Document:

EX-10.3

 Exhibit 10.3 

Confidential Materials omitted and filed separately with the 

Securities and Exchange Commission. Double asterisks denote omissions. 

Execution Version 
 EXCLUSIVE DISTRIBUTION
AGREEMENT 
 (for the Smartxide Quadro C60 surgical laser with DOT scanner Laser System) 

THIS AGREEMENT is made by and between El. En. S.p.A., a company organized under the laws of Italy whose address is Via Baldanzese 17, 50041
Calenzano, Firenze, Italy (hereafter referred to as “El En”), and Cynosure, Inc., a Delaware corporation whose address is 5 Carlisle Road Westford MA 01886 (hereinafter referred to as “Cynosure”). This Agreement shall be
effective as of November 14, 2014 (hereinafter the “Effective Date”). (Both El En and Cynosure are sometimes collectively referred to as the “Parties”, and each may be referred to in the singular as a “Party”).

 The Parties hereby agree to the following: 
  

	1.	DEFINITIONS 

 The terms used in this Agreement shall have the following meaning: 

1.1. “Territory” shall mean North America (United States and Canada). 

1.2 “Products” shall mean the Smartxide Quadro C60 surgical laser with DOT scanner (“Smartxide Quadro”) meeting the
specifications set forth in Exhibit A to this Agreement together with any replacement thereto or modification or improvement thereof developed, owned or licensed by El En. The term “Product” may be modified from time to time by
written amendment to this Agreement executed by the Parties hereto whereby the Parties agree to include additional El En products in Exhibit A. The Smartxcide Quadro shall be replaced by El En’s next generation product, the Smartxide Touch, by
July 1, 2015, and Exhibit A shall be amended by such date to include the product specifications for such product. 
 1.3. “Market”
shall mean the market for gynechological and urogynechological laser applications. 
 1.4 “Affiliate” shall mean, with respect to
Party, a corporation or entity that directly or indirectly through one or more intermediaries controls, or is controlled by, or is under common control with such Party. 

1.5 “Trademark(s)” shall mean the trademark “Deka”, “D.O.T.” and MonaLisa Touch” and any other marks
necessary or useful in connection with the activities contemplated by this Agreement, or as otherwise designated by El En, including trademarks that are the subject of trademark applications or registrations, filed or pending during the term of the
Agreement within the Territory, including any renewals thereof. 
  

	2.	APPOINTMENT AND ACCEPTANCE 

 2.1 Subject to Cynosure’s compliance with all the terms
of this Agreement, El En hereby appoints Cynosure as its exclusive distributor for the marketing, sale and delivery of the Products in the Territory and for the Market, and Cynosure accepts such appointment.

 2.2 This appointment of Cynosure as El En’s distributor for the Products in the Territory
for the Market is an exclusive appointment. During the term of this Agreement and so long as Cynosure is not then in default under this Agreement, El En shall not distribute the Products in the Territory for the Market or appoint any other
distributor for the Products in the Territory for the Market. Notwithstanding the foregoing, nothing herein shall prevent El En from engaging in the marketing, distribution or sale of products and of Products anywhere in the Territory, for
applications other than the Market. 
 2.3 This appointment shall automatically terminate upon the expiration or termination of this
Agreement. 
 2.4 Cynosure shall not sell, lease, license or install, directly or indirectly, any Products outside the Territory and/or the
Market and shall promptly refer to El En any request therefore. Cynosure shall not actively seek customers for the Products outside the Territory and/or the Market, nor engage in any advertising or promotional activities relating to the Products
directed primarily to customers located outside the Territory and/or the Market. Cynosure shall have the right, without the prior written consent of El En, to appoint sub-distributors or sub-dealers to sell the Products in the Territory for the
Market. Notwithstanding the foregoing, should El En reasonably object to any such appointment, Cynosure shall refrain therefrom. 
 2.5
Cynosure has not paid any fee or other consideration for the rights established by this Agreement. Neither this Agreement nor any right granted by this Agreement is a property right. Neither this Agreement nor any right or responsibility
under this Agreement may be transferred, assigned, delegated or sold by Cynosure or by operation of law. 
 2.6 No rights or licenses with
respect to the Products are granted or deemed granted under this Agreement or in connection herewith, other than those rights expressly granted in this Agreement. 
  

	3.	OBLIGATIONS OF EL EN 

 3.1 El En shall provide such marketing and other sales support to
Cynosure as the Parties may agree from time to time provided that Cynosure shall pay for all travel, lodging, meals and related expenses incurred by El En in providing such support. 

3.2 El En reserves the right in its sole discretion to discontinue the sale or production of any Product. El En reserves the right, in its
sole discretion, to modify, alter, improve or change the Products. El En shall make reasonable efforts to provide Cynosure with one year’s prior written notice of any decision to discontinue the sale or production of any Product and ninety
(90) days’ prior written notice of any decision to change the Products, but any changes made for safety reasons or to accommodate regulatory requirements shall be effective upon notice to Cynosure.

  
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 3.3 El En will provide annual training sessions (at locations to be determined by El En) for
Cynosure sales and service personnel at no cost to Cynosure. Notwithstanding the foregoing, Cynosure shall be responsible for all travel, lodging, meals and related expenses associated with attendance by its personnel at these training sessions.

 

	4.	SALES TO CYNOSURE 

 4.1 Each order for the Products will be submitted by Cynosure on the
Purchase Order form set forth at Exhibit B to this Agreement (hereinafter the “Purchase Order”) and will be processed by El En in a timely fashion. Each Purchase Order submitted by Cynosure shall specify the quantity of the
Products which Cynosure desires to purchase and the delivery date for such Product(s). The express terms of this Agreement, including the Purchase Order, supersede any contrary provisions in any purchase order, agreement or other document used
by Cynosure. Contracts for the sale of the Products by Cynosure to its customers shall automatically incorporate, to the extent applicable, the terms and conditions of this Agreement, including the Purchase Order. El En will accept or reject
each Purchase Order in writing within ten (10) working days after receipt from Cynosure. In the event that El En rejects a Purchase Order that is within the scope of the forecast provided by Cynosure in accordance with Section 4.4, Cynosure
shall have the right to terminate this Agreement unless El En accepts the Purchase Order within sixty (60) days of receipt of notice from Cynosure of its intent to terminate this Agreement. 

4.2 Cynosure’s orders for the Products shall not be binding on El En until accepted by El En and may be canceled by Cynosure only until
that time. Orders shall be deemed accepted by El En when Cynosure is so notified in writing by El En. In the event of a shortage of the Products, El En will make reasonable efforts to make up such shortage as soon as is commercially possible, but El
En shall have no liability to Cynosure whatsoever as the result of its inability to meet Cynosure’s orders for the Products. 
 4.3 The
price applicable to the Products is set forth in Exhibit C to this Agreement. The price applicable to the Products may be changed by El En only upon reasonable notice (not less than thirty (30) days) to Cynosure and no price increase
shall exceed [**]% during any one year during the term of this Agreement and an aggregate of [**]% over the full term of this Agreement. Any change in the price of the Products will not apply to any orders for Products from Cynosure accepted in
writing by El En prior to the effective date of such change. All amounts under this Agreement shall be calculated and paid in U.S. Dollars. In the event of the occurrence of any unforeseen circumstances that materially affect the
manufacturing cost of the Products, the Parties shall negotiate in good faith an adjustment if the price of the Products. 
 4.4 Cynosure
will deliver to El En, not later than the first day of each March, June, 

  
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September and December in each year during the term of this Agreement, a forecast of Cynosure’s anticipated requirements for the Products during the following calendar quarter, specifying
quantities and shipment dates therefor. The forecast shall not be binding upon Cynosure. Upon acceptance in writing of each forecast by El En, El En shall make reasonable commercial efforts to maintain sufficient inventory to fill
Cynosure’s requirements based on such forecasts. Products shall, however, only be shipped against purchase orders accepted by El En.

4.5 Cynosure shall examine each shipment of the Products to determine whether any item or items included in the shipment are in short supply,
defective or damaged. Within five (5) business days of receipt of the shipment, Cynosure shall notify El En in writing of any shortages, defects or damage which Cynosure claims existed at the time of delivery and are not a result of
shipping. Within twenty (20) days of receipt of such notice, El En will investigate the claim of shortage, defects or damage, and inform Cynosure of its findings. If El En determines that a shortage, defect or damages existed at the time
of delivery and was not a result of shipping, El En will promptly deliver replacement Product to Cynosure. Unless notice is given as provided in this Section 4.5, Cynosure shall be deemed to have accepted each shipment of the Product and to
have waived all claims for shortages, defects or damage. 
  

	5.	DISTRIBUTORSHIP OPERATIONS 

 5.1 Cynosure agrees to use commercially reasonable efforts
to sell the Products in the Territory and to promote, through Cynosure’s own advertising and sales promotion activities, the purchase and use of the Products by customers located in the Territory. Cynosure agrees to establish a sales
program for the Products that will include the following responsibilities: 
 5.2.1 Cynosure shall maintain one or more sales offices in the
Territory and shall use best efforts and devote such time as necessary to sell and promote the sale of the Products in the Territory. Cynosure shall solely determine its hours of operation, its staffing for its offices, its employment policies
and benefits and where and when to make sales calls. 
 5.2.2. Cynosure shall ensure that all personnel whom Cynosure assigns to sell the
Products are adequately trained on the Products to provide a satisfactory level of sales service to customers and provide effective sales presentations and training in the use of the Products to customers.

