Exhibit 10.10  Addendum No. 2

[ETHICON
ENDO-SURGERY, INC. LETTERHEAD]

December 13,2002

By
Federal Express and Certified Mail

Fischer
Imaging Corporation
Attention: Vice President Sales, Marketing & Service
12300 North Grant Street
Denver, Colorado 80241

Dear
Sir

As you know, in April, 2002, Ethicon Endo-Surgery, Inc. exercised its option to renew for an additional two-year period the
DISTRIBUTOR AGREEMENT dated December 9, 1998, between Ethicon-Endo Surgery, Inc. and Fischer Imaging Corporation, as amended by Amendment No. 1 to Distributor
Agreement dated December 9, 2000 (the DISTRIBUTOR AGREEMENT as amended, the "Agreement"). Subsequently the parties entered into good faith negotiations to determine transfer pricing and related
terms during the renewal period.

Attached
please find the proposed pricing and related terms during the renewal period. All other terms and conditions of the Agreement remain the same subject to any further amendments
in accordance with the terms of the Agreement. Kindly confirm you accept and agree to the attached pricing and related terms during the renewal period by signing, dating and returning to me a copy of
this letter.

If
you have any questions, please do not hesitate to contact the undersigned at (513) 337-3395.

| |  | Very Truly Yours
Ethicon Endo-Surgery, Inc.
| |  | -------------------------------------------
| |  | /s/ALAN RAE                                
| |  | Alan Rae
Director, Business Development    

---

ATTACHMENT

DISTRIBUTOR AGREEMENT between Ethicon Endo-Surgery, Inc. (EES) and Fischer Imagining Corporation (Fischer)

Summary of Transfer Price and Related Terms for the renewal period from October 10, 2002 through October 10, 2004:

|Product                    |  | Original T.P. |       | Tier I T.P. |   | Tier 2 T.P. |  
|-------------------------- |  | ------------- | ----- | ----------- | - | ----------- | -
|Mammotest Plus/S           |  | $             | [**** | ]           | $ | [****       | ]
|Mammotest "Select"         |  |               | N/A   |             | $ | [****       | ]
|Extended Warranty (Annual) |  | $             | [**** | ]           | $ | [****       | ]

****Represents
material which has been redacted and filed separately with the Securities and Exchange Commission pursuant to a request for confidential treatment under Rule 24b-2 of
the Securities Exchange Act of 1934, as amended.

Note: Extended warranty terms & conditions to be specified on a separate attachment.



Target Pricing matrix:

Calendar Quarters

Target Purchase
Quantities

Contract to date target (80%)Q4'02

10

8Q1'03

10

16Q2'03

10

24Q3'03

10

32Q4'03

10

40


2

---

3

---



|ACCEPTED AND AGREED TO:     |  |                                                        
|--------------------------- |  | -------------------------------------------------------
|FISCHER IMAGING CORPORATION |  |                                                        
|Name:                       |  | /s/STEPHEN BURKE                                       
|Title:                      |  | CFO & EVP FINANCE                                      
|Ethicon Endo-Surgery, Inc.  |  |                                                        
|Name:                       |  | /s/STACY RAYMOND FOR RICHARD S. DAKERSRichard S. Dakers
|Title:                      |  | Vice President
New Business Development                
|Date:                       |  | 2-21-03                                                

4

---

QuickLinks