necessary arrangements to have the other party named as an additional named insured under their respective policies and shall provide a certificate of insurance to the other party demonstrating that the carriers have made the required addition. All insurance policies shall insure against any and all claims, liabilities, costs or expenses resulting from or caused by (or claimed to be resulting from or caused by) any use or operation of any Products in the amount of at least one million (U.S. dollars) per claim, and one million (U,S. dollars) for claims in the aggregate. Each party shall bear all costs associated with procuring their respective insurance policies required by this agreement, including any cost or increased premium associated with naming the other party as an additional named insured.

4.    Commercial! Terms and Pricing.

4.1    Purchase Orders. XXXX may place its orders for Products on ELSA’s Purchase Order forms. The terms and conditions printed on such Purchase Orders shall be complied with to the extent they are not inconsistent with any terms or conditions, or the stated intent, of this agreement. In the event any such terms and conditions conflict with the terms of this Agreement, then the terms and conditions of this Agreement shall prevail.

4.2    Ordering and Forecasts. XXXX shall specify its expected requirements for Products to be manufactured by TULIP under the terms of this Agreement by issuing a12-month rolling forecast on a monthly basis. The forecast shall indicate ELSA’s best estimate, on a monthly basis, as to the number of each of the Products which XXXX anticipates purchasing, and the shipment date when XXXX expects to need each of the Products. TULIP may, but is not required to manufacture up to 125% of the Products purchased quantities forecast by XXXX in order to have inventory on hand in the event XXXX underestimates its expected requirements (“Excess Inventory”). In the event XXXX elects to purchase Excess Inventory, TULIP is entitled to charge the Product’s contract price plus a 10% premium on such Excess Inventory.

This 12-month rolling forecast will be divided into the following three (3) periods:

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4.2.1    Frozen Period: Within this rolling period, the delivery dates and quantities are fixed. This period will be the first four (4) week period of each forecast. XXXX commits to purchasing and receiving and not amending the specific weekly quantities within this rolling period, without prior agreement with TULIP Weekly quantities outside this period can be subject to change.

4.2.2    Variable Period: This rolling period is the eight (8) week period which follows immediately after the Frozen Period of each forecast. During this variable period, TULIP is allowed to purchase parts and, if necessary assemble Products, in order to meet the forecasted delivery dates for the Products. XXXX is obliged ultimately to purchase the Products specified for the variable period, but XXXX may elect to purchase such Products either during or after the variable period.

4.2.3    Informative Period: This period follows immediately after the variable period. The length of this period will be for the balance of the rolling twelve (12) month period. During this period, XXXX has no obligation to purchase any Product or parts.

4.3    Pricing.

4.3.1    TULIP shall sell to XXXX Product at a firm and fixed price per Exhibit “A” for one year, subject to adjustments set forth in Sections 4.3.2 and 4.3.3 as follows:

4.3.2    Following the end of the one (1) year fixed price period, and each year annually throughout the term of this Agreement, TULIP shall have the right to adjust the price structure for Products to reflect actual increases in production and related costs for Products as follows: If the cost to TULIP of any component parts of completed items for any Products to be supplied under this Agreement materially increases, TULIP may unilaterally adjust the pricing structure in Exhibit “A” to reflect the actual differential in price of such product to TULIP, which increased price will take effect at the next time TULIP completes an order for the affected Product(s) to XXXX. TULIP agrees use its best efforts to minimize any price increases, including, but not limited to, by finding alternate suppliers and purchasing materials in bulk and at other discounts. TULIP will provide written notice to XXXX of any permitted price changes at least 30 days prior to the effective date of any price change.

4.4    Packaging and Labeling. TULIP shall ship reusable and single-use sterile Products packaged in suitable containers for protection during shipments and for storage. The shipped Products will be labeled according to the standards agreed to by TULIP and XXXX prior to the initial shipment, which standards may be altered or modified from time to time by written agreement of both parties.

