Document:

EX-4.10

 Exhibit 4.10 
 THIS NOTE AND THE SECURITIES ISSUABLE UPON CONVERSION HEREOF HAVE NOT BEEN REGISTERED UNDER THE SECURITIES ACT OF 1933, AS AMENDED, OR THE SECURITIES LAWS OF ANY STATE. THEY MAY NOT BE SOLD, OFFERED FOR
SALE, PLEDGED OR HYPOTHECATED IN THE ABSENCE OF A REGISTRATION STATEMENT IN EFFECT WITH RESPECT TO THE SECURITIES UNDER SUCH ACT AND/OR APPLICABLE STATE SECURITIES LAWS, OR AN OPINION OF COUNSEL SATISFACTORY TO THE COMPANY THAT SUCH REGISTRATION IS
NOT REQUIRED OR UNLESS SOLD PURSUANT TO RULE 144 OF SUCH ACT. 
 THIS NOTE IS SUBJECT TO SUBORDINATION AGREEMENTS AMONG THE COMPANY, THE
COLLATERAL AGENT, THE HOLDERS OF THE NOTES AND CERTAIN LENDERS, AS MORE PARTICULARLY DESCRIBED IN SECTION 4 BELOW. 
 LDR
MÉDICAL S.A.S. 
 [FORM OF] SUBORDINATED SECURED CONVERTIBLE PROMISSORY NOTE 

(i.e., obligations convertibles en actions as defined under French law) 

 

			
	 	  	Austin, Texas
	 €XXXXX
	  	XXXXX, 2012

 FOR VALUE RECEIVED, LDR Médical S.A.S., a French corporation (the
“Company”), promises to pay to [SAMPLE] (the “Holder”), or its registered assigns, the principal amount of
[                                        ] and
[    ]/100ths Euro (€ [                            ])(such principal calculated by
dividing $[                    ] by
[                    ] (the Exchange Rate)), or such lesser amount as shall equal the outstanding principal amount hereof, together with simple
interest from the date of this Secured Convertible Promissory Note (this “Note” which will take the form of, and be issued by the Company as, a convertible bond (i.e., an “obligation convertible en actions”) under
French company law) on the unpaid principal balance at a rate equal to six percent (6.0%) per annum, computed on the basis of the actual number of days elapsed and a year of 360 days; provided that all past due principal and accrued interest on
this Note shall bear interest from Maturity (as defined below) (whether at scheduled Maturity or upon acceleration of Maturity following an Event of Default (as defined below)) until paid at the lesser of (i) the rate of eleven percent
(11%) per annum or (ii) the highest rate for which Company may legally contract under applicable law. An amount equal to one and one-half times (1.5) all unpaid principal and accrued but unpaid interest, and any other amounts payable
hereunder, shall be due and payable on the earliest to occur of (i) [                    ], 2016, (ii) the occurrence of an Event of
Default (as defined below), (iii) a Change of Control (as defined below) or (iv) a Public Offering (as defined below) (such earliest date is hereinafter referred to as “Maturity”). Holder acknowledges that this Note
is one of the Secured Convertible Promissory Notes of like tenor (collectively, the “Notes”) being issued by LDR Holding Corporation (“LDR Holding” and together with the Company, the
“Borrowers”) and/or the Company to raise interim financing of up to $15,000,000 (US). 

 The following is a statement of the rights of the Holder of this Note and the conditions to
which this Note is subject, to which the Holder, by the acceptance of this Note, agrees: 
 Section 1. Certain Definitions.
As used in this Note, the following capitalized terms have the following meanings: 
 1.1 “Change of
Control” means any Liquidation Event, as such term is defined in the LDR Holding’s Third Amended and Restated Certificate of Incorporation, as the same may be amended from time to time. 

1.2 “Class A Stock” means the Company’s Class A Common Stock, par value 0.20 Euros per share.

 1.3 “Collateral Agent” shall have meaning set forth in the Security Agreement. 

1.4 “Common Stock” means shares of LDR Holding’s Common Stock, par value $0.001 per share. 

1.5 “Company” shall have the meaning set forth on the cover page hereof. 

1.6 The “Conversion Factor” shall be .50 (i.e. a 50% discount). 

1.7 “Event of Default” shall have the meaning set forth in Section 6 hereof. 

1.8 “Exchange Rate” shall mean [            ]1 divided by
[            ]2. 
 1.9 “Exchange Rate Amount” shall have the meaning set
forth in Section 5.1 hereof. 
 1.10 “Holder” shall have the meaning set forth on the cover page
hereof. 
 1.11 “Intellectual Property Security Agreement” means that certain Intellectual Property
Security Agreement for Patents, Trademarks and Copyrights by and among LDR Holding, LDR Spine and the other parties thereto. 

1.12 “LDR Holding” shall have the meaning set forth on the cover page hereof. 

1.13 “LDR Spine” shall mean LDR Spine USA, Inc., a Delaware corporation. 

1.14 “Majority Investors” means persons holding a majority of the then outstanding aggregate principal amount of
the Notes issued pursuant to the Purchase Agreement. 
 1.15 “Maturity” shall have the meaning set forth
on the cover page hereof. 
  
  

	1 	This amount will equal the pro rata dollar amount set forth on Schedule B of the Purchase Agreement. 

	2 	This amount will equal the amount of Euro actually received by the Company from Holder. 

  
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 1.16 “Note Conversion Price” means, with respect to a voluntary
conversion upon the consummation of a Public Offering or Change of Control, the product of (a) the price per share of Common Stock sold in a Public Offering or received in the Change of Control times (b) the Conversion Factor. 

1.17 “Notes” shall have the meaning set forth on the cover page hereof. 

1.18 “Permitted Financing” shall have the meaning set forth in Section 4 hereof. 

1.19 Preferred Stock” means shares of LDR Holding’s Series A-1 Convertible Preferred Stock, par value $0.001,
Series A-2 Convertible Preferred Stock, par value $0.001, Series B Convertible Preferred Stock, par value $0.001, and Series C Convertible Preferred Stock, par value $0.001. 
 1.20 “Public Offering” means any firm commitment underwritten public offering by LDR Holding of shares of Common Stock pursuant to an effective registration statement under the
Securities Act of 1933, as then in effect, or any comparable statement under any similar federal statute then in force, or a similar public offering under the laws of a foreign jurisdiction, with aggregate gross proceeds to LDR Holding of at least
$50,000,000. 
 1.21 “Purchase Agreement” means that certain Note Purchase Agreement by and among the
Borrowers and the other parties thereto. 
 1.22 “Security Agreement” means that certain Security
Agreement by and among the LDR Holding, LDR Spine, Austin Ventures VIII, L.P., as Collateral Agent, and the other parties thereto. 
 1.23 “Senior Lender” shall have the meaning set forth in Section 4 hereof. 
 1.24 “Subordination Agreements” means (a) that certain Subordination Agreement by and among Austin Ventures VIII, L.P., as Collateral Agent, the holders of the Notes and
Comerica Bank, and (b) that certain Subordination Agreement by and among Austin Ventures VIII, L.P., as Collateral Agent, the holders of the Notes, Escalate Capital I, L.P. and Escalate Capital Partners SBIC I, L.P. 

1.25 “Transaction Documents” means this Note, each of the other Notes issued under the Purchase Agreement, the
Purchase Agreement, the Security Agreement, the Intellectual Property Security Agreement and the Subordination Agreements. 
 Section 2.
Interest. Accrued interest on this Note shall be payable upon Maturity of this Note in Euro ( €). 
 Section 3.
Prepayment. The Note, any accrued but unpaid interest and any other amounts payable under this Note may be prepaid only with the written consent of the Majority Investors. 
 Section 4. Subordination. The indebtedness evidenced by this Note is hereby expressly subordinated in right of payment to the prior payment in full of all of LDR Holding’s Senior
Debt as defined under and in accordance with the terms of the Subordination Agreements. In 

