Document:

EX-10.19

 Exhibit 10.19 

EXECUTION VERISON 
 ASSET
PURCHASE AGREEMENT 
 BY AND BETWEEN 

MIRUS LLC 
 As Buyer

 AND 
 AMENDIA,
INC. D/B/A SPINAL ELEMENTS 
 As Seller 

June 13, 2019 
  

 ASSET PURCHASE AGREEMENT 

This Asset Purchase Agreement (this “Agreement”) is entered into as of June 13, 2019 (the
“Effective Date”) by and between MiRus LLC, a Delaware limited liability company (“Buyer”), and Amendia, Inc. d/b/a Spinal Elements, a Georgia
corporation (“Seller”). Buyer and Seller are collectively referred to as the “Parties” and each individually as a
“Party.” 
 BACKGROUND 

WHEREAS, Seller leases a facility located at 1755 West Oak Parkway, Suite 01 (48,848 SF), Marietta, Georgia 30062 (the
“Facility”); and 
 WHEREAS, Buyer desires to purchase from Seller, and Seller
desires to sell to Buyer, assets owned, used or held for use by Seller in connection with the operation of the Facility including but not limited to all furnishings, equipment listed within Spinal Elements Document Number QSF-7.5-10-2 Rev. Number 5, fixtures, CAM programs and serialized dongles (i.e., PartMaker, Esprit, and Master CAM), raw materials excluding PEEK, the freezers located in
Suite 2 of the property, the generator located outside Suite 2 of the property and systems associated with the manufacturing operation, and Buyer desires to temporarily sublease the Facility from Seller. 

NOW, THEREFORE, in consideration of the above and the mutual representations, warranties, covenants and agreements set forth in this
Agreement, the Parties agree as follows: 
 ARTICLE I 

SALE AND PURCHASE OF ASSETS 

1.1     Purchase and Sale. Subject to the terms and conditions of this Agreement, at the Closing Seller shall sell,
assign, transfer, convey and deliver to Buyer all of Seller’s right, title and interest in and to all of the assets owned, used or held for use by Seller in connection with the operation of the Facility (the “Purchased
Assets”), free and clear of any and all security interests, liens, claims, pledges, defaults of title, encumbrances, hypothecations, mortgages, restrictions, adverse rights or interests, charges, and other encumbrances of any nature
whatsoever (collectively, “Liens”), except for those Liens listed in Schedule 1.4, for which Seller shall provide payoff letters at the Closing and the Purchase Price
shall be credited the sum of the amounts stated in the payoff letters. Liens shall not include liens for taxes not yet due and payable, or easements, rights of way, zoning ordinances and other similar encumbrances affecting the Facility. The
Purchased Assets shall include the following: 
 (a) all tangible personal property used in connection with the operation of the Facility
including but not limited to all fixtures, furniture, manufacturing, storage, post processing and inspection equipment listed within Spinal Elements Document Number
QSF-7.5-10-2 Rev. Number 5 attached as Exhibit B (except those identified in Section 1.3), fixtures and systems (except those identified
in Section 1.3), raw materials excluding PEEK, the freezers located in Suite 2 of the property, the generator located outside Suite 2 of the property and, to the extent assignable or transferable, all rights in all
warranties of any manufacturer or vendor with respect thereto, including the personal property listed in Exhibit B. 

 1.2     Assumed Liabilities. Except as expressly set forth in this
Agreement to the contrary, Buyer is expressly purchasing the Purchased Assets in its existing condition “AS-IS, WHERE-IS, AND WITH ALL FAULTS” with respect to
all facts, circumstances, conditions and defects, and, Seller has no obligation to determine or correct any such facts, circumstances, conditions or defects or to compensate Buyer for same. Except for the Facility sublease and to Buyer’s
ownership or operation of the Purchased Assets on or after the Closing Date, Buyer shall not assume, and under no circumstances shall Buyer be obligated to pay, discharge, perform or assume, and none of the assets of Buyer shall be or become liable
for or subject to, any debt, obligation, expense or liability of Seller related to the operation of the Facility prior to the Closing Date. Seller has agreed to pay key employees a severance payment and Buyer assumes no liability associated with
this payment or obligation. 
 1.3     Excluded Assets. The Purchased Assets will not include medical products
(components and unfinished inventory), or any of the gauging, tooling or fixtures exclusively related to the inspection of such medical products, located at the Facility and listed on Schedule 1.3 (the
“Seller Inventory”). The Purchased Assets will also not include organizational documents, minute books, stock books, tax returns, books of account or other
records having to do with the corporate organization of Seller, all intellectual property assets and all employee-related or employee benefit-related files or records with the exception of validation documentation related to the Purchased Assets
including calibration procedures and records, preventive maintenance procedures and records and procedures associated with the management of production from raw materials to finished good. Seller shall endeavor to remove all of Seller’s
intellectual property and other proprietary information (the “Seller’s Proprietary Information”) from the Purchased Assets (e.g., equipment programming for
Seller’s products). Notwithstanding the foregoing, if Buyer discovers any of Seller’s Proprietary Information, Buyer agrees to immediately notify Seller and at Seller’s request, either destroy or return the Seller’s Proprietary
Information to Seller. Buyer agrees to allow Seller’s employees access to the Facility until July 15, 2019 to finish the Seller Inventory and remove it from the Facility. Buyer also agrees to allow Seller continued exclusive use of the one
(1) So-Low U85-25 freezer and seven (7) Thermo Fisher Scientific 908 freezers located at the Facility until July 15, 2019. During the period from the Closing Date to July 15, 2019,
Seller’s employees will occupy approximately one-third of the square footage of the Facility and Seller agrees to credit Buyer for one-third of the rent under the
sublease, pro-rated for the period occupied by Seller’s employees. Seller will be responsible for all actions of its employees. Other than providing access to the Facility, Buyer will have no obligation
with respect to the Seller Inventory or Seller’s employees. 
 1.4     Purchase Price. The total consideration
payable by Buyer for the Purchased Assets and the other rights and benefits conferred in this Agreement shall be Two Million Four Hundred Thousand Dollars ($2,400,000) less the credits described on Schedule 1.4 for the payoff amounts of the
listed Liens (the “Purchase Price”), payable no later than the Closing Date in immediately available funds by wire transfer to the account of Seller as set forth in wiring instructions provided by Seller to
Buyer. The payoff amounts for the Liens in Schedule 1.4 shall be paid by Buyer within two (2) business days after Closing and confirmation of the payment delivered to Seller within five (5) business days after Closing. 

