Document:

EXHIBIT
4.5

AMENDMENT
TO SECURITY AGREEMENTS

          THIS
AMENDMENT TO SECURITY AGREEMENTS, dated as of the 29th day of
December, 2009 (the “Amendment”), is made by and among VYCOR MEDICAL, INC, a
Delaware corporation (formerly Vycor Medical, LLC, a New York limited liability
company) (“Vycor”), FOUNTAINHEAD CAPITAL MANAGEMENT LIMITED, an
entity registered in Jersey, Channel Islands (successor to Fountainhead Capital
Partners Limited) (“FHCM”) and REGENT PRIVATE CAPITAL, LLC, an Oklahoma
limited liability company (“Regent”)

BACKGROUND

          A.
On or about December 15, 2006, Vycor entered into a Security Agreement
(“Original FHCM Security Agreement”) with FHCM with respect to an initial loan
in the amount of $172,500. Following the date of the initial loan, FHCM
extended a number of additional advances to Vycor such that as of the date
hereof the aggregate principal amount of all such loans is $598,000, together
with interest accrued through November 30, 2009 in the amount of $73,362, for a
total obligation of $671,362. Under the terms of the Original FHCM Security
Agreement, all of these advances together with accrued interest thereon
comprise “Obligations” as the term is defined in the Original FHCM Security
Agreement.

          B.
On or about February 15, 2008, Vycor entered into a Security Agreement
(“Original Regent Security Agreement”) with Regent with respect to an initial
loan in the amount of $500,000. Following the date of the initial loan, Regent
extended a number of additional advances to Vycor such that as of the date
hereof the the aggregate principal amount of all such loans is $728,500,
together with interest accrued through November 30, 2009 in the amount of
$93,504, for a total obligation of $822,004. Under the terms of the Original
Regent Security Agreement, all of these advances together with accrued interest
thereon comprise “Obligations Secured” as the term is defined in the Original
Regent Security Agreement. Pursuant to the terms of an Intercreditor Agreement
between FHCM and Regent, it was agreed by both FHCM and Regent that the liens
created by both the Original FHCM Security Agreement and the Original Regent
Security Agreement shall be of equal priority for all purposes. 

          C.
On or about December 21, 2009, FHCM agreed to exchange instruments representing
all amounts due to it by Vycor for a new Debenture in the original face amount
of $371,362 (“New FHCM Debenture”) and Regent agreed to exchange instruments
representing all amounts due to it by Vycor for new Debentures in the aggregate
original face amount of $790,000 (“New Regent Debentures”).

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          D.
FHCM, Regent and Vycor desire to confirm that, subject to the terms and
conditions of the Original FHCM Security Agreement and the Original Regent
Security Agreement, and further subject to the terms and conditions detailed in
this Amendment, the New FHCM Debenture shall be an “Obligation” as defined in
the Original FHCM Security Agreement and the New Regent Debenture shall be an
“Obligation Secured” under the terms of the Original Regent Security Agreement
and that the terms of both the Original FHCM Security Agreement and Original
Regent Security Agreement, subject to the terms of the Intercreditor Agreement
between FHCM and Regent, are confirmed with respect thereto. 

          NOW,
THEREFORE, in consideration of the mutual promises contained herein, and other
good and valuable consideration, the receipt and sufficiency of which is hereby
acknowledged, and intending to be legally bound, the parties agree as follows:

	
  

 	
  

 	
  

 	
  

 
	
 1.

 	
 Applicability
 of Original FHCM Security Agreement and Regent Original Security Agreement.
 

 
	
  

 	
  

 	
  

 	
  

 
	
  

 	
 The New FHCM Debenture
 is deemed to be an “Obligation” under the Original FHCM Security Agreement
 and the New Regent Debenture is deemed to be an “Obligation Secured” under
 the terms of the Original Regent Security Agreement.

 
	
  

 	
  

 	
  

 	
  

 
	
 2.

 	
 Priority.

 
	
  

 	
  

 	
  

 	
  

 
	
  

 	
  

 	
 a.

 	
 The security interest
 of FHCM pursuant to the Original FHCM Security Agreement and the security
 interest of Regent pursuant to the Original Regent Security, together with
 all additional future advances by FHCM shall continue to be of equal priority
 for all purposes, subject only to the limitation detailed in subparagraph
 4(b), below.

 
	
  

 	
  

 	
  

 	
  

 
	
  

 	
  

 	
 b.

