Document:

Amended and Restated Pledge Agreement

 Exhibit 10.23(d) 
 AMENDED AND RESTATED PLEDGE AGREEMENT 
 This AMENDED AND RESTATED PLEDGE AGREEMENT, dated as
of April 30, 2008 (together with all amendments, if any, from time to time hereto, this “Pledge Agreement”) by and among Salient Surgical Technologies, Inc. (“Borrower”), Salient, Inc.
(“Holdings”) (Borrower and Holdings are collectively the “Pledgors” and each a “Pledgor”) and GENERAL ELECTRIC CAPITAL CORPORATION, a Delaware corporation (“GECC”), in its
capacity as Agent for the Lenders (together with any successors, endorsees and assigns, “Agent”). 
 W I
T N E S S E T H: 
 WHEREAS, pursuant to that certain Amended and Restated Loan and
Security Agreement dated as of the date hereof by and among Borrower, the other Pledgors, the other Loan Parties signatory thereto from time to time, Agent and the Lenders signatory thereto from time to time (including all annexes, exhibits and
schedules thereto, as from time to time amended, restated, supplemented or otherwise modified, the “Loan Agreement”), the Lenders have agreed to establish certain financing arrangements for and make loans and extensions of credit to
Borrower on the terms and conditions set forth in the Loan Agreement; 
 WHEREAS, Borrower, GECC, as agent and lender, and the other partners
signatory thereto, are parties to that certain Loan and Security Agreement, dated as of March 31, 2008 (including all annexes, exhibits and schedules thereto and as amended, supplemented or otherwise modified from time to time prior to the date
hereof, the “Existing Loan Agreement”), pursuant to which the lender thereunder has agreed to make loans and extend credit from time to time to the Borrower under the terms and conditions thereof, which loans and extensions of
credit are guaranteed by Guarantor; and 
 WHEREAS, in order to induce the agent and the lender thereunder to enter into the Existing Loan
Agreement and to induce the lender thereunder to make the loans as provided for in the Existing Loan Agreement, the Borrower and Holdings are party to that certain Pledge Agreement, dated as of March 31, 2008 (including all annexes, exhibits
and schedules thereto and as amended, supplemented or otherwise modified from time to time prior to the date hereof, the “Existing Pledge Agreement”), pursuant to which the grantors thereunder agreed to grant a continuing lien on
certain pledged collateral to secure the obligations of the Borrower under the Existing Loan Agreement; and 
 WHEREAS, in order to induce
Agent and the Lenders to enter into the Loan Agreement and other Debt Documents and to induce the Lenders to make the Loans and to incur Letter of Credit Obligations as provided for in the Loan Agreement, each Pledgor has agreed to pledge the
Pledged Collateral to Agent, on behalf of itself and the Lenders, in accordance herewith; and 
 WHEREAS, it is the intent of the parties
hereto that this Agreement not constitute a novation of the liabilities and obligations existing under the Existing Pledge Agreement and that this Agreement amend and restate in its entirety the Existing Pledge Agreement and restate the agreement;

 NOW, THEREFORE, in consideration of the premises and mutual covenants herein contained and for other good and valuable consideration, the
receipt and sufficiency of which are hereby acknowledged, the parties hereto agree as follows: 
 1. Definitions. Unless otherwise
defined herein, terms defined in the Loan Agreement are used herein as therein defined, and the following shall have (unless otherwise provided elsewhere in this Pledge Agreement) the following respective meanings (such meanings being equally
applicable to both the singular and plural form of the terms defined). 
  

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 “Bankruptcy Code” means title 11, United States Code, as amended from time to time, and
any successor statute thereto. 
 “Pledged Collateral” has the meaning assigned to such term in Section 2
hereof. 
 “Pledged Entity” means an issuer of Pledged Shares or Pledged Indebtedness. 
 “Pledged Indebtedness” means the Indebtedness evidenced by promissory notes and instruments listed on Schedule I hereto.

 “Pledged Shares” means those shares listed on Schedule I. 
 “Secured Obligations” has the meaning assigned to such term in Section 3 hereof. 
 “Stock” means all shares, options, warrants, general or limited partnership interests, membership interests, equity interests or similar
rights and all rights to acquire the same in any entity. 
 2. Pledge. Each Pledgor hereby pledges to Agent, on behalf of itself and
the Lenders, and grants to Agent, on behalf of itself and the Lenders, a first priority security interest in all of the following of such Pledgor (collectively, the “Pledged Collateral”): 
 (a) the Pledged Shares and the certificates representing the Pledged Shares, and all dividends, distributions, cash, instruments and other
property or proceeds from time to time received, receivable or otherwise distributed in respect of or in exchange for any or all of the Pledged Shares; and 
 (b) such portion, as determined by Agent as provided in Section 7(d) below, of any additional shares of Stock of a Pledged Entity from time to time acquired by Pledgor in any manner (which shares shall be deemed
to be part of the Pledged Shares), and the certificates representing such additional shares, and all dividends, distributions, cash, instruments and other property or proceeds from time to time received, receivable or otherwise distributed in
respect of or in exchange for any or all of such Stock; and 
 (c) the Pledged Indebtedness and the promissory notes or
instruments evidencing the Pledged Indebtedness, and all interest, cash, instruments and other property and assets from time to time received, receivable or otherwise distributed in respect of the Pledged Indebtedness; and 
 (d) all additional Indebtedness arising after the date hereof and owing to Pledgor and evidenced by promissory notes or other instruments,
together with such promissory notes and instruments, and all interest, cash, instruments and other property and assets from time to time received, receivable or otherwise distributed in respect of that Pledged Indebtedness. 
 3. Security for Obligations. This Pledge Agreement secures, and the Pledged Collateral is security for, the prompt payment in full when due,
whether at stated maturity, by acceleration or otherwise, and performance of all Obligations of any kind of each Pledgor under or in connection with the Loan Agreement, the Guaranty and the other Debt Documents and all Obligations of each Pledgor
now or hereafter existing under this Pledge Agreement including, without limitation, all fees, costs and expenses whether in connection with collection actions hereunder or otherwise (collectively, the “Secured Obligations”).

  

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 4. Delivery of Pledged Collateral. All certificates and all promissory notes and instruments
evidencing the Pledged Collateral shall be delivered to and held by or on behalf of Agent, pursuant hereto. All Pledged Shares shall be accompanied by duly executed instruments of transfer or assignment in blank, all in form and substance reasonably
satisfactory to Agent and all promissory notes or other instruments evidencing the Pledged Indebtedness shall be endorsed by the applicable Pledgor. 
 5. Representations and Warranties. Each Pledgor represents and warrants to Agent that: 
 (a) Such Pledgor is, and at the time of delivery of the Pledged Shares to Agent will be, the sole holder of record and the sole beneficial owner of such Pledged Collateral pledged by such Pledgor free and clear of any lien, security
interest or encumbrance (each a “Lien”) thereon or affecting the title thereto, except for any Lien created by this Pledge Agreement; such Pledgor is and at the time of delivery of the Pledged Indebtedness to Agent will be, the sole
owner of such Pledged Collateral free and clear of any Lien thereon or affecting title thereto, except for any Lien created by this Pledge Agreement; 
 (b) All of the Pledged Shares have been duly authorized, validly issued and are fully paid and non-assessable; the Pledged Indebtedness has been duly authorized, authenticated or issued and delivered by, and is the
legal, valid and binding obligations of, the Pledged Entities, and no such Pledged Entity is in default thereunder; 
 (c)
Such Pledgor has the right and requisite authority to pledge, assign, transfer, deliver, deposit and set over the Pledged Collateral pledged by such Pledgor to Agent, on behalf of itself and the Lenders, as provided herein; 
 (d) None of the Pledged Shares or Pledged Indebtedness has been issued or transferred in violation of the securities registration,
securities disclosure or similar laws of any jurisdiction to which such issuance or transfer may be subject; 
 (e) All of the
Pledged Shares are presently owned by such Pledgor, and are presently represented by the certificates listed on Schedule I hereto. As of the date hereof, there are no existing options, warrants, calls or commitments of any character
whatsoever relating to the Pledged Shares; 
 (f) No consent, approval, authorization or other order or other action by, and
no notice to or filing with, any governmental authority or any other person or entity is required (i) for the pledge by such Pledgor of the Pledged Collateral pursuant to this Pledge Agreement or for the execution, delivery or performance of
this Pledge Agreement by such Pledgor, or (ii) for the exercise by Agent of the voting or other rights provided for in this Pledge Agreement or the remedies in respect of the Pledged Collateral pursuant to this Pledge Agreement, except as may
be required in connection with such disposition by laws affecting the offering and sale of securities generally; 
 (g) The
pledge, assignment and delivery of the Pledged Collateral pursuant to this Pledge Agreement will create a valid first priority Lien on and a first priority perfected security interest in favor of Agent, on behalf of itself and the Lenders, in the
Pledged Collateral and the proceeds thereof, securing the payment of the Secured Obligations, subject to no other Lien; 
  