  
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 1.5     Closing. The closing of the transactions contemplated under
this Agreement (the “Closing”) shall take place via the electronic exchange of documents and signature pages and other required documentation, (i) on the date hereof or (ii) at
such other place and time and/or on such other date as Buyer and Seller may mutually agree in writing. The date on which the Closing actually occurs is referred to herein as the “Closing Date.” At Closing and in consideration
of the payment of the Purchase Price, (i) Seller shall convey the Purchased Assets as described above pursuant to the form of Bill of Sale attached as Exhibit A (the “Bill of Sale”), (ii)
Seller and Buyer shall execute a sublease for the Facility and (iii) the Parties shall execute and deliver such documents, agreements, instruments and certificates as may be necessary or reasonably requested to effect such transactions (except
to the extent waived in writing by the appropriate Party). 
 1.6     Actions of Seller at Closing. At the Closing
or within such other timeframes as specified below and unless otherwise waived in writing by Buyer, Seller shall deliver or cause to be delivered to Buyer the following: 

(a) The Bill of Sale executed by Seller; 

(b) Copies of resolutions duly adopted by the Seller authorizing and approving Seller’s execution and delivery of this Agreement and
consummation of the Transactions; 
 (c) Certificates of existence and good standing of Seller from the State of Georgia, each dated the most
recent practicable date prior to the Closing Date; 
 (d) A non-foreign affidavit of Seller, dated as
of the Closing Date, that complies with the requirements of Section 1445 of the Internal Revenue Code of 1986, as amended; 
 (e) A
sublease of the Facility to Buyer executed by Seller and approved by the Landlord of the property; 
 (f) Payoff letters for all Liens on the
Purchased Assets as of the date of the Closing; and 
 (g) Such other agreements, instruments and documents as Buyer reasonably deems
necessary to consummate the Transactions. 
 1.7     Actions of Buyer at Closing. At the Closing and unless
otherwise waived in writing by Seller, Buyer shall deliver or cause to be delivered to Seller the following: 
 (a) The Purchase Price less
credits associated with Liens to be paid by Buyer by wire transfer of immediately available funds; 
 (b) The Bill of Sale executed by Buyer;

 (c) Copies of resolutions duly adopted by Buyer authorizing and approving Buyer’s execution and delivery of this Agreement and
consummation of the Transactions; 
 (d) A sublease of the Facility to Buyer executed by Buyer and the Landlord; and 

(e) Such other agreements, instruments and documents as Seller reasonably deems necessary to consummate the Transactions. 

  
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 ARTICLE II 

REPRESENTATIONS AND WARRANTIES OF SELLER 

Seller represents and warrants to Buyer the following: 

2.1     Organization and Qualification; Authority. Seller is a corporation duly organized, validly existing and in
good standing (to the extent applicable) under the Laws of State of Georgia, and is duly qualified as a corporation to do business and is in good standing (to the extent applicable) in each jurisdiction where the character of the properties owned,
leased or operated by it or the nature of its business makes such qualification necessary, except where the failure to be so qualified and in good standing would not reasonably be expected to have a Material Adverse Effect. Seller has the requisite
power and authority to own, lease and operate its properties, rights and assets and to carry on its business as it has been and is now being conducted. 

2.2     Authority and Validity. Seller has the full power and authority necessary to execute and deliver the
Acquisition Documents, to perform its obligations under the Acquisition Documents and to consummate the transactions contemplated by the Acquisition Documents (the “Transactions”). The execution, delivery
and performance of the Acquisition Documents by Seller and the consummation of the Transactions by Seller have been duly and validly authorized by all necessary corporate action and comply with all applicable Laws, and no other proceedings on the
part of Seller are necessary to authorize Seller’s execution, delivery, and performance of the Acquisition Documents or consummation of the Transactions. The Acquisition Documents have been or will be, as the case may be, duly and validly
executed and delivered by Seller and, assuming the due authorization, execution and delivery by Buyer, constitute or will constitute a legal, valid and binding obligation of Seller, enforceable against Seller in accordance with their respective
terms, except as may be limited by bankruptcy, insolvency, or similar Laws affecting creditors’ rights generally or by general equitable principles. 

2.3     Assets. Seller owns valid title to, or possesses valid leasehold interests in, all the Purchased Assets, free
and clear of all Liens, except for any Liens for taxes not yet due and payable, or easements, rights of way, zoning ordinances and other similar encumbrances affecting the Facility, and except for Liens that will be released at the Closing. All the
Purchased Assets, whether owned or leased, are in the possession and control of Seller and are located at the Facility. The Purchased Assets comprise all of the assets, properties and rights necessary for the continued operation of the Facility as
currently conducted by Seller. 
 2.4     Compliance with Laws. To the best of Seller’s Knowledge, Seller has
not been and is not currently in material violation of any Law or Order applicable to the Facility or the Purchased Assets or by which the Facility or any of the Purchased Assets are bound. The Facility and the Purchased Assets are not currently
subject to any fine, penalty, or liability as a result of Seller’s failure to comply with any requirement of any applicable Law or Order, and Seller has not received any notice of such noncompliance. 

2.5     Real Property. 

(a) The Facility Lease is in full force and effect, and Seller holds a valid and existing leasehold interest under such lease. Seller has
delivered to Buyer a copy of the Facility Lease, which has not been modified, except to the extent that such modifications are disclosed by the copies delivered to Buyer. Neither Seller nor the Landlord is in breach or default (with or without
notice or lapse of time, or both) under the Facility Lease. 