  
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addition, the indebtedness evidenced by this Note is hereby expressly subordinated in right of payment to the prior payment in full of (i) (c) in an aggregate principal amount not
exceeding Seven Million Five Hundred Thousand Euros (€7,500,000) incurred by the Company and (ii) equipment financing not exceeding Two Million Dollars ($2,000,000) in the aggregate at any given time (together,
“Permitted Financing”), including, without limitation, all interest accruing after the commencement by or against the Borrowers of any bankruptcy, reorganization or similar proceeding for so long as the
Borrowers owes any amounts with respect thereto in accordance with the following terms. Any security interest or lien that Holder may now have or in the future obtain in any property of the Borrowers to secure this Note also is hereby expressly
subordinated to the security interest granted by the Borrowers to a lender of any Permitted Financing (a “Senior Lender”) in connection with any Permitted Financing. Notwithstanding the respective dates of
attachment or perfection of the security interest of Holder and the security interest of Senior Lender, the security interest of Senior Lender in the property of the Borrowers shall at all times be prior to the security interest of Holder. Nothing
in this Section 4 shall be construed as Senior Lender’s consent for Holder to take a security interest or lien in any property of the Borrowers. Upon request (which request shall not be made no more than twice in any 12 month
period) by any Senior Lender, the Borrowers and the Holder shall execute and deliver a subordination agreement, the terms of which shall be reasonably satisfactory to the Senior Lender, confirming the subordination of the indebtedness evidenced by
all the Notes to such Permitted Financing. Holder will not demand or receive from the Company (and the Company will not pay to Holder) all or any part of the indebtedness evidenced by the Note, by way of payment, prepayment, setoff, lawsuit or
otherwise (other than reorganization subordinated securities in connection with any bankruptcy, reorganization, receivership or similar proceeding), nor will Holder accelerate the indebtedness evidenced by the Note, exercise any remedy with respect
to any of Senior Lenders’ collateral, nor will Holder commence, or cause to commence, prosecute or participate in any administrative, legal or equitable action against the Company, for so long as any portion of the Permitted Financing remains
outstanding. Holder shall promptly deliver to each Senior Lender in the form received (except for endorsement or assignment by Holder where required by Senior Lender) for application to the Permitted Financing any payment, distribution, security or
proceeds received by Holder with respect to the indebtedness evidenced by this Note other than in accordance with this Section 4. Nothing in this Section 4 shall prohibit Holder from converting all or any part of the
outstanding principal amount of this Note, any accrued but unpaid interest and any other amounts payable under this Note, into equity securities of the Company. In the event of the Company’s insolvency, reorganization or any case or proceeding
under any bankruptcy or insolvency law or laws relating to the relief of debtors, the provisions of this Section 4 shall remain in full force and effect, and Senior Lenders’ claims against the Borrowers and the estate of the
Borrowers shall be paid in full before any payment is made to Holder other than in accordance with this Section 4. In any bankruptcy, insolvency or similar proceeding involving the Borrowers, Holder will not take any actions adverse to
Senior Lenders’ position. If, at any time after payment in full of the Permitted Financing, any payments of the Permitted Financing must be disgorged by a Senior Lender for any reason (including, without limitation, the bankruptcy of the
Borrowers), this Section 4 and the relative rights and priorities set forth herein shall be reinstated as to all such disgorged payments as though such payments had not been made and Holder shall immediately pay over to Senior Lenders
all payments received with respect to the indebtedness evidenced by this Note to the extent that such payments would have been prohibited hereunder. At any time and from time to time, without 

  
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 notice to Holder, Senior Lenders may take such actions with respect to the Permitted Financing as Senior
Lender, in its sole discretion, may deem appropriate. No such action or inaction shall impair or otherwise affect Senior Lenders’ rights hereunder. Holder waives the benefits, if any, of statutory or common law suretyship defenses. The
provisions of this Section 4 may not be amended to adversely affect the rights of a Senior Lender without the prior written consent of such Senior Lender. The provisions of this Section 4 are solely for the benefit of Holder
and Senior Lender and not for the benefit of the Borrowers or any other party. In the event of any legal action to enforce the rights of Holder or a Senior Lender under this Section 4, the party prevailing in such action shall be
entitled to its reasonable attorneys’ fees and costs of collection. 
 Section 5. Conversion. 

5.1 Voluntary Conversion. Immediately prior to, but in any event conditioned upon the consummation of a Public Offering or Change
of Control, all or part of the outstanding principal amounts payable under this Note, any accrued but unpaid interest and any other amounts payable under this Note may be converted into ordinary shares of Class A Stock. In the event of such
conversion, this Note shall be converted into that number of ordinary shares of Class A Stock determined by multiplying the amount of this Note to be converted by the Exchange Rate (the “Exchange Rate Amount”) and then
by dividing (x) the Exchange Rate Amount by (y) (i) the Note Conversion Price divided by (ii) 39.15588. The Company shall give the Holder at least ten (10) days’ advance written notice of a Public Offering or Change of
Control. 
 5.2 Conversion Procedure. 
 (a) Voluntary Conversion. If this Note is voluntarily converted, the Holder shall give written notice to the Company notifying the Company of its election to convert all or a portion of this Note
and specifying the amount of the unpaid principal amount of this Note, any accrued but unpaid interest and any other amounts payable under this Note to be converted. Before the Holder shall be entitled to voluntarily convert this Note, the Holder
shall surrender this Note at the Company’s principal executive office, or, if this Note has been lost, stolen, destroyed or mutilated, then, in the case of loss, theft or destruction, the Holder shall deliver an indemnity agreement reasonably
satisfactory in form and substance to the Company (without the requirement of a bond) or, in the case of mutilation, the Holder shall surrender and cancel this Note. The Company shall, as soon as practicable thereafter issue and deliver to such
Holder at such principal executive office a certificate or certificates for the number of shares to which the Holder shall be entitled upon such conversion (bearing such legends as are required by applicable state and federal securities laws in the
opinion of counsel to the Company), together with a replacement Note (if any principal amount or interest is not converted). Such conversion shall be deemed to have been made immediately prior to the close of business on the date of the surrender of
this Note or the delivery of an indemnification agreement (or such later date requested by the Holder or such earlier date agreed to by the Company and the Holder). The person or persons entitled to receive securities issuable upon such conversion
shall be treated for all purposes as the record holder or holders of such securities on such date. 

  
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 (b) Fractional Shares; Interest; Nonassessable; Effect of Conversion. Any fractional
shares issuable upon conversion of this Note shall be rounded down to the nearest whole share, and the Company shall pay to the Holder the amount of such fractional share multiplied by the product of (a) the Note Conversion Price times
(b) 39.15588. Upon conversion of this Note in full and the payment of the amounts specified in this Section 5.2(b), the Company shall be forever released from all its obligations and liabilities under this Note. 

(c) Amendment to Put-Call Agreement. Pursuant to that certain Amendment to Put-Call Agreement by and among the Borrowers and
certain shareholders of Médical, each share of Class A Stock issued by the Company upon conversion of this Note may be exchanged into 39.15588 shares of common stock of LDR Holding, with such exchange occurring in accordance with the
terms of the Put-Call Agreement by and among the Borrowers and certain shareholders of Médical. 
 (d) Further
Assurances. In connection with the conversion of this Note upon a Public Offering or Change of Control, by acceptance of this Note, the Holder shall be entitled (and/or required, as the case may be) to execute all agreements (including any
market stand-off agreements, if applicable) and other documents executed by the similarly situated investors in connection with the Public Offering or the Change of Control transaction in which this Note is converted. 

Section 6. Default; Remedies. 
 6.1 Default. The Company shall be in default under this Note upon the occurrence of any condition or event set forth below (each, an “Event of Default”): 

(a) the Company’s failure to pay (i) when due any principal or interest payment on the due date hereunder or (ii) any other
payment required under the terms of this Note on the date due, and such default shall continue unremedied for a period of 5 days following receipt of written notice signed by a representative designated by the Majority Investors of such failure to
pay; 
 (b) the Company shall (i) apply for or consent to the appointment of a receiver, trustee, liquidator or custodian of
itself or of all or a substantial part of its property, (ii) be unable, or admit in writing its inability, to pay its debts as they mature, (iii) make a general assignment for the benefit of its or any of its creditors, (iv) be
dissolved or liquidated, (v) become insolvent (as such term may be defined or interpreted under any applicable statute), (vi) commence a voluntary case or other proceeding seeking liquidation, reorganization or other relief with respect to
itself or its debts under any bankruptcy, insolvency or other similar law now or hereafter in effect or consent to any such relief or to the appointment of or taking possession of its property by any official in an involuntary case or other
proceeding commenced against it, or (vii) take any action for the purpose of effecting any of the foregoing; 
 (c)
proceedings for the appointment of a receiver, trustee, liquidator or custodian of the Company or of all or a substantial part of the property thereof, or an involuntary case or other proceedings seeking liquidation, reorganization or other relief
with respect to the Company or the debts thereof under any bankruptcy, insolvency or other similar law now or hereafter in effect shall be commenced and an order for relief entered or such proceeding shall not be dismissed or discharged within 90
days of commencement; 

  
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 (d) the Notes or any other Transaction Document shall cease to be, or be asserted by the
Company not to be, a legal, valid and binding obligation of the Borrowers enforceable in accordance with their terms or shall cease to give the Investors the rights, powers and privileges purported to be created and granted thereby; or 

(e) if declared by the Majority Investors following the occurrence of any of the following: (i) any representation or warranty made
or deemed made in any Transaction Document shall prove to have been incorrect, false or misleading in any material respect on or as of the date made or deemed made or (ii) the Company LDR Holding or LDR Spine shall fail to perform, comply with
or observe any term, covenant or agreement applicable to it contained in any Transaction Document and the continuance thereof beyond any applicable cure periods provided for therein, unless the Company or such other party shall promptly commence and
diligently pursue action to (a) cause such representation or warranty to become true in all material respects and/or (b) remedy any failure to perform, comply, or observe such term, covenant or agreement and does so within thirty
(30) days after notice thereof has been given to the Company by the Majority Investors (unless such cure is not capable of being effected within such thirty (30) day period in which case the Company shall have an additional thirty
(30) day period in which to perform such cure) and such cure removes any material adverse effect on the Majority Investors of such representation or warranty having been incorrect or of such failure to perform, comply with or observe such term
covenant or agreement. 
 6.2 Remedies. Upon the occurrence or existence of any Event of Default (other than an Event of
Default described in Section 6.1(b) and 6.1(c)) and at any time thereafter during the continuance of such Event of Default, the Majority Investors, acting through, but subject to the discretion of, the Collateral Agent, may, by
written notice to the Company, declare the entire outstanding principal amount of the Notes, any accrued but unpaid interest and any other amounts payable under the Notes to be immediately due and payable without presentment, demand, protest or any
other notice of any kind, all of which are hereby expressly waived, anything contained herein or in the other Transaction Documents to the contrary notwithstanding. Upon the occurrence or existence of any Event of Default described in
Section 6.1(b) or 6.1(c)), immediately and without notice, all outstanding obligations payable by the Company hereunder shall automatically become immediately due and payable, without presentment, demand, protest or any other
notice of any kind, all of which are hereby expressly waived, anything contained herein or in the other Transaction Documents to the contrary notwithstanding. In addition to the foregoing remedies, upon the occurrence or existence of any Event of
Default, a representative of the Majority Investors may exercise any other right power or remedy granted to it by the Transaction Documents or otherwise permitted to it by law, either by suit in equity or by action at law, or both. 