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 (h) This Pledge Agreement has been duly authorized, executed and delivered by Pledgor and
constitutes a legal, valid and binding obligation of Pledgor enforceable against Pledgor in accordance with its term (subject to bankruptcy, insolvency, moratoriums, reorganization and other laws of general application affecting secured lenders and
general principles of equity); 
 (i) The Pledged Shares constitute the percentage of the issued and outstanding shares of
Stock of each Pledged Entity as set forth in Schedule I; and 
 (j) None of the Pledged Indebtedness is subordinated in right
of payment to other Indebtedness (except for the Secured Obligations) or subject to the terms of an indenture. 
 The representations and
warranties set forth in this Section 6 shall survive the execution and delivery of this Pledge Agreement. 
 6. Covenants. Each
Pledgor covenants and agrees that until the Commitment Termination Date: 
 (a) Without the prior written consent of Agent,
such Pledgor will not sell, assign, transfer, pledge, or otherwise encumber any of its rights in or to the Pledged Collateral, or any unpaid dividends, interest or other distributions or payments with respect to the Pledged Collateral or grant a
Lien in the Pledged Collateral, unless otherwise expressly permitted by the Loan Agreement; 
 (b) Such Pledgor will, at its
expense, promptly execute, acknowledge and deliver all such instruments and take all such actions as Agent from time to time may reasonably request in order to ensure to Agent the benefits of the Liens in and to the Pledged Collateral intended to be
created by this Pledge Agreement, including the filing of any necessary Uniform Commercial Code financing statements, which may be filed by Agent with or (to the extent permitted by law) without the signature of such Pledgor, and will cooperate with
Agent, at such Pledgor’s expense, in obtaining all necessary approvals and making all necessary filings under federal, state, local or foreign law in connection with such Liens or any sale or transfer of the Pledged Collateral; 
 (c) Such Pledgor has and will defend the title to the Pledged Collateral and the Liens of Agent in the Pledged Collateral against the
claim of any person or entity and will maintain and preserve such Liens; and 
 (d) Pledgor will, upon obtaining ownership of
any additional Stock or promissory notes or instruments of a Pledged Entity or Stock or promissory notes or instruments otherwise required to be pledged to Agent pursuant to any of the Debt Documents, which Stock, notes or instruments are not
already Pledged Collateral, promptly (and in any event within three (3) Business Days) deliver to Agent a Pledge Amendment, duly executed by Pledgor, in substantially the form of Exhibit A hereto (a “Pledge Amendment”)
in respect of any such additional Stock, notes or instruments, pursuant to which Pledgor shall pledge to Agent all of such additional Stock, notes and instruments. Pledgor hereby authorizes Agent to attach each Pledge Amendment to this Pledge
Agreement and agrees that all Pledged Shares and Pledged Indebtedness listed on any Pledge Amendment delivered to Agent shall for all purposes hereunder be considered Pledged Collateral. 
  

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 7. Pledgor’s Rights. As long as no Event of Default shall have occurred and be continuing and
until written notice shall be given to the Pledgors in accordance with Section 9(a) hereof: 
 (a) Each Pledgor shall
have the right, from time to time, to vote and give consents with respect to the Pledged Collateral, or any part thereof for all purposes not inconsistent with the provisions of this Pledge Agreement, the Loan Agreement or any other Debt Document;
provided, however, that no vote shall be cast, and no consent shall be given or action taken, which would have the effect of impairing the position or interest of Agent in respect of the Pledged Collateral or which would authorize,
effect or consent to (unless and to the extent expressly permitted by the Loan Agreement): 
 (i) the dissolution or
liquidation, in whole or in part, of a Pledged Entity; 
 (ii) the consolidation or merger of a Pledged Entity with any other
person or entity; 
 (iii) the sale, disposition or encumbrance of all or substantially all of the assets of a Pledged
Entity, except for Liens in favor of Agent; 
 (iv) any change in the authorized number of shares, the stated capital or the
authorized share capital of a Pledged Entity or the issuance of any additional shares of its Stock; or 
 (v) the alteration
of the voting rights with respect to the Stock of a Pledged Entity; and 
 (b) each Pledgor shall be entitled, from time to
time, to collect and receive for its own use all cash dividends and interest paid in respect of the Pledged Shares and Pledged Indebtedness to the extent not in violation of the Loan Agreement other than any and all: (A) dividends and
interest paid or payable other than in cash in respect of any Pledged Collateral, and instruments and other property received, receivable or otherwise distributed in respect of, or in exchange for, any Pledged Collateral; (B) dividends and
other distributions paid or payable in cash in respect of any Pledged Shares in connection with a partial or total liquidation or dissolution or in connection with a reduction of capital, capital surplus or paid-in capital of a Pledged Entity; and
(C) cash paid, payable or otherwise distributed, in respect of principal of, or in redemption of, or in exchange for, any Pledged Collateral; provided, however, that until actually paid all rights to such distributions shall
remain subject to the Lien created by this Pledge Agreement; and 
 (c) all dividends and interest (other than such cash
dividends and interest as are permitted to be paid to each Pledgor in accordance with clause (i) above) and all other distributions in respect of any of the Pledged Shares or Pledged Indebtedness, whenever paid or made, shall be
delivered to Agent to hold as Pledged Collateral and shall, if received by such Pledgor, be received in trust for the benefit of Agent, be segregated from the other property or funds of such Pledgor, and be forthwith delivered to Agent as Pledged
Collateral in the same form as so received (with any necessary indorsement). 
  

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 8. Defaults and Remedies; Proxy. 
 (a) Upon the occurrence of an Event of Default and during the continuation of such Event of Default, and concurrently with written notice
to Borrower, Agent (personally or through an agent) is hereby authorized and empowered to transfer and register in its name or in the name of its nominee the whole or any part of the Pledged Collateral, to exchange certificates or instruments
representing or evidencing Pledged Collateral for certificates or instruments of smaller or larger denominations, to exercise the voting and all other rights as a holder with respect thereto, to collect and receive all cash dividends, interest,
principal and other distributions made thereon, to sell in one or more sales after ten (10) days’ notice of the time and place of any public sale or of the time at which a private sale is to take place (which notice each Pledgor agrees is
commercially reasonable) the whole or any part of the Pledged Collateral and to otherwise act with respect to the Pledged Collateral as though Agent was the outright owner thereof. Any sale shall be made at a public or private sale at Agent’s
place of business, or at any place to be named in the notice of sale, either for cash or upon credit or for future delivery at such price as Agent may deem fair, and Agent may be the purchaser of the whole or any part of the Pledged Collateral so
sold and hold the same thereafter in its own right free from any claim of any Pledgor or any right of redemption. Each sale shall be made to the highest bidder, but Agent reserves the right to reject any and all bids at such sale which, in its
discretion, it shall deem inadequate. Demands of performance, except as otherwise herein specifically provided for, notices of sale, advertisements and the presence of property at sale are hereby waived and any sale hereunder may be conducted by an
auctioneer or any officer or agent of Agent. EACH PLEDGOR HEREBY IRREVOCABLY CONSTITUTES AND APPOINTS AGENT AS THE PROXY AND ATTORNEY-IN-FACT OF PLEDGOR WITH RESPECT TO THE PLEDGED COLLATERAL, INCLUDING THE RIGHT TO VOTE THE PLEDGED SHARES, WITH
FULL POWER OF SUBSTITUTION TO DO SO. THE APPOINTMENT OF AGENT AS PROXY AND ATTORNEY-IN-FACT IS COUPLED WITH AN INTEREST AND SHALL BE IRREVOCABLE UNTIL THE TERMINATION DATE. IN ADDITION TO THE RIGHT TO VOTE THE PLEDGED SHARES, THE APPOINTMENT OF
AGENT AS PROXY AND ATTORNEY-IN-FACT SHALL INCLUDE THE RIGHT TO EXERCISE ALL OTHER RIGHTS, POWERS, PRIVILEGES AND REMEDIES TO WHICH A HOLDER OF THE PLEDGED SHARES WOULD BE ENTITLED (INCLUDING GIVING OR WITHHOLDING WRITTEN CONSENTS OF SHAREHOLDERS,
CALLING SPECIAL MEETINGS OF SHAREHOLDERS AND VOTING AT SUCH MEETINGS). SUCH PROXY SHALL BE EFFECTIVE, AUTOMATICALLY AND WITHOUT THE NECESSITY OF ANY ACTION (INCLUDING ANY TRANSFER OF ANY PLEDGED SHARES ON THE RECORD BOOKS OF THE ISSUER THEREOF) BY
ANY PERSON (INCLUDING THE ISSUER OF THE PLEDGED SHARES OR ANY OFFICER OR AGENT THEREOF), ONLY UPON THE OCCURRENCE AND DURING THE CONTINUANCE OF AN EVENT OF DEFAULT. NOTWITHSTANDING THE FOREGOING, AGENT SHALL NOT HAVE ANY DUTY TO EXERCISE ANY SUCH
RIGHT OR TO PRESERVE THE SAME AND SHALL NOT BE LIABLE FOR ANY FAILURE TO DO SO OR FOR ANY DELAY IN DOING SO. 
 (b) If, at the
original time or times appointed for the sale of the whole or any part of the Pledged Collateral, the highest bid, if there be but one sale, shall be inadequate to discharge in full all the Secured Obligations, or if the Pledged Collateral be
offered for sale in lots, if at any of such sales, the highest bid for the lot offered for sale would indicate to Agent, in its discretion, that the proceeds of the sales of the whole of the Pledged Collateral would be unlikely to be sufficient to
discharge all the Secured Obligations, Agent may, on one or more occasions and in its discretion, postpone any of said sales by public announcement at the time of sale or the time of previous postponement of sale, and no other notice of such
postponement or 

