Document:

Consent, Waiver and First Loan Modification Agreement

 Exhibit 10.1 
 Execution Copy 
 CONSENT, WAIVER AND FIRST LOAN
MODIFICATION AGREEMENT 
 This Consent, Waiver and First Loan Modification Agreement (this “Loan Modification
Agreement”) is entered into as of November 4, 2009, with an effective date of September 30, 2009 (the “First Loan Modification Effective Date”), by and between SILICON VALLEY BANK, a California corporation,
with its principal place of business at 3003 Tasman Drive, Santa Clara, California 95054 and with a loan production office located at 230 West Monroe, Suite 270, Chicago, Illinois 60606 (“Bank”) and ATRICURE, INC., a
Delaware corporation with its chief executive office located at 6033 Schumacher Park Drive, West Chester, Ohio 45069 (“Borrower”). 
 1.      DESCRIPTION OF EXISTING INDEBTEDNESS AND OBLIGATIONS. Among other indebtedness and obligations which may be owing by Borrower to Bank, Borrower is indebted to Bank pursuant to a loan arrangement
dated as of May 1, 2009, evidenced by, among other documents, a certain Loan and Security Agreement dated as of May 1, 2009, between Borrower and Bank (the “Existing Loan Agreement” and, as amended hereby, the
“Loan Agreement”). Capitalized terms used but not otherwise defined herein shall have the same meaning as in the Loan Agreement. 
 2.      DESCRIPTION OF COLLATERAL. Repayment of the Obligations is secured by the Collateral as described in the Loan Agreement and in a certain Intellectual Property Security Agreement, dated as of
May 1, 2009, by and between Borrower and Bank (the “IP Agreement”, and together with any other collateral security granted to Bank, the “Security Documents”). 
 Hereinafter, the Security Documents, together with the Existing Loan Agreement and all other documents evidencing or securing the Obligations shall be
referred to as the “Existing Loan Documents”. 
 3.      DESCRIPTION OF CHANGE IN TERMS.

  

	 	A.	Modifications to Loan Agreement. 

  

	 	1	The Loan Agreement shall be amended by deleting the following, appearing as Section 6.8 thereof, in its entirety: 

 “6.8        Operating Accounts. 
 (a)        Beginning on the date which is 60 days after the Effective Date, maintain all of its and
all of its Subsidiaries’ operating and other deposit accounts, securities accounts, and any other accounts at which Borrower or its Subsidiaries maintain funds or investments (including without limitation any Collateral Accounts), which are
maintained within the United States (including without limitation such accounts which are maintained with United States branches of foreign institutions), with Bank and Bank’s Affiliates. Notwithstanding the foregoing, Borrower may maintain
until December 31, 2009 its account number 0985930850 at National City Bank for purpose of continuing to receive deposits of payment items sent to Borrower’s pre-existing lockbox, provided that (i) National City Bank and Borrower
shall, within 30 days after the Effective Date, agree in writing that the proceeds in such account shall be swept to Bank two times per week and provide Bank with a Control Agreement to perfect Bank’s Lien against such account, and
(ii) Borrower shall still be required to comply with the terms of Section 6.3(c) hereof. 