Section 7. Security Interest. The obligations of the Company under the Notes and the Purchase Agreement are secured by the Collateral
(as defined in the Security Agreement and the Intellectual Property Security Agreement). 

  
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 Section 8. Charges, Taxes and Expenses. Issuance of certificates for equity securities
issued upon the conversion of this Note shall be made without charge to the Holder hereof for any issue or transfer tax or other incidental expense in respect of the issuance of such certificate, all of which taxes and expenses shall be paid by the
Company, and such certificates shall be issued in the name of the Holder. 
 Section 9. Saturdays, Sundays, Holidays, etc. If
the last or appointed day for the taking of any action or the expiration of any right required or granted herein shall be a Saturday, a Sunday or a legal holiday, then such action may be taken or such right may be exercised on the next succeeding
day that is not a Saturday, Sunday or legal holiday. 
 Section 10. Miscellaneous. 

10.1 Loss, Theft, Destruction or Mutilation of Note. Upon receipt of evidence reasonably satisfactory to the Company of the loss,
theft, destruction or mutilation of this Note and, in the case of loss, theft or destruction, and delivery of an agreement satisfactory to the Company to indemnify the Company from any loss incurred by it connection with the Note (without the
requirement of a bond) or, in the case of mutilation, on surrender and cancellation of this Note, the Company shall execute and deliver, in lieu of this Note, a new Note executed in the same manner as this Note, in the same principal amount as the
unpaid principal amount of this Note and dated the date to which interest shall have been paid on this Note or, if no interest shall have yet been so paid, dated the date of this Note. 

10.2 Payment. All payments under this Note shall be made in lawful tender of the United States. 

10.3 Waivers and Amendments. This Note and the obligations of the Company and the rights of the Holder under this Note may be
amended, waived, discharged or terminated (either generally or in a particular instance, either retroactively or prospectively and either for a specified period of time or indefinitely) with the written consent of the Company (which shall not be
required in connection with a waiver of rights in favor of the Company) and the Majority Investors (and, whenever applicable, the Collateral Agent on behalf of the Holder and the holders of the other Notes); provided, however, that no such amendment
or waiver shall reduce the principal amount of this Note or alter any other economic provisions of this Note in a manner adverse to the Holder or amend any of the provisions of this Note related to conversion of this Note in a manner adverse to the
Holder without the written consent of the Holder. This Note may not be changed, waived, discharged or terminated orally but only by a signed statement in writing. Any amendment, waiver, discharge or termination effected in accordance with this
Section 10.3 shall be binding upon each Holder and the Company. 
 10.4 Notices. Any notice, request or other
communication required or permitted hereunder shall be given in accordance with the Purchase Agreement. 
 10.5
Severability. If one or more provisions of this Note are held to be unenforceable under applicable law, such provision(s) shall be excluded from this Note and the balance of this Note shall be interpreted as if such provision(s) were so
excluded and shall be enforceable in accordance with its terms. 

  
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 10.6 Successors and Assigns. Subject to compliance with applicable federal and state
securities laws, this Note and all rights under this Note are transferable in whole or in part by the Holder to any person or entity upon written notice to the Company. This Note may be transferred only upon its surrender to the Borrower for
registration of transfer, duly endorsed or accompanied by a duly executed written instrument of transfer in form satisfactory to the Borrower. Thereupon, this Note shall be reissued to, and registered in the name of, the transferee, or a new note
for like principal amount and interest shall be issued to, and registered in the name of, the transferee. Interest and principal shall be paid solely to the registered holder of this Note. Such payment shall constitute full discharge of the
Borrower’s obligation to pay such interest and principal. The Company may not transfer this Note or any of its rights or obligations hereunder, without the prior written consent of the Majority Investors. Except as otherwise expressly provided
in this Note or the Purchase Agreement, the provisions of this Note and the Purchase Agreement shall inure to the benefit of, and be binding upon, the successors, assigns, heirs, executors and administrators of the Company and the Holder.

 10.7 Usury. All agreements between the Company and the Holder, whether now existing or hereafter arising and whether
written or oral, are expressly limited so that in no contingency or event whatsoever, whether by acceleration of the maturity of this Note or otherwise, shall the amount paid, or agreed to be paid, to the Holder for the use, forbearance or detention
of the money to be loaned under this Note or otherwise, exceed the maximum amount permissible under applicable law. If from any circumstances whatsoever fulfillment of any provision of this Note or of any other document evidencing, securing or
pertaining to the indebtedness evidenced by this Note, at the time performance of such provision shall be due, shall involve transcending the limit of validity prescribed by applicable usury law, then ipso facto, the obligation to be fulfilled shall
be reduced to the limit of such validity, and if from any such circumstances the Holder shall ever receive anything of value as interest or deemed interest by applicable law under this Note or any other document evidencing, securing or pertaining to
the indebtedness evidenced by this Note or otherwise an amount that would exceed the highest lawful rate, such amount that would be excessive interest shall be applied to the reduction of the principal amount owing under this Note or on account of
any other indebtedness of the Company to the Holder relating to this Note, and not to the payment of interest, or if such excessive interest exceeds the unpaid balance of principal of this Note and such other indebtedness, such excess shall be
refunded to the Company. In determining whether or not the interest paid or payable with respect to any indebtedness of the Company to the Holder, under any specific contingency, exceeds the highest lawful rate, the Company and the Holder shall, to
the maximum extent permitted by applicable law, (i) characterize any nonprincipal payment as an expense, fee or premium rather than as interest, (ii) amortize, prorate, allocate and spread the total amount of interest throughout the full
term of such indebtedness so that the actual rate of interest on account of such indebtedness is uniform throughout the term of such indebtedness, and/or (iii) allocate interest between portions of such indebtedness, to the end that no such
portion shall bear interest at a rate greater than that permitted by law. The terms and provisions of this Section shall control and supersede every other conflicting provision of all agreements between the Company and the Holder. The Holder has
been advised by the Company to seek the advice of an attorney and an accountant in connection with the issuance of this Note. The Company has had the opportunity to seek the advice of any attorney and accountant of the Company’s choice in
connection with issuance of this Note. 

  
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 10.8 Pari Passu Notes. The Holder acknowledges and agrees that the
payment of all or any portion of the outstanding principal amount of this Note and all interest hereon shall be pari passu in right of payment and in all other respects to the other Notes issued by the Company pursuant to the Purchase
Agreement or pursuant to the terms of such Notes issued by the Company. In the event the Holder receives payments of principal or interest in excess of its pro rata share of the Company’s payments of principal or interest to the Holders of all
of the Notes issued by the Company, then the Holder shall hold in trust all such excess payments for the benefit of the holders of the other Notes issued by the Company and shall pay such amounts held in trust to such other holders upon demand by
such holders. 
 10.9 Delays or Omissions. No delay or omission to exercise any right, power, or remedy accruing to the
Holder, upon any breach or default of the Company under this Note shall impair any such right, power, or remedy of the Holder nor shall it be construed to be a waiver of any such breach or default, or an acquiescence therein, or of or in any similar
breach or default thereafter occurring; nor shall any waiver of any single breach or default be deemed a waiver of any other breach or default therefore or thereafter occurring. Any waiver, permit, consent, or approval of any kind or character on
the part of the Majority Investors of any breach or default under this Note or any waiver on the part of the Majority Investors of any provisions or conditions of this Note must be made in writing and shall be effective only to the extent
specifically set forth in such writing. All remedies, either under this Note or by law or otherwise afforded to the Investors, shall be cumulative and not alternative. 
 10.10 Titles and Subtitles. The titles of the paragraphs and subparagraphs of this Note are for convenience of reference only and are not to be considered in construing this Note. 

10.11 Construction. The language used in this Note will be deemed to be the language chosen by the parties to express their mutual
intent and no rules of strict construction will be applied against any party. 
 10.12 Governing Law. This Note shall be
governed by and construed under the laws of the Republic of France, without regard to conflicts of law principles. 
 10.13
Attorneys’ Fees. In the event of any dispute involving the terms hereof, the prevailing parties shall be entitled to collect legal fees and expenses from the other party to the dispute. 

[Remainder of page intentionally left blank] 

  
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 IN WITNESS WHEREOF, the Company has caused this Subordinated Secured Convertible Promissory
Note to be executed by its duly authorized officer. 
  

			
	LDR MÉDICAL S.A.S.
		