  

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postponements of sale need be given, any other notice being hereby waived; provided, however, that any sale or sales made after such
postponement shall be after ten (10) days’ notice to the applicable Pledgor. 
 (c) If, at any time when Agent in
its sole discretion determines, following the occurrence and during the continuance of an Event of Default, that, in connection with any actual or contemplated exercise of its rights (when permitted under this Section 9) to sell the whole or
any part of the Pledged Shares hereunder, it is necessary or advisable to effect a public registration of all or part of the Pledged Collateral pursuant to the Securities Act of 1933, as amended (or any similar statute then in effect) (the
“Act”), the applicable Pledgor shall, in an expeditious manner, cause the Pledged Entities to: 
 (i)
Prepare and file with the Securities and Exchange Commission (the “Commission”) a registration statement with respect to the Pledged Shares and in good faith use commercially reasonable efforts to cause such registration statement
to become and remain effective; 
 (ii) Prepare and file with the Commission such amendments and supplements to such
registration statement and the prospectus used in connection therewith as may be necessary to keep such registration statement effective and to comply with the provisions of the Act with respect to the sale or other disposition of the Pledged Shares
covered by such registration statement whenever Agent shall desire to sell or otherwise dispose of the Pledged Shares; 
 (iii) Furnish to Agent such numbers of copies of a prospectus and a preliminary prospectus, in conformity with the requirements of the Act, and such other documents as Agent may request in order to facilitate the public sale or other
disposition of the Pledged Shares by Agent; 
 (iv) Use commercially reasonable efforts to register or qualify the Pledged
Shares covered by such registration statement under such other securities or blue sky laws of such jurisdictions within the United States and Puerto Rico as Agent shall request, and do such other reasonable acts and things as may be required of it
to enable Agent to consummate the public sale or other disposition in such jurisdictions of the Pledged Shares by Agent; 
 (v) Furnish, at the request of Agent, on the date that shares of the Pledged Collateral are delivered to the underwriters for sale pursuant to such registration or, if the security is not being sold through underwriters, on the date that
the registration statement with respect to such Pledged Shares becomes effective, (A) an opinion, dated such date, of the independent counsel representing such registrant for the purposes of such registration, addressed to the underwriters, if
any, and in the event the Pledged Shares are not being sold through underwriters, then to Agent, in customary form and covering matters of the type customarily covered in such legal opinions; and (B) a comfort letter, dated such date, from the
independent certified public accountants of such registrant, addressed to the underwriters, if any, and in the event the Pledged Shares are not being sold through underwriters, then to Agent, in a customary form and covering matters of the type
customarily covered by such comfort letters and as the underwriters or Agent shall reasonably request. The opinion of counsel referred to above shall additionally cover such other legal matters with respect to the registration in respect of which
such opinion is being given as Agent may reasonably request. The letter referred to above from the independent certified public accountants shall additionally cover such other financial matters (including information as to the period ending not more
than five (5) Business Days prior to the date of such letter) with respect to the registration in respect of which such letter is being given as Agent may reasonably request; and 
  

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 (vi) Otherwise use commercially reasonable efforts to comply with all applicable rules
and regulations of the Commission, and make available to its security holders, as soon as reasonably practicable but not later than 18 months after the effective date of the registration statement, an earnings statement covering the period of at
least 12 months beginning with the first full month after the effective date of such registration statement, which earnings statement shall satisfy the provisions of Section 12(a) of the Act. 
 (d) All expenses incurred in complying with Section 9(c) hereof, including, without limitation, all registration and filing fees
(including all expenses incident to filing with the National Association of Securities Dealers, Inc.), printing expenses, fees and disbursements of counsel for the registrant, the fees and expenses of counsel for Agent, expenses of the independent
certified public accountants (including any special audits incident to or required by any such registration) and expenses of complying with the securities or blue sky laws or any jurisdictions, shall be paid by the Pledgors. 
 (e) If, at any time when Agent shall determine to exercise its right to sell the whole or any part of the Pledged Collateral hereunder,
such Pledged Collateral or the part thereof to be sold shall not, for any reason whatsoever, be effectively registered under the Act, Agent may, in its discretion (subject only to applicable requirements of law), sell such Pledged Collateral or part
thereof by private sale in such manner and under such circumstances as Agent may deem necessary or advisable, but subject to the other requirements of this Section 9, and shall not be required to effect such registration or to cause the same to
be effected. Without limiting the generality of the foregoing, in any such event, Agent in its discretion (x) may, in accordance with applicable securities laws, proceed to make such private sale notwithstanding that a registration statement
for the purpose of registering such Pledged Collateral or part thereof could be or shall have been filed under said Act (or similar statute), (y) may approach and negotiate with a single possible purchaser to effect such sale, and (z) may
restrict such sale to a purchaser who is an accredited investor under the Act and who will represent and agree that such purchaser is purchasing for its own account, for investment and not with a view to the distribution or sale of such Pledged
Collateral or any part thereof. In addition to a private sale as provided above in this Section 9, if any of the Pledged Collateral shall not be freely distributable to the public without registration under the Act (or similar statute) at the
time of any proposed sale pursuant to this Section 9, then Agent shall not be required to effect such registration or cause the same to be effected but, in its discretion (subject only to applicable requirements of law), may require that any
sale hereunder (including a sale at auction) be conducted subject to restrictions: 
 (i) as to the financial sophistication
and ability of any person or entity permitted to bid or purchase at any such sale; 
 (ii) as to the content of legends to be
placed upon any certificates representing the Pledged Collateral sold in such sale, including restrictions on future transfer thereof; 
 (iii) as to the representations required to be made by each person or entity bidding or purchasing at such sale relating to that person’s or entity’s access to financial information about the Pledgors and
such person’s or entity’s intentions as to the holding of the Pledged Collateral so sold for investment for its own account and not with a view to the distribution thereof; and 
  

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 (iv) as to such other matters as Agent may, in its discretion, deem necessary or
appropriate in order that such sale (notwithstanding any failure so to register) may be effected in compliance with the Bankruptcy Code and other laws affecting the enforcement of creditors’ rights and the Act and all applicable state
securities laws. 
 (f) Each Pledgor recognizes that Agent may be unable to effect a public sale of any or all the Pledged
Collateral and may be compelled to resort to one or more private sales thereof in accordance with clause (e) above. Each Pledgor also acknowledges that any such private sale may result in prices and other terms less favorable to the
seller than if such sale were a public sale and, notwithstanding such circumstances, agrees that any such private sale shall not be deemed to have been made in a commercially unreasonable manner solely by virtue of such sale being private. Agent
shall be under no obligation to delay a sale of any of the Pledged Collateral for the period of time necessary to permit the Pledged Entity to register such securities for public sale under the Act, or under applicable state securities laws, even if
the applicable Pledgor and the Pledged Entity would agree to do so. 
 (g) Each Pledgor agrees to the maximum extent permitted
by applicable law that following the occurrence and during the continuance of an Event of Default it will not at any time plead, claim or take the benefit of any appraisal, valuation, stay, extension, moratorium or redemption law now or hereafter in
force in order to prevent or delay the enforcement of this Pledge Agreement, or the absolute sale of the whole or any part of the Pledged Collateral or the possession thereof by any purchaser at any sale hereunder, and each Pledgor waives the
benefit of all such laws to the extent it lawfully may do so. Each Pledgor agrees that it will not interfere with any right, power and remedy of Agent provided for in this Pledge Agreement or now or hereafter existing at law or in equity or by
statute or otherwise, or the exercise or beginning of the exercise by Agent of any one or more of such rights, powers or remedies. No failure or delay on the part of Agent to exercise any such right, power or remedy and no notice or demand which may
be given to or made upon any Pledgor by Agent with respect to any such remedies shall operate as a waiver thereof, or limit or impair Agent’s right to take any action or to exercise any power or remedy hereunder, without notice or demand, or
prejudice its rights as against any Pledgor in any respect. 
 (h) Each Pledgor further agrees that a breach of any of the
covenants contained in this Section 9 will cause irreparable injury to Agent, that Agent shall have no adequate remedy at law in respect of such breach and, as a consequence, agrees that each and every covenant contained in this Section 9
shall be specifically enforceable against Pledgor, and each Pledgor hereby waives and agrees not to assert any defenses against an action for specific performance of such covenants except for a defense that the Secured Obligations are not then due
and payable in accordance with the agreements and instruments governing and evidencing such obligations. 
 9. Assignment. Agent may
assign, indorse or transfer any instrument evidencing all or any part of the Secured Obligations as provided in, and in accordance with, the Loan Agreement, and the holder of such instrument shall be entitled to the benefits of this Pledge
Agreement. 
 10. Termination. Immediately following the Termination Date, Agent shall deliver to the applicable Pledgor the Pledged
Collateral pledged by such Pledgor at the time subject to this Pledge Agreement and all instruments of assignment executed in connection therewith, free and clear of the Liens hereof and, except as otherwise provided herein, all of such
Pledgor’s obligations hereunder shall at such time terminate. 
  

