Exhibit 4.19

PUBLIC HEALTH SERVICE

PATENT LICENSE AGREEMENT-NONEXCLUSIVE

COVER PAGE

Patent License Number: A198-11

Serial Number(s) of Licensed Patent(s):

US Patent
8,148,057, entitled, Immunoassays and Devices for Detection of Anti-Lipoidal Antibodies, issued 4/3/2012, claiming priority to US Provisional Patent Application No. 60/693,120, filed 6/21/2005, inventor, Arnold Castro.

US Patent Application Serial No. 13/421,681, entitled, Methods, Immunoassays and Devices for Detection of Anti-Lipoidal Antibodies, filed
3/15/2012, claiming priority to US Provisional Patent Application No. 60/693,120, filed 6/21/2005, inventors, Arnold Castro and Robert George.

PCT Patent Application Serial No. PCT/US06/024117 entitled, Methods, Immunoassays and Devices for Detection of Anti-Lipoidal Antibodies, filed
6/20/2006, and related foreign applications, inventors, Arnold Castro and Robert George.

[CDC Ref. No 1-010-05].



|          |  |                                      
|--------- |  | -------------------------------------
|Licensee: |  | Trinity Biotech Manufacturing Limited
|          |  | IDA Business Park                    
|          |  | Southern Cross Road                  
|          |  | Bray                                 
|          |  | Co. Wicklow                          
|          |  | Ireland                              

CRADA Number (if applicable): NCHHSTP-C1D11426-00

Additional Remarks: This royalty rate is for use in Trinitys dual Trep/Non-Trep Syphilis rapid test. The treponemal (total antibody) + non-treponemal
assay essentially is a combination screen and confirmation test. In accordance with fair government practices, this technology is being licensed at the same rates as previous licenses.

Public Benefit (s): Development of a point of care test that can quickly detect both treponomal and nontreponomal antigens.

This Patent License Agreement, hereinafter referred to as the Agreement, consists of this Cover Page, an attached Agreement, a
Signature Page, Appendix A (List of Patent(s) or Patent Application(s)), Appendix B (Fields of Use and Territory), Appendix C (Royalties), Appendix D (Modifications), Appendix E (Benchmarks), Appendix F (Commercial Development Plan), and Appendix G
(Example Royalty Report). The Parties to this Agreement are:



|1) | The National Institutes of Health (NIH), the Centers for Disease Control and Prevention (CDC), or the Food and Drug Administration (FDA), hereinafter singly or collectively referred
to as PHS, agencies of the United States Public Health Service within the Department of Health and Human Services (HHS); and
|-- | ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------



|2) | The person, corporation, or institution identified above and/or on the Signature Page, having offices at the address indicated on the Signature Page, hereinafter referred to as Licensee.
|-- | --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------



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PHS PATENT LICENSE AGREEMENT-NONEXCLUSIVE

PHSand Licenseeagree as follows:



|1. | BACKGROUND
|-- | ----------



| | 1.01 | In the course of conducting biomedical and behavioral research, PHS investigators made inventions that may have commercial applicability.
| | ---- | -----------------------------------------------------------------------------------------------------------------------------------------



| | 1.02 | By assignment of rights from PHS employees and other inventors, HHS, on behalf of the United States Government, owns intellectual property rights claimed in any United States and/or foreign patent
applications or patents corresponding to the assigned inventions HHS also owns any tangible embodiments of these inventions actually reduced to practice by PHS.
| | ---- | ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------



| | 1.03 | The Secretary of HHS has delegated to PHS the authority to enter into this Agreementfor the licensing of rights to these inventions under 35 U.S.C. §§200-212, the Federal Technology Transfer Act
of 1986, 15 U.S.C. §3710(a), and the regulations governing the licensing of Government-owned inventions, 37 C.F.R. Part 404.
| | ---- | -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------



| | 1.04 | PHS desires to transfer these inventions to the private sector through commercialization licenses to facilitate the commercial development of products and processes for public use and benefit.
| | ---- | ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------



| | 1.05 | Licenseedesires to acquire commercialization rights to certain of these inventions in order to develop processes, methods, and/or marketable products for public use and benefit.
| | ---- | ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------



|2. | DEFINITIONS
|-- | -----------



| | 2.01 | Benchmarks mean the performance milestones that are set forth in Appendix E.
| | ---- | ------------------------------------------------------------------------------



| | 2.02 | Commercial Development Plan means the written commercialization plan attached as Appendix F.
| | ---- | ----------------------------------------------------------------------------------------------



| | 2.03 | First Commercial Sale means the initial transfer by or on behalf of Licenseeof Licensed Productsor the initial practice of a Licensed Processby or on behalf of Licenseein exchange for cash or some equivalent to which value can be assigned for the purpose of determining Net Sales.
| | ---- | ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------



| | 2.04 | Government means the Government of the United States of America.
| | ---- | ------------------------------------------------------------------



| | 2.05 | Licensed Fields of Use means the field(s) of use identified in Appendix B.
| | ---- | ----------------------------------------------------------------------------



| | 2.06 | Licensed Patent Rights shall mean:
| | ---- | ------------------------------------



| | a) | Patent applications including provisional patent applications and PCT patent applications, and/or patents listed in Appendix A, all divisions and continuations of these applications, all patents issuing from such
applications, divisions, and continuations, and any reissues, reexaminations, and extensions of all such patents;
| | -- | --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------



| | b) | to the extent that the following contain one or more claims directed to the invention or inventions disclosed in a) above: i) continuations-in-part of a) above; ii) all divisions and continuations of these
continuations-in-part; iii) all patents issuing from such continuations-in-part, divisions, and continuations; and iv) any reissues, reexaminations, and patent term extensions;
| | -- | ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------



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| | c) | to the extent that the following contain one or more claims directed to the invention or inventions disclosed in a) above: all counterpart foreign applications and patents to a) and b) above, including those listed in
Appendix A.
| | -- | -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