 	
 Notwithstanding
 the foregoing, to the extent that additional advances by FHCM (or its
 designees) after the date hereof, taken together with all other outstanding
 obligations secured by both the Original FHCM Security Agreement and Original
 Regent Security Agreement, exceed the aggregate sum $1,800,000 (including accrued
 interest thereon), the excess over $1,800,000 on account of such additional
 FHCM advances after the date hereof shall for all purposes be deemed to be
 subordinate to the other obligations secured by the Original FHCM Security
 Agreement and Original Regent Security Agreement and shall be secured by a
 second priority security interest in the Collateral, as defined in the
 Original FHCM Security Agreement.

 
	
  

 	
  

 	
  

 	
  

 
	
 3.

 	
 Confirmation
 of Original FHCM Security Agreement and Original Regent Security Agreement.
 

 

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 In all other respects,
 the Original FHCM Security Agreement and Original Regent Security Agreement
 and the terms of the Intercreditor Agreement between FHCM and Regent remain
 unchanged and continue to be in full force and effect.

 

          IN
WITNESS WHEREOF, this Amendment has been executed and
delivered by the parties hereto as of the date first above written.

	
  

 	
  

 	
  

 
	
 VYCOR
 MEDICAL, INC.

 	
  

 
	
 a
 Delaware corporation

 	
  

 
	
  

 	
  

 
	
  

 	
 /s/
 Heather Vinas

 	
  

 
	
 By: 

 	
 ____________________________

 	
  

 
	
  

 	
 Name: Heather Viinas

 	
  

 
	
  

 	
  

 	
  

 
	
  

 	
 Title: President

 	
  

 

 

	
  

 	
  

 	
  

 
	
 FOUNTAINHEAD
 CAPITAL MANAGEMENT LIMITED

 
	
 An
 entity registered in Jersey, Channel Islands

 	
  

 
	
  

 	
  

 
	
  

 	
 /s/
 Gisele Le Miere, Director

 	
  

 
	
  

 	
 /s/
 Carole Dodge, Director

 	
  

 
	
 By: 

 	
 _________________________________

 	
  

 
	
  

 	
 Name:

 	
  

 

 

	
  

 	
  

 	
  

 
	
 REGENT
 PRIVATE CAPITAL, LLC, an Oklahoma

 
	
 limited
 liability company

 	
  

 
	
  

 	
  

 	
  

 
	
  

 	
 /s/
 Lawrence Field

 	
  

 
	
 By: 

 	
 _________________________________

 	
  

 
	
  

 	
 Name: Lawrence FieldEXHIBIT 4.6

CERTIFICATE OF DESIGNATION

FOR

SERIES A CONVERTIBLE PREFERRED STOCK

Par value $.0001

OF

VYCOR MEDICAL, INC.

          Heather N.
Vinas and Kenneth T. Coviello certify that they are the President and Secretary
of Vycor Medical, Inc., a Delaware corporation (the “Company”); that, pursuant
to the Company’s Certificate of Incorporation and Section 151(g) of the
Delaware General Corporation Law, the Board of Directors of the Company adopted
the following resolutions effective December 17, 2009; and that none of the
Series A Convertible Preferred Stock referred to in this Certificate of
Designation has been issued.

1. Creation of Series A Convertible Preferred
Stock; Rank. 

There is hereby created a series of preferred stock consisting of
1,000,000 shares and designated as Series A Convertible Preferred Stock, par
value $.001 (the “Series A Preferred Stock”), having the voting rights, powers,
preferences, and relative participating, optional and other special rights,
qualifications, limitations and restrictions that are set forth below. The
original issue price (the “Original Issue Price”) of each share of Series A
Preferred Stock shall be $0.60. The
Series A Preferred Stock shall, with respect to dividend rights and rights upon
liquidation, winding up or dissolution, rank (1) junior to any other class or
series of preferred stock hereafter duly established by the Board of Directors
of the Corporation. the terms of which shall specifically provide that such
class or series shall rank prior to the Series A Preferred Stock as to the
payment of dividends or upon distribution of assets upon liquidation, winding
up or dissolution (the “Senior Preferred Stock”), (2) pari passu with any other
class or series of preferred stock hereafter duly established by the Board of
Directors of the Corporation, the terms of which shall specifically provide
that such class or series shall rank pari passu with the Series A Preferred
Stock as to the payment of dividends or upon distribution of assets upon
liquidation, winding up or dissolution (the “Parity Preferred Stock”) and (3)
prior to any other class or series of preferred stock or other class or series
of capital stock of or other equity interests in the Corporation, including,
without limitation, all classes of the Common Stock of the Corporation, whether
now existing or hereafter created (all of such classes: or series of capital
stock and other equity interests of the Corporation, including, without
limitation, the Common. Stock, are collectively referred to herein as the
“Junior Securities”). 