5.3 Cynosure agrees to purchase from El En the minimum number of Products per year as set forth in Exhibit D attached hereto and made a
part hereof, provided that all Products purchased in excess of the minimum yearly amount shall be credited towards future purchase minimums in subsequent years, capped in any year at [**]% of the yearly minimum. In the event Cynosure fails to
purchase at least the minimum number per year of any of the Products as set forth in Exhibit D after taking into account such excess Product 

  
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purchases, within the first thirty (30) days of the next calendar year, either Party at its sole option and at its sole remedy shall have the right to terminate this Agreement with
immediate effect for such Product or Products by providing written notice to the other Party, and Cynosure shall make payment to El En equal to the difference between the amount actually paid to El En for the Products shipped by El En to Cynosure
and the amount that Cynosure would have paid El En if Cynosure had sold the minimum number of Products in the applicable preceding year. Cynosure or its agent will purchase and carry spare parts for the Products out of warranty in order to provide a
prompt service. Cynosure shall purchase from El En such special tools as necessary to service and repair the Products. 
 5.4 As security
for the payment by Cynosure of the purchase price for Products ordered under this Agreement, Cynosure hereby grants to El En a purchase money security interest in all Products sold or delivered by El En to Cynosure or to third parties on
Cynosure’s behalf, whether presently or after-acquired, in any and all purchase contracts for Products entered into between Cynosure and a customer, in any and all payments for Products due and payable from Cynosure’s customers, and in any
and all proceeds from the sale or delivery of such Products collected by Cynosure. Cynosure agrees to execute all necessary documents and financing statements requested by El En in order to perfect and enforce such security interest. 

 

	6.	ADDITIONAL CYNOSURE OBLIGATIONS 

 6.1 Cynosure shall promptly report to El En all
complaints and product problems communicated by customers with respect to the Products. Cynosure shall be responsible for providing El En with a written report of all Products complaints and problems. Cynosure shall assist El En in
complying with the then current Medical Device Reporting/Adverse Event/Product Problem Regulations promulgated and amended by the U.S. Food and Drug Administration (“FDA”). To the extent applicable to relationships of this nature and
required by either regulation or El En for post-market Product surveillance, Cynosure shall be responsible for maintaining traceability of all Products purchased and resold by Cynosure. 

6.2 Cynosure shall make no warranties or representations, whether oral or written, with respect to the Products, including without limitation,
sales literature, without the prior written consent of El En, Cynosure shall accurately and completely represent the Products, and promote the Products in a manner consistent with its labeling, FDA cleared or approved indications, and FDA
regulations.
 6.3 Cynosure shall, at its sole expense, comply with all the laws and regulations applicable to its operations and to its
performance of its obligations under this Agreement.
 6.4 Except as provided in this Section 6.4 and in Section 6.10 (below), El En does
not grant to Cynosure any license or rights to any intellectual property of El En. El En hereby grants Cynosure the non-exclusive, non-sublicensable, and non-transferable right to 

  
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display EL EN trade names and Trademarks associated with the Products and to enforce the Trademarks in the Territory solely to the extent necessary for the exclusive distribution and exclusive
sale of the Products in the Territory for the Market and necessary for the performance of its obligations under this Agreement. Upon termination of this Agreement, Cynosure shall terminate all use of such trade names and trademarks except to
the extent necessary to enable Cynosure to provide service or support with respect to any Products. Cynosure shall not, directly or indirectly, infringe or contest the validity of or the title to any of the copyrights, trademarks or trade names
owned by El En or under which El En is licensed, or otherwise impair the interests of El En in such intellectual property.
 6.5 Cynosure
will conduct all of its business in its own name and in a manner consistent with its obligations under this Agreement. Cynosure will be solely responsible for the payment of all the expenses of its office and activities and will be solely
responsible for the acts and expenses of its employees and independent contractors, if any. Neither Cynosure nor any of its employees or consultants shall be considered to be employees of El En for any purpose whatsoever, including, without
limitation, social security, unemployment compensation, workers’ compensation, income tax withholding, or any other such taxes or obligations. Cynosure understands and agrees that it is solely responsible for payment of all such taxes and
obligations.
 6.6 Nothing in this Agreement shall be construed to constitute either Party as a partner, employee, franchisee, or agent of
the other Party, nor shall either Party have any authority to bind the other in any respect. Neither Party has the power to make contracts in the name of the other or to incur any liabilities whatsoever in the name of the other. Each Party
shall remain an independent contractor responsible only for its own actions. Neither Party nor any of their respective employees or consultants shall be entitled to participate in any plans, arrangements, or distributions of the other Party
under any pension, stock, bonus, profit sharing, medical plan, or any other benefit plans offered or provided to the employees or consultants of the other Party. 

6.7 Cynosure represents and warrants that Cynosure’s execution of this Agreement and performance of its obligations under this Agreement
do not and will not contravene, violate or constitute a breach of, any law, rule, regulation or the provisions of any court order or contractual agreement or other obligation to which Cynosure is a party or by which it is bound. El En
represents and warrants that El En has the right to appoint Cynosure as its exclusive distributor for the Products in the Territory for the Market as provided in this Agreement. 

6.8 Cynosure represents and warrants that it shall not disclose, use, have used, make available to or transfer to El En any information,
including without limitation, any data, concepts, formula or trade secrets, which is proprietary or confidential to a third party. 
 6.9 At
all times during the term of this Agreement or any renewal thereof, Cynosure shall refrain from promoting or selling in the Territory for the Market any competitive product that has substantially the same specifications as the Products or is
substantially similar to the Products. 

  
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 6.10 Cynosure shall have the right but not the obligation, at its sole expense, upon prior
written authorization by El En, which will not be unreasonably withheld, to institute suit for infringement of the Trademark(s), including the right to sue for past infringement, against any third party within the Territory (the “
Trademark Infringement Action”) and to recover damages for itself pursuant to Section 6.12 below, including money damages and all other remedies for any infringement that occurred prior to the effective date of this Agreement. To the extent El
En gives its prior written authorization to Cynosure to institute a Trademark Infringement Action pursuant to the preceding sentence, El En agrees that is shall be a party in such Trademark Infringement Action. Cynosure shall keep El En informed on
a current basis of the status and progress of any such Trademark Infringement Actions, including by promptly providing El En with copies of any and all pleadings as they become available to Cynosure or its counsel. Any settlement of any such
Trademark Infringement Action shall require El En’s prior written consent. Cynosure shall bear all the expenses of the Trademark Infringement Actions which it initiates pursuant hereto, including El En’s reasonable attorneys’ fees and
expenses. Moreover, should El En be named a party, or be a necessary party to any lawsuit maintained, or initiated by, or brought against Cynosure, El En agrees to be so named and to cooperate with and to assist Cynosure to the extent necessary
for Cynosure to conduct the lawsuit, provided that Cynosure shall pay El En’s reasonable costs, including without limitation El En’s reasonable attorneys’ fees and expenses. Cynosure’s obligation to defend El En under this
Agreement does not extend to any suit or countersuit against El En relating to products or causes of action unrelated to the Products exclusively distributed and/or exclusively sold by Cynosure under this Agreement. 

6.11 If Cynosure does not institute a Trademark Infringement Action against a third party within one hundred (120) days after having notice of
any infringement of the Trademark(s) by a third party, El En may institute, at its sole discretion, such action, provided that Cynosure shall have the right to be kept informed on a current basis of the status and progress of any such actions
instituted by El En. El En agrees to bear all of Cynosure’s expenses, including without limitation Cynosure’s reasonable attorneys’ fees and costs that may result from any action brought by El En. In no event shall El En
seek to join Cynosure as a party to any such action, without the express written consent of Cynosure. 
 6.12 Any recovery of damages or
other monetary compensation, including, without limitation, by way of settlement, deriving from any lawsuit instituted pursuant to paragraphs 6.10 and 6.11 hereof, shall be apportioned between Cynosure and El En so that Cynosure shall receive [**]
percent ([**])% and El En shall receive [**] percent ([**]%) of any such recovery , including any treble or punitive damages that are awarded, net of expenses incurred, and of attorneys’ fees and expenses awarded in the legal action. Cynosure
shall bear all risks relating to any Trademark Infringement Action it has commenced, including without limitation payment of any recovery or attorneys’ fees and expenses that may be awarded or be payable to defendant(s). El En shall bear
no other risk as a result of any 

  
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Trademark Infringement Action Cynosure may start pursuant to Section 6.10 other than those relating to the title and quality of El En’s trademarks. Cynosure shall not seek to recover,
either directly or indirectly, from El En any expenses, including without limitation any attorneys’ fees and expenses, Cynosure has incurred as result of any legal action, including any preliminary stages of such actions, pursuant to
Sections 6.10 and 6.11. 
 6.13. El En shall have the sole and exclusive right to maintain and/or to prosecute the Trademark Rights. 