	By:	 	  

	Name:	 	  

	Title:	 	  

  

			
	ACCEPTED AND AGREED TO BY HOLDER:
	
	[INVESTOR]
		
	By:	 	  

	Name:	 	  

	Title:	 	  

		
	Dated:EX-10.2

 Exhibit 10.2 
 LDR HOLDING CORPORATION  
 2007 STOCK OPTION/STOCK ISSUANCE
PLAN 
 ARTICLE ONE 
 GENERAL PROVISIONS 
 I. PURPOSE OF THE PLAN 

This 2007 Stock Option/Stock Issuance Plan is intended to promote the interests of LDR Holding Corporation, a Delaware corporation, by
providing eligible persons in the Corporation’s employ or service with the opportunity to acquire a proprietary interest, or otherwise increase their proprietary interest, in the Corporation as an incentive for them to continue in such employ
or service. 
 Capitalized terms herein shall have the meanings assigned to such terms in the attached Appendix. 

II. STRUCTURE OF THE PLAN 
 A. The Plan shall be divided into two (2) separate equity programs: 
 (i) the Option Grant Program under which eligible persons may, at the discretion of the Plan Administrator, be granted options to purchase shares of Common Stock, and 

(ii) the Stock Issuance Program under which eligible persons may, at the discretion of the Plan Administrator, be issued
shares of Common Stock directly, either through the immediate purchase of such shares or as a bonus for services rendered the Corporation (or any Parent or Subsidiary) or pursuant to restricted stock units or other share right awards which vest upon
the completion of designated service periods or the attainment of pre-established performance milestones. 
 B. The provisions of
Articles One and Four shall apply to both equity programs under the Plan and shall accordingly govern the interests of all persons under the Plan. 
 III. ADMINISTRATION OF THE PLAN 
 A. The Plan shall be administered by the
Board. However, any or all administrative functions otherwise exercisable by the Board may be delegated to the Committee. Members of the Committee shall serve for such period of time as the Board may determine and shall be subject to removal by the
Board at any time. The Board may also at any time terminate the functions of the Committee and reassume all powers and authority previously delegated to the Committee. 

 B. The Plan Administrator shall have full power and authority (subject to the provisions of
the Plan) to establish such rules and regulations as it may deem appropriate for proper administration of the Plan and to make such determinations under, and issue such interpretations of, the Plan and any outstanding options or stock issuances
thereunder as it may deem necessary or advisable. Decisions of the Plan Administrator shall be final and binding on all parties who have an interest in the Plan or any option grant or stock issuance thereunder. 

IV. ELIGIBILITY 
 A. The persons eligible to participate in the Plan are as follows: 

(i) Employees, 
 (ii) non-employee members of the Board or the non-employee members of the board of directors of any Parent or Subsidiary, and 

(iii) consultants and other independent advisors who provide services to the Corporation (or any Parent or Subsidiary).

 B. The Plan Administrator shall have full authority to determine, (i) with respect to the grants made under the Option
Grant Program, which eligible persons are to receive such grants, the time or times when those grants are to be made, the number of shares to be covered by each such grant, the status of the granted option as either an Incentive Option or a
Non-Statutory Option, the time or times when each option is to become exercisable, the vesting schedule (if any) applicable to the option shares and the maximum term for which the option is to remain outstanding, and (ii) with respect to stock
issuances or option stock-based awards under the Stock Issuance Program, which eligible persons are to receive such issuances or awards, the time or times when those issuances or awards are to be made, the number of shares subject to each such
issuance or award, the applicable vesting schedule and the cash consideration (if any) to be paid by the Participant for such shares. 
 C. The Plan Administrator shall have the absolute discretion either to grant options in accordance with the Option Grant Program or to effect stock issuances in accordance with the Stock Issuance Program.

 V. STOCK SUBJECT TO THE PLAN 
 A. The stock issuable under the Plan shall be shares of authorized but unissued or reacquired Common Stock. The maximum number of shares of Common Stock which may be issued over the term of the Plan shall
not exceed 2,832,324 shares. 
 B. Shares of Common Stock subject to outstanding options, restricted stock units or share right
awards shall be available for subsequent issuance under the Plan to the extent (i) those options, units or awards expire, terminate or are cancelled for any reason prior to the issuance of the underlying shares of Common Stock or (ii) such
options are cancelled in accordance with the cancellation-regrant provisions of Article Two. Unvested shares issued under the Plan and subsequently repurchased by the Corporation, at a price per share not greater than the option exercise or direct
issue price paid per share, pursuant to the Corporation’s 

  
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repurchase rights under the Plan shall be added back to the number of shares of Common Stock reserved for issuance under the Plan and shall accordingly be available for reissuance through one or
more subsequent option grants or direct stock issuances under the Plan. 
 C. In the event of any of the following transactions
affecting the outstanding Common Stock as a class without the Corporation’s receipt of consideration: any stock split, stock dividend, spin-off transaction, extraordinary distribution (whether in cash, securities or other property),
recapitalization, combination of shares, exchange of shares or other similar transaction affecting the outstanding Common Stock without the Corporation’s receipt of consideration, then equitable adjustments shall be made to (i) the maximum
number and/or class of securities issuable under the Plan, (ii) the number and/or class of securities and the exercise price per share in effect under each outstanding option and (iii) the number and/or class of securities subject to each
outstanding restricted stock unit or other share right award and the issue price (if any) payable per share. The adjustments shall be made by the Plan Administrator in such manner as the Plan Administrator deems appropriate in order to prevent the
dilution or enlargement of benefits thereunder, and those adjustments shall be final, binding and conclusive. In no event shall any such adjustments be made in connection with the conversion of one or more outstanding shares of the
Corporation’s preferred stock into shares of Common Stock. 

  
 3 

 ARTICLE TWO 
 OPTION GRANT PROGRAM 
 I. OPTION TERMS 

Each option shall be evidenced by one or more documents in the form approved by the Plan Administrator; provided, however, that each such
document shall comply with the terms specified below. Each document evidencing an Incentive Option shall, in addition, be subject to the provisions of the Plan applicable to such options. 

A. Exercise Price. 
 1. The exercise price per share shall be fixed by the Plan Administrator but shall not be less than one hundred percent (100%) of the Fair Market Value per share of Common Stock on the option grant
date. 
 2. The exercise price shall become immediately due upon exercise of the option and shall, subject to the provisions of
Section I of Article Four and the documents evidencing the option, be payable in cash or check made payable to the Corporation. Should the Common Stock be registered under Section 12 of the 1934 Act at the time the option is exercised, then the
exercise price may also be paid as follows: 
 (i) in shares of Common Stock valued at Fair Market Value on the
Exercise Date and held for the period (if any) necessary to avoid a charge to the Corporation’s earnings for financial reporting purposes, or 
 (ii) to the extent the option is exercised for vested shares, through a special sale and remittance procedure pursuant to which the Optionee shall concurrently provide irrevocable instructions (A) to
a brokerage firm (reasonably satisfactory to the Corporation for purposes of administering such procedure in compliance with any applicable pre-clearance or pre-notification requirements) to effect the immediate sale of the purchased shares and
remit to the Corporation, out of the sale proceeds available on the settlement date, sufficient funds to cover the aggregate exercise price payable for the purchased shares plus all applicable income and employment taxes required to be withheld by
the Corporation by reason of such exercise and (B) to the Corporation to deliver the certificates for the purchased shares directly to such brokerage firm on the settlement date in order to complete the sale. 

Except to the extent such sale and remittance procedure is utilized, payment of the exercise price for the purchased shares must be made on the Exercise
Date. 
 B. Exercise and Term of Options. Each option shall be exercisable at such time or times, during such
period and for such number of shares as shall be determined by the Plan Administrator and set forth in the documents evidencing the option grant. However, no option shall have a term in excess of ten (10) years measured from the option grant
date. 

  
 4 

 C. Effect of Termination of Service. 

1. The following provisions shall govern the exercise of any options held by the Optionee at the time of cessation of Service or death:

 (i) Should the Optionee cease to remain in Service for any reason other than death, Disability or Misconduct,
then the Optionee shall have a period of three (3) months from the date of such cessation of Service during which to exercise each outstanding option held by such Optionee. 

(ii) Should Optionee’s Service terminate by reason of Disability, then the Optionee shall have a period of twelve
(12) months from the date of such cessation of Service during which to exercise each outstanding option held by such Optionee. 
 (iii) If the Optionee dies while holding an outstanding option, then the personal representative of his or her estate or the person or persons to whom the option is transferred pursuant to the
Optionee’s will or the laws of inheritance or the Optionee’s designated beneficiary or beneficiaries of that option shall have a twelve (12)-month period from the date of the Optionee’s death to exercise such option. 

(iv) Under no circumstances, however, shall any such option be exercisable after the specified expiration of the option
term. 
 (v) During the applicable post-Service exercise period, the option may not be exercised in the
aggregate for more than the number of Vested Shares for which the option is exercisable on the date of the Optionee’s cessation of Service. No additional shares shall vest under the option following the Optionee’s cessation of Service,
except to the extent (if any) specifically authorized by the Plan Administrator in its sole discretion pursuant to an express written agreement with Optionee. Upon the expiration of the applicable exercise period or (if earlier) upon the expiration
of the option term, the option shall terminate and cease to be outstanding. 
 (vi) Should Optionee’s
Service be terminated for Misconduct or should Optionee otherwise engage in Misconduct while holding one or more outstanding options under the Plan, then all those options shall terminate immediately and cease to remain outstanding. 