2. Dividends.

          A. Right
to Receive Dividends. The holders of Series A Preferred Stock shall be
entitled to receive dividends when, as and if declared by the Board of
Directors of the Corporation. The right to dividends on shares of Series A
Preferred Stock shall be non-

cumulative and no right shall accrue to holders of Series A Preferred
Stock by reason of the fact that dividends on said shares are not declared in
any prior period.

          B.
Participation with Common Stock. In the event the Board of Directors of the
Corporation shall elect to pay or declare and set apart for payment any
dividend on any shares of Common Stock in cash out of funds legally available
therefor or in stock or other consideration, the holders of the Series A
Preferred Stock shall be entitled to receive, before any dividend shall be
declared and paid or set aside for the Common Stock, a dividend per share of
Series A Preferred Stock equal to the per share amount, and in the same form
as, the dividend payable to the holders of the Common Stock.

          C. Dividend
Preference. Dividends, if any, payable to holders of the Series A Preferred
Stock pursuant to Sections 2(A) and 2(B) shall be payable before any dividends
or distributions or other payments shall be paid or set aside for payment upon
the Junior Securities. If there shall be outstanding shares of any Parity
Preferred Stock, no full dividends shall be declared or paid or set apart for
payment on any such securities unless dividends have been or contemporaneously
are ratably declared and paid or declared and a sum sufficient for the payment
thereof set apart for such payment on the Series A Preferred Stock.

3. Liquidation Preference. 

In the event of any liquidation, dissolution, or winding up of the
Corporation, either voluntary or involuntary, distributions to the stockholders
of the Corporation shall be made in. the following manner:

          A. Series
A Preferred Stock Preference. With respect to such liquidation, dissolution
or winding up, the holders of Series A Preferred Stock shall be entitled to
receive, prior and in preference to any distribution of any of the assets or
surplus funds of the Corporation to the holders of Junior Securities but after
distribution of such assets among, or payment thereof to holders of any Senior
Preferred Stock, an amount equal to the Series A Original Issue Price for each
share of Series A Preferred Stock plus an amount equal to all declared but
unpaid dividends on Series A Preferred Stock (the “Series A Liquidation
Preference”).

          B. Distributions.
After the payment of the full Series A Liquidation Preference as set forth in
Section 3(A), the remaining assets of the Corporation legally available for
distribution, if any, shall be distributed ratably to the holders of the Junior
Securities and Common Stock in. an amount equal to the Series A Liquidation
Preference; after such distribution to the holders of the Series A Preferred
Stock and Common Stock, the remaining assets of the Corporation legally
available for distribution, if any, shall be distributed ratably (subject to
Section 3(C)) among the holders of Series A Preferred Stock, Series A Preferred
Stock and the Common Stock.

          C. Proportionate
Payments. If the assets and funds legally available for distribution among
the holders of Series A Preferred Stock shall be insufficient to permit the
payment to the holders of the full Series A Liquidation Preference, then the
assets and funds 

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shall be distributed ratably among holders of Series A Preferred Stock
in proportion to the number of shares of Series A Preferred Stock owned by each
holder. 

          D. Reorganization
or Merger. A merger or reorganization of the Corporation with or into any
other corporation or corporations or a sale of all or substantially all of the
assets or outstanding capital stock of the Corporation, in which transaction
the Corporation’s stockholders immediately prior to such transaction own
immediately after such transaction less than 50% of the equity securities of
the surviving corporation or its parent, shall be deemed to be a liquidation
within the meaning of this Section 3 and the proceeds payable in such
transaction shall be divided among the stockholders in accordance with this
Section 3.

4. Conversion.

          A. Each
share of Series A Preferred Stock may be converted by any holder thereof,
without any further consideration, at any time, into 1,062.753 shares of Common
Stock (the “Conversion Rate”). Each share of Series A Preferred Stock shall be
automatically converted into shares of the Company’s Common Stock at the
Conversion Rate on such date that the Company has sufficient authorized, but
un-issued, shares of its Common Stock to accommodate the full conversion of all
then issued and outstanding shares of Series A Preferred Stock. 