 (b)        Without limitation on subsection
“a” above, (i) provide Bank five (5) days prior written notice before establishing any Collateral Account at or with any bank or financial institution other than Bank or Bank’s Affiliates, and (ii) for each Collateral
Account that Borrower at any time maintains within the United States (including without limitation any such account which is maintained with a United States branch of a foreign institution), Borrower shall cause the applicable bank or financial
institution (other than Bank) at or with which such Collateral Account is maintained to execute and deliver a Control Agreement or other appropriate instrument with respect to such Collateral Account to perfect Bank’s Lien in such Collateral
Account in accordance with the terms hereunder. The provisions of “ii” of the previous sentence shall (x) not apply to deposit accounts exclusively used for payroll, payroll taxes and other employee wage and benefit payments to or for
the benefit of Borrower’s employees and identified to Bank by Borrower as such, (y) not apply to accounts which are being moved to Bank or Bank’s Affiliates within the 60 day period provided for in Section 6.8(a) above, and
(z) shall be subject to the terms of Section 6.8(a) above with respect to account number 0985930850 at National City Bank.” 
 and inserting in lieu thereof the following: 
 “6.8        Operating Accounts. 
 (a)        Maintain its and its Subsidiaries’, if any, depository, operating accounts and securities accounts which are maintained in the United States (including, without limitation, such
accounts which are maintained with United States branches of foreign financial institutions) with Bank and Bank’s affiliates, with all excess funds maintained at or invested through Bank or an affiliate of Bank. Notwithstanding the foregoing,
Borrower may maintain, until December 31, 2009, its account number 0985930850 at National City Bank for the purpose of continuing to receive deposits of payment items sent to Borrower’s pre-existing lockbox; provided,
however, for the avoidance of doubt, Borrower will be required to comply with the terms of Section 6.3(c) hereof. 
 (b)        Provide Bank five (5) days prior-written notice before establishing any Collateral Account at or with any bank or financial institution other than Bank or Bank’s Affiliates. For
each Collateral Account that Borrower at any time maintains in the United States (including, without limitation, such accounts which are maintained with a United States branch of a foreign financial institutions), Borrower shall cause the applicable
bank or financial institution (other than Bank) at or with which any Collateral Account is maintained to execute and deliver a Control Agreement or other appropriate instrument with respect to such Collateral Account to perfect Bank’s Lien in
such Collateral Account in accordance with the terms hereunder which Control Agreement may not be terminated without the prior written consent of Bank. The provisions of the previous sentence shall not apply to (i) deposit accounts exclusively
used for payroll, payroll taxes and other employee wage and benefit payments to or for the benefit of Borrower’s employees and identified to Bank by Borrower as such and (ii) Borrower’s account number 0985930850 at National City Bank;
provided, that such account number 0985930850 at National City Bank shall be terminated no later than December 31, 2009, with the proceeds thereof transferred to an account of Borrower maintained at Bank.” 
  

	 	2	The Loan Agreement shall be amended by deleting the following, appearing as Section 6.9(a) thereof, in its entirety: 

 “(a)        Minimum Adjusted Quick
Ratio. An Adjusted Quick Ratio of at least 1.2 to 1.0 provided that Borrower shall only be required to maintain such minimum Adjusted Quick Ratios with respect to months during which there were any Advances outstanding.” 
 and inserting in lieu thereof the following: 
 “(a)        Minimum Adjusted Quick Ratio. An Adjusted Quick Ratio of at least 1.2 to 1.0 at all times.” 
  

	 	3	The Loan Agreement shall be amended by deleting the following, appearing as Section 6.9(b) thereof, in its entirety: 

 “(b)        Maximum Capital Expenditures. Not contract for, purchase or make any
expenditure or commitments for capital expenditures in an aggregate amount in excess of $1,750,000 for Borrower’s fiscal year ending December 31, 2009, $3,400,000 for Borrower’s fiscal year ending December 31, 2010, and an amount
for each of Borrower’s fiscal years ending thereafter as Borrower and Bank shall agree, provided that if Borrower and Bank fail to agree on the amount with respect to any such year, such amount shall be deemed to be $3,400,000 for such
year.” 
 and inserting in lieu thereof the following: 
 “(b)        Maximum Capital Expenditures. Not contract for, purchase or make any
expenditure or commitments for Capital Expenditures in an aggregate amount in excess of $1,750,000 for Borrower’s fiscal year ending December 31, 2009, $3,400,000 for Borrower’s fiscal year ending December 31, 2010, and an amount
for each of Borrower’s fiscal years ending thereafter as Borrower and Bank shall agree, provided that if Borrower and Bank fail to agree on the amount with respect to any such year, such amount shall be deemed to be $3,400,000 for such
year; provided, further, that for each fiscal year, any Capital Expenditure amount not used by the last day of the respective fiscal year shall be added to the permitted Capital Expenditure amount for the next succeeding fiscal
year.” 
  

	 	4	The Loan Agreement shall be amended by deleting the following, appearing as Section 6.9(d) thereof, in its entirety: 

 “(d)        Minimum EBITDA. Maintain, measured as of the end of each month, for the
three-month period ending as of the end of such month of at least the following minimum amounts for the months ending during the following periods (amounts in parentheses below represent negative numbers): 
  

					
	 Period
	  	Minimum EBITDA	 
	 Effective Date through May 31, 2009
	  	$	(2,280,000	) 
	 June 1, 2009 through August 31, 2009
	  	$	(1,060,000	) 
	 September 1, 2009 through November 30, 2009
	  	$	(100,000	) 
	 December 1, 2009 through February 28, 2010
	  	$	130,000	  

					
	 March 1, 2010 through May 31, 2010
	  	$	(1,600,000	) 
	 June 1, 2010 through August 31, 2010
	  	$	(250,000	) 
	 September 1, 2010 through November 30, 2010
	  	$	50,000	  
	 December 1, 2010 through February 28, 2011
	  	$	60,000	  