  
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 (b) To Seller’s Knowledge, no zoning, building, flood control, fire, safety, toxic
materials, hazardous waste or any other applicable Law is violated by the current operation or use of the Facility (excepting only instances of non-compliance which will not materially and adversely affect the
business of the Facility), and the consummation of the Transactions will not result in a violation of any material applicable zoning ordinance or the termination of any material applicable zoning variance now existing. 

(c) Seller has not received written notice of, and Seller has no Knowledge of, any pending, threatened or proposed proceeding or governmental
action to modify the zoning classification of, or to classify as a landmark, or to impose special assessments on, or otherwise to take or restrict in any way the right to use, develop or alter, all or any part of the real property leased pursuant to
the Facility Lease. There is no pending, or to the Knowledge of Seller, threatened or proposed proceeding or governmental action to condemn or take by the power of eminent domain (or to purchase in lieu thereof), all or any part of such real
property. 
 2.6     Litigation. There is no suit, claim, action, arbitration, administrative or other proceeding or
investigation or inquiry (each an “Action”) pending or threatened against Seller related to the Facility or the Purchased Assets. There are no Orders binding on Seller related to the Facility or the Purchased Assets.

 2.7     Absence of Changes. Except as expressly contemplated by this Agreement or as otherwise disclosed by
Seller to Buyer in writing prior to the Closing, Seller has not, since May 10, 2019, (i) sold, transferred, leased, optioned or otherwise disposed of any Purchased Assets; (ii) received any written notice from any Governmental Authority of
any material liability, potential liability or claimed liability based on any violation of Law with respect to the Purchased Assets or the Facility; (iii) suffered any material damage, destruction or loss with respect to or affecting the
Purchased Assets or the Facility; (iv) issued, created, incurred or assumed any material indebtedness or forgiven, cancelled, waived or released any indebtedness owed to Seller with respect to the Purchased Assets or the Facility; or
(v) agreed or committed to take any of the actions referred to in this Section 2.7. 
 2.8    
No Conflicts; Consents. To the best of Seller’s Knowledge, the execution, delivery and performance by Seller of this Agreement and the other Acquisition Documents to which it is a party, and the consummation of the
transactions contemplated hereby and thereby, do not and will not: (a) result in a violation or breach of any provision of any Law or Order applicable to Seller; or (b) require the consent, notice or other action by any Person under,
conflict with, result in a violation or breach of, constitute a default under or result in the acceleration of any agreement to which Seller is a party. To the best of Seller’s Knowledge, no consent, approval, permit, Order, declaration or
filing with, or notice to, any governmental authority is required by or with respect to Seller in connection with the execution and delivery of this Agreement and the other Acquisition Documents and the consummation of the transactions contemplated
hereby and thereby. 

  
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 2.9     Statements True and Correct. No representation or warranty
made by Seller in this Agreement or in any statement, certificate or instrument to be furnished to Buyer by Seller pursuant to this Agreement contains or will contain any untrue statement of material fact or omits or will omit to state a material
fact necessary to make the statements contained herein and therein not misleading, and all such statements, representations and warranties are true and complete in all material respects. 

ARTICLE III 

REPRESENTATIONS AND WARRANTIES OF BUYER 

Buyer represents and warrants to Seller the following: 

3.1     Organization and Qualification; Authority. Buyer is a limited liability company duly organized, validly
existing and in good standing under the Laws of the state of Delaware. Buyer is duly qualified as a foreign limited liability company to do business and is in good standing (to the extent applicable) in each jurisdiction where the character of the
properties owned, leased or operated by it or the nature of its business makes such qualification necessary, except where the failure to be so qualified and in good standing would not reasonably be expected to have a Material Adverse Effect. Buyer
has the requisite power and authority to own, lease and operate its properties, rights and assets and to carry on its business as it has been and is now being conducted. 

3.2     Authorization and Validity. Buyer has the full power and authority necessary to execute and deliver the
Acquisition Documents, to perform its obligations under the Acquisition Documents and to consummate the Transactions. The execution, delivery and performance of the Acquisition Documents by Buyer and the consummation of the Transactions by Buyer
have been duly and validly authorized by all necessary action on the part of Buyer and comply with all applicable Laws, and no other proceedings on the part of Buyer are necessary to authorize Buyer’s execution, delivery, and performance of the
Acquisition Documents or consummation of the Transactions. The Acquisition Documents have been or will be, as the case may be, duly and validly executed and delivered by Buyer and, assuming the due authorization, execution and delivery by Seller,
constitute or will constitute a legal, valid and binding obligation of Buyer, enforceable against Buyer in accordance with their respective terms, except as may be limited by bankruptcy, insolvency, or similar Laws affecting creditors’ rights
generally or by general equitable principles. 
 3.3     No Conflicts; Consents. To the best of Buyer’s
Knowledge, the execution, delivery and performance by Buyer of this Agreement and the other Acquisition Documents to which it is a party, and the consummation of the transactions contemplated hereby and thereby, do not and will not: (a) result
in a violation or breach of any provision of any Law or Order applicable to Buyer; or (b) require the consent, notice or other action by any Person under, conflict with, result in a violation or breach of, constitute a default under or result
in the acceleration of any agreement to which Buyer is a party. To the best of Buyer’s Knowledge, no consent, approval, permit, Order, declaration or filing with, or notice to, any governmental authority is required by or with respect to Buyer
in connection with the execution and delivery of this Agreement and the other Acquisition Documents and the consummation of the transactions contemplated hereby and thereby. 

  
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 3.4     Litigation. There is no Action pending or threatened
against Buyer that challenges or seeks to prevent, enjoin or otherwise delay the transactions contemplated by this Agreement. 

3.5     Independent Investigation. Buyer has conducted its own independent investigation, review and analysis
of the Purchased Assets and acknowledges that it has been provided adequate access to the personnel, properties, assets, premises, books and records, and other documents and data of Seller for such purpose. Buyer acknowledges and agrees that:
(a) in making its decision to enter into this Agreement and to consummate the transactions contemplated hereby, Buyer has relied solely upon its own investigation and the express representations and warranties of Seller set forth in Article
II of this Agreement; and (b) neither Seller nor any other Person has made any representation or warranty as to Seller, the Purchased Assets or this Agreement, except as expressly set forth in Article II of this Agreement. 