          B. In the
event of any conversion resulting in fractional shares, in lieu of issuance of
fractional shares or securities representing fractional shares of Common Stock,
the Company shall pay the holder in cash the fair value of fractions of a share
as of the date of conversion as determined by the Company’s board of directors.
For these purposes, the “date of conversion” shall mean the date the
Corporation receives a written notice of a voluntary conversion by the holder
or the date of automatic conversion pursuant to Section 4(A), above.

          C. Upon the
occurrence of the event giving rise to an automatic conversion, the Company
shall (a) provide written notice of the automatic conversion to all holders of
record of Series A Preferred Stock and (b) provide irrevocable instructions to
such effect to the transfer agent or agents for such stock, and shall have set
aside all shares of the Company’s Common Stock necessary for such conversion.
From the date of such notice and setting aside the Common Shares,
notwithstanding that any certificate for shares of Series A Preferred Stock so
converted shall not have been surrendered for cancellation, the shares of
Series A Preferred Stock represented thereby shall no longer be deemed
outstanding and the holder of such certificate or certificates shall have with
respect to such shares of Series A Preferred Stock no rights in or with respect
to the Company except the right to receive the Common Shares issued as a result
of the conversion. After the date designated for automatic conversion, such
shares of Series A Preferred Stock shall not be transferable on the books of
the Company.

          D. The
Company covenants that it will at all times reserve and keep available, free
from preemptive rights, out of the aggregate of its authorized but unissued
shares of Common Stock or its issued shares of Common Stock held by its
treasury, or both, for the purpose of effective conversions of the Series A
Preferred Stock, the full number of shares of 

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Common Stock deliverable upon the conversion of all outstanding shares
of the Series A Preferred Stock not theretofore converted. For purposes of this
Section 4(D), the number of shares of Common Stock that shall be deliverable
upon the conversion of all outstanding shares of the Series A Preferred Stock
shall be computed as if at the time of computation all the outstanding shares
were held by a single holder.

E. Adjustments of Conversion
Rate.

          (i) Adjustments
for Stock Splits and Combinations. If the Company shall, at any time or
from time to time after the date of issuance of the Series A Preferred Stock
(“Issuance Date”), effect a split of the outstanding Common Stock, the
Conversion Rate shall be proportionately adjusted. If the Company shall, at any
time or from time to time after the Issuance Date, combine the outstanding
shares of Common Stock, the Conversion Rate shall be proportionately adjusted.
Any adjustments under this Section 4(E)(i) shall be effective at the close of
business on the date the stock split or combination becomes effective.

          (ii) Adjustments
for Certain Dividends and Distributions. If the Company shall, at any time
or from time to time after the Issuance Date, make or issue or set a record
date for the determination of holders of Common Stock entitled to receive a
dividend or other distribution payable in shares of Common Stock, then, and in
each event, the Conversion Rate shall be adjusted as of the time of such
issuance or, in the event such record date shall have been fixed, as of the
close of business on such record date, by multiplying the Conversion Price then
in effect by a fraction:

                    a.
the numerator of which shall be the total number of shares of Common Stock issued
and outstanding immediately prior to the time of such issuance or the close of
business on such record date; and

                    b.
the denominator of which shall be the total number of shares of Common Stock
issued and outstanding immediately prior to the time of such issuance or the
close of business on such record date plus the number of shares of Common Stock
issuable in payment of such dividend or Distribution.

          (iii) Adjustment
for Other Dividends and Distributions. If the Company shall, at any time or
from time to time after the Issuance Date, make or issue or set a record date
for the determination of holders of Common Stock entitled to receive a dividend
or other Distribution payable in securities of the Company other than shares of
Common Stock, then, and in each event, an appropriate revision to the
applicable Conversion Rate shall be made and provision shall be made (by
adjustments of the Conversion Rate or otherwise) so that the Series A Preferred
Stockholders shall receive upon conversions thereof, in addition to the number
of shares of Common Stock receivable thereon, the number of securities of the
Company which they would have received had their shares of Series A Preferred
Stock been converted into Common Stock on the date of such event and had such
holder thereafter, during the period from the date of such event to and
including the Conversion Date, retained such securities (together with any
distributions payable thereon during such period), 

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giving application to all adjustments
called for during such period
under this Section 4(E)(iii) with respect to the rights of the holders of the
Series A Preferred Stock; provided, however, that if such record date shall
have been fixed and such dividend is not fully paid or if such distribution is
not fully made on the date fixed therefor, the Conversion Rate shall be
adjusted pursuant to this paragraph as of the time of actual payment of such
dividends or Distributions; and provided further, however, that no such
adjustment shall be made if the holders of the Series A Preferred Stock
simultaneously receive a dividend or other distribution of shares of Common
Stock in a number equal to the number of shares of Common Stock as they would
have received if all outstanding shares of Series A Preferred Stock had been
converted into Common Stock on the date of such event.