Licensed Patent Rightsshall not include b) or c) above to the extent that they contain one or
more claims directed to new matter which is not the subject matter disclosed in a) above.



| | 2.07 | Licensed Process(es)means processes which, in thecourse of being practiced would, in the absence of this Agreement,infringe one or more claims of the Licensed Patent Rightsthat have not been held invalid or unenforceable by an unappealed or unappealable judgment of a court of competent jurisdiction.
| | ---- | --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------



| | 2.08 | Licensed Product(s)means tangible materials which, in the course of manufacture, use, offer to sell, sale, or importation would, in the absence of this Agreement,infringe one or more claims
of the Licensed Patent Rightsthat have not beenheld invalid or unenforceable byan unappealed or unappealable judgment of a court of competent jurisdiction.
| | ---- | -----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------



| | 2.09 | Licensed Territorymeans the geographical area identified in Appendix B.
| | ---- | -------------------------------------------------------------------------



| | 2.10 | Net Sales means the total gross receipts for sales of Licensed Productsor practice of Licensed Processesby or on behalf of Licensee,and from leasing,
renting, or otherwise making Licensed Productsavailable to others without sale or other dispositions, whether invoiced or not, less returns and allowances, packing costs, insurance costs, freight out, taxes or excise duties imposed on the
transaction (if separately invoiced), and wholesaler and cash discounts in amounts customary in the trade to the extent actually granted. No deductions shall be made for commissions paid to individuals, whether they be with independent sales
agencies or regularly employed by Licensee,and on its payroll, or for the cost of collections.
| | ---- | -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------



| | 2.11 | Practical Applicationmeans to manufacture in the case of a composition or product, to practice in the case of a process or method, or to operate in the case of a machine or system; and in each case,
under such conditions as to establish that the invention is being utilized and that its benefits are to the extent permitted by law or Government regulations available to the public on reasonable terms.
| | ---- | -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------



|3. | GRANT OF RIGHTS
|-- | ---------------



| | 3.01 | PHShereby grants and Licenseeaccepts, subject to the terms and conditions of this Agreement,a nonexclusive license under the Licensed Patent Rightsin the Licensed Territoryto make
and have made, to use and have used, and to sell and have sold, to offer to sell, and to import any Licensed Productsin the Licensed Fields of Useand to practice and have practiced any Licensed Processesin the Licensed
Fields of Use.
| | ---- | -----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------



| | 3.02 | This Agreementconfers no license or rights by implication, estoppel, or otherwise under any patent applications or patents of PHSother than Licensed Patent Rightsregardless of whether such
patents are dominant or subordinate to Licensed Patent Rights.
| | ---- | -----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------



|4. | SUBLICENSING
|-- | ------------



| | 4.01 | Licensee has no right to sublicense.
| | ---- | ------------------------------------



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|5. | STATUTORY AND PHS REQUIREMENTS AND RESERVED GOVERNMENT RIGHTS
|-- | -------------------------------------------------------------



| | 5.01 | Prior to the First Commercial Sale, Licenseeagrees to provide PHSreasonable quantities of Licensed Productsor materials made through the Licensed Processesfor PHSresearch use.
| | ---- | -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------



| | 5.02 | Licensee agrees that products usedor sold in the United States embodying Licensed Productsor produced through use of Licensed Processesshall be manufactured
substantially in the United States, unless a written waiver is obtained in advance from PHS.
| | ---- | ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------



|6. | ROYALTIES AND REIMBURSEMENT
|-- | ---------------------------



| | 6.01 | Licenseeagrees to pay to PHSa noncreditable, nonrefundable license issue royalty as set forth in Appendix Cwithin thirty (30)days from the date that this Agreementbecomes effective.
| | ---- | -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------



| | 6.02 | Licenseeagrees to pay to PHS a nonrefundable minimum annual royalty as set forth in Appendix C. The minimum annual royalty is due and payable on January 1 of each calendar year and may
be credited against any earned royalties due for sales made in that year. The minimum annual royalty due for the first calendar year of this Agreementmay be prorated according to the fraction of the calendar year remaining between the
effective date of this Agreementand the next subsequent January 1.
| | ---- | ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------



| | 6.03 | Licenseeagrees to pay PHSearned royalties as set forth in Appendix C.
| | ---- | ---------------------------------------------------------------------



| | 6.04 | Licensee agrees to pay PHS benchmark royalties as set forth in Appendix Cand Appendix E.
| | ---- | ----------------------------------------------------------------------------------------



| | 6.05 | A patent or patent application licensed under this Agreementshall cease to fall within the Licensed Patent Rightsfor the purpose of computing the earned royalty and payments in any given country
on the earliest of the dates that a) the application has been abandoned and not continued, b) the patent expires or irrevocably lapses, or c) the claim has been held to be invalid or unenforceable by an unappealed or unappealable decision of a court
of competent jurisdiction or administrative agency.
| | ---- | ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------



| | 6.06 | No multiple royalties shall be payable because any Licensed Productsor Licensed Processesare covered by more than one of the Licensed Patent Rights.
| | ---- | ----------------------------------------------------------------------------------------------------------------------------------------------------



| | 6.07 | On sales of Licensed Productsby Licensee to affiliated parties or on sales made in other than an arms-length transaction, the value of the Net Salesattributed under this Article 6 to
such a transaction shall be that which would have been received in an arms-length transaction, based on sales of like quantity and quality products on or about the time of such transaction.
| | ---- | --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------



| | 6.08 | With regard to expenses associated with the preparation, filing, prosecution, and maintenance of all patent applications and patents included within the Licensed Patent Rightsincurred by PHSprior to the
effective date of this Agreement, Licenseeshall pay to PHS,as an additional royalty, within sixty (60) days of PHSssubmission of a statement, and request for payment to Licensee,an amount
equivalent to such patent expenses previously incurred by PHS.
| | ---- | ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------



| | 6.09 | With regard to expenses associated with the preparation, filing, prosecution, and maintenance of all patent applications and patents included within the Licensed Patent Rightsincurred by PHSon or after
the effective date of this Agreement, PHS,at its sole option, may require Licensee:
| | ---- | ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------



| | 1. | to pay PHS on an annual basis, within sixty (60) days of PHSs submission of a statement, and request for payment, a royalty amount equivalent to all such patent expenses incurred during the
previous calendar year(s); or
| | -- | ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------



| | 2. | to pay such expenses directly to the law firm employed by PHSto handle such functions. However, in such event, PHSand not Licenseeshall be the client of such law
firm.
| | -- | -----------------------------------------------------------------------------------------------------------------------------------------------------------------------