3.6     Statements True and Correct. No representation or warranty made by Buyer in this Agreement or in any
statement, certificate or instrument to be furnished to Seller by Buyer pursuant to this Agreement contains or will contain any untrue statement of material fact or omits or will omit to state a material fact necessary to make the statements
contained herein and therein not misleading, and all such statements, representations and warranties are true and complete in all material respects. 

ARTICLE IV 
 ADDITIONAL
AGREEMENTS 
 4.1     Non-Solicitation. For a period of twelve (12) months
from the Closing Date, Seller and its respective Affiliates, hereby affirm not to directly or indirectly solicit or recruit any employee of Buyer who is a former employee of Seller, for employment with Seller. 

4.2     Right of First Refusal. Should Seller decide to sublease or assign the additional 38,400 square feet of space
located at 1755 West Oak Parkway, Suite 2, Marietta, Georgia 30062 (“Suite 2”), Seller shall first offer to sublease or assign Suite 2 to Buyer (the
“Right of First Refusal”) at the rate outlined in the First Amendment to Lease, dated February 21, 2013, by and between Seller and the Landlord by providing written notice to Buyer of such
intent to sublease or assign Suite 2 (the “ROFR Notice”) including the proposed tenant and rental rate. Buyer will have fifteen (15) days from receipt of the
ROFR Notice (the “Exercise Period”) to exercise by written notice to Seller (the “Exercise Notice”) its option to accept the
sublease or assignment of Suite 2. If Buyer does not exercise its option within the Exercise Period, the Right of First Refusal shall be terminated and no longer valid. If the proposed tenant is a party whose business potentially competes with those
of MiRus (i.e., an entity in the spinal or orthopaedic implant device business), Seller shall obtain Buyer’s approval to sublease Suite 2 to the potentially competitive tenant. 

4.3     Employee Matters. Upon the Closing Date Buyer, subject to satisfactory results from standard background
screening conducted pursuant to Buyer’s personnel policies, will make offers of employment to the key employees listed on Schedule 1.2. Buyer shall not assume any employment or severance obligations of Seller. 

  
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 4.4     Use of Seller Policies and Procedures. Seller will permit
Buyer to continue to use and implement all of Seller’s policies and procedures (to the extent not included in the Purchased Assets) related to the operation of the equipment. 

ARTICLE V 

INDEMNIFICATION 

5.1     Indemnification by Seller. Seller shall defend, indemnify and hold harmless Buyer (and its respective
Affiliates, and their respective officers, directors, employees, counsel, agents, successors and assigns) (collectively, the “Buyer Indemnified Parties”) from and against any and all demands, claims,
actions or causes of action, assessments, losses, damages, liabilities, costs and expenses (including reasonable attorneys’ fees) (collectively, “Losses”) to the extent arising out of or
resulting from: 
 (a) any breach of representation or warranty by Seller under this Agreement; 

(b) any breach by Seller of, or any failure by Seller to perform, any covenant or agreement of, or required to be performed by, Seller under
this Agreement; 
 (c) any liability related to the operation of the Facility or the use of the Purchased Assets prior to the Closing; or

 (d) any fraud, willful misconduct or criminal acts of Seller or its Affiliates. 

5.2     Indemnification by Buyer. Buyer shall defend, indemnify and hold harmless Seller (and its respective
Affiliates, and their respective officers, directors, employees, counsel, agents, successors and assigns) (collectively, the “Seller Indemnified Parties”) from and against any
and all Losses to the extent arising out of or resulting from: 
 (a) any breach of representation or warranty by Buyer under this Agreement;

 (b) any breach by Buyer of, or any failure by Buyer to perform, any covenant or agreement of, or required to be performed by, Buyer under
this Agreement; 
 (c) any liability related to the operation of the Facility, its employees or the use of the Purchased Assets after the
Closing; or 
 (d) any fraud, willful misconduct or criminal acts of Buyer or its Affiliates. 

ARTICLE VI 
 DEFINITIONS

 6.1     Definitions. As used in this Agreement, the following terms have the following meanings (unless
otherwise expressly provided herein): 
 “Acquisition Documents” means this Agreement and the
other documents, agreements, certificates and instruments to be delivered pursuant to this Agreement. 

  
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 “Actions” means any pending or threatened
claim, cause of action, demand, litigation, action, suit, arbitration, proceeding, or right in action, whether known or unknown, that may be alleged or brought by any Person, Governmental Authority or any administrative, arbitration, or governmental
proceeding, investigation or inquiry. 
 “Affiliate” means, with respect to a Person, any other
Person that directly or indirectly controls, is controlled by, or is under common control with, such Person. The term “control” used in the preceding sentence shall mean the possession, directly or indirectly,
of the power to direct or cause the direction of the work activities, management and policies of a Person whether through ownership of membership interests or voting securities, the election or appointment of board members, by contract or otherwise.

 “Employees” means employees at the Facility, including employees who are on leaves of
absence and staff that may be employed by an Affiliate of Seller but are allocated to the Facility for substantially all of the services they perform. 

“Governing Documents” means, for the entity in question, that entity’s Articles of
Incorporation, Certificate of Formation, Certificate of Limited Partnership, other filings with the applicable Secretary of State, Bylaws, Partnership Agreement, Limited Liability Company Agreement or other similar documents for the governance of
the entity. 
 “Governmental Authority” means any federal, state, local or municipal
government; any governmental or quasi-governmental authority of any nature (including any government agency, branch, board, department, official, instrumentality or entity); any body exercising or entitled to exercise, any administrative, executive,
judicial, legislative, police, regulatory or taxing authority or power of any nature; any entity that contracts with a governmental entity to administer or assist in the administration of a governmental program; or any arbitrator with authority to
bind a party at Law. 
 “Knowledge” means, with respect to Seller, the knowledge they
have as it relates to the assets being sold or should have after reasonable inquiry (e.g., mechanical or functional issues associated assets). 