2. The Plan Administrator shall have the discretion, exercisable either at the time an option is granted or at any time while the option
remains outstanding, to: 
 (i) extend the period of time for which the option is to remain exercisable
following Optionee’s cessation of Service or death from the limited period otherwise in effect for that option to such greater period of time as the Plan Administrator shall deem appropriate, but in no event beyond the expiration of the option
term, and/or 

  
 5 

 (ii) permit the option to be exercised, during the applicable post-Service
exercise period, not only with respect to the number of vested shares of Common Stock for which such option is exercisable at the time of the Optionee’s cessation of Service but also with respect to one or more additional installments in which
the Optionee would have vested under the option had the Optionee continued in Service. 
 D. Stockholder Rights.
The holder of an option shall have no stockholder rights with respect to the shares subject to the option until such person shall have exercised the option, paid the exercise price and become the recordholder of the purchased shares. 

E. Unvested Shares. The Plan Administrator shall have the discretion to grant options which are exercisable for unvested
shares of Common Stock. Should the Optionee cease Service while holding such unvested shares, the Corporation shall have the right to repurchase any or all of those unvested shares at a price per share equal to the lower of (i) the exercise
price paid per share or (ii) the Fair Market Value per share of Common Stock at the time of Optionee’s cessation of Service. The terms upon which such repurchase right shall be exercisable (including the period and procedure for exercise
and the appropriate vesting schedule for the purchased shares) shall be established by the Plan Administrator and set forth in the document evidencing such repurchase right. 
 F. First Refusal Rights. Until such time as the Common Stock is first registered under Section 12 of the 1934 Act, the Corporation shall have the right of first refusal with respect to
any proposed disposition by the Optionee (or any successor in interest) of any shares of Common Stock issued under the Plan. Such right of first refusal shall be exercisable in accordance with the terms established by the Plan Administrator and set
forth in the document evidencing such right. 
 G. Limited Transferability of Options. An Incentive Stock Option
shall be exercisable only by the Optionee during his or her lifetime and shall not be assignable or transferable other than by will or by the laws of inheritance following the Optionee’s death. A Non-Statutory Option may be assigned in whole or
in part during the Optionee’s lifetime to one or more of the Optionee’s Family Members or to a trust established exclusively for the Optionee and/or one or more such Family Members, to the extent such assignment is in connection with the
Optionee’s estate plan or pursuant to a domestic relations order. The assigned portion may only be exercised by the person or persons who acquire a proprietary interest in the Non-Statutory Option pursuant to the assignment. The terms
applicable to the assigned portion shall be the same as those in effect for the option immediately prior to such assignment and shall be set forth in such documents issued to the assignee as the Plan Administrator may deem appropriate.
Notwithstanding the foregoing, the Optionee may also designate one or more persons as the beneficiary or beneficiaries of his or her outstanding options under the Plan, and those options shall, in accordance with such designation, automatically be
transferred to such beneficiary or beneficiaries upon the Optionee’s death while holding those options. Such beneficiary or beneficiaries shall take the transferred options subject to all the terms and conditions of the applicable agreement
evidencing each such transferred option, including (without limitation) the limited time period during which the option may be exercised following the Optionee’s death. 

  
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 II. INCENTIVE OPTIONS 

The terms specified below shall be applicable to all Incentive Options. Except as modified by the provisions of this Section II, all the
provisions of Articles One, Two and Four shall be applicable to Incentive Options. Options which are specifically designated as Non-Statutory Options shall not be subject to the terms of this Section II. 

A. Eligibility. Incentive Options may only be granted to Employees. 

B. Exercise Price. If the person to whom the option is granted is a 10% Stockholder, then the exercise price per share shall
not be less than one hundred ten percent (110%) of the Fair Market Value per share of Common Stock on the option grant date. 
 C. Dollar Limitation. The aggregate Fair Market Value of the shares of Common Stock (determined as of the respective date or dates of grant) for which one or more options granted to any
Employee under the Plan (or any other option plan of the Corporation or any Parent or Subsidiary) may for the first time become exercisable as Incentive Options during any one (1) calendar year shall not exceed the sum of One Hundred Thousand
Dollars ($100,000). To the extent the Employee holds two (2) or more such options which become exercisable for the first time in the same calendar year, the foregoing limitation on the exercisability of such options as Incentive Options shall
be applied on the basis of the order in which such options are granted, except to the extent otherwise provided under applicable law or regulation. 
 D. 10% Stockholder. If any Employee to whom an Incentive Option is granted is a 10% Stockholder, then the option term shall not exceed five (5) years measured from the option grant
date. 
 III. CHANGE IN CONTROL 
 A. The shares subject to each option outstanding under the Plan at the time of a Change in Control shall automatically vest in full so that each such option shall, immediately prior to the effective date
of the Change in Control, become exercisable for all of the shares of Common Stock at the time subject to that option and may be exercised for any or all of those shares as fully-vested shares of Common Stock. However, the shares subject to an
outstanding option shall not vest on such an accelerated basis if and to the extent: (i) such option is assumed by the successor corporation (or parent thereof) or otherwise continued in full force and effect pursuant to the terms of the Change
in Control transaction and any repurchase rights of the Corporation with respect to the unvested option shares are concurrently assigned to such successor corporation (or parent thereof) or otherwise continued in effect or (ii) such option is
to be replaced with a cash retention program of the Corporation or any successor corporation which preserves the spread existing on the unvested option shares at the time of the Change in Control (the excess of the Fair Market Value of those shares
over the aggregate exercise price payable for such shares) and provides for subsequent payout of that spread in accordance with the same vesting schedule applicable to those unvested option shares or (iii) the acceleration of such option is
subject to other limitations imposed by the Plan Administrator at the time of the option grant. 

  
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 B. All outstanding repurchase rights shall also terminate automatically, and the shares of
Common Stock subject to those terminated rights shall immediately vest in full, in the event of any Change in Control, except to the extent: (i) those repurchase rights are assigned to the successor corporation (or parent thereof) or otherwise
continued in full force and effect pursuant to the terms of the Change in Control transaction or (ii) such accelerated vesting is precluded by other limitations imposed by the Plan Administrator at the time the repurchase right is issued.

 C. Immediately following the consummation of the Change in Control, all outstanding options shall terminate and cease to be
outstanding, except to the extent assumed by the successor corporation (or parent thereof) or otherwise continued in effect pursuant to the terms of the Change in Control transaction. 

D. Each option which is assumed in connection with a Change in Control or otherwise continued in effect shall be appropriately adjusted,
immediately after such Change in Control, to apply to the number and class of securities which would have been issuable to the Optionee in consummation of such Change in Control, had the option been exercised immediately prior to such Change in
Control. Appropriate adjustments shall also be made to (i) the number and class of securities available for issuance under the Plan following the consummation of such Change in Control and (ii) the exercise price payable per share under
each outstanding option, provided the aggregate exercise price payable for such securities shall remain the same. To the extent the actual holders of the Corporation’s outstanding Common Stock receive cash consideration for their Common Stock
in consummation of the Change in Control, the successor corporation may, in connection with the assumption or continuation of the outstanding options under this Plan, substitute one or more shares of its own common stock with a fair market value
equivalent to the cash consideration paid per share of Common Stock in such Change in Control. 
 E. The Plan Administrator shall
have the discretion, exercisable either at the time the option is granted or at any time while the option remains outstanding, to structure one or more options so that those options shall automatically accelerate and vest in full (and any repurchase
rights of the Corporation with respect to the unvested shares subject to those options shall immediately terminate) upon the occurrence of a Change in Control, whether or not those options are to be assumed in the Change in Control or otherwise
continued in effect. 
 F. The Plan Administrator shall also have full power and authority, exercisable either at the time the
option is granted or at any time while the option remains outstanding, to structure such option so that the shares subject to that option will automatically vest on an accelerated basis should the Optionee’s Service terminate by reason of an
Involuntary Termination within a designated period (not to exceed eighteen (18) months) following the effective date of any Change in Control in which the option is assumed or otherwise continued in effect and the repurchase rights applicable
to those shares do not otherwise terminate. Any option so accelerated shall remain exercisable for the fully-vested option shares until the expiration or sooner termination of the option term. In addition, the Plan Administrator may provide that one
or more of the Corporation’s outstanding repurchase rights with respect to shares held by the Optionee at the time of such Involuntary Termination shall immediately terminate on an accelerated basis, and the shares subject to those terminated
rights shall accordingly vest at that time. 

  
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 G. The portion of any Incentive Option accelerated in connection with a Change in Control
shall remain exercisable as an Incentive Option only to the extent the applicable One Hundred Thousand Dollar ($100,000) limitation is not exceeded. To the extent such dollar limitation is exceeded, the accelerated portion of such option shall be
exercisable as a Non-Statutory Option under the Federal tax laws. 
 H. The grant of options under the Plan shall in no way
affect the right of the Corporation to adjust, reclassify, reorganize or otherwise change its capital or business structure or to merge, consolidate, dissolve, liquidate or sell or transfer all or any part of its business or assets. 

IV. CANCELLATION AND REGRANT OF OPTIONS 
 The Plan Administrator shall have the authority to effect, at any time and from time to time, with the consent of the affected option holders, the cancellation of any or all outstanding options under the
Plan and to grant in substitution therefor new options covering the same or different number of shares of Common Stock but with an exercise price per share based on the Fair Market Value per share of Common Stock on the new option grant date.

  
 9 

 ARTICLE THREE 
 STOCK ISSUANCE PROGRAM 
 I. STOCK ISSUANCE TERMS 

Shares of Common Stock may be issued under the Stock Issuance Program through direct and immediate issuances without any intervening
option grants. Each such stock issuance shall be evidenced by a Stock Issuance Agreement which complies with the terms specified below. Shares of Common Stock may also be issued under the Stock Issuance Program pursuant to share right awards or
restricted stock units which entitle the recipients to receive the shares underlying those awards or units upon the attainment of designated performance goals or the satisfaction of specified Service requirements or upon the expiration of a
designated time period following the vesting of those awards or units. 
 A. Issue Price. 

