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                                                                     EXHIBIT 4.4


                                 MEDICALCV, INC.
              INCORPORATED UNDER THE LAWS OF THE STATE OF MINNESOTA

No. U-                              Certificate for __________ Units
    -----------------------------

         Units consisting of One Share of Common Stock and One Redeemable
              Class A Warrant to Purchase One Share of Common Stock


         Unit CUSIP 584639 20 7

THIS CERTIFIES that


         is the owner of the number of Units set forth above.

         Each Unit consists of one share of MedicalCV, Inc. Common Stock, $0.01
par value per share ("Common Stock"), and one (1) redeemable Class A Warrant
("Warrant") to purchase one share of Common Stock for $6.50 per share at any
time on or after ________________, ______, but before 5:00 P.M., Minneapolis
time on ________________, ______ (the "Expiration Date"). The terms of this
Warrant are governed by a Warrant Agreement dated as of ________________, 2001,
between MedicalCV, Inc. and The Registrar & Transfer Company as Warrant agent
(the "Warrant Agent") and subject to the terms and conditions contained therein,
to all of which terms and conditions the holder of this Unit certificate
consents by acceptance hereof. The Warrants shall be void unless exercised
before 5:00 P.M., Minneapolis time on the Expiration Date.

         This Certificate is not valid unless countersigned by the Transfer
Agent and Registrar of the Company.

         The Warrants and the shares of Common Stock represented by this Unit
certificate shall be non-detachable and shall not be separately transferable
until ________________, ______, or such earlier date as shall be determined by
MedicalCV, Inc.


Dated:
                                                    MEDICALCV, INC.

COUNTERSIGNED AND REGISTERED                                 By

THE REGISTRAR & TRANSFER COMPANY.
          as Transfer Agent and Registrar                   [TITLE]

By
                                                            Attest:

        AUTHORIZED SIGNATURE                                          SECRETARY


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                                 UNIT PROVISIONS

         This certificate certifies that for value received the registered
holder hereby is entitled, at any time on or after ________________, ______, or
such earlier date as MedicalCV, Inc. shall determine, that the Warrants and
Common Stock which comprise the Units shall be separately transferable (the
"Separation Date"), to exchange this Unit Certificate for one Common Stock
Certificate and one Warrant Certificate upon surrender of this Unit Certificate
to the Transfer Agent at the office of the Transfer Agent together with any
documentation required by such Transfer Agent. At any time on or after
________________, ______, and before 5:00 P.M. Minneapolis Time on the
Expiration Date, upon surrender of the Warrant Certificate at the office of the
Warrant Agent, with the Purchase Form on the reverse side thereof completed and
duly executed and accompanied by payment, in cash or check payable to the
Warrant Agent for the account of the Company, the registered holder of such
Warrant Certificate shall be entitled to purchase from MedicalCV, Inc. one share
of Common Stock of MedicalCV, Inc. for each Warrant represented by the Warrant
Certificate, which shares shall be fully paid and nonassessable, at the exercise
price of $______. The Purchase Price and the number of shares purchaseable upon
exercise of each Warrant are subject to adjustment upon the occurrence of
certain events set forth in the Warrant Agreement.

         After 5:00 P.M., Minneapolis Time on ________________, ______, the
Warrants shall become null and void and of no value.

         REFERENCE IS MADE TO THE WARRANT AGREEMENT REFERRED TO ON THE REVERSE
SIDE HEREOF, AND THE PROVISIONS OF SUCH WARRANT AGREEMENT SHALL FOR ALL PURPOSES
HAVE THE SAME EFFECT AS THOUGH FULLY SET FORTH ON THE FRONT OF THIS CERTIFICATE.

         The Warrant shall be governed by and construed in accordance with the
laws of the State of Minnesota.

         The following abbreviations, when used in the inscription on the face
of this certificate shall be construed as though they were written out in full
according to applicable laws or regulations:

<Table>
<Caption>
<S>            <C>                                   <C>
TEN COM        -  as tenants in common               UNIF GIFT MIN ACT - ...........Custodian............
TEN ENT        -  as tenants by the entireties                           (Cust)                  (Minor)
JT TEN         -  as joint tenants with right of                         under Uniform Gifts to Minors
survivorship and not as tenants                                               Act..........................
                                                                         ...........
                  in common                                                                (State)
COM PROP       -  as community property              UNIF TRF MIN ACT -  ..........Custodian         (until
                                                                         age..............)
                                                                         (Cust)

                                                                         ...................under Uniform
                                                                         Transfers
                                                                         (Minor)
                                                                         to Minors
                                                                         Act...............................
                                                                         (State)
</Table>

        Additional abbreviations may also be used though not in the above list.

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         For Value Received, __________________ hereby sell, assign and transfer
unto


PLEASE INSERT SOCIAL SECURITY OR OTHER
      IDENTIFYING NUMBER OF ASSIGNEE

____________________________________________


________________________________________________________________________________
(PLEASE PRINT OR TYPEWRITE NAME AND ADDRESS, INCLUDING ZIP CODE, OF ASSIGNEE)

________________________________________________________________________________

________________________________________________________________________________
(Units) represented by the within Certificate, and do hereby irrevocably
constitute and appoint
________________________________________________________________________
Attorney to transfer the said Unit(s) on the books of the within named
Corporation with full power of substitution in the premises.

Dated ________________________________

                           NOTICE:  THE SIGNATURE TO THIS ASSIGNMENT MUST
                                    CORRESPOND WITH THE NAME AS WRITTEN UPON THE
                                    FACE OF THE CERTIFICATE, IN EVERY
                                    PARTICULAR, WITHOUT ALTERATION OR
                                    ENLARGEMENT OR ANY CHANGE WHATEVER.

IMPORTANT:          ALL SIGNATURES MUST BE GUARANTEED IN THE SPACE PROVIDED
                    BELOW BY A FIRM THAT IS A MEMBER OF A NATIONAL SECURITIES
                    EXCHANGE OR OF THE NATIONAL ASSOCIATION OF SECURITIES
                    DEALERS, INC. OR BY A COMMERCIAL BANK OR TRUST COMPANY
                    LOCATED IN THE UNITED STATES.

SIGNATURE GUARANTEE:

Name:___________________________________________________________________________
                                 (Please print)

By:_____________________________________________________________________________

Title:__________________________________________________________________________