“Landlord” means C&I IX West Oak LLC, a Delaware limited liability company, as successor in interest
to Cabot II—GA1W13, LLC a Delaware limited liability company. 
 “Law” means any federal, state, local, foreign
or other statute, law, ordinance, regulation, rule, code, injunction, judgment, ruling, decree or order of any Governmental Authority, including common law. 

“Material Adverse Effect” means a change, event or occurrence that is discovered or disclosed following
the Effective Date, regardless of whether such change, event or occurrence actually occurred before or after the Effective Date, and that has, or would reasonably be anticipated with the passage of time to have, individually or in the aggregate, a
material adverse effect on the financial condition, properties, assets, liabilities, business, or results of operations of the Facility or Seller. 

  
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 “Order” means any judgment, order, writ,
injunction, ruling or decree of or any settlement under the jurisdiction of any Governmental Authority, whether temporary, preliminary or permanent. 

“Person” means an individual, corporation, partnership, limited liability company, limited
liability partnership, syndicate, person, trust, association, organization or other entity, including any Governmental Authority, and including any successor, by merger or otherwise, of any of the foregoing. 

“Representatives” means, with respect to any Person, the officers, directors, principals,
employees, agents, auditors, advisors, bankers and other representatives of such Person. 
 ARTICLE VII 

MISCELLANEOUS 

7.1     Further Assurances. Each Party covenants that at any time, and from time to time, after the Closing, it will
execute such additional instruments and take such actions as may be reasonably requested by the other Parties to confirm or perfect or otherwise to carry out the intent and purposes of this Agreement. 

7.2     Governing Law. This shall be governed by and construed in accordance with the laws of the State of Georgia,
regardless of the Laws that might otherwise govern under applicable principles of conflicts of Laws thereof. 
 7.3    
Benefit, Assignment and Third-Party Beneficiaries. Subject to provisions herein to the contrary, this Agreement shall inure to the benefit of and be binding upon the Parties and their respective legal representatives, successors and
assigns; provided, however, that no Party may assign this Agreement without the prior written consent of the other Party except that Buyer may assign this Agreement and/or any of its rights hereunder to a wholly owned subsidiary of
Buyer (“Buyer Subsidiary”) without the prior written consent of Seller. Buyer’s assignment of its rights under this Agreement to a Buyer Subsidiary shall not
release Buyer from performing its obligations hereunder, but rather Buyer and Buyer’s Subsidiary shall be jointly and severally liable for such obligations. The Parties acknowledge that Buyer may assign ownership and title to certain of the
Purchased Assets to certain designees of Buyer, such that more than one entity may own the Purchased Assets at Closing, provided, however, that such designated assignees shall not be parties or third-party beneficiaries under this Agreement and such
assignments shall not release Buyer from performing any of its obligations hereunder. This Agreement is intended solely for the benefit of the Parties and is not intended to, and shall not, create any enforceable third party beneficiary rights,
except with respect to the provisions of Article V, which shall inure to the benefit of the Buyer Indemnified Parties and Seller Indemnified Parties, who are intended to be third-party beneficiaries thereof. 

7.4     No Brokerage. The Parties represent to each other that no broker or finder is entitled to any brokerage fees,
commissions or finder’s fees in connection with the transactions contemplated hereby by reason of any action taken by the Parties. 

  
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 7.5     Cost of Transaction. Except as may be provided to the
contrary elsewhere herein: (i) Buyer shall pay the fees, expenses and disbursements incurred by Buyer and its agents, representatives, accountants and counsel thereof in connection with the subject matter hereof and any amendments hereto; and
(ii) Seller shall pay the fees, expenses and disbursements incurred by Seller and its agents, representatives, accountants and counsel thereof in connection with the subject matter hereof and any amendments hereto. 

7.6     Confidentiality. It is understood by the Parties that the information, documents and instruments delivered to
each Party by the other Party or agents thereof in connection with the negotiation of this Agreement or in compliance with the terms, conditions and covenants hereof are of a confidential and proprietary nature. Both prior to and following the
Closing, the Parties shall maintain the confidentiality of all such confidential information, documents or instruments delivered to it by the other Parties or agents thereof and shall not disclose such confidential information, documents and
instruments to any third parties other than its Representatives assisting in the transactions contemplated herein or as may be required by applicable Laws. If the transactions contemplated hereby are not consummated, each Party shall return all such
confidential information, documents and instruments and all copies thereof in its possession to the Party providing them. The terms and conditions of this Agreement and all other agreements and instruments executed and delivered by the Parties in
connection with this Agreement shall remain confidential and the Parties shall not disclose such agreements or instruments, or any part thereof, to any third party other than its Representatives assisting in the transactions contemplated herein or
as may be required by applicable Laws. Any breach of this Section 7.6 by a Party would result in irreparable harm to the other Parties and therefore the Parties shall be entitled to seek an injunction to prohibit any such
breach or anticipated breach, without the necessity of posting a bond in addition to other legal and equitable remedies. 

7.7     Non-Publicity. Seller and Buyer agree not to disclose outside of their
regulatory scope, the existence or contents of this Agreement to any third party without the prior written consent of the other Party except: (i) to its advisors, attorneys or auditors who have a need to know such information, (ii) as
required by law or court order, (iii) as required in connection with the reorganization of a Party, or its merger into any other corporation, or the sale by a Party of all or substantially all of its properties or assets, or (iv) as may be
required in connection with the enforcement of this Agreement. 
 7.8     Waiver. Any failure on the part of any
Party to comply with any of its obligations, agreements or conditions under this Agreement may be waived by any other Party to whom such compliance is owed only by an agreement in writing signed by the Parties against whom enforcement of such waiver
is sought. No waiver of any provision of this Agreement shall be deemed, or shall constitute, a waiver of any other provision, whether or not similar, nor shall any waiver constitute a continuing waiver. No failure on the part of any Party to
exercise, and no delay on the part of any Party in exercising, any right, power, remedy or privilege under this Agreement or provided by Law, including the right or power to terminate this Agreement, shall impair, prejudice or constitute a waiver of
any such right, power, remedy or privilege or be construed as a waiver of any breach of this Agreement or as an acquiescence thereto, nor shall any single or partial exercise of any such right, power, remedy or privilege preclude any other or
further exercise thereof or the exercise of any other right, power, remedy or privilege. 