1. The issue price per share shall be fixed by the Plan Administrator but shall not be less than one hundred percent (100%) of the
Fair Market Value per share of Common Stock on the issue date. 
 2. Subject to the provisions of Section I of Article Four,
shares of Common Stock may be issued under the Stock Issuance Program for any of the following items of consideration which the Plan Administrator may deem appropriate in each individual instance: 

(i) cash or check made payable to the Corporation, 

(ii) past services rendered to the Corporation (or any Parent or Subsidiary), or 

(iii) any other valid consideration under the Delaware General Corporation Law. 

B. Vesting Provisions. 
 1. Shares of Common Stock issued under the Stock Issuance Program may, in the discretion of the Plan Administrator, be fully and immediately vested upon issuance or may vest in one or more installments
over the Participant’s period of Service or upon attainment of specified performance objectives. Shares of Common Stock may also be issued under the Stock Issuance Program pursuant to share right awards or restricted stock units which entitle
the recipients to receive the shares underlying those awards or units upon the attainment of designated performance goals or the satisfaction of specified Service requirements or upon the expiration of a designated time period following the vesting
of those awards or units, including (without limitation) a deferred distribution date following the termination of the Participant’s Service. 

  
 10 

 2. Any new, substituted or additional securities or other property (including money paid
other than as a regular cash dividend) which the Participant may have the right to receive with respect to the Participant’s unvested shares of Common Stock by reason of any stock dividend, stock split, spin-off transaction, extraordinary
distribution (whether in cash, securities or other property), recapitalization, combination of shares, exchange of shares or other similar change affecting the outstanding Common Stock as a class without the Corporation’s receipt of
consideration shall be issued subject to (i) the same vesting requirements applicable to the Participant’s unvested shares of Common Stock and (ii) such escrow arrangements as the Plan Administrator shall deem appropriate. 

3. The Participant shall have full stockholder rights with respect to any shares of Common Stock issued to the Participant under the
Stock Issuance Program, whether or not the Participant’s interest in those shares is vested. Accordingly, the Participant shall have the right to vote such shares and to receive any regular cash dividends paid on such shares. The Participant
shall not have any stockholder rights with respect to the share of Common Stock subject to a restricted stock unit or share right award until that award vests and the shares of Common Stock are actually issued thereunder. However,
dividend-equivalent units may be paid or credited, either in cash or in actual or phantom shares of Common Stock, on outstanding restricted stock unit or share right awards, subject to such terms and conditions as the Plan Administrator may deem
appropriate. 
 4. Should the Participant cease to remain in Service while holding one or more unvested shares of Common Stock
issued under the Stock Issuance Program or should the performance objectives not be attained with respect to one or more such unvested shares of Common Stock, then those shares shall be immediately surrendered to the Corporation for cancellation,
and the Participant shall have no further stockholder rights with respect to those shares. To the extent the surrendered shares were previously issued to the Participant for consideration paid in cash or cash equivalent (including the
Participant’s purchase-money indebtedness), the Corporation shall repay to the Participant the lower of (i) the cash consideration paid for the surrendered shares or (ii) the Fair Market Value of those shares at the time of
Participant’s cessation of Service and shall cancel the unpaid principal balance of any outstanding purchase-money note of the Participant attributable to such surrendered shares by the applicable clause (i) or (ii) amount.

 5. The Plan Administrator may in its discretion waive the surrender and cancellation of one or more unvested shares of Common
Stock (or other assets attributable thereto) which would otherwise occur upon the non-completion of the vesting schedule applicable to those shares. Such waiver shall result in the immediate vesting of the Participant’s interest in the shares
of Common Stock as to which the waiver applies. Such waiver may be effected at any time, whether before or after the Participant’s cessation of Service or the attainment or non-attainment of the applicable performance objectives. 

6. Outstanding share right awards or restricted stock units under the Stock Issuance Program shall automatically terminate, and no shares
of Common Stock shall actually be issued in satisfaction of those awards or units, if the performance goals or Service requirements established for such awards or units are not attained or satisfied. The Plan Administrator, however, shall have the
discretionary authority to issue vested shares of Common Stock under one or more outstanding share right awards or restricted stock units as to which the designated performance goals or Service requirements have not been attained or satisfied.

  
 11 

 C. First Refusal Rights. Until such time as the Common Stock is first
registered under Section 12 of the 1934 Act, the Corporation shall have the right of first refusal with respect to any proposed disposition by the Participant (or any successor in interest) of any shares of Common Stock issued under the Stock
Issuance Program. Such right of first refusal shall be exercisable in accordance with the terms established by the Plan Administrator and set forth in the document evidencing such right. 

II. CHANGE IN CONTROL 
 A. Upon the occurrence of a Change in Control, all outstanding repurchase rights under the Stock Issuance Program shall terminate automatically, and the shares of Common Stock subject to those terminated
rights shall immediately vest in full, except to the extent: (i) those repurchase rights are assigned to the successor corporation (or parent thereof) or otherwise continued in full force and effect pursuant to the terms of the Change in
Control transaction or (ii) such accelerated vesting is precluded by other limitations imposed by the Plan Administrator at the time the repurchase right is issued. 
 B. Each restricted stock unit or share right award outstanding at the time of a Change in Control shall be assumable by the successor corporation (or parent thereof) or may otherwise be continued in
effect pursuant to the terms of such Change in Control Transaction. Each restricted stock unit or share right award which is so assumed or otherwise continued in effect shall be adjusted immediately after the consummation of that Change in Control
so as to apply to the number and class of securities into which the shares of Common Stock subject to the award immediately prior to the Change in Control would have been converted in consummation of such Change in Control had those shares actually
been outstanding at that time. Appropriate adjustments shall also be made to the cash consideration (if any) price payable per share under each outstanding restricted stock unit or share right award, provided the aggregate cash consideration payable
for such securities shall remain the same. To the extent the actual holders of the Corporation’s outstanding Common Stock receive cash consideration for their Common Stock in consummation of the Change in Control, the successor corporation may,
in connection with the assumption or continuation of the outstanding restricted stock units or share right awards, substitute one or more shares of its own common stock with a fair market value equivalent to the cash consideration paid per share of
Common Stock in such Change in Control transaction. If any such restricted stock unit or share right award is not so assumed or otherwise continued in effect, or if such unit or award is not replaced with a cash retention award which preserves the
Fair Market Value of the Common Stock underlying that unit or award at the time of the Change in Control and provides for subsequent payout of that dollar amount in accordance with the vesting schedule in effect for such unit or award at the time of
the Change in Control, then such unit or award shall vest, and the shares of Common Stock subject to such unit or award shall become issuable, immediately prior to the consummation of the Change in Control. 

C. The Plan Administrator shall have the discretionary authority to structure one or more unvested stock issuances or one or more
restricted stock unit or other share right awards under the Stock Issuance Program so that the shares of Common Stock subject to those 

  
 12 

 
issuances or awards shall automatically vest (or vest and become issuable) in whole or in part immediately upon the occurrence of a Change in Control or upon the subsequent termination of the
Participant’s Service by reason of an Involuntary Termination within a designated period (not to exceed eighteen (18) months) following the effective date of that Change in Control transaction. 

III. SHARE ESCROW/LEGENDS 

Unvested shares may, in the Plan Administrator’s discretion, be held in escrow by the Corporation until the Participant’s interest in such
shares vests or may be issued directly to the Participant with restrictive legends on the certificates evidencing those unvested shares. 

  
 13 

 ARTICLE FOUR 
 MISCELLANEOUS 
 I. FINANCING 

The Plan Administrator may permit any Optionee or Participant to pay the option exercise price under the Option Grant Program or the
purchase price for shares issued under the Stock Issuance Program by delivering a full-recourse promissory note payable in one or more installments which bears interest at a market rate and is secured by the purchased shares. In no event, however,
may the maximum credit available to the Optionee or Participant exceed the sum of (i) the aggregate option exercise price or purchase price payable for the purchased shares plus (ii) any applicable income and employment tax liability
incurred by the Optionee or the Participant in connection with the option exercise or share purchase. 
 II. EFFECTIVE DATE
AND TERM OF PLAN 
 A. The Plan shall become effective when adopted by the Board, but no option granted under the Plan may be
exercised, and no shares shall be issued under the Plan, until the Plan is approved by the Corporation’s stockholders. If such stockholder approval is not obtained within twelve (12) months after the date of the Board’s adoption of
the Plan, then all options previously granted under the Plan shall terminate and cease to be outstanding, and no further options shall be granted and no shares shall be issued under the Plan. Subject to such limitation, the Plan Administrator may
grant options and issue shares under the Plan at any time after the effective date of the Plan and before the date fixed herein for termination of the Plan. 
 B. The Plan shall terminate upon the earliest of (i) the expiration of the ten (10)-year period measured from the date the Plan is adopted by the Board, (ii) the date on which all shares
available for issuance under the Plan shall have been issued as vested shares or (iii) the termination of all outstanding options in connection with a Change in Control. All options and unvested stock issuances outstanding at the time of a
clause (i) termination event shall continue to have full force and effect in accordance with the provisions of the documents evidencing those options or issuances. 
 III. AMENDMENT OF THE PLAN 
 A. The Board shall have complete and exclusive
power and authority to amend or modify the Plan in any or all respects. However, no such amendment or modification shall adversely affect the rights and obligations with respect to options or unvested stock issuances at the time outstanding under
the Plan unless the Optionee or the Participant consents to such amendment or modification. In addition, certain amendments may require stockholder approval pursuant to applicable laws and regulations. 