 

	7.	TERM AND TERMINATION 

 7.1 This Agreement is effective on the Effective Date and shall
continue in force for a period of seven (7) years unless sooner terminated as herein provided. This Agreement shall be automatically renewed for additional terms of one year each unless either Party shall have given notice of termination to the
other Party not less than six-months prior to the expiration of the initial term or any renewal term. 
 7.2 Either Party may terminate this
Agreement in the event (a) the other Party commits a material breach of this Agreement, which breach remains uncured for a period of thirty (30) days following written notice of such material breach; (b) the other Party becomes insolvent, fails
generally to pay its debts as they become due, makes an assignment for the benefit of creditors, is the subject of any voluntary or involuntary case commenced under the federal bankruptcy laws, as now constituted or hereafter amended (which, in the
case of involuntary bankruptcy, is not dismissed within ninety (90) days), or of any other proceeding under other applicable laws of any jurisdiction regarding bankruptcy, insolvency, reorganization, adjustment of debt or other forms of relief for
debtors, has a receiver, trustee, liquidator, assignee, custodian or similar official appointed for it or for any substantial part of its property, or is the subject of any dissolution or liquidation proceeding; or (c) written notice is provided in
accordance with Section 5.3 of this Agreement. Without limiting the generality of the foregoing, failure by Cynosure to make any payment due to El.En under this Agreement, subject to applicable cure periods set forth in this Section 7.2, shall
constitute a material breach for purposes hereof and shall attribute to El En at its sole option, the right to revoke the exclusivity of Cynosure’s rights within the Territory or to terminate the Agreement. 

7.3 After termination or expiration of this Agreement, any amounts owed by one Party to the other for transactions occurring during the term
of the Agreement shall be paid in accordance with this Agreement. El En shall have no obligation to Cynosure for any sales or other activities of Cynosure after termination or expiration of this Agreement, unless expressly agreed in writing
signed by both Parties.
 7.4 After termination or expiration of this Agreement, each Party shall return to the other Party all copies
of confidential and/or proprietary information previously disclosed by the other Party, and Cynosure shall remove and not thereafter use any advertisements, 

  
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brochures and other items in its possession or under its control, that contain El En’s trademarks and/or service marks.. All rights and licenses granted to Cynosure under this Agreement
shall terminate and revert back to El En except to the extent that such rights and licenses are necessary to enable Cynosure to provide service or support with respect to any Product that has been distributed by Cynosure. El En agrees that for
a period of five (5) years following any termination or expiration of this Agreement, it will continue to make available for purchase by Cynosure spare parts for the Products or replacement Products to enable Cynosure to provide service and support
with respect to the Products sold by Cynosure during the term of this Agreement. 
 7.5 The following provisions of this Agreement shall
survive the termination or expiration of this Agreement: Sections 6.4, 6.5, 7.3, 7.4, 8, 9, 11, 15 and 16. 
  

	8.	CONFIDENTIALITY 

 With respect to any information disclosed by either Party to the other
Party, which information is identified by the disclosing Party as confidential or proprietary at the time of disclosure, the receiving Party will treat such information as strictly confidential, and use the same degree of care to protect such
information as it as the receiving Party uses to protect its own highest level confidential information, which shall not be less than due care. All customer lists, customer files, market and sales data, discounting and pricing data, competitive
analyses, market potential information and Products information shall be deemed confidential and proprietary. Each Party agrees not to use for its own benefit, nor to disclose to third parties, any such information received from the other Party
during the term of this Agreement or thereafter. These restrictions shall not apply to information that (a) was in the possession of the receiving prior to its disclosure by the disclosing Party; (b) at the time of disclosure is in the public
domain, or which later becomes part of the public domain through no breach of the terms of this Agreement; (c) was received by the receiving Party from a source other than the disclosing Party, who did not acquire such information directly or
indirectly from the disclosing Party, (d) was independently developed by the receiving Party. 
  

	9.	FORCE MAJEURE 

 Neither Party shall be liable in any manner for failure or delay to
fulfill all or part of this Agreement as the result of any act of God, governmental orders or restriction, war, threat of war, warlike conditions, acts of terror, hostilities, sanctions, mobilization, blockade, embargo, detention, revolution, riot,
looting, strike, lockout, labor action, accident, or any other causes or circumstances beyond the such party’s reasonable control. Upon the occurrence of a force majeure event, the Party suffering such event shall immediately provide
written notice to the other Party of the existence and details of such force majeure event and its anticipated duration. 

  
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	10.	WAIVER OF BREACH 

 Failure of either Party to require performance of any term of this
Agreement or the waiver by either Party of any default under this Agreement shall not be deemed a waiver of any subsequent default nor of the provision of this Agreement allegedly breached as a result of such default. 

 

	11.	GOVERNING LAWS 

 This Agreement shall be governed by and construed in accordance with the
laws of the State of New York, without reference to its principles of conflicts of laws.
  

	12.	ASSIGNMENT 

 This Agreement shall not be assignable by either Party hereto without the
prior written consent of the non-assigning Party, which consent shall not be unreasonably withheld, provided that either Party shall have the right to assign this Agreement without the consent of the other Party in connection with a sale of its
business to which this Agreement relates. 
  

	13.	NO CHANGES OF AGREEMENT VALID 

 No modification of this Agreement shall be valid or
binding upon either Party without its written consent, which consent will not be unreasonably withheld. 
  

	14.	OTHER AGREEMENTS 

 Except as otherwise provided in this Agreement, all prior oral or
written agreements or understandings between the Parties with respect to the subject matter of this Agreement are hereby terminated, except for those agreements or understandings which, by their nature, are intended to survive termination. 

 

	15.	NOTICES 

 All notices pertaining to this Agreement shall be confirmed in writing, and
shall be delivered to the Party concerned, by registered or certified mail, or by recognized overnight air courier service, to the address first set forth above. Either Party may change its address for notice by written notice to the other
Party. Notice is deemed effective upon actual receipt. 
  

	16.	DISPUTE RESOLUTION 

 Any dispute or difference arising out of or relating to this
Agreement or the breach of 

  
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this Agreement shall be commenced in the Supreme Court of New York situated in New York City or in the United States District Court for the Southern District of New York. The Parties to this
Agreement consent to such jurisdiction, agree that venue will be proper in such courts in any such matter, agree that New York is the most convenient forum for litigation in any such suit, action or proceeding, agree that such courts shall have
exclusive jurisdiction to resolve any such dispute or difference, and agree that a summons and complaint commencing a suit, action or proceeding in any such court shall be properly served and shall confer personal jurisdiction upon a Party if served
by registered or certified mail to the address specified with respect to such Party pursuant to Section 15. Each Party hereto hereby agrees not to elect a trial by jury of any issue triable by jury, and waives any right to trial by jury fully to the
extent that any such right shall now or hereafter exist, with regard to this Agreement or any claim, counterclaim or other action arising in connection herewith. This waiver of right to trial by jury is given knowingly and voluntarily by each
Party and is intended to encompass individually each instance and each issue as to which the right to a trial by jury would otherwise accrue. 
  

	17.	COUNTERPARTS/ENTIRE AGREEMENT 

 This Agreement may be executed in duplicate and when so
executed, each executed copy shall be deemed an original. All Exhibits referenced in this Agreement are deemed incorporated by reference. 
  

	18.	CAPTIONS 

 The captions in this Agreement have been inserted for convenience of reference
only, are not to be considered a part of this Agreement, and shall in no way modify or restrict any of the terms or provisions of this Agreement. 

IN WITNESS WHEREOF, the Parties have hereto caused this Agreement to be executed by their duly authorized representatives, as of the day and
year first above written. 
  

									
	EL. EN. S.p.A.	 		 	CYNOSURE, INC.
					
	By:	 	 /s/ Gabriele Clementi
	 		 	By:	 	 /s/ Timothy Baker

	Name: 	 	Gabriele Clementi	 		 	Name: 	 	Timothy Baker
	Title:	 	President	 		 	Title:	 	 President, CFO

  
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 Exhibit A 

Specifications of the Products 

Smartxide Quadro 
  

			
	SmartXide Quadro	  	 
	 	 
	Model	  	C60
	 	 
	Type of laser source	  	CO2 - RF excited
	 	 
	Wavelenght	  	10,600 nm
	 	 
	Beam mode	  	TEM00
	 	 
	Emission mode	  	SP - DP - HP pulse
	 	 
	Power	  	60 W max
	 	 
	Delivery system	  	 7 mirror
articulated arm with
 counterweight

	 	 
	Aiming beam	  	 Laser diode @
635 nm - 4 mW
 Intensity 2% - 100%

Possibility to switch off when lasing

(DOWL)

	 	 
	Control panel	  	10.4” LCD color touch screen
	 	 
	Electrical requirement	  	100 to 120 Vac - 50/60 Hz - 1600 VA
	 	 
	Dimensions and weight	  	 162 (H) x 59
(W) x 56 (D) cm
 209 lb

	 	 
	HiScan DOT	  	 
	 	 
	Dwell time	  	100 - 2,000 μs
	 	 
	Pitch	  	0 - 2,000 μm
	 	 
	Scan mode	  	Normal, Interlaced, SmartTrack
	 	 
	SmartStack	  	1- 5 pulses
	 	 
	Scan area size	  	8 x 8 mm
	 	 
	Scan pattern	  	Square
	 	 
	Insert	  	 90o
mirror cylindrical body probe (x2)
 90o mirror open body probe (x1)

Straight probe, no mirrors (x1)

Insertion disk for probe (x2)

  
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 Exhibit B 

Form of Purchase Order 
  

			
	Purchase Order No.
		
	Date:	  	
		
	TO:	  	FROM:
		
	El. En. S.p.A.	  	Cynosure, Inc.
	Via Baldanzese 17	  	5 Carlisle Road,
	50041 Calenzano	  	Westford, Massachusetts 01886,
	Firenze, Italy	  	
		
	Tel:	  	Tel: 978-256-4200
	Fax:	  	Fax: 978-256-0469
		
	:	  	

 Quantity of Product Ordered: 

Requested Delivery Date(s): 
 Delivery Location:

 Total Purchase Price: $             

Standard Conditions of Purchase are attached and are made part of this Purchase Order. 