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 11. Lien Absolute. All rights of Agent, on behalf of itself and the Lenders, hereunder, and all
obligations of each Pledgor hereunder, shall be absolute and unconditional irrespective of: 
 (a) any lack of validity or
enforceability of the Loan Agreement, any other Debt Document or any other agreement or instrument governing or evidencing any Secured Obligations; 
 (b) any change in the time, manner or place of payment of, or in any other term of, all or any part of the Secured Obligations, or any other amendment or waiver of or any consent to any departure from the Loan
Agreement, any other Debt Document or any other agreement or instrument governing or evidencing any Secured Obligations; 
 (c) any exchange, release or non-perfection of any other Collateral, or any release or amendment or waiver of or consent to departure from any guaranty, for all or any of the Secured Obligations; 
 (d) the insolvency of any Loan Party; or 
 (e) any other circumstance which might otherwise constitute a defense available to, or a discharge of, any Pledgor. 
 12. Release. Each Pledgor consents and agrees that Agent may at any time, or from time to time, in its discretion: 
 (a) renew, extend or change the time of payment, and/or the manner, place or terms of payment of all or any part of the Secured Obligations; and 
 (b) exchange, release and/or surrender all or any of the Collateral (including the Pledged Collateral), or any part thereof, by whomsoever deposited, which is now or may hereafter be held by Agent in connection with
all or any of the Secured Obligations; all in such manner and upon such terms as Agent may deem proper, and without notice to or further assent from any Pledgor, it being hereby agreed that each Pledgor shall be and remain bound upon this Pledge
Agreement, irrespective of the value or condition of any of the Collateral, and notwithstanding any such change, exchange, settlement, compromise, surrender, release, renewal or extension, and notwithstanding also that the Secured Obligations may,
at any time, exceed the aggregate principal amount thereof set forth in the Loan Agreement, or any other agreement governing any Secured Obligations. Each Pledgor hereby waives notice of acceptance of this Pledge Agreement, and also presentment,
demand, protest and notice of dishonor of any and all of the Secured Obligations, and promptness in commencing suit against any party hereto or liable hereon, and in giving any notice to or of making any claim or demand hereunder upon any Pledgor.
No act or omission of any kind on Agent’s part shall in any event affect or impair this Pledge Agreement. 
 13. Reinstatement.
This Pledge Agreement shall remain in full force and effect and continue to be effective should any petition be filed by or against any Pledgor or any Pledged Entity for liquidation or reorganization, should any Pledgor or any Pledged Entity become
insolvent or make an assignment for the benefit of creditors or should a receiver or trustee be appointed for all or any significant part of a Pledgor’s or a Pledged Entity’s assets, and shall continue to be effective or be reinstated, as
the case may be, if at any time payment and performance of the Secured Obligations, or any part thereof, is, pursuant to applicable law, rescinded or reduced in amount, or must otherwise be restored or returned by any obligee of the Secured
Obligations, whether as a 

  

 10 

 
“voidable preference”, “fraudulent conveyance”, or otherwise, all as though such payment or performance had not been made. In the event
that any payment, or any part thereof, is rescinded, reduced, restored or returned, the Secured Obligations shall be reinstated and deemed reduced only by such amount paid and not so rescinded, reduced, restored or returned. 
 14. Notices. Except as otherwise provided herein, whenever it is provided herein that any notice, demand, request, consent, approval, declaration
or other communication shall or may be given to or served upon any of the parties by any other party, or whenever any of the parties desires to give and serve upon any other party any communication with respect to this Pledge Agreement, each such
notice, demand, request, consent, approval, declaration or other communication shall be in writing and shall be given in the manner, and deemed received, as provided for in the Loan Agreement. 
 15. Severability. Whenever possible, each provision of this Pledge Agreement shall be interpreted in a manner as to be effective and valid under
applicable law, but if any provision of this Pledge Agreement shall be prohibited by or invalid under applicable law, such provision shall be ineffective to the extent of such prohibition or invalidity without invalidating the remainder of such
provision or the remaining provisions of this Pledge Agreement. This Pledge Agreement is to be read, construed and applied together with the Loan Agreement and the other Debt Documents which, taken together, set forth the complete understanding and
agreement of Agent and the Pledgors with respect to the matters referred to herein and therein. 
 16. No Waiver; Cumulative Remedies.
Agent shall not by any act, delay, omission or otherwise be deemed to have waived any of its rights or remedies hereunder, and no waiver shall be valid unless in writing, signed by Agent and then only to the extent therein set forth. A waiver by
Agent of any right or remedy hereunder on any one occasion shall not be construed as a bar to any right or remedy which Agent would otherwise have had on any future occasion. No failure to exercise nor any delay in exercising on the part of Agent ,
any right, power or privilege hereunder, shall operate as a waiver thereof, nor shall any single or partial exercise of any right, power or privilege hereunder preclude any other or future exercise thereof or the exercise of any other right, power
or privilege. The rights and remedies hereunder provided are cumulative and may be exercised singly or concurrently, and are not exclusive of any rights and remedies provided by law. None of the terms or provisions of this Pledge Agreement may be
waived, altered, modified or amended except by an instrument in writing, duly executed by Agent and the Pledgors. 
 17. Limitation By
Law. All rights, remedies and powers provided in this Pledge Agreement may be exercised only to the extent that the exercise thereof does not violate any applicable provision of law, and all the provisions of this Pledge Agreement are intended
to be subject to all applicable mandatory provisions of law that may be controlling and to be limited to the extent necessary so that they shall not render this Pledge Agreement invalid, unenforceable, in whole or in part, or not entitled to be
recorded, registered or filed under the provisions of any applicable law. 
 18. Successors And Assigns. This Pledge Agreement and all
obligations of the Pledgors hereunder shall be binding upon the successors and assigns of each Pledgor (including any debtor-in-possession on behalf of such Pledgor) and shall, together with the rights and remedies of Agent, hereunder, inure to
Agent, all future holders of any instrument evidencing any of the obligations and their respective successors and assigns. No sales of participations, other sales, assignments, transfers or other dispositions of any agreement governing or instrument
evidencing the obligations or any portion thereof or interest therein shall in any manner impair the Lien granted to Agent, hereunder. No Pledgor may assign, sell, hypothecate or otherwise transfer any interest in or obligation under this Pledge
Agreement. 
  