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| | 6.10 | Licenseemay elect to surrender its rights in any country of the Licensed Territoryunder any Licensed Patent Rightsupon ninety (90) days written notice to PHSand owe no payment
obligation under Paragraph 6.09 for patent-related expenses incurred in that country afterthe effective date of such written notice.
| | ---- | --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------



|7. | PATENT FILING, PROSECUTION, AND MAINTENANCE
|-- | -------------------------------------------



| | 7.01 | PHSagrees to take responsibility for the preparation, filing, prosecution, and maintenance of any and all patent applications or patents included in the Licensed Patent Rights.
| | ---- | --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------



| | 7.02 | Pursuant to statute 15 U.S.C. §3710c(a)(l)(A)(i), PHS may use royalty payments as calculated in Appendix C, in whole or in part, to pay some or all of the patent costs of the Licensed Patent Rights.
| | ---- | ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------



|8. | RECORD KEEPING
|-- | --------------



| | 8.01 | Licenseeagrees to keep accurate and correct records of Licensed Productsmade, used, sold, or imported and Licensed Processespracticed under this Agreementappropriate to determine the
amount of royalties due PHS.Such records shall be retained for at least five (5) years following a given reporting period, and shall be available during normal business hours for inspection at the expense of PHSby an
accountant or other designated auditor selected by PHSfor the sole purpose of verifying reports and payments hereunder. The accountant or auditor shall only disclose to PHSinformation relating to the accuracy of reports and payments
made under this Agreement.If an inspection shows an underreporting or underpayment in excess of five percent (5%) for any twelve (12) month period, then Licenseeshall reimburse PHSfor the cost of the
inspection at the time Licenseepays the unreported royalties, including any late charges as required by Paragraph 9.08 of this Agreement.All payments required under this Paragraph shall be due within thirty (30) days of
the date PHSprovides Licenseenotice of the payment due.
| | ---- | ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------



| | 8.02 | Licenseeagrees to conduct an audit of sales and royalties conducted by an independent auditor at least every two (2) years if annual sales of the Licensed Productor Licensed Processesare
over two (2) million dollars. The audit shall address, at a minimum, the amount of gross sales by or on behalf of Licenseeduring the audit period, terms of the license as to percentage or fixed royalty to be remitted to the
Government,the amount of royalty funds owed to the Governmentunder this Agreement,and whether the royalty amount owed has been paid to the Governmentand is reflected in the records of the
Licensee.The audit shall also indicate the PHSlicense number, product, and time period being audited. A report certified by the auditor shall be submitted promptly by the auditor directly to PHSon completion.
Licenseeshall pay for the entire cost of the audit.
| | ---- | -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------



|9. | REPORTS ON PROGRESS, BENCHMARKS, SALES, AND PAYMENTS
|-- | ----------------------------------------------------



| | 9.01 | Prior to signing this Agreement, Licenseehas provided to PHSthe Commercial Development Planat Appendix F, under which Licenseeintends tobring the subject matter of
the Licensed Patent Rightsto the point of Practical Application.This Commercial Development Planis hereby incorporated by reference into this Agreement.Based on this plan, performance Benchmarksare determined
as specified in Appendix E.
| | ---- | ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------



| | 9.02 | Licenseeshall provide written annual reports on its product development progress or efforts to commercialize under the Commercial
Development Planfor each of the Licensed Fields of Usewithin sixty (60) days after December 31 of each calendar year. These progress reports shall include, but not be limited to:progress on research and
development, status of applications for regulatory approvals, manufacturing, marketing, importing, and sales during the preceding calendar year, as well
| | ---- | -----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------



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| | as plans for the present calendar year. PHSalso encourages these reports to include information on any of Licenseespublic service activities that relate to the Licensed
Patent Rights.If reported progress differs from that projected in the Commercial Development Planand Benchmarks, Licenseeshall explain the reasons for such differences. In any such annual report, Licenseemay
propose amendments to the Commercial Development Plan,acceptance of which by PHSmay not be denied unreasonably. Licenseeagrees to provide any additional information reasonably required by PHSto evaluate
Licenseesperformance under this Agreement.Licenseemay amend the Benchmarksat any time upon written consent by PHS.PHSshall not unreasonably withhold approval of any request of Licenseeto
extend the time periods of this schedule if such request is supported by a reasonable showing by Licenseeof diligence in itsperformance under the Commercial Development Planand toward bringing the Licensed Productsto
the point of practical application as defined in 37 CFR 404.3(d). Licenseeshall amend the Commercial Development Planand Benchmarksat the request of PHSto address any Licensed Fields of Usenot specifically
addressed in the plan originally submitted.
| | -----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------



| | 9.03 | Licenseeshall report to PHSthe dates for achieving Benchmarksspecified in Appendix C and/or Appendix E and the First Commercial Salein each country in the Licensed Territorywithin
thirty (30) days of such occurrence.
| | ---- | ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------