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The parties understand and agree that certain governmental regulations, including but not limited to regulations of the U.S. Food and Drug Administration (“USFDA”), require that all packaging for OEM/PLM products must identify TULIP as the manufacturer and that XXXX cannot be identified as a manufacturer. The parties agree that all Products shipped pursuant to this Agreement will be properly labeled to identify TULIP as the manufacturer and XXXX (or its appropriate subsidiary or affiliates) as “Distributed by” or “Manufactured for” as the case may be XXXX (or its appropriate subsidiary or affiliates) understand that the Costa Rica Ministry of Health must be properly notified of the distributorship relationship, and XXXX shall be responsible for providing such notice of distributorship to the Costa Rica Ministry of Health for itself and any of its subsidiaries or affiliates who may receive Products under this Agreement.

All Products shall comply with and bear CE markings TULIP shall maintain such marking by complying with all applicable European regulations and requirements, including any amendments or modified thereof, throughout the term of this agreement. If at any time during the term, or thereafter, there shall be any situation that may compromise the CE marked status of the Products, TULIP shall inform XXXX within 48 hours of gaining knowledge.

4.5    Patents and Trademarks. XXXX acknowledges and covenants that TULIP’s SuperLuerLoks are marked with patent number identification, and that such marking shall not be removed or altered by XXXX. XXXX acknowledges and covenants that TULIP’s trademarks, trade names and branding is solely and exclusively the property of TULIP. Any use of TULIP’s trademarks, trade names and branding (including photos, images and other images used by TULIP in its marketing) must be approved in writing by TULIP prior to any use by XXXX. TULIP has provided a Style Guide (Exhibit C) to assist XXXX in the authorized use of the TULIP’s trademarks, trade names and branding.

4.6    Notice of Intellectual Property Infringement. In the event that XXXX discovers or becomes aware of any infringement of any patent, copyright, Trademark or other intellectual property right of TULIP, or any unauthorized use of TULIP marks or materials, XXXX shall promptly notify TULIP in writing of the details of such infringement or unauthorized as soon as reasonably practical after XXXX becomes aware. TULIP shall have the exclusive right in its sole discretion to institute any proceedings against such third party in its name and on its behalf. XXXX shall cooperate fully with TULIP in any legal action taken by TULIP against such third parties, provided that TULIP shall pay all expenses of such action and all damage relating to damage suffered personally by TULIP which may be awarded or agreed upon in settlement of such action shall accrue to TULIP.

In the event that TULIP discovers or becomes aware of any infringement of any patent, copyright, Trademark or other intellectual property right of XXXX, or any unauthorized use of XXXX xxxxx or materials, TULIP shall promptly notify XXXX in writing of the details of such infringement or unauthorized as soon as reasonably practical after TULIP becomes aware. XXXX shall have the exclusive right in its sole discretion to institute any proceedings against such third party in its name and on its behalf. TULIP shall cooperate fully with XXXX in any legal action taken by XXXX against such third parties, provided that XXXX shall pay all expenses of such

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action and all damage relating to damage suffered personally by XXXX which may be awarded or agreed upon in settlement of such action shall accrue to XXXX.

4.7    Purchaser Purchasing Rights and Obligations.

4.7.1    Affiliates and Subsidiaries. It is understood and agreed that purchases under this Agreement may be made directly from TULIP by ELSA’s parent, Affiliate and subsidiary companies, or by other entities authorized by XXXX in writing to TULIP, and the provisions contained herein shall be equally applicable to said purchases.

4.7.2    Sales, Service and Storage Facilities. XXXX shall, at its expense, engage and maintain a sales, service and parts handling organization, staffed with such experienced personnel as are necessary to enable XXXX to perform its obligations under this Agreement. XXXX shall, at its expense, at all times store and maintain its inventory of Products in accordance with current, applicable instructions issued by TULIP from time to time.