  
 11 

 7.9     Notice. 

(a) All notices or other communications required or permitted under this Agreement shall be in writing and sufficient if delivered personally
or sent by nationally-recognized overnight courier, by registered or certified mail, postage prepaid, return receipt requested, or by email transmission with receipt confirmed by response email, addressed as follows: 

 

			
	Buyer:	  	 MiRus LLC
 2150 Newmark Parkway SE, Suite
108
 Marietta, Georgia 30067
 Attention: Jay S. Yadav, MD

Email: jyadav@mirusmed.com

		
	With a Copy to:	  	 Alston & Bird LLP
 1201 West Peachtree
Street
 Atlanta, GA 30309
 Attention: J. Mark Ray

Email: mark.ray@alston.com

		
	Seller:	  	 Amendia, Inc. d/b/a Spinal Elements
 3115
Melrose Drive, Suite 200
 Carlsbad, CA 92010
 Attn: General
Counsel

 (b) All such notices or communications shall be deemed to be delivered (i) in the case of personal
delivery, on the date of such delivery, (ii) in the case of nationally-recognized overnight courier, on the next Business Day after the date when sent, (iii) in the case of mailing, on the fifth (5th) Business Day following the date of mailing, or (iv) in the case of facsimile transmission, upon confirmation by automatic transmission report. Any Party hereto may change its address specified
for notices herein by designating a new address by notice in accordance with this Section 7.8. 

7.10     Severability. The provisions of this Agreement are severable and the invalidity of one or more of the
provisions herein shall not have any effect upon the validity or enforceability of any other provision. 
 7.11    
Counterparts. This Agreement may be executed in one or more counterparts, each of which shall be deemed to be an original, but all of which shall constitute one and the same agreement, and any one of which may be delivered by
facsimile or as attachments to email. 
 7.12     Entire Agreement, Amendments. All annexes, schedules and exhibits
attached to this Agreement are by reference made a part hereof. This Agreement (including the documents and the instruments referred to herein) constitutes the entire agreement among the Parties and supersede all prior agreements and understandings,
both written and oral, among the Parties with respect to the subject matter hereof and thereof. This Agreement may not be amended or modified except by an instrument in writing signed by the Parties hereto. 

[Signature Pages Follows] 

  
 12 

 IN WITNESS WHEREOF, the Parties have caused this Asset Purchase Agreement to be executed by
their authorized officers as of the Effective Date. 
  

	
	 BUYER:
  

MIRUS LLC

	
	By: /s/ Jay
Yadav                                        
    
	Name: Jay Yadav
	Title: CEO
	
	 SELLER:
  

AMENDIA, INC. D/B/A SPINAL ELEMENTS

	
	By: /s/ Jason
Blain                                        
    
	Name: Jason Blain
	Title: President & CEO

 Signature Page to Asset Purchase AgreementEX-10.20

 Exhibit 10.20 

FIRST AMENDMENT TO LEASE 

THIS FIRST AMENDMENT TO LEASE (this “Amendment”) is made as of February 14, 2020 (“Effective
Date”), by and between CARLSBAD PALOMAR, LLC, a Delaware limited liability company (“Landlord”), and SPINAL ELEMENTS, INC., a Delaware corporation (“Tenant”). 

RECITALS: 
 A.
Landlord’s predecessor-in-interest, HR Melrose, LLC, and Tenant entered into that certain Lease dated September 27, 2012 (“Original Lease”)
for certain premises commonly known as Suite 150, 170, and 200, consisting of approximately 39,655 square feet of rentable area (“Original Premises”), in the building situated at 3115 Melrose Drive, Carlsbad, California (the
“Building”), for a term of eighty-six (86) months, which is due to expire on May 31, 2020 (the “Initial Term”). 

B. Landlord and Tenant subsequently entered into a Storage Area License Agreement dated July 27, 2018 (“Storage
Agreement”) regarding Tenant’s right to use a portion of the Building, commonly known as Suite 140, consisting of approximately 2,007 square feet of storage space, for a term ending on the date of expiration or earlier termination
of the Original Lease. 
 C. Landlord and Tenant subsequently entered into a Generator Agreement dated August 2, 2019 (“Generator
Agreement”) for Tenant’s right to install a supplemental back-up generator (“Back-Up Generator”). 

D. Tenant desires and, pursuant to the terms of this Amendment, Landlord agrees to extend the Initial Term of the Original Lease, upon the
terms and conditions hereinafter provided. Upon the full execution and delivery of this Amendment, the term “Lease” shall refer to the Original Lease as amended by this Amendment. 

NOW, THEREFORE, in consideration of the mutual covenants herein contained, the mutual receipt and legal sufficiency of which are hereby
acknowledged, it is hereby agreed as follows: 
  

	 	1.	 Recitals. The foregoing recitals are incorporated herein by this reference as if fully set
forth at this point in the text of this Amendment. 

  

	 	2.	 Integration. The recitals and following terms and conditions shall constitute part of the
Lease and be incorporated therein by reference. 

	 	3.	 Premises. 

 

	 	a.	 Commencing on the Term Extension Commencement Date (hereinafter defined), Section 6.2 of the Original
Lease Summary shall be amended to read: “41,662 rentable square feet of space located on the first (1st) and second (2nd) floors of the
Building, commonly known as Suite 140, 150, 170, and 200.” 

  

	 	b.	 The Storage Agreement will terminate on the Term Extension Commencement Date, and Tenant’s use and
occupancy of Suite 140 will thereafter be covered by the Lease. 