| | 9.04 | Licenseeshall submit to PHSwithin sixty (60) days after each calendar half-year ending June 30 and December 31 a royalty report setting forth for the preceding half-year period the amount
of the Licensed Productssold or Licensed Processespracticed by or on behalf of Licenseein each country within the Licensed Territory,the Net Sales,and the amount ofroyalty accordingly
due. With each such royalty report, Licenseeshall submit payment ofthe earned royalties due. Ifno earned royalties are due to PHSfor any reporting period, the written report shall so state. The royalty
report shall be certified as correct by an authorized officer ofLicenseeand shall include a detailed listing of all deductions made under Paragraph 2.10 to determine Net Salesmade under Article 6 to determine royalties due.
| | ---- | -----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------



| | 9.05 | Royalties due under Article 6 shall be paid in U.S. dollars. For conversion of foreign currency to U.S.dollars, the conversion rate shall be the New York foreign exchange rate quoted in
The Wall Street Journal on the day that the payment is due. All checks and bank drafts shall be drawn on United States banks and shall be payable, as appropriate, to CDC/Technology Transfer and shall reference the licensing
agreement number assigned by the Centers for Disease Control and Prevention (CDC). All such payments shall be sent to the following address: CDC, Financial Management Office, P.O. Box 15580, Atlanta, GA 30333 or by wire transfer. To ensure timely
and accurate payment processing, please be sure to include the invoice number (if applicable), tax ID number, and/or a copy of the invoice with your payment. Also, please send a copy/confirmation of such payment to the following address: CDC,
Technology Transfer Office, 4770 Buford Highway NE, MailStop K-79, Atlanta, GA 30341. Any loss of exchange, value, taxes, or other expenses incurred in the transfer or conversion to U.S. dollars shall be paid entirely by Licensee.The
royalty report required by Paragraph 9.04 of this Agreementshall accompany each such payment and a copy of such report shall also be mailed to PHSat its address for notices indicated on the Signature Page of this Agreement.
| | ---- | ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------



| | 9.06 | Licenseeshall be solely responsible for determining if any tax on royalty income is owed outside the United States and shall pay any such tax and be responsible for all filings with appropriate agencies of
foreign governments.
| | ---- | ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------



| | 9.07 | Additional royalties may be assessed by PHSon any payment that is more than ninety (90) days overdue at the rate of one percent (1%) per month. This one percent (1%) per month rate may be applied
retroactively from the original due date until the date of receipt by PHSof the overdue payment and additional royalties. The payment of additional royalties shall not prevent PHSfrom exercising any other rights it may have as a
consequence of the lateness of any payment.
| | ---- | ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------



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| | 9.08 | All plans and reports required by this Article 9 and marked confidential by Licenseeshall, to the extent permitted by law, be treated by PHS as commercial and financial information obtained
from a person and as privileged and confidential, and any proposed disclosure of such records by the PHS under the Freedom of Information Act, 5 U.S.C. § 552 shall be subject to the predisclosure notification requirements of 45 CFR
§ 5.65(d).
| | ---- | --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------



|10. | PERFORMANCE
|--- | -----------



| | 10.01 | Licensee shall use its reasonable best efforts to bring the License Products and Licensed Processes to Practical Application. Reasonable best efforts for the purposes of this provision shall include
adherence to the Commercial Development Planat Appendix F and performance of the Benchmarksat Appendix E.
| | ----- | ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------



| | 10.02 | Upon the First Commercial Sale,until the expiration of this Agreement, Licenseeshall use its reasonable best efforts to makeLicensed Productsand Licensed Processesreasonably
accessible to the United States public.
| | ----- | ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------



|11. | INFRINGEMENT AND PATENT ENFORCEMENT
|--- | -----------------------------------



| | 11.01 | PHS and Licenseeagree to notify each other promptly of each infringement or possible infringement of the Licensed Patent Rights,as well as any facts which may affect the validity, scope, or
enforceability of the Licensed Patent Rightsof which either Party becomes aware.
| | ----- | ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------



| | 11.02 | In the event that a declaratory judgment action alleging invalidity of any of the Licensed Patent Rightsshall be brought against PHS, PHS agrees to notify Licenseethat an action alleging
invalidity has been brought. PHS does not represent that it will commence legal action to defend against a declaratory action alleging invalidity. Licenseeshall take no action to compel the Governmenteither to initiate or to
join in any such declaratory judgment action. Should the Governmentbe made a party to any such suit by motion or any other action of Licensee, Licenseeshall reimburse the Governmentfor any costs, expenses, or fees which the
Governmentincurs as a result of such motion or other action. Upon Licenseespayment of all costs incurred by the Governmentas a result of Licenseesjoinder motion or other action, these actions by
Licenseewill not be considered a default in the performance of any material obligation under this Agreement.
| | ----- | -----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------



|12. | NEGATION OF WARRANTIES AND INDEMNIFICATION
|--- | ------------------------------------------



| | 12.01 | PHS offers no warranties other than those specified in Article 1.
| | ----- | -----------------------------------------------------------------



| | 12.02 | PHS does not warrant the validity of the Licensed Patent Rightsand makes no representations whatsoever with regard to the scope of the Licensed Patent Rights,or that the Licensed Patent
Rightsmay be exploited without infringing other patents or other intellectual property rights of third parties.
| | ----- | ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------



| | 12.03 | PHSMAKES NO WARRANTIES, EXPRESSED OR IMPLIED, OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE OF ANY SUBJECT MATTER DEFINED BY THE CLAIMS OF THE LICENSED PATENT RIGHTSOR TANGIBLE MATERIALS RELATED
THERETO.
| | ----- | --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------



| | 12.04 | PHS does not represent that it will commence legal actions against third parties infringing the Licensed Patent Rights.
| | ----- | -----------------------------------------------------------------------------------------------------------------------