4.7.3    Customer Complaints. XXXX shall forward all complaints associated with the Products to TULIP within 48 hours of notification of XXXX by customers or clients. XXXX shall assist TULIP with complaint investigation and perform any corrective action as “directed” by TULIP in accordance with the XXXX complaint handling procedures.

4.7.4    Records. XXXX shall maintain records of all sales of any Products to third parties for a minimum of five (5) years after delivery of said Products by XXXX. Complete copies of these records will be provided to TULIP upon request or upon termination of the Agreement.

4.7.5    Export Controls. XXXX expressly acknowledges and understands that the technical data and the direct product thereof, including the Products, are subject to export controls of the United States and XXXX agrees that neither the technical data nor the direct product thereof, including the Products will be transferred, directly or indirectly, to any destination contrary to the laws of the United States, including but not limited to the terms of any export license and the terms of Part 774 (re-exports) of the U.S. Export Administration Regulations. Further, XXXX hereby provides its assurance that it will not participate in any transaction which may involve any commodity or technical data, or the direct product thereof, exported or to be exported from the United States, or in any re-export thereof, or in any other transaction that is subject to export controls of the United States, if a person denied export privileges from the United States may obtain any benefit from or have any interest in, directly or indirectly, these transactions.

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4.8    Payment. XXXX shall pay a 50% non-refundable prepayment upon placement of each Purchase Order for each shipment of Products under this Agreement. The balance shall be paid prior to shipment from TULIP to XXXX.

5.    Damaged Product.

5.1    XXXX is entitled to reject any Product (or any component thereof) furnished by TULIP which is damaged. Promptly upon the receipt of a shipment of Products, XXXX shall examine the shipment to determine whether any item or items included in the shipment are in short supply, defective or damaged. Within 10 days of receipt of the shipment, XXXX shall notify TULIP in writing of any shortages, defects or damage, which XXXX claims existed at the time of delivery. Within 30 days after the receipt of such notice, TULIP will investigate the claim of shortages, defects or damage, inform XXXX of its findings, and deliver to XXXX Products to replace any which TULIP determines, were in short supply, defective or damaged at the time of delivery. Unless notice is given as provided in this Section, XXXX shall be deemed to have accepted such Products and to have waived all claims for shortages, defect or damage.

5.2    Products returned to TULIP in which no damage is found, or the damage was caused by XXXX, or an Affiliate or subsidiary or customer of Purchaser, shall be at the expense of XXXX. TULIP shall invoice XXXX for the costs incurred by TULIP for said damaged Products, such as freight charges, time, and materials.

6.    Transfer of Title/Transportation. All Products shipped shall be FOB Black Tie Medical, Inc., San Diego, CA. Title will transfer to XXXX upon commencement of shipment of the Products by TULIP. XXXX shall pay the cost and insurance of transportation. Products shall be shipped to the Delivery Point, unless otherwise instructed by XXXX in writing prior to shipment. All shipments will be handled through United Parcel Service (“UPS”). No carrier other than UPS shall be used without the prior written approval of TULIP.

7.    Force Majeure. Failure of either party to perform for this Agreement in whole or in part, shall be excused if such failure is the result of force majeure and acts of God, including, but not limited to, flood, wind and lightning, insurrections, strikes, riots, war and warlike operations, civil commotion, fires, explosions, accidents, the acts or orders of any governmental agency, acts of the public enemy, and laws or regulations or restrictions of the governmental entity or of any agency or instrumentality thereof.

8.    Termination.

8.1    Following the Initial Term as set forth in Section 13, the parties to this Agreement may terminate this Agreement, for any reason and without cause, on not less than sixty (60) days prior written termination notice by the terminating party to the non-terminating party.

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8.2    This Agreement may be terminated at any time upon mutual consent of the parties to this Agreement.