  

	 	4.	 Extension of Term. Effective immediately, the original term of the Lease is hereby
extended for an additional seven (7) years (“Lease Extension Term”), for the period commencing on June 1, 2020 (the “Term Extension Commencement Date”) and ending on May 31, 2027. Tenant will
continue to have the right to two (2) renewal options of three (3) years each (each an “Option Term”), as originally provided for in Article 2.2 of the Original Lease, as applicable to the entire Premises, and with
each Option Term commencing at the expiration of the Lease Extension Term herein (i.e. Tenant shall have the right to extend the Lease from June 1, 2027 to May 31, 2030, and from June 1, 2030 to May 31, 2033). 

 

	 	5.	 Base Rent. Commencing on the Term Extension Commencement Date, the Base Rent payable by
Tenant to Landlord, in accordance with Article 3 of the Original Lease, shall be in accordance with the following schedule: 

  

													
	 Months

During Lease

Extension
Term
	  	Annual Base
Rent	 	  	Monthly
Installment of
Base Rent	 	  	Monthly Base
Rent per Rentable
Square Foot of the
Premises	 
	 *1-12
	  	$	1,139,872.32	 	  	$	94,989.36	 	  	$	2.28	 
	 *13-24
	  	$	1,174,068.49	 	  	$	97,839.04	 	  	$	2.35	 
	 *25-36
	  	$	1,209,290.54	 	  	$	100,774.21	 	  	$	2.42	 
	 37-48
	  	$	1,245,569.26	 	  	$	103,797.44	 	  	$	2.49	 
	 49-60
	  	$	1,282,936.34	 	  	$	106,911.36	 	  	$	2.57	 
	 61-72
	  	$	1,321,424.43	 	  	$	110,118.70	 	  	$	2.64	 
	 73-84
	  	$	1,361,067.16	 	  	$	113,422.26	 	  	$	2.72	 

 * Subject to the abated base rent provision in Section 6 below. 

 

	 	6.	 Abatement of Monthly Base Rent. Notwithstanding anything in Section 5 above to the
contrary and provided that Tenant is not then in default under the Original Lease or this Amendment, Tenant shall be entitled to an abatement 

	 	
of the monthly Base Rent due during the Lease Extension Term, in an amount equal to $569,936.16 in the aggregate (i.e. an amount equal to six times the monthly installment of Base Rent for the
first year of the Lease Extension Term) (the “Base Rent Abatement Amount”), which shall be applied in equal monthly installments during the first three (3) years of the Lease Extension Term (i.e. $15,831.56 per month may
be applied against the Monthly Base Rent each month until May 31, 2023). However, should Tenant become a publicly traded company through an initial public offering and provided Tenant is not then in default under the Original Lease or this
Amendment, Tenant shall have the right to use its remaining Base Rent Abatement Amount, if any, to apply to Base Rent as it becomes due, starting the month following the initial public offering. 

 

	 	7.	 Operating Expenses. During the Lease Extension Term, the Base Year shall be the calendar year of
2020 for the purposes of calculating Operating Expenses, beginning January 1, 2020. 

  

	 	8.	 Tenant Improvements. 

 

	 	a.	 Improvement Allowance. Upon full execution of this Amendment and provided that Tenant is not then in
default under the Original Lease or this Amendment, Tenant shall be entitled to a tenant improvement allowance (the “Tenant Improvement Allowance”) in the amount of up to, but not exceeding $1,041,550.00 (i.e. $25.00 per
rentable square foot of the Premises) for the costs relating to the design and construction of additional Tenant improvements to the Premises (“Additional Tenant Improvements”). The Tenant Improvement Allowance
shall be available for Tenant’s use as follows: up to twenty-five percent (25%) during the first year of the Lease Extension Term, up to fifty percent (50%) during the second year of the Lease Extension Term, and up to one hundred percent
(100%) during the third year of the Lease Extension Term. Tenant may use up to $208,310.00 of the Tenant Improvement Allowance (i.e. $5.00 per rentable square foot of the Premises) (the “Limited Allowance”) for the purchase
of furniture, fixtures or equipment for use in the Premises. Additionally, if Tenant becomes a publicly traded company through an initial public offering and provided Tenant is not then in default under the Original Lease or this Amendment,
(1) Tenant may use the Limited Allowance, if any, as an offset against Base Rent as it becomes due, and (2) one hundred percent (100%) of the Tenant Improvement Allowance shall be available to Tenant immediately following its public
offering. All Additional Tenant Improvements shall be subject to Article 8 of the 

	 	
Original Lease. Disbursement of the Tenant Improvement Allowance shall be made pursuant to Section 2.2 of Exhibit D to the Original Lease, except that Tenant may also use a portion of the
Tenant Improvement Allowance for the cost of its Back-Up Generator and related installation fees. In the event Tenant does not utilize any portion of the Tenant Improvement Allowance within forty-eight
(48) months from the commencement of the Term Extension Commencement Date, including the Limited Allowance, Tenant shall forfeit any remaining portion of the Tenant Improvement Allowance that would be otherwise due to Tenant. 

 

	 	b.	 Installation of HVAC Equipment. Tenant may install additional HVAC equipment in the first floor
inventory area, so long as such equipment is installed to code requirements. Until such separate dedicated HVAC units are installed, Tenant shall be allowed to use Landlord’s HVAC system twenty four hours a day for seven days a week, for a
total flat fee of Six Thousand Five Hundred Dollars ($6,500.00) per month, not to exceed a four (4) month period, notwithstanding the hourly charges set forth in Article 6.1.1 of the Original Lease. In addition, Landlord agrees to retroactively
cap the hourly charges for after-hours HVAC usage at $12,500.00 per month for a period of up to two (2) months prior to the date of this Amendment. 

  

	 	c.	 Outdoor Cover. Landlord, at Landlord’s sole expense, shall provide a shaded employee area on the
west side of the Building. 

  

	 	9.	 Right of First Refusal. Commencing on the Term Extension Commencement Date, Articles 1.3 and
1.3.1 shall be modified as follows, and Articles 1.3.2 through 1.3.6 shall remain in full force and effect: 

  

	 	1.3	 Tenant shall have an ongoing right of first refusal with respect to any space in the Building (the
“First Refusal Space”), subject to existing tenant extension rights, expansion rights, and rights of first refusal. Any failure by Tenant to elect to lease any First Refusal Space shall not be deemed a waiver of its right of
first refusal as to future applicable space in the Building. 