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| | 12.05 | Licensee shall indemnify and hold PHS, its employees, students, fellows, agents, and consultants harmless from and against all liability, demands, damages, expenses, and losses, including but not limited
to death, personal injury, illness, or property damage in connection with or arising out of a) the use by or on behalf of Licensee,directors, employees, or third parties of any Licensed Patent Rights,or b) the design,
manufacture, distribution, or use of any Licensed Products, Licensed Processesor materials by Licensee,or other products or processes developed in connection with or arising out of the Licensed Patent Rights.Licenseeagrees to maintain a liability insurance program consistent with sound business practice.
| | ----- | -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------



|13. | TERM, TERMINATION, AND MODIFICATION OF RIGHTS
|--- | ---------------------------------------------



| | 13.01 | This Agreement is effective when signed by all parties and shall extend to the expiration of the last to expire of the Licensed Patent Rightsunless sooner terminated as provided in this Article 13.
| | ----- | -----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------



| | 13.02 | In the event that Licensee is in default in the performance of any material obligations under this Agreement,including but not limited to the obligations listed in Paragraph 13.05, and if the default has
not been remedied within ninety (90) days after the date of notice in writing of such default, PHS may terminate this Agreementby written notice, and pursue outstanding amounts owed through procedures provided by the Federal Debt
Collection Act.
| | ----- | -----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------



| | 13.03 | In the event that Licenseebecomes insolvent, files a petition in bankruptcy, has such a petition filed against it, determines to file a petition in bankruptcy, or receives notice of a third partys
intention to file an involuntary petition in bankruptcy, Licenseeshall immediately notify PHS in writing. Furthermore, PHS shall have the right to terminate this Agreementimmediately upon Licensees receipt
of written notice.
| | ----- | ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------



| | 13.04 | Licensee shall have a unilateral right to terminate this Agreementand/or any licenses in any country by giving PHS sixty (60) days written notice to that effect.
| | ----- | -----------------------------------------------------------------------------------------------------------------------------------------------------------------



| | 13.05 | PHS shall specifically have the right to terminate or modify, at its option, this Agreement,if PHSdetermines that the Licensee:1)is not executing the Commercial Development Plansubmitted with its request for alicense and the Licenseecannot otherwise demonstrate to PHSssatisfaction that the Licenseehas taken, or can be expected to take within areasonable time,
effective steps to achieve practical application of the Licensed Productsor Licensed Processes;2)has not achieved the Benchmarksas may be modified under Paragraph 9.02; 3)has willfully made a false
statement of, or willfully omitted, a material fact in the license application or in any report required by the license agreement; 4)has committed a material breach of a covenantor agreement contained in the license;
5)is not keeping Licensed Productsor Licensed Processesreasonably available to the public after commercial use commences; 6) cannot reasonably satisfy unmet health and safety needs; or 7) cannot reasonably justify a
failure to comply with the domestic production requirement of Paragraph 5.02unless waived. In making this determination, PHSwill take into account the normal course of such commercial development programs conducted with sound
and reasonable business practices and judgment and the annual reports submitted by Licenseeunder Paragraph 9.02.Prior to invoking this right, PHSshall give written notice to Licenseeproviding
Licenseespecific notice of, and a ninety (90)day opportunity to respond to, PHSsconcerns as to the previous items 1)to 7). If Licenseefails to alleviate PHSsconcerns as
to the previous items 1)to 7) or fails to initiate corrective action to PHSssatisfaction, PHSmay terminate this Agreement.
| | ----- | --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------



| | 13.06 | PHS reserves the right according to 35 U.S.C. § 209(d)(3) to terminate or modify this Agreementif it is determined that such action is necessary to meet requirements for public use specified by
federal regulations issued after the date of the license and such requirements are not reasonably satisfied by Licensee.
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| | 13.07 | Within thirty (30) days of receipt of written notice of PHSs unilateral decision to modify or terminate this Agreement, Licenseemay, consistent with the provisions of 37 CFR 404.11,
appeal the decision by written submission to the designated PHSofficial. The decision of the designated PHSofficial shall be the final agency decision. Licenseemay thereafter exercise any and all administrative or judicial
remedies that may be available.
| | ----- | -----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------



| | 13.08 | Within ninety (90) days of termination of this Agreementunder this Article 13, a final report shall be submitted by Licensee. Any royalty payments, including those incurred but not yet paid (e.g.,
full minimum annual royalty), and those related to patent expense, due to PHSshall become immediately due and payable upon termination or expiration. Unless otherwise specifically provided for under this Agreement,upon termination or
expiration of this Agreement, Licenseeshall return all Licensed Productsor materials included within the Licensed Patent Rightsto PHSor provide PHSwith certification of the destruction thereof.
| | ----- | ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------



|14. | GENERAL PROVISIONS
|--- | ------------------



| | 14.01 | Neither Party may waive or release any of its rights or interests in this Agreementexcept in writing. The failure of the Governmentto assert a right hereunder or to insist upon compliance with any term
or condition of this Agreementshall not constitute a waiver of that right by the Governmentor excuse a similar subsequent failure to perform any such term or condition by Licensee.
| | ----- | ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------



| | 14.02 | This Agreementconstitutes the entire agreement between the Parties relating to the subject matter of the Licensed Patent Rights,and all prior negotiations, representations, agreements, and understandings
are merged into, extinguished by, and completely expressed by this Agreement.
| | ----- | -----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------



| | 14.03 | The provisions of this Agreementare severable, and in the event that any provision of this Agreementshall be determined to be invalid or unenforceable under any controlling body of law, such
determination shall not in any way affect the validity or enforceability of the remaining provisions of this Agreement.
| | ----- | ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------



| | 14.04 | If either Party desires a modification to this Agreement,the Parties shall, upon reasonable notice of the proposed modification by the Party desiring the change, confer in good faith to determine the
desirability of such modification. No modification will be effective until a written amendment is signed by the signatories to this Agreementor their designees.
| | ----- | ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------



| | 14.05 | The construction, validity, performance, and effect of this Agreementshall be governed by Federal law as applied by the Federal courts in the District of Columbia.
| | ----- | -------------------------------------------------------------------------------------------------------------------------------------------------------------------