8.3    Either party may terminate this Agreement for material breach of any of its provisions by the other party upon thirty (30) days prior written notice to the other, if during such thirty (30) day notice period the default is not corrected to the reasonable satisfaction of the non-defaulting party. In addition, either party may immediately terminate this Agreement by giving the other party written notice if such other party has entered into or committed any act of liquidation, bankruptcy, insolvency, receivership or assignment for the benefit of creditors, to the extent such act is permitted by law.

8.4    Obligations Upon Termination.

8.4.1    Upon any termination of this Agreement, (i) both parties shall fully perform all of their obligations accruing up through the date of termination, and (ii) XXXX shall pay for all finished goods, work in process or raw materials inventory either on hand and non-returnable or on order and non-cancelable, purchased and/or manufactured as a result of ELSA’s purchase orders or written authorization to procure such material. XXXX shall have no obligation to purchase finished goods, work in process or raw materials that are outside the Frozen Period or Variable Period referenced in Sections 4.2.1 or 4.2.2 above.

8.4.2    To the extent applicable, the obligations under Sections 8.4, 9, 11 and 12 shall survive any termination of this Agreement for a period of ten (10) years after the termination of this Agreement.

9.    Proprietary Information.

9.1    Confidentiality. The provisions and arrangements made under this Agreement are confidential between parties. Each party shall protect confidential information in the same manner it protects its own confidential materials. Neither party shall make any reference to this Agreement or any provision thereof in any publicly disseminated literature, printed matter, or other publicity issued by or for it, except (i) as required by law, (ii) in connection with a public or private offer or sale of securities, a business collaboration or transaction, or a governmental or industry regulatory communication, or (iii) in a fashion and at a time mutually agreed upon by both parties after the execution of this Agreement. After XXXX has sold Products in the ordinary course of business, TULIP may add XXXX to TULIP’s list of customers and may show • external photographs of Products for marketing purposes but may not disclose the other business terms of this Agreement to other third parties.

All Parties are committed to maintain secrecy of confidentiality, which shall be governed by the provisions of the Contract called “Mutual Non-Disclosure Agreement” signed by the Parties the 9^th of September the year two thousand and sixteen; said document is an integral part of this Contract and is hereby incorporated by this reference except to the extent that its terms conflict with the terms of this Agreement, in which case the terms of this Agreement shall

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control. The parties recognize that certain of the Products require labeling which identifies TULIP as the patent holder and/or manufacturer and such disclosure and labeling, shall not be considered a breach of the confidentiality requirements of this Agreement.

9.2    Intellectual Property Rights.

9.2.1    Recognition of TULIP’s Rights. With the sole exception of the proprietary Xxxxxx Bulb Side-Port Injector designed by XXXX to be incorporated into some of the Products pursuant to this Agreement, XXXX recognizes the proprietary interest of TULIP in the techniques, designs, specifications, drawings and other technical data now existing or which may be developed during the term of this Agreement, relating to the Products and their use. XXXX acknowledges and agrees that such techniques, designs, specifications, drawings and technical data relating to the Products and their use, whether developed by TULIP alone, in conjunction with others, or otherwise, shall be and is the property of TULIP. XXXX shall cooperate fully in communicating to TULIP or its agents the properly described above. XXXX hereby waives any and all right, title and interest in and to such proprietary information.

9.2.2    Recognition of ELSA’s Rights. TULIP recognizes the proprietary interest of XXXX in the techniques, designs, specifications, drawings and other technical data now existing or which may be developed during the term of this Agreement, relating specifically to the Xxxxxx Bulb Side-Port Injector designed by XXXX, and TULIP acknowledges and agrees that such techniques, designs, specifications, drawings and technical data relating to the Xxxxxx Bulb Side-Port Injector, whether developed by XXXX alone, in conjunction with others, or otherwise, shall be and is the property of XXXX. TULIP shall cooperate fully in communicating to XXXX or its agents the property described above. TULIP hereby waives any and all right, title and interest in and to such proprietary information. TULIP further recognizes that XXXX is currently in the process of perfecting ELSA’s ownership rights in the Xxxxxx Bulb Side-Port Injector design and TULIP acknowledges such rights. Nothing in this agreement shall be construed as a license grant in favor of TULIP to use or sell the Xxxxxx Bulb Side-Port Injector on any products outside of this Agreement or to any third parties.