  
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 STANDARD CONDITIONS OF PURCHASE 

These conditions apply to the attached Purchase Order.

FORMATION OF CONTRACT 
 The Purchase Order is an offer by
you to purchase from El. En. S.p.A. the quantity of Product described in the Purchase Order. By submitting the Purchase Order to us, you agree to purchase the Product on the terms and conditions specified in the Purchase Order and these
Standard Conditions of Purchase. We accept your offer by the signature of a duly authorized officer of El. En. S.p.A. 
 The Purchase Order and these
Standard Conditions of Purchase (together with the Exclusive Distribution Agreement dated as of November 14, 2014 (the Distribution Agreement)) are intended to be the complete and exclusive statement of the terms of the contract between
us. Please understand that our acceptance of your offer is expressly made conditional on your assent to all of our terms. No prior proposals, statements, course of dealing or usage of the trade will be part of the contract. 

After the contract has been formed, it may be modified only by written document signed by our respective authorized representatives. No order accepted by
us may be terminated, canceled, modified or assigned by either Party without the other Party’s prior written permission.
 PRICE AND TAXES 

The price you will pay is stated in the Purchase Order. The price includes the quantity of Product described in the Purchase Order, standard packaging and
shipping. You shall be responsible for all taxes on the Product (including without limitation any sales use, excise or similar tax), custom fees and duties, VAT and other related governmental fees and costs, transportation to the site specified
in the Purchase Order, special packaging and insurance. Any applicable taxes will be added to the price, unless we receive a tax exemption certificate from you which is acceptable to the taxing authorities.

PAYMENT 
 The payment terms are as follows: Net 30
days from shipment. Past due balances are subject to a service charge up to the maximum amount permitted by applicable law. If any payment depends on an event which is delayed for a reason for which you are responsible, you will make the
payment when the event was first scheduled to occur.

  
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 DELIVERY 
 We
will not be not responsible for any delay in performance or delivery which is due to unforeseen circumstances, or to causes beyond our reasonable control, including, without limitation, strike, lockout, riot, war, act of God, or compliance with any
governmental law, regulation or order (including U.S. Export regulations), or any delay in vendors supplying materials and equipment. If such a delay occurs, we may extend the performance or delivery date for a period of time equal to the
delay. 
 TRANSPORTATION, TITLE AND RISK OF LOSS 

Except as otherwise provided below, all shipments are Ex Works: Calenzano, our manufacturing facility in Italy. You are responsible for all transportation and
insurance. Title and risk of loss or damage to the Product shall pass upon delivery to the shipper.
 ACCEPTANCE OF PRODUCT 

You shall be responsible for examining each shipment of Product to determine whether any item or items included in the shipment are in short supply, defective
or damaged. Within five (5) business days of receipt of the shipment, you shall notify us in writing of any shortages, defects or damage which you claim existed at the time of delivery and are not a result of shipping. Within twenty (20)
days of receipt of such notice, we will investigate the claim of shortage, defects or damage, and inform you of our findings. If we determine that a shortage, defect or damages existed at the time of delivery and was not a result of shipping,
we will promptly deliver replacement Product to you. Unless notice is given as provided in this paragraph, you shall be deemed to have accepted each shipment of Product and to have waived all claims for shortages, defects or damage. 

LIMITED WARRANTY 
 We warrant that to the best of our
knowledge, as of November 13, 2014, El En has received no written claims or written notices alleging patent, trade secret, trademarks or other intellectual property infringement, violation or misappropriation by any third party related to the
Product, and when delivered to you, the Product shall be free from defects in materials and workmanship for a period of two (2) years after receipt of the Product. We make no warranty (express, implied or statutory) for any Product that is
modified or subjected to unusual physical stress, misuse, improper storage, handling, maintenance, repair or alteration, or used in any manner or medical procedure for which the Product is not indicated. We shall promptly replace any Product
that fails to meet this limited warranty. This constitutes our sole liability to end users for breach of the foregoing warranty. Neither we nor you shall indemnify each other regarding any third party infringement claim relating to a patent,
trade secret, trademark or other intellectual property right arising from your sale of the Product (an “Infringement Claim”), except for our breach of this limited warranty. El En neither assumes nor authorizes any other person

  
 15 

 
to assume for it any other liability in connection with the sale or use of any of the products hereunder. Cynosure acknowledges and agrees that the allocation of risks and limitations
contained in the provisions of this Section above are essential to this Agreement for El En, and that El En has expressly relied upon the inclusion of each and every such provision of this Section above as a condition to executing this Agreement.

 Each party covenants to the other that neither it nor its agents will file, sue, or otherwise commence or participate in, any complaints, charges, or
lawsuits against the other party or its affiliates with any court or government agency or any other tribunal or decision-making body of competent jurisdiction relating to any claim relating to or resulting from an Infringement Claim, or any part or
portion thereof (a “Claim”). Each party further covenants to the other it will not assign, pledge, hypothecate or transfer to any person or party any Claim. 

Each party shall promptly notify the other in the event that the party is put on notice of infringement of any third party intellectual property rights in any
jurisdiction, including outside of the Territory. 
 If your sale or your customer’s use of Product is enjoined as the result of an Infringement Claim,
we will use commercially reasonable efforts to (1) modify the Product so that it will be free of the infringement, the cost of such modification to be shared equally; or (2) cooperate with you to the extent reasonably necessary to procure a mutually
acceptable license or other right to sell and use the Product on the basis of a mutually agreed royalty sharing arrangement. 
 EXCLUSIVITY AND
DISCLAIMER 
 THE LIMITED WARRANTY IS EXCLUSIVE AND IN LIEU OF ALL OTHER WARRANTIES, EXPRESSED OR IMPLIED, INCLUDING BUT NOT LIMITED TO THE IMPLIED
WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE OR ANY IMPLIED WARRANTY ARISING OUT OF A COURSE OF DEALING OR OF PERFORMANCE, CUSTOM OR USAGE IN THE TRADE. YOUR EXCLUSIVE REMEDY FOR A DEFECT IN ANY PRODUCT SHALL BE THAT STATED
IN THE LIMITED WARRANTY. 
 LIMITATION OF LIABILITY 

Our responsibility for any claims, damages, losses or liabilities arising out of or related to our performance under the Purchase Order shall not exceed the
aggregate consideration paid or payable to us pursuant to the Purchase Order. In addition, in no event shall either party be liable to the other party, its employees or agents or to any other third party for any indirect, special, exemplary,
incidental or consequential damages, including but not limited to damages resulting from loss of use, loss of data, loss of profits or any harm or damage to persons or property arising out of or in connection with the Purchase Order or any
equipment, materials or services provided under the Purchase Order. 

  
 16 

 GENERAL MATTERS 

Assignment. Any assignment of the Purchase Order or these Standard Conditions of Purchase will be void without the other party’s prior written
consent, which will not be unreasonably withheld, provided that either Party shall have the right to assign such Purchase Order and these Standard Conditions of Purchase without the consent of the other Party in connection with a sale of its
business to which this Purchase Order and these Standard Conditions of Purchase relates. 
 Validity. If any provision of the Purchase Order or
these Standard Conditions of Purchase is found invalid, the remaining portion will be effective.
 Governing Law. The Purchase Order and these
Standard Conditions of Purchase are to be interpreted in accordance with, and its administration and performance governed by, the laws of the State of New York without reference to its principles of conflicts of law. 

  
 17 

 Exhibit C 

Product Pricing 
 The price for the
Product is set forth below. Such price does not include the taxes and other amounts specified in the form of Purchase Order. The price may be adjusted from time to time by El En as set forth in Section 4.3 of this Agreement. 

 

			
	 Smartxide Quadro
	  	 US $[**]

 Smartxide Touch         TBD 

  
 18 

 Exhibit D 

Minimum Purchase Requirements 
  

					
	 	  	Products	 
	 2014
	  	 	[	**] 
	 2015
	  	 	[	**] 
	 2016
	  	 	[	**] 
	 2017
	  	 	[	**] 
	 2018
	  	 	[	**] 
	 2019
	  	 	[	**] 
	 2020
	  	 	[	**] 

  
 19EX-10.4

 Exhibit 10.4 
  

 
  
  

Restated and Amended External Manufacturing Agreement 

Whereas, Columbia Electrical Contractors, Inc. d/b/a Columbia Tech (“Columbia Tech”), a Massachusetts corporation with a principal place of business
of 27 Otis Street, Westborough, MA 01581, through itself and its Affiliates, as hereinafter defined, provides contract manufacturing services; 
 Whereas,
Cynosure, Inc., a Delaware corporation with a principal place of business at 5 Carlisle Road, Westford, Massachusetts 01886 (“Customer”) desires to have products they designed manufactured by another party; and 

Whereas, Columbia Tech and Customer (collectively “Parties” or individually “Party”) wish to amend and restate the External Manufacturing
Agreement entered between the Parties on December 23, 2015. 
 Now, therefore, Columbia Tech and Customer agree as follows: 

 

	 	1.	ORDERS: For purposes of this Agreement, the term Columbia Tech shall mean and include its Affiliates. Customer may from time to time during the term of this Agreement request that Columbia Tech manufacture, assemble,
and test goods designed by the Customer (the “Products”) by sending a purchase order by fax or email to such locations as Columbia Tech may designate by written notice to the Customer (“Purchase Order”). Any such Purchase Order
will clearly designate the Products to be manufactured, assembled, and tested, the delivery date, the delivery location, the choice of freight carrier, and any freight carrier account number that Customer may have with the freight carrier
(“Applicable PO Terms”). Any other terms and conditions appearing on the Purchase Order shall be null and void, and the terms and conditions of this Agreement shall control. Columbia Tech may either: (i) agree to manufacture the
Product by beginning work or by sending an express confirmation to the Purchase Order, or (ii) Columbia Tech may decline to manufacture the Product by failing to begin work or sending a rejection notification within three (3) days after
the receipt of the Purchase Order. Any Purchase Order accepted by Columbia Tech shall be referred to as an Order. The Applicable PO Terms and the terms of this Agreement shall govern any Order. 