| | 14.06 | All notices required or permitted by this Agreementshall be given by prepaid, first class, registered or certified mail properly addressed to the other Party at the address designated on the following Signature
Page, or to such other address as may be designated in writing by such other Party. Notices shall be considered timely if such notices are received on or before the established deadline date or sent on or before the deadline date as verifiable by
U.S. Postal Service postmark or dated receipt from a commercial carrier. Parties should request a legibly dated U.S. Postal Service postmark or obtain a dated receipt from a commercial carrier or the U.S. Postal Service. Private metered postmarks
shall not be acceptable as proof of timely mailing.
| | ----- | ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------



| | 14.07 | This Agreementshall not be assigned by Licenseeexcept a) with the prior written consent of PHS,such consent not to be withheld unreasonably; or b) as part of a sale or transfer of
substantially the entire business of Licenseerelating to operations which concern this Agreement. Licenseeshall notify PHSwithin ten (10) days of any assignment of this Agreement by Licensee,and Licensee
shall pay PHS,as an additional royalty, one percent (1%) of the fair market value of any consideration received for any assignment of this Agreement within thirty (30)days of such assignment.
| | ----- | -----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------



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| | 14.08 | Licenseeagrees in its use of any PHS-supplied materials to comply with all applicable statutes, regulations, and guidelines, including PHS and HHS regulations and guidelines. Licenseeagrees not to use the materials for research involving human subjects or clinical trials in the United States without complying with 21 CFR Part 50 and 45 CFR Part 46. Licenseeagrees not to use the materials for research involving human
subjects or clinical trials outside of the United States without notifying PHS, in writing, of such research or trials and complying with the applicable regulations of the appropriate national control authorities. Written notification to
PHS of research involving human subjects or clinical trials outside of the United States shall be given no later than sixty (60) days prior to commencement of such research or trials.
| | ----- | -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------



| | 14.09 | Licenseeacknowledges that it is subject to and agrees to abide by the United States laws and regulations (including the Export Administration Act of 1979 and Arms Export Control Act) controlling the export of
technical data, computer software, laboratory prototypes, biological material, and other commodities. The transfer of such items may require a license from the cognizant Agency of the U.S. Governmentor written assurances by Licenseethat it shall not export such items to certain foreign countries without prior approval of such agency. PHSneither represents that a license is or is not required or that, if required, it shall be issued.
| | ----- | ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------



| | 14.10 | Licenseeagrees to mark the Licensed Productsor their packaging sold in the United States with all applicable U.S. patent numbers and similarly to indicate Patent Pending status. All
Licensed Productsmanufactured in, shipped to, or sold in other countries shall be marked in such a manner as to preserve PHSpatent rights in such countries.
| | ----- | ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------



| | 14.11 | By entering into this Agreement, PHSdoes not directly or indirectly endorse any product or service provided, or to be provided, by Licenseewhether directly or indirectly related to this Agreement.
Licenseeshall not state or imply that this Agreementis an endorsement by the Government, PHS,any other Governmentorganizational unit, or any Governmentemployee. Additionally, Licenseeshall not use
the names of NIH, CDC, PHS,or HHS or the Governmentor their employees in any advertising, promotional, or sales literature without the prior written consent of PHS.
| | ----- | ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------



| | 14.12 | The Parties agree to attempt to settle amicably any controversy or claim arising under this Agreementor a breach of this Agreement,except for appeals of modifications or termination decisions
provided for in Article 13. Licenseeagrees first to appeal any such unsettled claims or controversies to the designated PHSofficial, or designee, whose decision shall be considered the final agency decision. Thereafter, Licenseemay exercise any administrative or judicial remedies that may be available.
| | ----- | ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------



| | 14.13 | Nothing relating to the grant of a license, nor the grant itself, shall be construed to confer upon any person any immunity from or defenses under the antitrust laws or from a charge of patent misuse, and the
acquisition and use of rights pursuant to 37 CFR Part 404 shall not be immunized from the operation of state or Federal law by reason of the source of the grant.
| | ----- | ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------



| | 14.14 | Paragraphs 8.01, 9.06-9.08, 12.01-12.05, 13.07, 13.08, and 14.12 of this Agreementshall survive termination of this Agreement.
| | ----- | ------------------------------------------------------------------------------------------------------------------------------

SIGNATURES BEGIN ON NEXT PAGE



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PHS PATENT LICENSE AGREEMENT-NONEXCLUSIVE

SIGNATURE PAGE



|                                                                                                                    |  |             
|------------------------------------------------------------------------------------------------------------------- |  | ------------
|For PHS:                                                                                                            |  |             
|                                                                                                                    | 
|/s/ David Holmes                                                                                                    |  | May 22, 2012
|Signature of Authorized PHS Official                                                                                |  | Date        
|                                                                                                                    | 
|David Holmes, Ph.D. Director, Division of
Laboratory Policy and Practice Centers for Disease Control and Prevention |  |             

|                             |  |                                                                                                                                   
|---------------------------- |  | ----------------------------------------------------------------------------------------------------------------------------------
|                             | 
|Mailing Address for Notices: |  | Technology Transfer Office Centers for Disease
Control and Prevention 4770 Buford Highway Mailstop K-79
Atlanta, Georgia 30341 USA

For Licensee(Upon, information and belief, the undersigned expressly certifies or affirms that the contents of any
statements of Licenseemade or referred to in this document are truthful and accurate.):



|                                 |  |  |  |              
|-------------------------------- |  |  |  | -------------
|by                               |  |  |  |              
|/s/ Pat Vaughan                  |  |  |  | 14th May 2012
|Signature of Authorized Official |  |  |  | Date         
|                                 |  | 
|Pat Vaughan, Ph.D. VP of R&D     |  |  |  |              



|                                          |  |                                      
|----------------------------------------- |  | -------------------------------------
|Official and Mailing Address for Notices: |  | Trinity Biotech Manufacturing Limited
|                                          |  | IDA Business Park                    
|                                          |  | Southern Cross Road                  
|                                          |  | Bray                                 
|                                          |  | Co. Wicklow                          
|                                          |  | Ireland                              

Any false or misleading statements made, presented, or submitted to the Government, including any relevant omissions, under
this Agreement and during the course of negotiation of this Agreement are subject to all applicable civil and criminal statutes including Federal statutes 31 U.S.C. §§ 3801-3812 (civil liability) and 18 U.S.C. § 1001 (criminal
liability including fine(s) and/or imprisonment).