 11 

 19. Counterparts. This Pledge Agreement may be authenticated in any number of separate
counterparts, each of which shall collectively and separately constitute one agreement. This Pledge Agreement may be authenticated by manual signature, facsimile or, if approved in writing by Agent, electronic means, all of which shall be equally
valid. 
 20. Governing Law. THIS PLEDGE AGREEMENT, THE OTHER DEBT DOCUMENTS AND THE RIGHTS AND OBLIGATIONS OF THE PARTIES HEREUNDER
AND THEREUNDER SHALL IN ALL RESPECTS BE GOVERNED BY AND CONSTRUED IN ACCORDANCE WITH, THE INTERNAL LAWS OF THE STATE OF NEW YORK (WITHOUT REGARD TO THE CONFLICT OF LAWS PRINCIPLES OF SUCH STATE), INCLUDING ALL MATTERS OF CONSTRUCTION, VALIDITY AND
PERFORMANCE, REGARDLESS OF THE LOCATION OF THE COLLATERAL. IF ANY ACTION ARISING OUT OF THIS PLEDGE AGREEMENT OR ANY OTHER DEBT DOCUMENT IS COMMENCED BY AGENT IN THE STATE COURTS OF THE STATE OF NEW YORK OR IN THE U.S. DISTRICT COURT FOR THE
SOUTHERN DISTRICT OF NEW YORK, EACH PLEDGOR HEREBY CONSENTS TO THE JURISDICTION OF ANY SUCH COURT IN ANY SUCH ACTION AND TO THE LAYING OF VENUE IN THE STATE OF NEW YORK. ANY PROCESS IN ANY SUCH ACTION SHALL BE DULY SERVED IF MAILED BY REGISTERED
MAIL, POSTAGE PREPAID, TO EACH PLEDGOR AT ITS ADDRESS DESCRIBED IN SECTION 10.2 OF THE LOAN AGREEMENT, OR IF SERVED BY ANY OTHER MEANS PERMITTED BY APPLICABLE LAW. 
 21. Waiver Of Jury Trial. EACH OF THE PLEDGORS, AGENT AND LENDERS UNCONDITIONALLY WAIVE ANY AND ALL RIGHT TO A JURY TRIAL OF ANY CLAIM OR CAUSE OF ACTION BASED UPON OR ARISING OUT OF THIS PLEDGE AGREEMENT, ANY
OF THE OTHER DEBT DOCUMENTS, ANY OF THE INDEBTEDNESS SECURED HEREBY, ANY DEALINGS AMONG THE LOAN PARTIES, AGENT AND/OR LENDERS RELATING TO THE SUBJECT MATTER OF THIS TRANSACTION OR ANY RELATED TRANSACTIONS, AND/OR THE RELATIONSHIP THAT IS BEING
ESTABLISHED AMONG THE LOAN PARTIES, AGENT AND/OR LENDERS. THE SCOPE OF THIS WAIVER IS INTENDED TO BE ALL ENCOMPASSING OF ANY AND ALL DISPUTES THAT MAY BE FILED IN ANY COURT. THIS WAIVER IS IRREVOCABLE. THIS WAIVER MAY NOT BE MODIFIED EITHER ORALLY
OR IN WRITING. THE WAIVER ALSO SHALL APPLY TO ANY SUBSEQUENT AMENDMENTS, RENEWALS, SUPPLEMENTS OR MODIFICATIONS TO THIS PLEDGE AGREEMENT, ANY OTHER DEBT DOCUMENTS, OR TO ANY OTHER DOCUMENTS OR AGREEMENTS RELATING TO THIS TRANSACTION OR ANY RELATED
TRANSACTION. THIS PLEDGE AGREEMENT MAY BE FILED AS A WRITTEN CONSENT TO A TRIAL BY THE COURT. 
 22. Section Titles. The Section
titles contained in this Pledge Agreement are and shall be without substantive meaning or content of any kind whatsoever and are not a part of the agreement between the parties hereto. 
 23. No Strict Construction. The parties hereto have participated jointly in the negotiation and drafting of this Pledge Agreement. In the event an
ambiguity or question of intent or interpretation arises, this Pledge Agreement shall be construed as if drafted jointly by the parties hereto and no presumption or burden of proof shall arise favoring or disfavoring any party by virtue of the
authorship of any provisions of this Pledge Agreement. 
 24. Advice of Counsel. Each of the parties represents to each other party
hereto that it has discussed this Pledge Agreement and, specifically, the provisions of Section 21 and Section 22, with its counsel. 
  

 12 

 25. Benefit of Agent. All Liens granted or contemplated hereby shall be for the benefit of Agent,
on behalf of itself, and all proceeds or payments realized from Pledged Collateral in accordance herewith shall be applied to the Secured Obligations in accordance with the terms of the Loan Agreement. 
 26. Amendment and Restatement; No Novation. This Agreement constitutes an amendment and restatement of the Existing Pledge Agreement effective
from and after the date hereof. The execution and delivery of this Agreement and the consummation of the transactions contemplated hereby are not intended by the parties to be, and shall not constitute, a novation or an accord and satisfaction of
any obligations under the Existing Pledge Agreement. The execution and delivery of this Agreement and the consummation of the transactions contemplated hereunder is not intended to constitute, nor shall it be construed as constituting, a termination
or release of any prior pledge or security interests granted to Agent under the Existing Pledge Agreement, but is intended to constitute a restatement and reconfirmation of the prior security interests granted under the Existing Pledge Agreement in
favor of Agent (for the benefit of Lenders) in and to the Pledged Collateral. 
 [signature page follows] 
  

 13 

 IN WITNESS WHEREOF, each of the parties hereto has caused this Pledge Agreement to be executed and
delivered by its duly authorized officer as of the date first set forth above. 
  

			
	SALIENT, INC.
		
	By:	 	 /s/ Richard M. Altieri

	Name:	 	Richard M. Altieri
	Title:	 	Treasurer
	
	SALIENT SURGICAL TECHNOLOGIES, INC.
		
	By:	 	 /s/ Richard M. Altieri

	Name:	 	Richard M. Altieri
	Title:	 	VP and CFO

 SALIENT SURGICAL TECHNOLOGIES, INC. 
 AMENDED AND RESTATED PLEDGE AGREEMENT 
 Signature Page 

			
	GENERAL ELECTRIC CAPITAL CORPORATION, as Agent
		
	By:	 	 /s/ Jason Dufour

	Name:	 	Jason Dufour
	Title:	 	Duly Authorized Signatory

 SALIENT SURGICAL TECHNOLOGIES, INC. 
 AMENDED AND RESTATED PLEDGE AGREEMENT 
 Signature Page 

 SCHEDULE I 
 PART A 
 PLEDGED SHARES 
  

									
	Pledged Entity	  	 Class
 of Stock
	  	 Stock Certificate
 Number(s)
	  	 Number
 of Shares
	  	 Percentage of
 Outstanding Shares

	 Salient, Inc.
	  	Common	  	1	  	1,000	  	100%
	 	  	 	  	 	  	 	  	 
	 	  	 	  	 	  	 	  	 
	 	  	 	  	 	  	 	  	 

 PART B 
 PLEDGED INDEBTEDNESS 
  

									
	Pledged Entity	  	 Initial
 Principal Amount
	  	Issue Date	  	Maturity Date	  	Interest Rate
	 None
	  	 	  	 	  	 	  	 
	 	  	 	  	 	  	 	  	 
	 	  	 	  	 	  	 	  	 
	 	  	 	  	 	  	 	  	 

 Exhibit A 
 PLEDGE AMENDMENT 
 This Pledge Amendment, dated
                                        ,
         is delivered pursuant to Section 7(d) of the Pledge Agreement referred to below. All defined terms herein shall have the meanings ascribed thereto or incorporated by reference in the
Amended and Restated Pledge Agreement. The undersigned hereby certifies that the representations and warranties in Section 6 of the Pledge Agreement are and continue to be true and correct, both as to the promissory notes, instruments and
shares pledged prior to this Pledge Amendment and as to the promissory notes, instruments and shares pledged pursuant to this Pledge Amendment. The undersigned further agrees that this Pledge Amendment may be attached to that certain Pledge
Agreement, dated                         , between undersigned, as Pledgor, the other Pledgors signatory hereto and
General Electric Capital Corporation, as Agent, (the “Pledge Agreement”) and that the Pledged Shares and Pledged Indebtedness listed on this Pledge Amendment shall be and become a part of the Pledged Collateral referred to in said
Pledge Agreement and shall secure all Secured Obligations referred to in said Pledge Agreement. The undersigned acknowledges that any promissory notes, instruments or shares not included in the Pledged Collateral at the discretion of Agent may not
otherwise be pledged by Pledgor to any other person or entity otherwise used as security for any obligations other than the Secured Obligations. 
  

			
	[NAME OF PLEDGOR]
		
	By:	 	
	Name:	 	
	Title:	 	

  

											
	 Name and
 Address of Pledgor
	  	Pledged Entity	  	 Class
 Of Stock
	  	 Certificate
 Number(s)
	  	 Number
 Of Shares
	  	 Percentage of
 Outstanding Shares

	 	  	 	  	 	  	 	  	 	  	 
	 	  	 	  	 	  	 	  	 	  	 
	 	  	 	  	 	  	 	  	 	  	 

  

									
	Pledged Entity	  	 Initial
 Principal Amount
	  	Issue Date	  	Maturity Date	  	Interest Rate
	 	  	 	  	 	  	 	  	 
	 	  	 	  	 	  	 	  	 
	 	  	 	  	 	  	 	  	 

 Exhibit B 
 AGREEMENT REGARDING UNCERTIFICATED 
 LIMITED LIABILITY COMPANY 
 INTERESTS 
 AGREEMENT (as amended, modified, restated and/or supplemented from
time to time, this "Agreement"), dated as of
                                        ,
among                      (the "Pledgor"), GENERAL ELECTRIC CAPITAL CORPORATION (the "Pledgee"), and
                    , as the issuer of the Uncertificated Limited Liability Company Interests (as defined below) (the "Issuer").