B. Options may be granted under the Option Grant Program and shares may be issued under the Stock Issuance Program which are in each
instance in excess of the number of shares of Common Stock then available for issuance under the Plan, provided any excess shares actually issued under those programs shall be held in escrow until there is obtained

  
 14 

 
stockholder approval of an amendment sufficiently increasing the number of shares of Common Stock available for issuance under the Plan. If such stockholder approval is not obtained within twelve
(12) months after the date the first such excess grants or issuances are made, then (i) any unexercised options granted on the basis of such excess shares shall terminate and cease to be outstanding and (ii) the Corporation shall
promptly refund to the Optionees and the Participants the exercise or purchase price paid for any excess shares issued under the Plan and held in escrow, together with interest (at the applicable Short Term Federal Rate) for the period the shares
were held in escrow, and such shares shall thereupon be automatically cancelled and cease to be outstanding. 
 IV. USE OF
PROCEEDS 
 Any cash proceeds received by the Corporation from the sale of shares of Common Stock under the Plan shall be
used for general corporate purposes. 
 V. WITHHOLDING 

The Corporation’s obligation to deliver shares of Common Stock upon the exercise of any options granted under the Plan or upon the
issuance or vesting of any shares issued under the Plan shall be subject to the satisfaction of all applicable income and employment tax withholding requirements. 
 VI. REGULATORY APPROVALS 
 The implementation of the Plan, the granting of
any options under the Plan and the issuance of any shares of Common Stock (i) upon the exercise of any option or (ii) under the Stock Issuance Program shall be subject to the Corporation’s procurement of all approvals and permits
required by regulatory authorities having jurisdiction over the Plan, the options granted under it and the shares of Common Stock issued pursuant to it. 
 VII. NO EMPLOYMENT OR SERVICE RIGHTS 
 Nothing in the Plan shall confer upon
the Optionee or the Participant any right to continue in Service for any period of specific duration or interfere with or otherwise restrict in any way the rights of the Corporation (or any Parent or Subsidiary employing or retaining such person) or
of the Optionee or the Participant, which rights are hereby expressly reserved by each, to terminate such person’s Service at any time for any reason, with or without cause. 

VIII. LIMITATION ON CALIFORNIA AWARDS 
 A. Scope of Limitation. This Section VIII will apply to an option grant or stock issuances or other stock-based award only if such grant, or stock issuances or award is made to an Optionee
or Participant who resides in the State of California. 
 B. Ten Percent Stockholders. A person who owns more than
10% of the total combined voting power of all classes of outstanding capital stock of the Corporation, its Parent or any of its Subsidiaries, and to whom this Section VIII applies, will not be eligible for an option grant, issuance and award under
the Plan unless the exercise price or purchase price of the grant, issuance or other award is at least 110% of the Fair Market Value of a share of Common Stock on the date of grant, issuance or award. 

  
 15 

 C. Minimum Vesting of Awards. In the case of an Optionee or Participant to
whom this Section VIII applies who is not an officer, director or independent advisor of the Corporation, an option, stock issuance or other stock-based award (to the extent applicable) will become vested and exercisable at least as rapidly as
20% per year over the five-year period commencing on the date of grant, issuance or award. In addition, any right to repurchase a Participant’s Common Stock under an option, issuance or other award at the original exercise price or
purchase price (if any) upon termination of the Optionee’s or Participant’s service will (a) lapse at least as rapidly as 20% per year over the five-year period commencing on the date of grant of the option, issuance or other
award, (b) be exercised only for cash or for cancellation of indebtedness incurred in purchasing the Common Stock and (c) be exercised only within 90 days after the termination of the Optionee’s or Participant’s service.

 D. Financial Reports. The Corporation each year will furnish to Optionees and Participants subject to this
Section VIII who have received an option grant, stock issuance or other stock-based award under the Plan its balance sheet and income statement, unless such Optionees and Participants are key Employees whose duties with the Corporation assure them
access to equivalent information. 

  
 16 

 APPENDIX 
 The following definitions shall be in effect under the Plan: 
 A.
Board shall mean the Corporation’s Board of Directors. 
 B. Change in Control shall mean a
change in ownership or control of the Corporation effected through any of the following transactions: 
 (i) a
merger, consolidation or other reorganization approved by the Corporation’s stockholders, unless securities representing more than fifty percent (50%) of the total combined voting power of the voting securities of the successor corporation
are immediately thereafter beneficially owned, directly or indirectly and in substantially the same proportion, by the persons who beneficially owned the Corporation’s outstanding voting securities immediately prior to such transaction, or

 (ii) a stockholder-approved sale, transfer or other disposition of all or substantially all of the
Corporation’s assets in liquidation or dissolution of the Corporation, or 
 (iii) the acquisition, directly
or indirectly by any person or related group of persons (other than the Corporation or a person that directly or indirectly controls, is controlled by, or is under common control with, the Corporation), of beneficial ownership (within the meaning of
Rule 13d-3 of the 1934 Act) of securities possessing more than fifty percent (50%) of the total combined voting power of the Corporation’s outstanding securities pursuant to a tender or exchange offer made directly to the
Corporation’s stockholders. 
 In no event shall any public offering of the Corporation’s securities be deemed to constitute a Change
in Control. 
 C. Code shall mean the Internal Revenue Code of 1986, as amended. 

D. Committee shall mean a committee of one (1) or more Board members appointed by the Board to exercise one or more
administrative functions under the Plan. 
 E. Common Stock shall mean the Corporation’s common stock.

 F. Corporation shall mean LDR Holding Corporation, a Delaware corporation, and any successor corporation to all
or substantially all of the assets or voting stock of LDR Holding Corporation which shall by appropriate action adopt the Plan. 

G. Disability shall mean the inability of the Optionee or the Participant to engage in any substantial gainful activity by
reason of any medically determinable physical or mental impairment and shall be determined by the Plan Administrator on the basis of such medical evidence as the Plan Administrator deems warranted under the circumstances. 

  
 A-1

 H. Employee shall mean an individual who is in the employ of the Corporation
(or any Parent or Subsidiary), subject to the control and direction of the employer entity as to both the work to be performed and the manner and method of performance. 
 I. Exercise Date shall mean the date on which the Corporation shall have received written notice of the option exercise. 

J. Fair Market Value per share of Common Stock on any relevant date shall be determined in accordance with the following
provisions: 
 (i) If the Common Stock is at the time traded on the Nasdaq National Market, then the Fair Market
Value shall be the closing selling price per share of Common Stock on the date in question, as such price is reported by the National Association of Securities Dealers on the Nasdaq National Market and published in The Wall Street Journal. If
there is no closing selling price for the Common Stock on the date in question, then the Fair Market Value shall be the closing selling price on the last preceding date for which such quotation exists. 

(ii) If the Common Stock is at the time listed on any Stock Exchange, then the Fair Market Value shall be the closing
selling price per share of Common Stock on the date in question on the Stock Exchange determined by the Plan Administrator to be the primary market for the Common Stock, as such price is officially quoted in the composite tape of transactions on
such exchange and published in The Wall Street Journal. If there is no closing selling price for the Common Stock on the date in question, then the Fair Market Value shall be the closing selling price on the last preceding date for which such
quotation exists. 
 (iii) If the Common Stock is at the time neither listed on any Stock Exchange nor traded on
the Nasdaq National Market, then the Fair Market Value shall be determined by the Plan Administrator after taking into account such factors as the Plan Administrator shall deem appropriate. 

K. Family Member means, with respect to a particular Optionee or Participant, any child, stepchild, grandchild, parent,
stepparent, grandparent, spouse, former spouse, sibling, niece, nephew, mother-in-law, father-in-law, son-in-law, daughter-in-law, brother-in-law or sister-in-law. 
 L. Incentive Option shall mean an option which satisfies the requirements of Code Section 422. 
 M. Involuntary Termination shall mean the termination of the Service of any individual which occurs by reason of: 

(i) such individual’s involuntary dismissal or discharge by the Corporation for reasons other than Misconduct, or

  
 A-2

 (ii) such individual’s voluntary resignation following (A) a
change in his or her position with the Corporation which materially reduces his or her duties and responsibilities or the level of management to which he or she reports, (B) a reduction in his or her level of compensation (including base
salary, fringe benefits and target bonus under any corporate-performance based bonus or incentive programs) by more than fifteen percent (15%) or (C) a relocation of such individual’s place of employment by more than fifty
(50) miles, provided and only if such change, reduction or relocation is effected without the individual’s consent. 

N. Misconduct shall mean the commission of any act of fraud, embezzlement or dishonesty by the Optionee or Participant, any
unauthorized use or disclosure by such person of confidential information or trade secrets of the Corporation (or any Parent or Subsidiary), or any other intentional misconduct by such person adversely affecting the business or affairs of the
Corporation (or any Parent or Subsidiary) in a material manner. The foregoing definition shall not in any way preclude or restrict the right of the Corporation (or any Parent or Subsidiary) to discharge or dismiss any Optionee, Participant or other
person in the Service of the Corporation (or any Parent or Subsidiary) for any other acts or omissions, but such other acts or omissions shall not be deemed, for purposes of the Plan, to constitute grounds for termination for Misconduct. 