In the event that XXXX abandons or is otherwise unable to secure patent protection for the design of the Xxxxxx Bulb Side-Port Injector within four years of the effective date of this agreement, this Section 9.2.2, Section 9.3.2, and Section 9.5 will cease to have any effect, and the parties acknowledge that TULIP may manufacturer and sell products which may incorporate a Xxxxxx Bulb Side-Port Injector without restriction or obligation to pay royalties or any other compensation to XXXX for such sales.

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9.3    Further Inventions

9.3.1    To TULIP Products. As to any improvement to any of the Products which incorporate any TULIP proprietary information in any way, any component thereof, or any disposable used in connection therewith, which is made by ELSA’s employees or agents or anyone else, which improvement constitutes a patentable invention, (a) XXXX hereby agrees to promptly disclose the same to TULIP, (b) TULIP shall own all right, title and interest in such invention, (c) XXXX hereby agrees to cause the inventor to execute any assignments requested by TULIP in order to perfect TULIP’s ownership rights in the invention; and (d) XXXX shall cause said inventor to sign appropriate patent applications prepared at the expense of TULIP.

9.3.2    To XXXX Products. As to any improvement to any of the Products manufactured by TULIP for XXXX which are or which incorporate XXXX proprietary information which is made by TULIP’s employees or agents and which improvement constitutes a patentable invention, (a) TULIP hereby agrees to promptly disclose the same to XXXX, (b) XXXX shall own all right, title and interest in such invention, (c) TULIP hereby agrees to cause the inventor to execute any assignments requested by XXXX in order to perfect ELSA’s ownership rights in the invention; and (d) TULIP shall cause said inventor to sign appropriate patent applications prepared at the expense of XXXX. In the event XXXX elects to forgo pursuit of a patent for any such invention within 180 days after TULIP notifies XXXX of the improvement, the improvement shall be deemed to be an improvement to a TULIP product pursuant to Section 9.3.1 of this Agreement.

9.4    Nondisclosure. XXXX acknowledges and agrees that TULIP is entitled to prevent TULIP’s competitors from obtaining and utilizing TULIP’s trade secrets. XXXX agrees during the term hereof and thereafter to hold TULIP’s trade secrets and other confidential or proprietary information in strictest confidence and not to use them for purposes other than performance hereunder, and not to disclose them or allow them to be disclosed, directly or indirectly, to any other person or entity, other than to persons engaged by XXXX for the purpose of performance hereunder, without TULIP’s written consent. XXXX acknowledges the confidential nature of its relationship with TULIP and of any information relating to the Products, TULIP, or it distributors, agents, clients or customers which XXXX may obtain during the term hereof.

9.5    Sales to Third Parties. TULIP shall not sell any XXXX proprietary products manufactured by TULIP for XXXX under this Agreement to any third parties, including but not limited to any products incorporating the XXXX proprietary Xxxxxx Bulb Side-Port Injector. However, nothing in this Agreement shall prohibit TULIP from selling TULIP products, including any TULIP products included in the Products manufactured for XXXX under

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this Agreement, to any other entity, and XXXX expressly acknowledges that TULIP does and shall continue to sell TULIP products on a wholesale and retail basis throughout the world.

MISCELLANEOUS PROVISIONS

10.    Complete Agreement. The terms and conditions of this Agreement shall replace any previous terms and conditions between TULIP and XXXX relating to the Products. This Agreement constitutes the entire agreement between the parties on the subjects noted herein. This Agreement may not be modified except by written agreement executed by authorized representatives of both parties.