          (iv) Adjustments
for Reclassification, Exchange or Substitution. If the Common Stock
issuable upon conversion of the Series A Preferred Stock at any time or from
time to time after the Issuance Date shall be changed to the same or different
number of shares of any class or classes of stock, whether by reclassification,
exchange, substitution or otherwise (other than by way of a stock split or
combination of shares or stock dividends provided for in Sections 4(E)(i), (ii)
and (iii), or a reorganization, merger, consolidation, or sale of assets
provided for in Section 4(E)(v), then, and in each event, an appropriate
revision to the Conversion Rate shall be made and provisions shall be made (by
adjustments of the Conversion Rate or otherwise) so that the holders of Series
A Preferred Stock shall have the right thereafter to convert their shares of
Series A Preferred Stock into the kind and amount of shares of stock and other
securities receivable upon reclassification, exchange, substitution or other
change, by holders of the number of shares of Common Stock into which such
shares of Series A Preferred Stock might have been converted immediately prior
to such reclassification, exchange, substitution or other change, all subject
to further adjustment as provided herein.

          (v) Adjustments
for Reorganization, Merger, Consolidation or Sales of Assets. If at any
time or from time to time after the Issuance Date there shall be a capital
reorganization of the Company (other than by way of a stock split or
combination of shares or stock dividends or Distributions provided for in
Section 4(E)(i), (ii) and (iii), or a reclassification, exchange or
substitution of shares provided for in Section 4(E)(iv)), or a merger or
consolidation of the Company with or into another corporation where the holders
of the Company’s outstanding voting securities prior to such merger or
consolidation do not own over 50% of the outstanding voting securities of the
merged or consolidated entity, immediately after such merger or consolidation,
or the sale of all or substantially all of the Company’s properties or assets
to any other person (an “Organic Change”), then as a part of such Organic
Change an appropriate revision to the Conversion Rate shall be made if
necessary and provision shall be made if necessary (by adjustments of the
Conversion Rate or otherwise) so that the holders of the shares of Series A
Preferred Stock shall have the right thereafter to convert their shares of
Series A Preferred Stock into the kind and amount of shares of stock and other
securities or property of the Company or any successor corporation resulting
from Organic Change. In any such case, appropriate adjustment shall be made in
the application of the provisions of this Section 4(E)(v) 

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with respect to the rights of the holders
of shares of Series A
Preferred Stock after the Organic Change to the end that the provisions of this
Section 4(E)(v) (including any adjustment in the Conversion Rate then in effect
and the number of shares of stock or other securities deliverable upon
conversion of the Series A Preferred Stock) shall be applied after that event
in as nearly an equivalent manner as may be practicable.

          (vi) Consideration
for Stock. In case any shares of Common Stock or Convertible Securities
other than the Series A Preferred Stock, or any rights or warrants or options
to purchase any such Common Stock or Convertible Securities, shall be issued or
sold:

                    a.
in connection with any merger or consolidation in which the Company is the
surviving corporation (other than any consolidation or merger in which the
previously outstanding shares of Common Stock of the Company shall be changed
to or exchanged for the stock or other securities of another corporation), the
amount of consideration therefore shall be deemed to be the fair value, as
determined reasonably and in good faith by the Board of Directors of the
Company, of such portion of the assets and business of the non-surviving
corporation as such Board may determine to be attributable to such shares of
Common Stock, Convertible Securities, rights or warrants or options, as the
case may be; or

                    b.
in the event of any consolidation or merger of the Company in which the Company
is not the surviving corporation or in which the previously outstanding shares
of Common Stock of the Company shall be changed into or exchanged for the stock
or other securities of another corporation, or in the event of any sale of all
or substantially all of the assets of the Company for stock or other securities
of any corporation, the Company shall be deemed to have issued a number of
shares of its Common Stock for stock or securities or other property of the
other corporation computed on the basis of the actual exchange ratio on which
the transaction was predicated, and for a consideration equal to the fair
market value on the date of such transaction of all such stock or securities or
other property of the other corporation. If any such calculation results in
adjustment of the applicable Conversion Rate, or the number of shares of Common
Stock issuable upon conversion of the Series A Preferred Stock, the
determination of the applicable Conversion Rate or the number of shares of
Common Stock issuable upon conversion of the Series A Preferred Stock
immediately prior to such merger, consolidation or sale, shall be made after
giving effect to such adjustment of the number of shares of Common Stock
issuable upon conversion of the Series A Preferred Stock. In the event any
consideration received by the Company for any securities consists of property
other than cash, the fair market value thereof at the time of issuance or as
otherwise applicable shall be as determined in good faith by the Board of
Directors of the Company. In the event Common Stock is issued with other shares
or securities or other assets of the Company for consideration which covers
both, the consideration computed as provided in this Section 4(E)(vi)(b) shall
be allocated among such securities and assets as determined in good faith by
the Board of Directors of the Company.