 WITNESSETH: 
 WHEREAS,
Pursuant to the Amended and Restated Loan Agreement, dated as of the date hereof, by and among                     , the Lenders signatory
thereto and the Pledgee (including all annexes, exhibits and schedules thereto, as from time to time amended, restated, supplemented or otherwise modified, the “Loan Agreement”), Agent has agreed to establish certain financing
arrangements for and make loans and extensions of credit to Borrower on the terms and conditions set forth in the Loan Agreement; 
 WHEREAS,
the Pledgor, in order to secure the payment of the obligations outstanding under the Loan Agreement (the “Obligations”), has entered into an Amended and Restated Pledge Agreement, dated as of the date hereof, by and between the
Pledgor and the Pledgee (the “Pledge Agreement”), pursuant to which the Pledgor has pledged to the Pledgee and the other parties signatory thereto and granted a security interest in favor of the Pledgee in all of the right, title
and interest of the Pledgor in and to certain limited liability company membership units in the Issuer (the "Issuer Pledged Interests"); and 
 WHEREAS, the Pledgor desires the Issuer to enter into this Agreement in order to perfect the security interest of the Pledgee under the Pledge Agreement in the Issuer Pledged Interests, to vest in the Pledgee control of the Issuer Pledge
Interests and to provide for the rights of the parties under this Agreement; 
 NOW THEREFORE, in consideration of the premises and the
mutual promises and agreements contained herein, and for other valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the parties hereto hereby agree as follows: 
 1. The Pledgor hereby irrevocably authorizes and directs the Issuer, and the Issuer hereby agrees, to comply with any and all instructions and orders
originated by the Pledgee (and its successors and assigns) regarding any and all of the Issuer Pledged Interests without the further consent by the registered owner (including the Pledgor), and, following its receipt of a notice from the Pledgee
stating that the Pledgee is exercising exclusive control of the Issuer Pledged Interests, not to comply with any instructions or orders regarding any or all of the Issuer Pledged Interests originated by any person or entity other than the Pledgee
(and its successors and assigns) or a court of competent jurisdiction. 
 2. The Issuer hereby certifies that (i) no notice of any
security interest, lien or other encumbrance or claim affecting the Issuer Pledged Interests (other than the security interest of the Pledgee) has been received by it, and (ii) the security interest of the Pledgee in the Issuer Pledged
Interests has been registered in the books and records of the Issuer. 

 3. The Issuer hereby represents and warrants that the pledge by the Pledgor of, and the granting by the
Pledgor of a security interest in, the Issuer Pledged Interests to the Pledgee does not violate the charter, by-laws, partnership agreement, membership agreement or any other agreement governing the Issuer or the Issuer Pledged Interests.

 4. All notices, statements of accounts, reports, prospectuses, financial statements and other communications to be sent to the Pledgor by
the Issuer in respect of the Issuer will also be sent to the Pledgee at the following address: 
 General Electric Capital Corporation

 c/o GE Healthcare Financial Services, Inc. 
 Two Bethesda Metro Center, Suite 600 
 Bethesda, Maryland 20814 
 Attention: General Counsel 
 Telephone No.:
301-961-1640 
 Facsimile No.: 301-664-9866 
 5. Following its receipt of a notice from the Pledgee stating that the Pledgee is exercising exclusive control of the Issuer Pledged Interests and until the Pledgee shall have delivered written notice to the issuer
that all of the Obligations have been paid in full and this Agreement is terminated, the Issuer will send any and all redemptions, distributions, interest or other payments in respect of the Issuer Pledged Interests from the Issuer for the account
of the Pledgee only by wire transfers to such account as the Pledgee shall instruct. 
 6. Except as expressly provided otherwise in
Sections 4 and 5, all notices, instructions, orders and communications hereunder shall be sent or delivered by mail, telecopy, or overnight courier service and all such notices and communications shall, when mailed, telecopied, or sent by
overnight courier, be effective when deposited in the mails or delivered to overnight courier, prepaid and properly addressed for delivery on such or the next Business Day, or sent by telecopier, except that notices and communications to the Pledgee
or the Issuer shall not be effective until received. All notices and other communications shall be in writing and addressed as follows: 
  

							
	 (a)
	 	if to Pledgor at:	 		 	
		 	  
	 		 	
		 	  
	 		 	
		 	  
	 		 	
		 	  
	 		 	
				
		 	  
 With a copy to:
	 		 	
		 	  
	 		 	
		 	  
	 		 	
		 	  
	 		 	
		 	  
	 		 	

							
	 (b)
	 	if to the Pledgee, at the address given in Section 4;	 	
				
	 (c)
	 	if to the Issuer, at:	 		 	
		 	  
	 		 	
		 	  
	 		 	
		 	  
	 		 	
		 	  
	 		 	

 or at such other address as shall have been furnished in writing by any Person described above to the party
required to give notice hereunder. As used in this Section 6, "Business Day" means any day other than a Saturday, Sunday, or other day in which banks in New York are authorized to remain closed. 
 7. This Agreement shall be binding upon the successors and assigns of the Pledgor and the Issuer and shall inure to the benefit of and be enforceable by
the Pledgee and its successors and assigns. This Agreement may be executed in any number of counterparts, each of which shall be an original, but all of which shall constitute one instrument. In the event that any provision of this Agreement shall
prove to be invalid or unenforceable, such provision shall be deemed to be severable from the other provisions of this Agreement which shall remain binding on all parties hereto. None of the terms and conditions of this Agreement may be changed,
waived, modified or varied in any manner whatsoever except in writing signed by the Pledgee, the Issuer and the Pledgor. 
 8. This Agreement
shall be governed by and construed in accordance with the laws of the State of New York, without regard to its principles of conflict of laws. 
 [REMAINDER OF PAGE INTENTIONALLY LEFT BLANK] 

 IN WITNESS WHEREOF, each of the parties hereto has caused this Agreement to be executed and delivered by
its duly authorized officer as of the date first set forth above. 
  

			
	[PLEDGOR]
		
	By:	 	  

	Name:	 	  

	Title:	 	  

	
	GENERAL ELECTRIC CAPITAL CORPORATION
		
	By:	 	  

	Name:	 	  

	Title:	 	Duly Authorized Signatory
	
	[ISSUER]
		
	By:	 	  

	Name:	 	  

	Title:Amendment and Restated Guaranty dated April 30, 2008

 Exhibit 10.23(e) 
 AMENDED AND RESTATED GUARANTY 
 This AMENDED AND RESTATED GUARANTY (this
“Guaranty”), dated as of April 30, 2008 by and among the Guarantor identified as such on the signature page hereof (“Guarantor”), and GENERAL ELECTRIC CAPITAL CORPORATION, a Delaware corporation
(“GECC”), individually and as agent (in such capacity and together with any successors, endorsees and assigns, “Agent”) for itself and the lenders from time to time signatory to the Loan Agreement hereinafter
defined (“Lenders”). 
 W I T N E S S E T H: 

 WHEREAS, pursuant to that certain Amended and Restated Loan and Security Agreement (the “Loan Agreement”) dated as of
April 30, 2008 by and among SALIENT SURGICAL TECHNOLOGIES, INC., a Delaware corporation (“Borrower”), the Guarantor, the Lenders and Agent, the Lenders have agreed to make Loans to Borrower; 
 WHEREAS, Borrower, Guarantor and GECC, as agent and lender, are parties to that certain Loan and Security Agreement, dated as of March 31, 2008
(including all annexes, exhibits and schedules thereto and as amended, supplemented or otherwise modified from time to time prior to the date hereof, the “Existing Loan Agreement”), pursuant to which the lender thereunder has agreed
to make loans and extend credit from time to time to the Borrower under the terms and conditions thereof, which loans and extensions of credit are guaranteed by Guarantor; and 
 WHEREAS, in order to induce the agent and lender thereunder to enter into the Existing Loan Agreement and to induce the lender thereunder to make the
loans as provided for in the Existing Loan Agreement, Guarantor is party to that certain Guaranty, dated as of March 31, 2008 (including all annexes, exhibits and schedules thereto and as amended, supplemented or otherwise modified from time to
time prior to the date hereof, the “Existing Guaranty”), pursuant to which Guarantor agreed to guaranty the obligations of the Borrower under the Existing Loan and Security Credit Agreement; and 
 WHEREAS, as a condition precedent to the effectiveness of the Loan Agreement, the Guarantor is required to enter into this Amended and Restated Guaranty
Agreement, which shall amend and restate in its entirety the Existing Guaranty; and 
 WHEREAS, it is the intent of the parties hereto that
this Guaranty not constitute a novation of the liabilities and obligations existing under the Existing Guaranty and that this Guaranty amend and restate in its entirety the Existing Guaranty; and 
 WHEREAS, Borrower is the parent of Guarantor and as such will derive direct and indirect economic benefits from the making of the Loans and other
financial accommodations provided to the Borrower pursuant to the Loan Agreement; and 
 WHEREAS, in order to induce Agent and Lenders to
enter into the Loan Agreement and other Debt Documents and to induce Lenders to make the Loans as provided for in the Loan Agreement, Guarantor has agreed to guarantee payment of the Obligations; 

 NOW, THEREFORE, in consideration of the premises and the covenants hereinafter contained, and to induce
Lenders to provide the Loans and other financial accommodations under the Loan Agreement, it is agreed as follows: 
  

	1.	DEFINITIONS. 

 (a) Capitalized terms used
herein shall have the meanings assigned to them in the Loan Agreement, unless otherwise defined herein. 
 (b) References to this
“Guaranty” shall mean this Guaranty, including all amendments, modifications and supplements and any annexes, exhibits and schedules to any of the foregoing, and shall refer to this Guaranty as the same may be in effect at the time such
reference becomes operative. 
  