11.    Applicable Law and Dispute Resolution.

11.1    The construction, validity and performance of this Agreement shall be governed by the laws of the State of California, USA, excluding its principles regarding conflicts of law.

11.2    Any controversy or claim rising out of or relating to this Agreement, or the breach or interpretation hereof, shall be resolved through good faith negotiation between the executive officers of the parties hereto. Any controversy or claim not resolved by mutual agreement shall be submitted to binding arbitration in San Diego, California, in accordance with the rules of JAMS as then in effect; and judgment upon the award rendered in such arbitration shall be final and may be entered in any court having jurisdiction thereof. Notice of the demand for arbitration shall be filed in writing with the other party to this agreement and with JAMS. In no event shall the demand for arbitration be made after the date when institution of legal or equitable proceedings based on such claim, dispute, or other matter in question would be barred by the applicable statute of limitations. This Agreement to arbitrate shall be specifically enforceable under the prevailing arbitration law. The party most prevailing in said arbitration, as determined by the arbitrator based upon the parties’ representative claims and positions, shall be entitled to recover from the non-prevailing party all attorneys’ fees and other costs incurred in connection with the arbitration proceeding. In the event a party refuses or fails to participate in such arbitration, the other party may file a petition to compel arbitration in the Superior Court of the State of California or any other court having jurisdiction over the parties or the subject matter of the dispute, and both parties hereby consent to the jurisdiction of the courts of California for any purpose arising out of or relating to this Agreement and the subject matter thereof.

12.    Indemnification.

12.1    TULIP INDEMNIFICATION OF XXXX. TULIP agrees, at its cost, to defend and hold XXXX, its Affiliates, and all officers, directors, employees and agents thereof harmless from any and all claims, demands, suits or actions (including attorneys’ fees incurred in connection therewith) which may be asserted against XXXX for damages, including without limitation damage or injury to property or persons and incidental and consequential damages, which may be sustained by any third party arising out of the design or manufacture of the Products, except with respect to claims of design defects relating to ELSA’s proprietary designs

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and injector tip. TULIP’s obligation to defend and indemnify XXXX for such claims shall not apply if the Products have been modified, misused or damaged by a third party, including but not limited to XXXX, or if such claim is caused by the gross negligence of XXXX.

12.2    XXXX INDEMNIFICATION OF TULIP. XXXX agrees to defend, indemnify, protect, save and hold harmless TULIP, its Affiliates, and all officers, directors, employees and agents thereof harmless from and against any and all claims, demands, suits or actions (including attorneys’ fees incurred in connection therewith) which may be asserted against TULIP for any kind of damages, including without limitation damage or injury to property or persons and incidental and consequential damages, which may be sustained by any third party arising out of or incidental to the conduct of ELSA’s operations, including but not limited to the handling, sale, marketing, promotion, or use of the Products, with the sole exception of claims of design or manufacturing defects by TULIP as provided for in Section 12.1 of this Agreement.

13.    Term of Agreement. The Initial Term of this Agreement shall be three (3) years following the Effective Date hereof’. The term shall be automatically extended after the Initial Term for continuing one year terms until terminated in accordance with Section 8.

14.    Assignment. Neither party may directly or indirectly assign or transfer this Agreement, in whole or on part, to any third party without the other party’s prior written consent, which consent shall not be unreasonably withheld or delayed. Notwithstanding the above, XXXX and TULIP may assign their respective rights and obligations hereunder to a subsidiary or Affiliate or to a purchaser of its business relating to the Products without the prior written consent of the other.

15.    Severability. In the event of any provision of this Agreement shall be • invalid, void, illegal, or unenforceable, the remaining provisions hereof nevertheless will continue in full force and effect without being impaired or invalidated in any way.

16.    Notices. Any notices from either party which affect this Agreement shall be in writing and sent by mail, fax, or telex to the address of the other party as set out below, or such other address as may from time to time have been notified in writing by either party in question to the other.