 

	 	2.	SPECIFICATIONS: Prior to Columbia Tech’s manufacture of any Product, Customer shall provide Columbia Tech with all instructions, drawings, specifications, tests, procedures, processes, and other information
necessary to manufacture and build the Products pursuant to any Order (collectively the “Specifications”). Columbia Tech will not be responsible for performing an action or have any duty to Customer, except where Columbia Tech fails to
follow the Specifications or the terms in this Agreement; and then only such actions that are not contrary to any law, rule or regulation. 

  
  

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	 	3.	QUALITY STANDARDS: Columbia Tech agrees to maintain adherence to the quality requirements and perform all tasks during the term of this Agreement as more specifically shown on Exhibit A (“Quality Addendum”).
The Quality Addendum shall be collectively referred to as the “Quality Requirements.” The parties agree that the Quality Requirements replaced and superseded the Cynosure Quality Agreement with Columbia Tech dated April 1, 2009, which
has been terminated and remains without any further legal effect. In addition, the Parties agree that (i) the External Manufacturing Agreement by and between Cogmedix and Customer dated March 16, 2012 and (ii) the Cynosure Quality
Agreement effective as of February 4, 2011 by and between Cogmedix and Customer, upon execution and delivery of this Agreement, are hereby terminated and without any further legal effect. 

 

	 	4.	DELIVERY: Customer shall designate the requested delivery date (the “Delivery Date”) and delivery location on the Purchase Order for the Products. Once a Purchase Order has been accepted, deliveries may not be
rescheduled by the Customer without Columbia Tech’s written consent. Columbia Tech will only ship to locations within the domestic forty-eight states (excluding Alaska and Hawaii). Shipments to foreign countries will require a separate written
agreement between the parties with supplemental terms and conditions. Customer or Customer’s designee shall have five (5) days to accept the Products after they are delivered to Customer’s specified delivery location. After such five
(5) day period, the Products will be deemed to have been accepted, and such acceptance may not be revoked. The five (5) day period for acceptance shall not increase the Warranty Period (as defined in Section 7 below) which shall begin
to run on the Delivery Date. 

 All shipments of Products by Columbia Tech to Customer locations within Massachusetts shall be
DAP (Intercoms 2010). In the event that the parties later agree to any other shipment outside of Massachusetts, all such shipments shall be EXW (Intercoms 2010). 
  

	 	5.	PRICE: The purchase price to be paid for the Products shall be the amount shown on a Purchase Order accepted by Columbia Tech. Prices may change on future orders. 

 

	 	6.	PAYMENTS: Customer payment terms are Net thirty (30) days. 

  

	 	7.	WARRANTIES: 

  

	 	a.	Workmanship. Subject to the limitations included herein and within the Warranty Period, Columbia Tech warrants to the Customer that all Products will have been manufactured in accordance with the Specifications.
In addition, Columbia Tech warrants to Customer that all Products will be free from defects in workmanship for a period of thirteen (13) months from the Delivery Date (the “Warranty Period”). 

  
  

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	 	b.	Materials. Subject to the limitations included herein and within the Warranty Period, Columbia Tech shall on behalf of the Customer enforce warranties on materials that Columbia Tech obtains from its vendors and
suppliers on the materials in the Products (“Vendor Warranties”) or, at Customer’s request and to the extent allowable, assign such Vendor Warranties to Customer. Columbia Tech shall have no liability on the materials outside of its
reasonable effort to enforce (or if applicable, assign) Vendor Warranties. 

  

	 	c.	Title. Columbia Tech warrants that Columbia Tech is able to provide title to the Products to the Customer free and clear of any liens or encumbrances. 

 

	 	d.	Intellectual Property. Columbia Tech warrants that its pre-existing manufacturing processes will not infringe any third party’s intellectual property rights. Columbia Tech makes no warranty on any
intellectual property right of the Customer in any assembly, process, design, product, expression or article of manufacture supplied by the Customer, contained in the Specifications, or arising in result of compliance with the Specifications.

  

	 	e.	Preconditions to Warranty Repair. Customer and Columbia Tech shall cooperate on identifying the cause of failures prior to Columbia Tech performing any warranty work. If the defect is reported during the Warranty
Period, Customer shall immediately thereafter request return, repair, replace, refund or credit instructions to Columbia Tech (the “RMA instructions”). 

 

	 	f.	Special Provisions for PCBs. Notwithstanding any other term herein, Columbia Tech shall be responsible for all labor and retesting involved in the replacement of defective materials on printed circuit boards
(“PCB”) so long as such defective materials are covered under the Vendor Warranty. 

  

	 	g.	Remedies for Warranty. Subject to the limitations and except as otherwise provided herein, Columbia Tech, at its sole discretion, agrees promptly to replace, correct, or refund any Products not conforming to the
warranties set forth in this Section 7 when notified of the cause of the nonconformity by the Customer within the Warranty Period. Columbia Tech will issue a return material authorization (an “RMA”) specifying the remedy chosen by
Columbia Tech. 

  

	 	(i)	Should Columbia Tech give RMA instructions for refund, then Columbia Tech may issue such refund as the Customer shall direct (1) as a credit to the account of the Customer or (2) as a direct payment to
Customer. 

  
  

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	 	(ii)	Should Columbia Tech give RMA instructions for repair, then Columbia Tech shall use best commercial efforts to repair defective Product, subject to material availability, and the time necessary for Columbia Tech to
order parts from its suppliers. Columbia Tech may require Customer to ship the defective Product, DDP (Columbia Tech’s dock ship) (Incoterms 2010) using packaging methods and packing materials of Columbia Tech’s choosing, If the failure of
the Products was due to Columbia Tech’s workmanship and the defective Product was received within the Warranty Period or due to Columbia Tech’s failure to manufacture according to specifications, Columbia Tech shall reimburse the Customer
for Customer’s reasonable costs for shipment of the defective Products back to Columbia Tech from Customer’s domestic United States address. Columbia Tech shall ship any replacement Products, or corrected Products to the Customer at its
domestic United States address. 

	 	(iii)	Should Columbia Tech choose to replace the Product, then Columbia Tech will ship the replacement to the domestic United States location of Customer. The time for replacement shall be subject to material and
manufacturing lead times then in effect for the Products. 

	 	(iv)	Under no circumstances will Columbia Tech be responsible for any duties, fees, or other obligations associated with the import or export of any item outside the United States for any of the repair remedies.

  

	 	h.	Exclusions and Limitations. This warranty does not cover damage caused by materials, services, designs, specifications, instructions, tests or information supplied by the Customer or failures which result from
accident, misuse, abuse, neglect, mishandling, alteration or modification by anyone other than Columbia Tech. EXCEPT FOR THE RECALL REMEDIES SHOWN IN SUBSECTION 7(i) BELOW, CUSTOMER’S SOLE REMEDY FOR ANY WARRANTY CLAIM SHALL BE THE REPAIR OR
REPLACEMENT OF THE PRODUCTS. THE FOREGOING WARRANTY IS EXCLUSIVE AND IN LIEU OF ALL OTHER WARRANTIES (WHETHER EXPRESS OR IMPLIED) INCLUDING, WITHOUT LIMITATION THE WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE.

  

	 	i.	RECALL- CUSTOMER SHALL BE SOLELY RESPONSIBLE FOR ALL RECALL EVENTS, provided that Columbia Tech shall have the following responsibilities and obligations for any recall event: 

	 	(a)	Up to the lesser of: 

  
  

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(A) the remaining limits shown in subsection 7(i)(c) or 

(B) fifty thousand dollars ($50,000) per annual year, 

in the event: 

	 	(X)	(I)     any governmental agency having jurisdiction shall request or order a product recall, 

	 	(II)	if Customer shall determine in its sole discretion to undertake any corrective action with respect to any product manufactured by Columbia Tech; and 

	 	(Y)	such actions are not subject to subsection 7(i)(b), 

 then, Columbia Tech will use best
commercial efforts, upon Customer’s request, to support inquiries and requests for supportive documentation in a timely manner and aid Customer in determining potential root causes. 

Should the limits in Section 7(i)(a) be exhausted, Columbia Tech shall continue to assist Customer with requests for supportive
documentation in a timely manner and aid Customer in determining potential root causes; however, all such assistance will be billed at Columbia Tech’s then standard hourly rates plus the cost of any expenses. Customer agrees to pay all such
charges. 