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APPENDIX APatent(s) or Patent Application(s)

Patent(s) or Patent Application(s):

US Patent
8,148,057, entitled, Immunoassays and Devices for Detection of Anti-Lipoidal Antibodies, issued 4/3/2012, claiming priority to US Provisional Patent Application No. 60/693,120, filed 6/21/2005, inventor, Arnold Castro.

US Patent Application Serial No. 13/421,681, entitled, Methods, Immunoassays and Devices for Detection of Anti-Lipoidal Antibodies, filed
3/15/2012, claiming priority to US Provisional Patent Application No. 60/693,120, filed 6/21/2005, inventors, Arnold Castro and Robert George.

PCT Patent Application Serial No. PCT/US06/024117 entitled, Methods, Immunoassays and Devices for Detection of Anti-Lipoidal Antibodies, filed
6/20/2006, and related foreign applications, inventors, Arnold Castro and Robert George. |CDC Ref. No. 1-010-05|.



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APPENDIX BLicensed Field(s) of Use and Territory

Licensed Field(s) of Use:

For in vitro
diagnostic use in Licenseesdual Trep/Non-Trep Syphilis rapid test.

Licensed Territory:

In all countries where claims of the Licensed Patent Rightsexist.



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APPENDIX CRoyalties

Royalties:

Licenseeagrees to pay toPHS a
noncreditable, nonrefundable license issue royalty in the amount of five thousand ($5,000) dollars.

Licenseeagrees to pay to PHSa
nonrefundable minimum annual royalty of Five Thousand ($5,000) dollars; the first such payment will be due January 1, 2013.

Licenseeagrees to pay PHSearned royalties on Net Salesby or on behalf of Licensee of five percent (5%).

Royalty will be reduced to two and a half percent (2.5%) of Net Saleson Licensed Productssold in countries classified as low-income and
lower-middle-income economies by the World Bank (www.worldbank.org). Classification will be reassessed at the beginning of each calendar year.

Licenseeshall be entitled to a one-half percent (0.5%) credit against the earned royalty rate for each percent (1%) of royalty Licenseemust pay to third party licensors for the manufacture and sale ofLicensed Products.Said reduction, however, shall not reduce the royalty rate for Net Sales of Licensed Productsto below two and one-half percent
(2.5%) in high-income and middle-income economies and the royalty will not be reduced below one and a quarter percent (1.25%) in low-income and lower-middle-income economies.



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APPENDIX DModifications

PHSand Licenseeagree to the following modifications to the Articles and Paragraphs of this Agreement:

6.08 Deleted.

6.09 Deleted.

6.10 Deleted.



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APPENDIX EBenchmarks and Performance

Licenseeagrees to the following Benchmarksfor its performance under this Agreementand, within thirty (30) days of achieving a
Benchmark,shall notify PHSthat the Benchmarkhas been achieved.

None.



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APPENDIX FCommercial Development Plan

Licenseeshall expend reasonable efforts and resources to carry out the development and marketing plan submitted with Licenseesapplication for a license and to bring the Licensed Patent Rightsto the point of practical application as defined in Title 37 of the Code of Federal Regulations, Section 404.3(d). Licenseeshall offer Licensed Productsfor sale within eighteen (18) months of the Effective Date of this Agreementunless this period is extended by mutual agreement of the parties. PHSshall not unreasonably withhold approval of any request by Licenseeto
extend this period if such request is supported by evidence of reasonable efforts by Licenseeto bring the Licensed Patent Rightsto practical application, including any reasonable and diligent application for regulatory approvals
required by any Governmentagency.

The research involves development of a visually read, qualitative immunochromatographic test for detecting both
Treponemal and non-Treponemal antibodies on the same device. With this configuration the assay will simultaneously screen for the presence of anti-cardiolipin antibodies and confirm the results by the detection of antibodies to T. pallidum.
The test results could be obtained in 15 to 20 minutes in point of care settings and patients can be counseled as to whether they have active infection that would require treatment.

The design of the rapid lateral flow test device will be used with whole blood or serum/plasma samples.

This assay will be unique in its ability to simultaneously test for both non-Treponemal and Treponemal antibodies. If successful, this test will provide
testing opportunities where current test methods could not be performed. It will allow patients to be advised of infection status and to be treated in a single visit to a clinic.

Proposed components:



|               |  |                                             
|-------------- |  | --------------------------------------------
|Configuration: |  | Lateral Flow device.                        
|Control line:  |  | Possibly anti-Human 1g or other blood marker
|Trep line:     |  | R17 proteins or equivalent.                 
|Non-Trep:      |  | Modified cardiolipin molecule               
|               |  | Cardiolipin/Lecithin/Cholesterol            
|Time:          |  | 15 - 20 minutes for POC.                    
|Sample:        |  | Whole blood, serum/plasma 5 -20 ul for POC  

Methods:

First phase: Development of non-Treponemal test.

The first phase of research is focusing on the development of the assay for the reagin or non-Treponemal antibodies.