	2.	THE GUARANTY. 

 2.1. Guaranty of
Guaranteed Obligations of Borrower. Guarantor hereby unconditionally guarantees to Agent and Lenders, and their respective successors, endorsees, transferees and assigns, the prompt payment (whether at stated maturity, by acceleration or
otherwise) and performance of the Obligations of Borrower (hereinafter the “Guaranteed Obligations”). Guarantor agrees that this Guaranty is a guaranty of payment and performance and not of collection, and that its obligations under
this Guaranty shall be primary, absolute and unconditional, irrespective of, and unaffected by: 
 (a) the genuineness,
validity, regularity, enforceability or any future amendment of, or change in this Guaranty, any other Debt Document or any other agreement, document or instrument to which any Credit Party and/or Guarantor are or may become a party; 
 (b) the absence of any action to enforce this Guaranty or any other Loan Document or the waiver or consent by Agent and/or Lenders with
respect to any of the provisions thereof; 
 (c) the existence, value or condition of, or failure to perfect its lien against,
any Collateral for the Guaranteed Obligations or any action, or the absence of any action, by Agent in respect thereof (including, without limitation, the release of any such security); 
 (d) the insolvency of any Credit Party; or 
 (e) any other action or circumstances which might otherwise constitute a legal or equitable discharge or defense of a surety or guarantor, 
 it being agreed by Guarantor that its obligations under this Guaranty shall not be discharged until the Termination Date. Guarantor shall be regarded, and shall be in the same position, as principal debtor with
respect to the Guaranteed Obligations. Guarantor agrees that any notice or directive given at any time to Agent which is inconsistent with the waiver in the immediately preceding sentence shall be null and void and may be ignored by Agent and
Lenders, and, in addition, may not be pleaded or introduced as evidence in 

  

 2 

 
any litigation relating to this Guaranty for the reason that such pleading or introduction would be at variance with the written terms of this Guaranty,
unless Agent and Lenders have specifically agreed otherwise in writing. It is agreed among Guarantor, Agent and Lenders that the foregoing waivers are of the essence of the transaction contemplated by the Debt Documents and that, but for this
Guaranty and such waivers, Agent and Lenders would decline to enter into the Loan Agreement. 
 2.2. Demand by Agent or
Lenders. In addition to the terms of the Guaranty set forth in Section 2.1 hereof, and in no manner imposing any limitation on such terms, it is expressly understood and agreed that, if, at any time, the outstanding principal
amount of the Guaranteed Obligations under the Loan Agreement (including all accrued interest thereon) is declared to be immediately due and payable, then Guarantor shall, without demand, pay to the holders of the Guaranteed Obligations the entire
outstanding Guaranteed Obligations due and owing to such holders. Payment by Guarantor shall be made to Agent in immediately available Federal funds to an account designated by Agent or at the address set forth in the Loan Agreement for the giving
of notice to Agent or at any other address that may be specified in writing from time to time by Agent, and shall be credited and applied to the Guaranteed Obligations. 
 2.3. Enforcement of Guaranty. In no event shall Agent have any obligation (although it is entitled, at its option) to proceed against Borrower or any other Credit Party or any Collateral pledged to
secure Guaranteed Obligations before seeking satisfaction from any or all of the Guarantor, and Agent may proceed, prior or subsequent to, or simultaneously with, the enforcement of Agent’s rights hereunder, to exercise any right or remedy
which it may have against any Collateral, as a result of any lien it may have as security for all or any portion of the Guaranteed Obligations. 
 2.4. Waiver. In addition to the waivers contained in Section 2.1 hereof, Guarantor waives, and agrees that it shall not at any time insist upon, plead or in any manner whatever claim or take the benefit or
advantage of, any appraisal, valuation, stay, extension, marshaling of assets or redemption laws, or exemption, whether now or at any time hereafter in force, which may delay, prevent or otherwise affect the performance by Guarantor of its
Guaranteed Obligations under, or the enforcement by Agent or Lenders of, this Guaranty. Guarantor hereby waives diligence, presentment and demand (whether for non-payment or protest or of acceptance, maturity, extension of time, change in nature or
form of the Guaranteed Obligations, acceptance of further security, release of further security, composition or agreement arrived at as to the amount of, or the terms of, the Guaranteed Obligations, notice of adverse change in Borrower’s
financial condition or any other fact which might increase the risk to Guarantor) with respect to any of the Guaranteed Obligations or all other demands whatsoever and waive the benefit of all provisions of law which are or might be in conflict with
the terms of this Guaranty. Guarantor represents, warrants and agrees that, as of the date of this Guaranty, its obligations under this Guaranty are not subject to any counterclaims, offsets or defenses against Agent or Lenders or any Credit Party
of any kind. Guarantor further agrees that its obligations under this Guaranty shall not be subject to any counterclaims, offsets or defenses against Agent or any Lender or against any Credit Party of any kind which may arise in the future.

 2.5. Benefit of Guaranty. The provisions of this Guaranty are for the benefit of Agent and Lenders and their respective

  

 3 

 
successors, transferees, endorsees and assigns, and nothing herein contained shall impair, as between any Credit Party and Agent or Lenders, the obligations
of any Credit Party under the Debt Documents. In the event all or any part of the Guaranteed Obligations are transferred, indorsed or assigned by Agent or any Lender to any person or entity in accordance with the Loan Agreement, any reference to
“Agent” or “Lender” herein shall be deemed to refer equally to such person or entity. 
 2.6. Modification of
Guaranteed Obligations, Etc. Guarantor hereby acknowledges and agrees that Agent and Lenders may at any time or from time to time, with or without the consent of, or notice to, Guarantor or any of them: 
 (a) change or extend the manner, place or terms of payment of, or renew or alter all or any portion of, the Guaranteed Obligations;

 (b) take any action under or in respect of the Debt Documents in the exercise of any remedy, power or privilege contained
therein or available to it at law, equity or otherwise, or waive or refrain from exercising any such remedies, powers or privileges; 
 (c) amend or modify, in any manner whatsoever, the Debt Documents; 
 (d) extend or waive the time for any Credit
Party’s performance of, or compliance with, any term, covenant or agreement on its part to be performed or observed under the Debt Documents, or waive such performance or compliance or consent to a failure of, or departure from, such
performance or compliance; 
 (e) take and hold Collateral for the payment of the Guaranteed Obligations guaranteed hereby or
sell, exchange, release, dispose of, or otherwise deal with, any property pledged, mortgaged or conveyed, or in which Agent or Lenders have been granted a lien, to secure any Obligations; 
 (f) release anyone who may be liable in any manner for the payment of any amounts owed by Guarantor or any Credit Party to Agent or any
Lender; 
 (g) modify or terminate the terms of any intercreditor or subordination agreement pursuant to which claims of other
creditors of Guarantor or any Credit Party are subordinated to the claims of Agent and Lenders; and/or 
 (h) apply any sums
by whomever paid or however realized to any amounts owing by Guarantor or any Credit Party to Agent or any Lender in such manner as Agent or any Lender shall determine in its discretion; 
 and Agent and Lenders shall not incur any liability to Guarantor as a result thereof, and no such action shall impair or release the Guaranteed Obligations of Guarantor or any of them under this Guaranty. 

2.7. Reinstatement. This Guaranty shall remain in full force and effect and continue to be effective should any petition be filed by or
against any Credit Party or Guarantor for liquidation or reorganization, should any Credit Party or Guarantor become 

  