	 	(b)	Up to the limits shown in subsection 7(i)(c), in the event a product recall is required under the United States Food and Drug Administration’s regulations by the FDA or by Customer as determined by Customer in its
sole discretion and such product recall is caused by Columbia Tech’s beach of the warranty provisions in Section 7(a) for product either within or outside the Warranty Period (“Recalled Product”), Columbia Tech shall
(A) reimburse Customer for any transit costs associated with shipping any Recalled Products from the field to Columbia Tech’s dock, (B) replace all Recalled Products with new or refurbished product, (C) reimburse Customer for any
transit costs associated with shipping such refurbished products to the field; and (D) pay Customer for its Consequential Damages. Customer will remain solely responsible for all costs in coordinating the recall, except as otherwise provided
herein. “Consequential Damages” shall mean the amounts, costs, or economic loss that Customer has incurred or suffered solely and directly associated with a recall made pursuant to this section. 

	 	(c)	Columbia Tech and each of its Affiliates combined maximum liability for any of its obligations and responsibilities associated with a recall under Section 7(i)(b)(A)-7(i)(b)(C) shall not exceed, on an annual
calendar year basis, an aggregate amount of one million dollars ($1,000,000) (“Recall Cost Cap”). In addition, Columbia Tech and each of its Affiliates combined maximum liability for any of its obligations and responsibilities associated
with a recall under Section 7(i)(b)(D) shall not exceed, on an annual calendar year basis, an aggregate amount of one million dollars ($1,000,000) (“Consequential Damages Cap”). For avoidance of doubt, the amounts contributing to the
Recall Cost Cap shall include, but not be limited to, any payment paid by Columbia Tech to Customer pursuant to Section 7(i)(b)and Columbia Tech’s cost of labor for performing any of the actions listed in Section 7(i)(a). Amounts paid
toward the Recall Cost Cap shall be separate and non-contributing to amounts paid to the Consequential Damages Cap. 

  
  

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	 	8.	INVENTIONS/PATENT RIGHTS: Unless modified by a separate addendum, Customer shall own any enhancements to Customer’s intellectual property created by Columbia Tech pursuant to this Agreement
(“Inventions”). Columbia Tech shall own any enhancement to Columbia Tech’s manufacturing processes. Third parties shall retain ownership of any their pre-existing intellectual property and enhancements made thereto. At Customer’s
request, sole cost and expense, Columbia Tech will perform all lawful and necessary acts, sign all patent, trademark and copyright applications, oaths, assignments and other papers necessary to apply for, obtain and assign to Customer and enforce
the patents, trademarks and copyrights for any and all such Inventions. Columbia Tech’s duty to enforce any intellectual property right shall only include responding to reasonable requests from Customer based upon Customer’s actions in
policing Customer’s own intellectual property. Columbia Tech shall not have any independent responsibility or duty to police any patent or initiate any legal action against infringers of any intellectual property. Customer shall conduct and pay
for all costs, expenses and other aspects of any patent, trademark or copyright application, prosecution, renewal, or policing process, including but not limited to, the assignment of intellectual property to Customer, all searches of intellectual
property, attorney’s fees and all other expenses incident thereto. 

  

	 	9.	RELEASE/INDEMNIFICATION: 

	 	(a)    (1)	Subject to the limitations set forth in Sections 9(a)(2) Columbia Tech agrees to release, discharge, indemnify, protect, defend and hold harmless Customer and all directors, officers, employees, and agents from and
against any all claims, actions, losses, expenses, damages and other liabilities, including reasonable attorneys’ fees (collectively “Damages”) incurred by or assessed against any of the foregoing to the extent the same arise out of,
are in connection with, or are caused by third party claims relating to: (i) any infringement of the intellectual property rights of any third party but solely to the extent that such infringement is caused by a process that Columbia Tech uses
to manufacture, assemble and/or test the Products; provided that, Columbia Tech shall not have any obligation to indemnify Customer if such claim would not have arisen but for Columbia Tech’s manufacture, assembly or test of the Product in
accordance with the Specifications; or (ii) any actual bodily injury or property damage caused, or alleged to be caused, by the, but only to the extent such injury or damage has been caused by the breach by Columbia Tech of its express limited
warranties related to Columbia Tech’s workmanship and manufacture in accordance with the Specifications as set forth in Section 7 hereof; (collectively the “CT Indemnified Acts”). 

  
  

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	 	(2)	Columbia Tech’s indemnification obligation pursuant to Section 9 (a) (1) shall not exceed, on an annual calendar year basis, an aggregate amount of three million dollars ($3,000,000) minus any amount
paid for indemnification by any of Columbia Tech’s Affiliates (for clarity, excluding any amounts attributable to the Recall Cost Cap and Consequential Damages Cap) (the “Negligence Cap”) 

 

	 	(b)    (1)	Customer shall release, discharge, indemnify, protect, defend and hold harmless Columbia Tech and its shareholders, directors, officers, employees, Affiliates and agents from and against Damages incurred by or assessed
against any of the foregoing to the extent the same arise out of, are in connection with, or are caused by third party claims relating to: (i) any failure of any Product to comply with any safety standard to the extent that such failure has not
been caused by Columbia Tech’s breach of its express limited warranties set forth in Section 7; (ii) any actual or threatened injury or damage to any person or property caused, or alleged to be caused, by a Product or its use
(including, but not limited to, any liability for the design of the product), but only to the extent such injury or damage has not been caused by Columbia Tech’s breach of its express limited warranties set forth in Section 7; or
(iii) any infringement of the intellectual property rights of any third party by any Product except to the extent such infringement is the responsibility of Columbia Tech. 

 

	 	(c)	“Affiliates” shall mean, for each of Customer and Columbia Tech, any corporation, limited liability company, trust, partnership, or any other form of business that is under the same common control of each of
Customer and Columbia Tech, including but not limited to any company having the same shareholder(s) as Columbia Tech (including, Cogmedix, Inc.). 

  
  

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	 	(d)	With respect to any third-party claims, either party shall give the other party prompt notice of any third-party claim and cooperate with the indemnifying party at its own expense. The indemnifying party shall have the
right to assume the defense (at its own expense) of any such claim through counsel of its own choosing by so notifying the party seeking indemnification within ten (10) calendar days of the first receipt of such notice. The party seeking
indemnification shall have the right to participate in the defense thereof and to employ counsel (at its own expense) separate from the counsel employed by the indemnifying party. The indemnifying party shall have the full and complete authority to
settle, compromise or discharge of such third-party claim, 

  

	 	10.	SAFETY/WARNINGS /COMPLIANCE WITH LAWS: Customer accepts and assumes all liability and responsibility for any and all safety testing, labeling and warnings in connection with any of the Products manufactured by Columbia
Tech pursuant to any Order. Customer agrees to take any and all actions necessary or desirable actions to ensure that the Products manufactured by Columbia Tech pursuant to any Order and the use thereof comply with all federal, state or local laws,
including any regulatory requirements. Columbia Tech’s performance of any regulatory duty or function shall not waive or change the duties and obligations of the parties pursuant to this section. 

 

	 	11.	INSURANCE: Customer shall maintain in full force and effect necessary insurance to operate its business. Without limiting the foregoing, Customer shall maintain insurance policies set forth below, at its sole cost and
expense, written by companies with an A.M. Best’s Insurance Guide rating of A or better, (i) Product Liability Insurance in the amount of two million dollars ($2,000,000) (ii) General Liability in the amount of two million dollars
($2,000,000), and (iii) an umbrella policy in the amount of ten million dollars ($10,000,000). Customer will provide Columbia Tech with properly executed certificates of insurance upon request and shall notify Columbia Tech, no less than thirty
(30) days in advance, of any reduction or cancellation of the above coverages. 

 Columbia Tech shall maintain in full
force and effect necessary insurance to operate its business. Without limiting the foregoing, Columbia Tech shall maintain insurance policies set forth below, at its sole cost and expense, written by companies with an A.M. Best’s Insurance
Guide rating of A or better, (i) Product Liability Insurance in the amount of two million dollars ($2,000,000), (ii) General Liability in the amount of two million dollars ($2,000,000), and (iii) an umbrella policy in the amount of
ten million dollars ($10,000,000). Columbia Tech will provide Customer with properly executed certificates of insurance upon request and shall notify Customer, no less than thirty (30) days in advance, of any reduction or cancellation of the
above coverages. 

  
  

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	 	12.	WAIVER: Any waiver by any party of its rights under this Agreement shall be in writing and signed by the party waiving such right. The failure of either party to enforce any of the provisions of this Agreement or any
rights in respect thereto, or to exercise any election herein provided, shall not waive such provisions, rights or elections or subsequent breaches thereof. Columbia Tech’s performance of any regulatory duty or function, or the appearance of
any such duty in the Quality Requirements Checklist, shall not waive or change the duties and obligations of the parties pursuant to this Agreement. 

  

	 	13.	RELATIONSHIP OF PARTIES: The relationship of the parties shall be that of independent contractors and not as partners or joint ventures. Each party is, and is intended to be, engaged in its own and entirely separate
business. 

  

	 	14.	ASSIGNMENT/BENEFIT: This Agreement and the rights and obligations in connection herewith and therewith may not be assigned by the either party without the prior written consent of the other party, provided that either
party may assign this Agreement to an acquirer of all or substantially all of the capital stock or assets of the assigning party, whether through purchase, merger, consolidation or otherwise. The assigning Party shall give the other Party prompt
written notice of the assignment. This Agreement shall be binding upon and inure to the benefit of the parties and their respective representatives, successors and assigns. Additionally, Columbia Tech may subcontract all or any part of any its
obligations hereunder with prior written permission of Customer, provided that Columbia Tech remains fully responsible for any permitted subcontracted work. 