O. 1934 Act shall mean the Securities Exchange Act of 1934, as amended. 

P. Non-Statutory Option shall mean an option not intended to satisfy the requirements of Code Section 422. 

Q. Option Grant Program shall mean the option grant program in effect under the Plan. 

R. Optionee shall mean any person to whom an option is granted under the Plan. 

S. Parent shall mean any corporation (other than the Corporation) in an unbroken chain of corporations ending with the
Corporation, provided each corporation in the unbroken chain (other than the Corporation) owns, at the time of the determination, stock possessing fifty percent (50%) or more of the total combined voting power of all classes of stock in one of
the other corporations in such chain. 
 T. Participant shall mean any person who is issued shares of Common Stock
under the Stock Issuance Program or to whom restricted stock units or share rights are awarded under such program. 
 U.
Plan shall mean the Corporation’s 2007 Stock Option/Stock Issuance Plan, as set forth in this document. 
 V.
Plan Administrator shall mean either the Board or the Committee acting in its capacity as administrator of the Plan. 
 W. Service shall mean the performance of services for the Corporation (or any Parent or Subsidiary, whether now existing or subsequently established) by a person in the capacity of an
Employee, a non-employee member of the board of directors or a consultant or 

  
 A-3

 
independent advisor, except to the extent otherwise specifically provided in the documents evidencing the option grant or stock issuance. For purposes of the Plan, an Optionee or Participant
shall be deemed to cease Service immediately upon the occurrence of the either of the following events: (i) Optionee or Participant no longer performs services in any of the foregoing capacities for the Corporation or any Parent or Subsidiary
or (ii) the entity for which Optionee or Participant is performing such services ceases to remain a Parent or Subsidiary of the Corporation, even though the Optionee or Participant may subsequently continue to perform services for that entity.
Service shall not be deemed to cease during a period of military leave, sick leave or other personal leave approved by the Corporation; provided, however, that for a leave which exceeds three (3) months, Service shall be deemed, for
purposes of determining the period within which any outstanding option held by the Optionee in question may be exercised as an Incentive Option, to cease on the first day immediately following the expiration of such three (3)-month period, unless
that Optionee is provided with the right to return to Service following such leave either by statute or by written contract. Except to the extent otherwise required by law or expressly authorized by the Plan Administrator or by the
Corporation’s written policy on leaves of absence, no Service credit shall be given for vesting purposes for any period the Optionee or Participant is on a leave of absence. 

X. Stock Exchange shall mean either the American Stock Exchange or the New York Stock Exchange. 

Y. Stock Issuance Agreement shall mean the agreement entered into by the Corporation and the Participant at the time of
issuance of shares of Common Stock under the Stock Issuance Program. 
 Z. Stock Issuance Program shall mean the
stock issuance program in effect under the Plan. 
 AA. Subsidiary shall mean any corporation (other than the
Corporation) in an unbroken chain of corporations beginning with the Corporation, provided each corporation (other than the last corporation) in the unbroken chain owns, at the time of the determination, stock possessing fifty percent (50%) or
more of the total combined voting power of all classes of stock in one of the other corporations in such chain. 
 BB. 10%
Stockholder shall mean the owner of stock (as determined under Code Section 424(d)) possessing more than ten percent (10%) of the total combined voting power of all classes of stock of the Corporation (or any Parent or Subsidiary).

  
 A-4

 Exhibit 10.2 
 AMENDMENT NO. 1 
 TO LDR HOLDING CORPORATION 

2007 STOCK OPTION/STOCK ISSUANCE PLAN 
 This Amendment No. 1 (the “Amendment”) to 2007 LDR Holding Corporation Stock Option/Stock Issuance Plan (the “Plan”) is
effective as of February 10, 2009. 
 WHEREAS, LDR Holding Corporation, a Delaware corporation (the
“Corporation”) adopted the Plan on September 11, 2007; 
 WHEREAS, Section
III.A. of Article Four of the Plan provides that the Corporation’s Board of Directors (the “Board”) shall have complete and exclusive power and authority to amend or modify the Plan in any or all respects;
and 
 WHEREAS, the Board approved an amendment to the Plan effective as of February 10, 2009, that increased the
maximum number of shares of common stock of the Corporation issuable under the Plan from 2,632,324 to 2,832,324. 
 NOW,
THEREFORE, the Plan is hereby amended as follows: 
  

	 	1.	Amendment to Section V.A. of Article One of the Plan. The second sentence of Section V.A. of Article One of the Plan is hereby amended and restated
in its entirety to read as follows: 

 “The maximum number of shares of Common Stock which may be issued over
the term of the Plan shall not exceed 2,832,324 shares.” 
 IN WITNESS WHEREOF, the undersigned officer hereby
certifies that the foregoing amendment to the Plan was duly adopted and approved by the Board of Directors of the Corporation effective as of February 10, 2009. 

 

	
	
	  
	Christophe Lavigne
	President and Chief Executive Officer

 AMENDMENT NO. 2 

TO LDR HOLDING CORPORATION 
 2007 STOCK OPTION/STOCK ISSUANCE PLAN 
 This Amendment No. 2 (the
“Amendment”) to 2007 LDR Holding Corporation Stock Option/Stock Issuance Plan (the “Plan”) is effective as of July 16, 2009. 

WHEREAS, LDR Holding Corporation, a Delaware corporation (the “Corporation”) adopted the Plan on
September 11, 2007; 
 WHEREAS, Section III.A. of Article Four of the Plan provides that the Corporation’s
Board of Directors (the “Board”) shall have complete and exclusive power and authority to amend or modify the Plan in any or all respects; 

WHEREAS, the Board approved an amendment to the Plan effective as of July 16, 2009, that increased the maximum number of
shares of common stock of the Corporation issuable under the Plan from 2,832,324 to an amount equal to the lesser of (i) 2,890,431, increased by the number of shares of Common Stock underlying stock options issued under the LDR Spine USA, Inc.
2004 Stock Option/Stock Issuance Plan that are cancelled after July 16, 2009, or (ii) 4,028,212; and 

WHEREAS, the stockholders of the Company approved and adopted such amendment to the Plan on November 20, 2009. 

NOW, THEREFORE, the Plan is hereby amended as follows: 

 

	 	1.	Amendment to Section V.A. of Article One of the Plan. The second sentence of Section V.A. of Article One of the Plan is hereby amended and restated
in its entirety to read as follows: 

 “The maximum number of shares of Common Stock which may be issued over
the term of the Plan shall not exceed an amount equal to the lesser of (i) 2,890,431, increased by the number of shares of Common Stock underlying stock options issued under the LDR Spine USA, Inc. 2004 Stock Option/Stock Issuance Plan that are
cancelled after July 16, 2009, or (ii) 4,028,212.” 
 IN WITNESS WHEREOF, the undersigned officer hereby
certifies that the foregoing amendment to the Plan was duly adopted and approved by the Board effective as of July 16, 2009 and approved and adopted by the stockholders of the Corporation on November 20, 2009. 

 

	
	
	/s/ Christophe Lavigne
	Christophe Lavigne
	President and Chief Executive Officer

 AMENDMENT No. 3 

TO 
 2007
STOCK OPTION/STOCK ISSUANCE PLAN 
 The 2007 Stock Option/Stock Issuance Plan of LDR Holding Corporation (the
“Plan”) is hereby amended, effective as of November 19, 2010, as follows: 
  

	1.	The last sentence of Section V.A. of Article One of the Plan is hereby amended to be read in its entirety as follows: 

“The maximum number of shares of Common Stock which may be issued over the term of the Plan shall not exceed an amount equal to the
lesser of (i) 4,390,431, increased by the number of shares of Common Stock underlying stock options issued under the LDR Spine USA, Inc. 2004 Stock Option/Stock Issuance Plan that are cancelled after July 16, 2009, or
(ii) 5,528,212.” 
  

	2.	Except as modified by this Amendment, all the terms and provisions of the Plan shall continue in full force and effect. 

IN WITNESS WHEREOF, LDR Holding Corporation has caused this Amendment to be executed on its behalf by its duly authorized officer
effective as of the date first set forth above. 
  

			
	LDR HOLDING CORPORATION
		
	By:	 	 
	Name:	 	 
	Title:	 	 

 AMENDMENT No. 4 

TO 
 2007
STOCK OPTION/STOCK ISSUANCE PLAN 
 The 2007 Stock Option/Stock Issuance Plan of LDR Holding Corporation (the
“Plan”) is hereby amended, effective as of April 25, 2012, as follows: 
  

	1.	The last sentence of Section V.A. of Article One of the Plan is hereby amended to be read in its entirety as follows: 

The maximum number of shares of Common Stock which may be issued over the term of the Plan shall not exceed 10,524,562 shares.”; and
further 
  

	2.	Except as modified by this Amendment, all the terms and provisions of the Plan shall continue in full force and effect. 

 IN WITNESS WHEREOF, LDR Holding Corporation has caused this Amendment to be executed
on its behalf by its duly authorized officer effective as of the date first set forth above. 
  

			
	LDR HOLDING CORPORATION
		
	By:	 	/s/ Christophe Lavigne
	Name:	 	Christophe Lavigne
	Title:	 	President/CEO

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