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          (vii) No
Impairment. The Company shall not, by amendment of its Certificate of
Incorporation or through any reorganization, transfer of assets, consolidation,
merger, dissolution, issue or sale of securities or any other voluntary action,
avoid or seek to avoid the observance or performance of any of the terms to be
observed or performed hereunder by the Company, but will at all times in good
faith assist in the carrying out of all the provisions of this Section 4(E) and
in the taking of all such action as may be necessary or appropriate in order to
protect the conversion rights of the holders of Series A Preferred Stock
against impairment. In the event any holder of Series A Preferred Stock shall
elect to convert any shares of Series A Preferred Stock as provided herein, the
Company cannot refuse conversion based on any claim that such holder or anyone
associated or affiliated with such holder has been engaged in any violation of
law, unless (i) the Company receives an order from the Securities and Exchange
Commission prohibiting such conversion or (ii) an injunction from a court, on
notice, restraining and/or enjoining conversion of all or of said shares of
Series A Preferred Stock shall have been issued.

          (viii) Certificates
as to Adjustments. Upon occurrence of each adjustment or readjustment of
the Conversion Rate or number of shares of Common Stock issuable upon
conversion of shares of Series A Preferred Stock pursuant to this Section 4(E),
the Company at its expense shall promptly compute such adjustment or
readjustment in accordance with the terms hereof and furnish to each holder of
shares of Series A Preferred Stock a certificate setting forth such adjustment
and readjustment, showing in detail the facts upon which such adjustment or
readjustment is based. The Company shall, upon written request of the holder of
such affected Series A Preferred Stock, at any time, furnish or cause to be
furnished to such holder a like certificate setting forth such adjustments and
readjustments, the Conversion Rate in effect at the time, and the number of
shares of Common Stock and the amount, if any, of other securities or property
which at the time would be received upon the conversion of the shares of Series
A Preferred Stock. Notwithstanding the foregoing, the Company shall not be
obligated to deliver a certificate unless such certificate would reflect an
increase or decrease of at least one percent of such adjusted amount.

5. Voting. 

Except as otherwise provided herein or required by law, the holders of
the Series A Preferred Stock shall be entitled to vote together as a single
class with the holders of Common Stock and any other capital stock of the
Corporation entitled to vote, upon any matter submitted to the stockholders for
a vote. The holders of Series A Preferred Stock shall be entitled to cast a
number of votes calculated as if the shares of Series A Preferred Stock had
been converted into shares of Common Stock based on the Conversion Rate.

6. Waiver by Series A Preferred Stockholders.

Except as expressly provided for herein or as otherwise required by
law, any rights or benefits for the Series A Preferred Shares and the holders
thereof provided herein may only be waived as to all outstanding Series A
Preferred Shares by the affirmative written consent of the holders of all of
the shares of then-outstanding Series A Preferred Stock.

- 7 -

7. Additional Issuance of Preferred Shares. 

The Company may issue additional shares of Preferred Stock in the
future. If the Company desires to issue additional shares of Preferred Stock,
the Company shall file such amendments to its Certificate of Incorporation as
may be necessary to effect such designation.

          IN WITNESS
WHEREOF, the Company has caused this Certificate of Amendment to Certificate of
Designation to be duly executed by its President and attested to by its
Secretary as of the 17th day of December, 2009, who, by signing their names
hereto, acknowledge that this Certificate of Designation is the act of the
Company and state to the best of their knowledge, information and belief, under
penalties of perjury, that the above matters and facts are true in all material
respects.

	
  

 	
  

 
	
 VYCOR
 MEDICAL, INC.

 
	
  

 
	
 /S/ Heather N. Vinas

 
	
 By:  

 
	
  

 	 

 
	
  

 	
 President

 
	
  

 
	
 /s/ Kenneth T. Coviello

 
	
 By:  

 
	
  

 	 

 
	
  

 	
 Secretary

 

- 8 -

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