  

	 	15.	NOTICES: All notices and other communications given hereunder shall be in writing and deemed to have been given when (i) personally delivered, (ii) one (1) business day after delivery to a nationally
recognized overnight courier service, (iii) upon the written confirmation of receipt following the transmission of a telecopy or (iv) three (3) days after being mailed by certified mail, postage prepaid, to the addresses of Columbia
Tech or Customer as set forth in the preamble of this agreement or to such other addresses as either party hereto may request by notice given as aforesaid. 

  

	 	16.	GOVERNING LAW: This Agreement shall be governed by and construed in accordance with the laws of the Commonwealth of Massachusetts. 

  

	 	17.	JURISDICTION AND VENUE: COLUMBIA TECH AND CUSTOMER IRREVOCABLY AGREE THAT ALL ACTIONS OR PROCEEDINGS IN ANY WAY, MANNER OR RESPECT, ARISING OUT OF OR FROM OR RELATED TO THIS AGREEMENT, THE SERVICES, THE PRODUCTS OR ANY
DOCUMENT, INSTRUMENT OR TRANSACTION IN CONNECTION HEREWITH OR THEREWITH SHALL BE HEARD OR LITIGATED EXCLUSIVELY IN COURTS HAVING SITUS WITHIN THE CITY OF WORCESTER OR PART OF THE SUBURBAN AREA, COMMONWEALTH OF MASSACHUSETTS. COLUMBIA TECH AND
CUSTOMER CONSENT AND SUBMIT TO THE JURISDICTION OF ANY LOCAL, STATE OR FEDERAL COURT LOCATED WITHIN SAID CITY, COUNTY AND STATE AND IRREVOCABLY WAIVE ANY RIGHT TO TRANSFER OR CHANGE VENUE OF ANY SUCH ACTION OR PROCEEDING OR OBJECT TO THE
JURISDICTION OF ANY SUCH COURT OVER THE PARTY HERETO. 

  
  

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	 	18.	PERSONNEL: Customer shall not solicit or employ the employees of Columbia Tech, for a period of twelve (12) months following the termination of this Agreement 

 

	 	19.	TERM: This Agreement shall remain in effect until terminated. Either party may terminate this Agreement by providing the other party one hundred eighty (180) days prior written notice. In the event of cancellation
or termination (regardless of whether such cancellation or termination is with or without cause), Customer shall pay for all finished products, work in process, materials on hand and all costs of cancelling commitments made by Columbia Tech.
Customer shall pay finished products at the agreed upon Invoice Price. Customer shall pay for work in process at Columbia Tech’s cost of materials plus ten percent (10%), and the cost of labor at Columbia Tech’s then applicable labor rate
plus ten percent (10%). Customer shall pay for all materials on hand and the cost of cancelling any commitment at Columbia Tech’s actual cost plus ten percent (10%). Clauses 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 21, 22, 23 and 24
shall survive any termination 

  

	 	20.	JIGS, FIXTURES AND TOOLING: Any jigs, fixtures or tooling purchased by Customer shall remain the property of Customer after the termination of this Agreement. All such jigs, fixtures and tooling supplied to Columbia
Tech shall be properly labeled by Customer. 

  

	 	21.	HEADINGS: Section headings are not to be considered a part of this Agreement and are not intended to be a full and accurate description of the contents hereof. 

 

	 	22.	CHANGE ORDERS: Any changes to any Purchase Order, instructions or Specifications, in whole or in party, must be approved in writing by both parties prior to implementation. Columbia Tech shall have the right to increase
Prices in conjunction with any Change Order, and may also increase any production schedule necessary to implement the change order after written communication with Customer. Columbia Tech shall continue to work on all active orders until a change
order is signed by both parties. 

  
  

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	 	23.	LIMITATION OF LIABILITY AND EXCLUSIVE REMEDY: In addition to any other exclusion that may appear in this Agreement except for the liability of Columbia Tech under Section 7(i) Recall, under no circumstances shall
Columbia Tech or Customer be responsible to the other for any incidental damages, consequential damages, indirect damages, lost profits of any nature, loss of reputation, or loss of orders, even if due to breach of contract or breach of warranty or
the triggering of the Columbia Tech indemnification obligations. Except for the obligations under Section 7(i) Recall and Section 9 Indemnification, Customer’s exclusive remedy for any loss shall be the repair, replacement, or refund
of the applicable price, at Columbia Tech’s sole discretion, of the Products. For clarity and avoidance of doubt, Columbia Tech’s obligations under Section 7(i) and Section 9 will be limited by the Recall Cost Cap, Consequential
Damages Cap and Negligence Cap (the “Caps”), and Caps shall be reduced by any amount paid by any Affiliate of Columbia Tech for the same or similar liability. 

All reimbusements, payments or other liabilities of Columbia Tech to Customer (collectively a “Reimbursable Loss”) pursuant to this
Agreement resulting from and arising from the same, continuous, related or repeated conditions or incidents will be treated as arising out of one “Reimbursable Event” for purposes of applying the Recall Cost Cap, Consequential Damages Cap
and the Indemnification Cap . In no event will any Reimbursable Loss claimed and paid under one “Reimbursable Event” be recoverable under any other Reimbursable Event or recoverable by aggregating caps in multiple years when the
Reimbursable Loss would have been limited by a limitation if submitted and paid all within the same year. Regardless of the number of years this Agreement may continue in force, and of the number Products manufactured which may be payable or paid,
or of any other circumstances whatsoever, Columbia Tech’s liability for Reimbursable Losses will not be cumulative from year to year or period to period. When Columbia Tech and another Affiliate of Columbia Tech (e.g. Cogmedix, Inc.) both
work on Products, the combined liability for the Reimbursable Event shall not exceed the amounts of the Caps if the Reimbursable Event occurred with only one party’s participation. 

 

	 	24.	PREVIOUS ORDERS. Both parties agree that the previous Purchase Orders shown at Attachment B shall be subject to the terms and conditions recited in this Agreement. 

 

	 	25.	EMPLOYEES AND ACCESS TO BUSINESS PREMISES: Columbia Tech and Customer both acknowledge that the other may from time to time have access to the other Company’s business premises. Columbia Tech and Customer covenant
and warrant that they have adequate general liability insurance and worker’s compensation insurance to cover any employee, agent, or representative that is given access to the business premises of the other. Columbia Tech and Customer also
covenant they will follow any rules established by the other for access to the business premises. Columbia Tech and Customer also expressly warrant they will pay all employment taxes, benefits taxes and salary of their respective employee’s,
and nothing in this agreement shall confer employment status on any person. Upon request, either party shall deliver to the other certificates of insurance evidencing their insurance coverage. Neither Columbia Tech nor Customer is given any express
license to enter the other’s business premises by virtue of this Agreement. 

  
  

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	 	26.	CONFIDENTIALITY. In the event the parties have previously signed a Non-Disclosure Agreement (the “NDA”), the terms and conditions of that Agreement shall be integrated herein. In the event of any conflict
between the NDA and this Agreement, this Agreement shall control. 

  

	 	27.	SEVERABILITY: If any provision (or sub-provision) of this Agreement is declared invalid by a court of competent jurisdiction, such provision (or sub-provision) shall be ineffective only to the extent of such invalidity,
so that the remainder of the provision and all remaining provisions of this Agreement will continue in full force and effect. 

  

	 	28.	FORCE MAJEURE: Columbia Tech shall not be liable for delays in or non-performance of its obligations under this Agreement as a result of strikes, lockouts, fires, war conditions, accidents, foreign or domestic
governmental controls or other actions, embargoes or other causes beyond such Columbia Tech’s control, including but not limited to, any delay from receiving material from one of Columbia Tech’s suppliers. 

 

	 	29.	ENTIRE AGREEMENT: This Agreement (and any Addendums) constitutes the entire agreement and understanding between the parties with respect to the subject matter hereof and supersedes all previous negotiations, agreements
and representations between the parties, written or oral, with the exception of any NDA, all of which shall be deemed to be merged into this Agreement. Provided that all parties hereto execute a copy of this Agreement, this Agreement may be executed
in any number of counterparts, each of which shall be deemed an original and all of which together shall constitute one and the same instrument. This Agreement shall be deemed fully executed and entered into on the date of execution by the last
signatory required hereby. 

  
  

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	 	30.	TRAINING: Upon Columbia Tech’s request, Customer shall provide training any process, know how, skill, or other technique needed for Product manufacture to any persons designated by Columbia Tech. 

Signed Under Seal, this 25th day of April, 2016. 
  

							
	Columbia Electrical Contractors, Inc.	 		 	 Vice President of Finance and Administration

Cynosure, Inc.

				
	 	 		 		 	
	Christopher Palermo	 		 		 	
				
	 	 		 		 	Title: President, Chief Financial Officer
	Name: Timothy W. Baker	 		 		 	

  
  

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ATTACHMENT A- QUALITY REQUIREMENTS 
  

	1.	Quality Compliance 

 Columbia Tech must have in place a viable Quality System; ISO 9001:2008 or ISO 13485:2003,
with exclusions. Columbia Tech agrees to provide documented certification to these industry standards or to allow Customer to perform an audit to determine such conformity. For avoidance of doubt, Columbia Electrical Contractors, Inc. d/b/a Columbia
Tech currently has in place an ISO 9001:2008 with exclusions and Cogmedix, Inc. has in place an ISO 13485:2003 with exclusions. 
 Columbia Tech agrees to
notify Customer in writing within thirty (30) days of any significant changes in the following area: 
  

	 	•	 	Company Ownership 

	 	•	 	Senior Organizational Structure 

	 	•	 	Interruption of supply chain for raw materials which may impact confirmed PO’s deliveries. 