Traditionally, non-Treponemal assays detect antibodies reactive to cardiolipin present in a mixture containing cholesterol and lecithin (VDRL antigen). This
antigen is not easily bound to nitrocellulose membranes devices and it is disrupted and released from the membrane by detergents frequently used as blocking agents. In the cardiolipin molecular structure there are no other reactive groups that can
readily link cardiolipin to proteins, latex particles, or to nitrocelullose. The long fatty acid ester groups in cardiolipin imparts a high degree of hydrophobicity to the molecule and makes it difficult to bind cardiolipin to polar surfaces such as
nitrocellulose or ELISA plates.



|1. | The first objective of this research is to investigate methods to attach the micelle produced when an alcoholic preparation of cardiolipin, lecithin and cholesterol is diluted 1:10 in buffered saline. The micelle is
(CDC method) enabling it to bind to nitrocellulose CDC is initiating a patent application for a proprietary method of modifying the VDRL antigen. Methods, Immunoassays and Devices for Detection of Anti-Lipoidal Antibodies U.S.
Patent Application No. 11/993,213.  Training by CDC complete and development ongoing at Trinity Biotech
|-- | ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------



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|2. | CDC will instruct Trinity in the preparation of the micelle antigen using the CDC invention Composition and Methods for Detecting Syphilis Using Synthetic Antigens. U.S. Patent Application
No. 10/009,698. - Training by CDC complete and development ongoing at Trinity Biotech
|-- | -----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------



|3. | Investigate the modified antigen for its ability to detect all stages of syphilis infections with a high degree of sensitivity and specificity.
|-- | -----------------------------------------------------------------------------------------------------------------------------------------------



|4. | Work is currently underway at Trinity Biotech (since 2011) to apply the nitrocellulose bound cardiolipin and latex bound cardiolipin into a lateral flow assay to detect non-treponemal antibodies. Prototypes were
generated in Q1 2012 and further refinement continues into Q2 and Q3 2012.
|-- | ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

Second phase: Development of Treponemal test.

Concurrently, and independent of the CDC technology, the second phase of research is focusing on the development of a sensitive and specific assay for
Treponemal antibodies. There is substantial published data available which is related to the attachment of antigens of protein in nature to nitrocellulose. This assay is based on T. pallidumrecombinant antigens, Tp17 and possibly Tp47.
Prototypes have been developed Q1 2012 and are soon to enter verification and validation Q2 2012.

Third phase:



|             |  |                                                                                                                                                                             
|------------ |  | ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------
|Third phase: |  | Combining the Treponemal and non-Treponemal antigens on the same device for the dual POC test. This work is due to start in Q3 2012 and continue for approximately 6 months.

Fourth phase:



|              |  |                                                                                                                                              
|------------- |  | ---------------------------------------------------------------------------------------------------------------------------------------------
|Fourth phase: |  | Conduct medium scale test studies using stored sera from CDC serum bank with both documented and non-documented cases of syphilis in Q4 2012.



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|Page 18 of 19                                                                                      | 



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APPENDIX G  EXAMPLE ROYALTY REPORT

Required royalty report information includes:



| |  |  | CDC TTO license reference number (A198-11)
| | - |  | ------------------------------------------



| |  |  | Reporting period
| | - |  | ----------------



| |  |  | Catalog number and units sold of each Licensed Product (Please separate items by country)
| | - |  | -----------------------------------------------------------------------------------------



| |  |  | Gross Sales per catalog number per country
| | - |  | ------------------------------------------



| |  |  | Total Gross Sales (Summarized by country)
| | - |  | -----------------------------------------



| |  |  | Itemized deductions from Gross Sales
| | - |  | ------------------------------------



| |  |  | Earned Royalty Rate and associated calculations
| | - |  | -----------------------------------------------



| |  |  | Gross Earned Royalty
| | - |  | --------------------



| |  |  | Adjustments for Minimum Annual Royalty (MAR) and other creditable payments made
| | - |  | -------------------------------------------------------------------------------



| |  |  | Net Earned Royalty due
| | - |  | ----------------------

** In addition, a sample product and/or product packaging is to be sent on the
first report and each time the product packaging is re-designed. **

Example:

A198-11: Trinity Biotech Manufacturing Limited: Reporting Period: January 2012 through December 2012



|               |  |              |  |                |  |            |  |                  |  |                  
|-------------- |  | ------------ |  | -------------- |  | ---------- |  | ---------------- |  | -----------------
|Country        |  | Product Name |  | Catalog/Item # |  | Units Sold |  | Item Price (US$) |  | Gross Sales (US$)
|Australia      |  | A            |  | 123ABC         |  | 250        |  | 100.00           |  | 62,500           
|Australia      |  | A            |  | 456DEF         |  | 32         |  | 75.00            |  | 16,500           
|Australia      |  | A            |  | 789GHI         |  | 25         |  | 50.00            |  | 15,625           
|               |  |              |  |                |  |            |  |                  |  |                  
|TOTAL          |  |              |  |                |  | 307        |  |                  |  | 94,625           
|               |  |              |  |                |  |            |  |                  |  |                  
|               |  |              |  |                | 
|Country        |  | Product Name |  | Catalog/Item # |  | Units Sold |  | Item Price (US$) |  | Gross Sales (US$)
|USA            |  | B            |  | 010JKL         |  | 0          |  | 79.00            |  | 0                
|TOTAL          |  |              |  |                |  | 0          |  |                  |  | 0                
|               |  |              |  |                | 
|Country        |  | Product Name |  | Catalog/Item # |  | Units Sold |  | Item Price (US$) |  | Gross Sales (US$)
|United Kingdom |  | C            |  | 011MNO         |  | 57         |  | 80.00            |  | 57,125           
|United Kingdom |  | C            |  | 012PQR         |  | 12         |  | 25.00            |  | 1,500            
|TOTAL          |  |              |  |                |  | 62         |  |                  |  | 58,625           



|                         |  |  |         |  
|------------------------ |  |  | ------- | -
|Grand Total Gross Sales  |  |  | 153,250 |  
|Less Deductions:         |  |  |         |  
|Freight                  |  |  | 3,000   |  
|Returns                  |  |  | 7,000   |  
|Total Net Sales:         |  |  | 143,250 |  
|Royalty Rate             |  |  | 8       | %
|Royalty Due              |  |  | 11,460  |  
|Less Creditable Payments |  |  | 10,000  |  
|Net Royalty Due:         |  |  | 1,460   |  

Sample product packaging included? Yor N



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|Page 19 of 19                                                                                      |