In the case of notices to XXXX:

Xxxxxxxx Xxxx Xxxxxx Coyol Free Xxxx 0xx Xx, Xxxxxxxx X-00 Xxxxxxxx, Xxxxx Xxxx

In the case of notices to TULIP:

Xxxxxxxx Xxxxxxxxxx Tulip Medical Products

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0000 Xxxxxx Xxxx., Xxxxx 000, Xxx Xxxxx, XX 00000

17.    Privity. The relationship established between TULIP and XXXX shall be solely that of seller and buyer, and neither party shall be in any way the agent or representative of the other party for any purpose whatsoever, and shall have no right to create or assume any obligation or responsibility of any kind, whether express or implied, in the name of or on behalf of the of the party to bind the other party in any manner whatsoever.

18.    Validity of Agreement Signed in Counterpart. This Agreement may be signed in counterparts, each of which shall be an original, but all of which shall be deemed to be one and the same instrument, and shall be valid and binding when so signed. A party may evidence its signature and delivery by faxing a signed copy of this Agreement to the other party.

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IN WITNESS WHEREOF, the parties have caused their respective duly authorized representatives to sign this Agreement in counterparts, putting this Agreement in effect as of the date written above.

Black Tie Medical Inc., dba Tulip Medical Products
Signature:	/s/ Xxxxxx Xxxxxxxxxx
Name:	Xxxxxx Xxxxxxxxxx
Title:	Chief Operating Officer
Establishment Labs S.A.
Signature:	/s/Xxxx Xxxx Xxxxxx
Name:	Xxxx Xxxx Xxxxxx
Title:	CEO

[Signature Page to OEM/PLM Supply Agreement]

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The Motiva kit will include the following items:

1 x DSLSFZ1320 - Single Use Xxxxxx Harvester 2.4mm (13g) x 20cm

1 x DSLBINJ1612 - Single Use Sideport Bulb Injectors 1.6mm (16g) x 12cm

1 x DJS60 - Single Use Xxxxxxx Snap 60cc

1pair x DATLLLL 2.4mm - Single Use Anaerobic LuerLok transfers 2.4mm

Here is the explanation of the Motiva kit prices and quantities:

[***] for [***] pieces

[***] for [***] to [***] pieces

[***] for [***] to [***] pieces

[***] for [***] to [***] pieces

Non-Sterile kits will have a [***] discount

Reusable Motiva Kit:

SFZSL1320 - Xxxxxx Harvester SuperLuerLok 2.4mm x 20cm

INJBSL1612 - Bulb Injector/Sideport SuperLuerLok 1.6mm x 12cm

ATLLLL2.4 - Anaerobic Transfer LuerLok to LuerLok 2.4mm

SNAP60 - Xxxxxxx Snap 60cc

Motiva price [***] per kit, minimum of [***] kits per purchase order.

Confidential

Exhibit “B” TRADEMARKS

Tulip CellFriendly

SuperLuerLok

Tulip

GEMS

Tulip Gold Standard Fat Injection Set

Xxxxxxx Snaps

Xxxxxxx Xxx

Tulip Power Handle

Pocar

Anaerobic Transfer

Power Adapter

NanoTransfer

NanoTransfer Cartridges

Tulip Crowns

Tulip SuperSpin

Tulip NanoSpin

Tulip Bulb Injector End Port

Tonnard Harvester

Xxxxxxxx Harvester

Xxxxxx Harvester

Bensimon Harvester

Golsis Harvester

Xxxxxxxx Harvester

Little Harvester

Xxxxxxxxxx Harvester

Wall Basket

Wall Xxxxxxxx

Xxxxxxx Harvester

Xxxxxxxx Flap infiltrator

Xxxxxx Harvester

SpoonTip Injector

Portless VDissector

Tulip Z Syringe Stands

Tulip Emulsifier

Tulip SoftPicks

Confidential

Exhibit “C” STYLE GUIDE

Confidential