	 	•	 	Manufacturing locations 

	 	•	 	Changes in outsourced processes 

	 	•	 	Quality System Registrations 

  

	2.	Documentation 

 Columbia Tech agrees to retain records and documentation for products, parts, and components
purchased by Customer for seven (7) years from the date of component manufacturing or services rendered. 
  

	3.	Warranty and Non-Conforming Product 

 Columbia Tech agrees to respond to all Non-Conforming Reports
(“NCRs”) with utmost urgency. For each NCR issued from Customer to Columbia Tech, the most appropriate Interim Corrective Action shall be jointly discussed and agreed-upon. Customer agrees to provide sufficient details concerning any
defect or non-conformance following an NCR issuance. Customer agrees to receive Return Materials Authorization (“RMA”) number before returning any product to Columbia Tech. For each agreed upon NCR, Columbia Tech agrees to provide a
response that details the Root Cause (“RC”) and Permanent Corrective Action (“CA”) for each NCR. The RC/CA response shall be accompanied with data whenever possible, including, but not limited to verification of the CA. The goal
for the RC/CA response shall be thirty (30) days from NCR issuance. If Columbia Tech requires additional time to complete the RC/CA for a particular NCR, Columbia Tech shall proactively communicate to the Customer and the projected time to
respond will be agreed-upon on a case by case basis. 

  
  

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	4.	Inspections/Audits 

 Customer has the right upon reasonable notice to Columbia Tech and during regular business
hours and under the obligations with respect to confidentiality, to inspect and audit the facilities being used by Columbia Tech (or any third party) for production, product testing, and storage of product to assure compliance by Columbia Tech (and
its suppliers) with (i) all applicable written product requirements provided by Customer, (ii) Quality Assurance Requirements, and (iii) the terms and provisions of this Agreement. Columbia Tech will within thirty (30) days, to
the Customer’s satisfaction, remedy or cause the remedy of any deficiencies which may be noted in any such audit, or present to Customer a written plan to remedy such deficiencies as soon as possible. Columbia Tech shall also agree, with
Customer’s assistance as reasonably required, to host any unannounced inspection performed by the Customer’s Notified Body as required per MDD 93/42/EEC. 
  

	5.	Recall and Corrective Action 

 In the event any governmental agency having jurisdiction shall request or order
a product recall, or if Customer shall determine to undertake, any corrective action with respect to any product manufactured by Columbia Tech, Columbia Tech will reasonably support inquiries and requests for supportive documentation in a timely
manner and aid Customer in determining potential root causes. 
  

	6.	Improvements and Changes to Product 

 From time to time during the term on this Agreement, either party may
submit to the other party proposals for the adoption, implementation or development of any product improvement. “Improvement” shall mean any significant change, modification or development to the Product, the method of using the Product,
the Specification or the raw materials. In no event shall any such improvement be implemented or made without the prior notification and approval of the Customer. If the parties agree on any such Improvement, they shall modify the Specifications to
reflect the same. In the event of any Improvement, the Customer shall approve an appropriate qualification protocol via a change order to open PO’s. 

  
  

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	7.	Customer Equipment and Materials 

 (a) Customer owns any material provided by Customer to
Columbia Tech (“Customer Material”) and any tooling or other equipment that Customer may provide (“Customer Equipment”) for use in performing Columbia Tech’s obligations under this Agreement. Columbia Tech will use all
Customer Materials and Customer Equipment solely in the performance of its obligations under this Agreement and for no other purpose. Columbia Tech will use reasonable efforts to maintain security and confidentiality of, and prevent any damage or
loss to, all Customer Materials and Customer Equipment. 
 (b) Columbia Tech agrees to use Customer Equipment at its own risk and will
maintain all Customer Equipment in a safe and proper condition for the intended use. 
  

	8.	MEDICAL DEVICE REGULATORY COMPLIANCE (APPLICABLE TO COGMEDIX ONLY) 

 a) DISCLOSURES BY
CUSTOMER: Customer hereby agrees to provide Cogmedix immediately upon request, a copy of Customer’s Pre-Market Authorization (if applicable) of the Products, any and all 510(k) filings submitted to the FDA for the Products, and anything deemed
necessary to Cogmedix to assess risk or manufacture the Product. 
 b) SUPPLIERS: Customer shall take all responsibility for determining and
approving any raw material or component parts for the Products. Additionally, Customer shall be responsible for any and all supplier evaluations in which: (1) the Customer is the supplier; (2) the supplier is designated by Customer to
Cogmedix; or (3) the raw materials or component parts are only available from one source or one manufacturer. Cogmedix shall complete all other supplier evaluations. 

c) PROCESSES AND EQUIPMENT VALIDATION: Cogmedix shall maintain calibration on any equipment owned by Cogmedix pursuant to any calibration
requirement found in ISO13485 and 21 CFR 820. Customer shall be responsible for the calibration, validation, software, design and verification of all equipment and processes provided by Customer used in the manufacturing, servicing, or performing
any action related to the Products (the “Controls”). Both parties shall maintain all Controls records for their own equipment and processes. Customer has provided Controls to Cogmedix and shall provide Controls records to Cogmedix upon any
changes or additions. 
 d) COMPLAINTS: Cogmedix shall forward any user complaints on the Products to Customer, and Customer shall forward
any reportable user complaints it receives on the Products to Cogmedix. Customer shall be solely responsible for all processing and analysis of all complaints. In the event the FDA imposes any duty upon Cogmedix for any complaint, then Customer
shall cooperate with Cogmedix during Cogmedix’s investigation and remediation of said complaint. 

  
  

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e) DOCUMENTATION: Each party shall be responsible for retention and identification of the documents in its control. Cogmedix shall at
Customer’s reasonable request and notice provide Customer access at a Cogmedix facility with all Cogmedix documents and procedures used in the manufacture of Products, including but not limited to incoming inspection processes and quality
inspection procedures and forms (collectively, “Cogmedix Documentation”). Both Parties shall ensure that all instructions and Cogmedix Documentation bear a unique identifying mark, including, but not limited to, any revision level required
for filing in a Device History Record (“DHR”), or a Device Master Record (“DMR”), as such terms are defined in Chapter 21, Part 820 of Code of Federal Regulations or third parties that are necessary to comply with other quality,
auditing, or regulatory standards now or in the future applicable to Cogmedix or the Products. Customer shall maintain a DMR and DHR for each type of Product that Cogmedix manufactures. 

f) PRODUCT APPROVALS: Customer represents, warrants and covenants that all the Products have received all the necessary authorizations and
approvals for any use specified, marketed or communicated to any customer and that the Products’ documentation will clearly list such intended uses (“Intended Uses”). 

g) REMANUFACTURING: Not in scope of this agreement; should remanufacturing be required, an amendment will be required. 

h) SERVICING: Customer shall be responsible for providing all documents and specifications for any repair work, including repairs made
pursuant to the warranty section. Customer shall also be responsible for any and all servicing requirements in 21 CFR 820.200, including all requirements within 820.100. Cogmedix’s performance of any item in 21 CFR 820.200 shall not relieve
Customer of its responsibility. 
 i) COGMEDIX’S SOLE RESPONSIBILITIES: Customer understands and agrees that Cogmedix will: 

 

	 	(a)	list itself pursuant to applicable FDA standards as the contract manufacturer for any Product where said Product is a finished device; 

	 	(b)	perform the tests specified and designed by the Customer, including the performance of any tests designed by the Customer and accepted in writing by Cogmedix (“Verification”), on the Products; and

	 	(c)	perform risk management on Cogmedix processes. 

  
  

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COGMEDIX SHALL TAKE NO OTHER DUTIES OR RESPONSIBILITIES WITH RESPECT TO ANY REGULATION. 

j) STERILIZATION: Not in scope of this Agreement; should sterilization be required, an amendment will be required. 

k) CUSTOMER’S SOLE RESPONSIBILITIES: Customer shall be solely responsible for ensuring that all other entities list the device pursuant to
FDA requirements. Under no circumstances shall Cogmedix be considered to have any Specification. Customer shall remain solely responsible, excluding any requirements expressly listed by Cogmedix for verification, suppliers, validation or risk
management as may appear in this Section, for: 
  

	 	i.	ALL Product tracking and recall functions; 

	 	ii.	ALL Product labeling requirements; 

	 	iii.	ALL packaging requirements; 

	 	iv.	ALL event reporting requirements; 

	 	v.	ALL design controls; 

	 	vi.	ALL risk management on Customer’s processes and Products; 

	 	vii.	ALL duties expressly mandated or implied for a specification designer; and 

	 	viii.	Any other duty whatsoever mandated by the FDA that is not expressly stated to be a duty of the contract manufacturer in 21 CFR 820, regardless of whether the duty is presumed to be part of the contract manufacturer, or
has customarily been the duty of the contract manufacturer. 

  
  

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ATTACHMENT B: PREVIOUS ORDERS SUBJECT TO THIS AGREEMENT 
 All
previous Purchase Orders issued prior to the date of this Agreement shall be subject to the terms and conditions recited in this Agreement. 

  
  

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