  

	 	1.3.1	 Method of Exercise. Landlord shall provide Tenant a complete copy (the “First Refusal
Notice”) of any bona fide offer received from any third party that Landlord intends to accept for the potential lease of all or any portion of the First Refusal Space (the “Offered Space”). For a period of five
(5) 

	 	
business days following Tenant’s receipt of the First Refusal Notice (the “Election Period’’), Tenant shall have the right to inform Landlord in writing (the
“Acceptance Notice”) that Tenant desires to lease the Offered Space on the same terms and conditions contained in the First Refusal Notice, except as provided below: 

 

	 	1.3.1.1	 The lease term for any space leased by Tenant under the exercise of its right of first refusal shall be
coterminous with the Lease Extension Term or the Option Terms, as applicable, provided Tenant has a minimum of thirty-six (36) months remaining during its Lease Extension Term or any exercised Option
Term. 

  

	 	1.3.1.2	 In the event Tenant has less than thirty-six (36) months of Lease
Extension Term or exercised Option Term remaining, Tenant’s lease term for any space leased by Tenant under the exercise of its right of first refusal shall be the same as the lease term set forth in the First Refusal Notice.

  

	 	10.	 Back-Up Generator. 

Pursuant to the Generator Agreement, Tenant has installed a Back-Up Generator in the location depicted on Exhibit A (the
“Outdoor Premises”). Operation and maintenance of the Back-Up Generator shall be governed by the Generator Agreement, which shall continue to be in full force and effect, except as modified by this Amendment. Notwithstanding
Section 3 of the Generator Agreement, Landlord waives its right to require Tenant to remove the Back-Up Generator, and to repair and restore the Outdoor Premises, upon the expiration or earlier termination of the Lease or any Lease Extension Term;
provided, however, in the event Tenant elects to use a portion of the Tenant Improvement Allowance as reimbursement for the cost of its Back-Up Generator and related installation fees, the Back-Up Generator shall become the property of the Landlord
upon Lease expiration. Notwithstanding the foregoing, in the event Tenant does not use of the Tenant Improvement Allowance as reimbursement herein, then Tenant shall have the option to remove the Back-up Generator upon the expiration or earlier
termination of the Lease or any Lease Extension Term; provided, however, upon removal, 

 
Tenant shall restore the Outdoor Premises and any other building modifications made as a condition such installation, to the condition prior to the Back-up Generator installation. 

 

	 	11.	 Financial Statements. Landlord shall have the right to require Tenant to provide Landlord with a
current financial statement at any time, and from time to time more than once during a calendar year, but no more than twice during a calendar year and otherwise as provided in Article 17 of the Original Lease. 

 

	 	12.	 Landlord’s Address. Effective immediately, Landlord’s Address as set forth in the
Summary of the Original Lease is deleted and replaced with the following: 

  

			
	Landlord’s Address:	 	Carlsbad Palomar, LLC
		 	c/o Hill Companies Inc.
		 	8100 E. Maplewood Avenue, Suite 220
		 	Greenwood Village, CO 80111
		 	Attn: Jim Hill
		
	With a copy to:	 	Arent Fox LLP
		 	55 2nd Street, 21st Floor
		 	San Francisco, California 94105
		 	Attn: M.J. Pritchett, Esq.
		
	And a copy to:	 	Cushman & Wakefield
		 	1000 Aviara Parkway, Suite 100
		 	Carlsbad, CA 92011
		 	Attn: Aric Stark

  

	 	13.	 Brokerage. Effective immediately, the Brokers set forth in the Summary of the Original Lease are
deleted and replaced with the following: 

  

			
	Landlord’s Broker:	 	        Cushman & Wakefield
		
	Tenant’s Broker:	 	        Tenant Consulting Services, Inc.

 In accordance to Article 29.19 of the Original Lease, Landlord shall pay the brokerage commissions owing to the
Brokers in connection with the transaction contemplated by this Amendment pursuant to the terms of a separate written agreement between Landlord and the Brokers. 

	 	14.	 Defined Terms. Each capitalized term used in this Amendment shall have the same meaning ascribed
to it in the Original Lease, unless specifically defined in this Amendment. 

  

	 	15.	 Ratification. The terms of the Original Lease, except as expressly modified or excluded hereby,
shall remain in full force and effect. All terms and conditions of the Original Lease, except as otherwise provided by this Amendment, shall be fully applicable to the Premises, as modified herein. 

 

	 	16.	 Conflicts. To the extent that the provisions of this Amendment conflict with any provisions of
the Original Lease, such provisions of this Amendment shall prevail and govern for all purposes and in all respects. 

  

	 	17.	 Governing Law. This Amendment shall be governed and construed according to the laws
of California and shall bind and inure to the benefit of the successors and assigns of the undersigned. 

  

	 	18.	 Counterparts. This Amendment may be executed in several counterparts and shall be valid and
binding with the same force and effect as if all parties executed the same Amendment. 

  

	 	19.	 Approval. Tenant acknowledges that the terms and conditions as set forth herein are expressly
subject to the approval of Landlord’s lender. Neither party hereto shall have any obligation or liability to the other whatsoever at law or in equity (including any claims for detrimental reliance, partial performance, good faith or promissory
estoppel or other similar types of claims) unless and until such time as both parties shall have executed and delivered an agreement. 

[Signatures on following page] 

 WITNESS the parties hereto have executed and delivered this Amendment under seal as
of the date first written above. 

 

			
	TENANT:
	
	Spinal Elements, Inc.
	
	a Delaware corporation

			
		
	By:	 	 /s/ Jason
Blain

			
	Name:	 	Jason Blain
	Title:	 	President & CEO

 

			
	LANDLORD:
	
	Carlsbad Palomar, LLC,
	
	A Delaware Limited liability company

			
		
	By:	 	 /s/ J. R.
Hill

			
	Name:	 	J. R. Hill
	Title:	 	Manager

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