 4 

 
insolvent or make an assignment for the benefit of creditors or should a receiver or trustee be appointed for all or any significant part of such Credit
Party’s or Guarantor’s assets, and shall continue to be effective or be reinstated, as the case may be, if at any time payment and performance of the Guaranteed Obligations, or any part thereof, is, pursuant to applicable law, rescinded or
reduced in amount, or must otherwise be restored or returned by Agent or any Lender, whether as a “voidable preference”, “fraudulent conveyance”, or otherwise, all as though such payment or performance had not been made. In the
event that any payment, or any part thereof, is rescinded, reduced, restored or returned, the Guaranteed Obligations shall be reinstated and deemed reduced only by such amount paid and not so rescinded, reduced, restored or returned. 
 2.8. Waiver of Subrogation, Etc. Notwithstanding anything to the contrary in this Guaranty, or in any other Loan Document, Guarantor
hereby: 
 (a) expressly and irrevocably waives, on behalf of itself and its successors and assigns (including any surety),
for all periods prior to the Termination Date, any and all rights at law or in equity to subrogation, to reimbursement, to exoneration, to contribution, to indemnification, to set off or to any other rights that could accrue to a surety against a
principal, to a guarantor against a principal, to a guarantor against a maker or obligor, to an accommodation party against the party accommodated, to a holder or transferee against a maker, or to the holder of any claim against any person or
entity, and which Guarantor may have or hereafter acquire against any Credit Party in connection with or as a result of Guarantor’s execution, delivery and/or performance of this Guaranty, or any other documents to which Guarantor is a party or
otherwise; and 
 (b) acknowledges and agrees (i) that this waiver is intended to benefit Agent and Lenders and shall not
limit or otherwise affect Guarantor’s liability hereunder or the enforceability of this Guaranty, and (ii) that Agent, Lenders and their respective successors and assigns are intended third party beneficiaries of the waivers and agreements
set forth in this Section 2.8 and their rights under this Section 2.8 shall survive payment in full of the Guaranteed Obligations. 
 2.9. Election of Remedies. If Agent may, under applicable law, proceed to realize benefits under any of the Debt Documents giving Agent and Lenders a lien upon any Collateral owned by any Credit Party,
either by judicial foreclosure or by non-judicial sale or enforcement, Agent may, at its sole option, determine which of such remedies or rights it may pursue without affecting any of such rights and remedies under this Guaranty. If, in the exercise
of any of its rights and remedies, Agent shall forfeit any of its rights or remedies, including its right to enter a deficiency judgment against any Credit Party, whether because of any applicable laws pertaining to “election of remedies”
or the like, Guarantor hereby consents to such action by Agent and waives any claim based upon such action, even if such action by Agent shall result in a full or partial loss of any rights of subrogation which Guarantor might otherwise have had but
for such action by Agent. Any election of remedies which results in the denial or impairment of the right of Agent to seek a deficiency judgment against any Credit Party shall not impair Guarantor’s obligation to pay the full amount of the
Guaranteed Obligations. In the event Agent shall bid at any foreclosure or trustee’s sale or at any private sale permitted by law or the Debt Documents, Agent may bid all or less than the amount of the Guaranteed Obligations and the amount of
such bid need not be 

  

 5 

 
paid by Agent but shall be credited against the Guaranteed Obligations. The amount of the successful bid at any such sale shall be conclusively deemed to be
the fair market value of the collateral and the difference between such bid amount and the remaining balance of the Guaranteed Obligations shall be conclusively deemed to be the amount of the Guaranteed Obligations guaranteed under this Guaranty,
notwithstanding that any present or future law or court decision or ruling may have the effect of reducing the amount of any deficiency claim to which Agent and Lenders might otherwise be entitled but for such bidding at any such sale. 

 

	3.	FURTHER ASSURANCES. 

 Guarantor agrees, upon
the written request of Agent or any Lender, to execute and deliver to Agent or such Lender, from time to time, any additional instruments or documents reasonably considered necessary by Agent or such Lender to cause this Guaranty to be, become or
remain valid and effective in accordance with its terms. 
  

	4.	PAYMENTS FREE AND CLEAR OF TAXES. 

 All
payments under this Guaranty shall be made free and clear of any taxes, withholdings, duties, impositions or other charges, such that Agent and Lenders will receive the entire amount of any Guaranteed Obligations, regardless of source of payment, so
long as Agent and Lenders have complied with the requirements of the Loan Agreement with respect to tax withholdings. 
  

	5.	OTHER TERMS. 

 5.1. Entire
Agreement. This Guaranty, together with the other Debt Documents, constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all prior agreements relating to a guaranty of the loans and advances
under the Debt Documents and/or the Guaranteed Obligations. 
 5.2. Headings. The headings in this Guaranty are for convenience
of reference only and are not part of the substance of this Guaranty. 
 5.3. Severability. Whenever possible, each provision
of this Guaranty shall be interpreted in such a manner to be effective and valid under applicable law, but if any provision of this Guaranty shall be prohibited by or invalid under applicable law, such provision shall be ineffective to the extent of
such prohibition or invalidity, without invalidating the remainder of such provision or the remaining provisions of this Guaranty. 
 5.4.
Notices. Except as otherwise provided herein, whenever it is provided herein that any notice, demand, request, consent, approval, declaration or other communication shall or may be given to or served upon any of the parties by any other
party, or whenever any of the parties desires to give and serve upon any other party any communication with respect to this Guaranty, each such notice, demand, request, consent, approval, declaration or other communication shall be in writing and
shall be given in the manner, and deemed received, as provided for in the Loan Agreement. 
  

 6 

 5.5. Successors and Assigns. This Guaranty and all obligations of Guarantor hereunder shall
be binding upon the successors and assigns of Guarantor (including a debtor-in-possession on behalf of Guarantor) and shall, together with the rights and remedies of Agent, for itself and for the benefit of Lenders, hereunder, inure to the benefit
of Agent and Lenders, all future holders of any instrument evidencing any of the Obligations and their respective successors and assigns. No sales of participations, other sales, assignments, transfers or other dispositions of any agreement
governing or instrument evidencing the Obligations or any portion thereof or interest therein made in accordance with the Loan Agreement shall in any manner affect the rights of Agent and Lenders hereunder. Guarantor may not assign, sell,
hypothecate or otherwise transfer any interest in or obligation under this Guaranty. 
 5.6. No Waiver; Cumulative Remedies;
Amendments. Neither Agent nor any Lender shall by any act, delay, omission or otherwise be deemed to have waived any of its rights or remedies hereunder, and no waiver shall be valid unless in writing, signed by Agent and then only to the extent
therein set forth. A waiver by Agent, for itself and the ratable benefit of Lenders, of any right or remedy hereunder on any one occasion shall not be construed as a bar to any right or remedy which Agent would otherwise have had on any future
occasion. No failure to exercise nor any delay in exercising on the part of Agent or any Lender, any right, power or privilege hereunder, shall operate as a waiver thereof, nor shall any single or partial exercise of any right, power or privilege
hereunder preclude any other or future exercise thereof or the exercise of any other right, power or privilege. The rights and remedies hereunder provided are cumulative and may be exercised singly or concurrently, and are not exclusive of any
rights and remedies provided by law. None of the terms or provisions of this Guaranty may be waived, altered, modified, supplemented or amended except by an instrument in writing, duly executed by Agent and Guarantor. 
 5.7. Termination. This Guaranty is a continuing guaranty and shall remain in full force and effect until the Termination Date. Upon payment
and performance in full of the Guaranteed Obligations, Agent shall deliver to Guarantor such documents as Guarantor may reasonably request to evidence such termination. 
 5.8. Counterparts. This Guaranty may be executed in any number of counterparts, each of which shall collectively and separately constitute one and the same agreement. 
 5.9. Limitation on Guaranteed Obligations. Notwithstanding any provision herein contained to the contrary, Guarantor’s liability
hereunder shall be limited to an amount not to exceed as of any date of determination the greater of: 
 (a) the net amount of all Loans and
other extensions of credit advanced under the Loan Agreement and directly or indirectly re-loaned or otherwise transferred to, or incurred for the benefit of, Guarantor, plus interest thereon at the applicable rate specified in the Loan Agreement;
or 
 (b) the amount which could be claimed by the Agent and Lenders from such Guarantor under this Guaranty without rendering such claim
voidable or avoidable under Section 548 of Chapter 11 of the Bankruptcy Code or under any applicable state Uniform Fraudulent Transfer Act, Uniform Fraudulent Conveyance Act or similar statute or common law after taking into account, among
other things, Guarantor’s right of contribution and indemnification from each other Guarantor under Section 5.10. 
  

 7 

	6.	SECURITY. 

 To secure payment of
Guarantor’s obligations under this Guaranty, concurrently with the execution of this Guaranty, Guarantor has entered into the Loan Agreement pursuant to which Guarantor has granted to Agent for the benefit of the Lenders a security interest in
substantially all of its personal property and has entered into a Pledge Agreement pursuant to which Guarantor has pledged all of the stock of each of its Subsidiaries, among other collateral, to Agent for the benefit of the Lenders. 
  

	7.	AMENDMENT AND RESTATEMENT; NO NOVATION. 

 This Guaranty constitutes an amendment and restatement of the Existing Guaranty effective from and after the date hereof. The execution and delivery of this Guaranty and the consummation of the transactions contemplated hereunder are not
intended by the parties to be, and shall not constitute, a novation or an accord and satisfaction of any obligations owing to the Agent or Lenders under the Existing Guaranty or any other Loan Document. 
 [Remainder of page left intentionally blank] 
  

 8 

 IN WITNESS WHEREOF, the parties hereto have executed and delivered this Guaranty as of the date first
above written. 
  

			
	 SALIENT, INC.,

	 a Delaware corporation, as Guarantor

		
	 By:
	 	 /s/ Richard M. Altieri

	 Name:
	 	Richard M. Altieri
	 Title:
	 	Treasurer
	
	 GENERAL ELECTRIC CAPITAL
 CORPORATION, as Agent

		
	 By:
	 	 /s/ Jason Dufour

	 Name:
	 	Jason Dufour
	 Title:
	 	Its Duly Authorized Signatory

 SALIENT SURGICAL TECHNOLOGIES,
INC. 
 AMENDED AND RESTATED PARENT GUARANTY

 SIGNATURE PAGE

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