			
	 March 1, 2011 and thereafter
	 	an amount as Borrower and Bank shall agree”

 and inserting in lieu thereof the following: 
 “(d)        Minimum EBITDA. Maintain, measured as of the end of each month, for the
trailing six-month period ending as of the end of such month, EBITDA of at least the following minimum amounts for the months ending during the following periods (amounts in parentheses below represent negative numbers): 
  

					
	 Period
	  	Minimum EBITDA	 
	 September 1, 2009 through and including December 31, 2009
	  	$	(500,000	) 
	 January 1, 2010 through and including March 31, 2010
	  	$	(750,000	) 
	 April 1, 2010 through and including June 30, 2010
	  	$	1.00	  
	 July 1, 2010 through and including December 31, 2010
	  	$	250,000	  

			
	 January 1, 2011 and thereafter
	 	An amount as Borrower and Bank may agree

 ; provided, however, that in the event Bank and Borrower have not
agreed upon such amounts for 2011 and thereafter on or before January 31, 2011, the minimum EBITDA covenant shall revert to the amounts and thresholds for the corresponding monthly periods in 2010, until such time as Bank and Borrower have
agreed upon such amounts.” 
  

	 	5	The Loan Agreement shall be amended by deleting the following, appearing as Section 6.12 thereof, in its entirety: 

 “6.12        Pledge of Stock of AtriCure Europe B.V. Within 60 days after the Effective
Date, Borrower shall cause Borrower and AtriCure Europe B.V. to enter into a pledge agreement with Bank pledging to Bank shares relating to 65% of the outstanding stock of AtriCure Europe B.V. and cause such agreement to be notarized in accordance
with the laws of the Netherlands.” 
 and inserting in lieu thereof the following: 
 “6.12        Pledge of Stock of AtriCure Europe B.V. At the request of Bank, in its sole
discretion, Borrower shall enter into a pledge agreement with Bank, in

 
form and substance acceptable to Bank, in its sole discretion, pledging to Bank shares evidencing ownership of 65% of the outstanding stock of AtriCure Europe B.V. and cause such pledge agreement
to be notarized and enforceable in accordance with the laws of the Netherlands.” 
  

	 	6	The Loan Agreement shall be amended by deleting the following, appearing as Section 7.4 thereof, in its entirety: 

 “7.4        Indebtedness. Create, incur, assume, or be liable for (a) any
Indebtedness, or permit any Subsidiary to do so, other than Permitted Indebtedness, or (b) any Indebtedness to any officer, director or shareholder of Borrower unless such officer, director or shareholder subordinates such Indebtedness to all
of Borrower’s now or hereafter indebtedness to Bank (pursuant to a subordination, intercreditor, or other similar agreement in form and substance satisfactory to Bank entered into between Bank and such officer, director or shareholder), on
terms acceptable to Bank.” 
  

	 	and	inserting in lieu thereof the following: 

 “7.4        Indebtedness. Create, incur, assume, or be liable for (a) any Indebtedness, or permit any Subsidiary to do so, other than Permitted
Indebtedness, or (b) any Indebtedness to any officer, director or shareholder of Borrower unless such officer, director or shareholder subordinates such Indebtedness to all of Borrower’s now or hereafter indebtedness to Bank (pursuant to a
subordination, intercreditor, or other similar agreement in form and substance satisfactory to Bank entered into between Bank and such officer, director or shareholder), on terms acceptable to Bank; provided, however, the DOJ
Obligations shall constitute Permitted Indebtedness hereunder, and the regularly scheduled payment thereof shall be permitted, only to the extent such DOJ Obligations remain unsecured and free and clear of any and all Liens or encumbrances, whether
consensual, contractual, involuntary, statutory or otherwise, other than the right of set-off retained against any amounts due and owing to the Borrower by the Department of Justice or other agencies or instrumentalities of the United States of
America.” 
  

	 	7	The Loan Agreement shall be amended by inserting the following definitions in their appropriate alphabetical order in Section 13.1 thereof:

 ““Capital Expenditures” means, with respect to any Person for any period, the sum of
(a) the aggregate of all expenditures by such Person and its Subsidiaries during such period that are capital expenditures as determined in accordance with GAAP, whether such expenditures are paid in cash or financed, plus (b) to
the extent not covered by clause (a), the aggregate of all expenditures by such Person and its Subsidiaries during such period to acquire by purchase or otherwise the business or capitalized assets or the capital stock of any other Person.”

 “DOJ Obligations” is unsecured payment obligations that may be incurred by Borrower, which may become due
and payable pursuant to a settlement agreement by and between the Department of Justice and the Borrower, payable in accordance with the scheduled terms of and in a maximum amount of principal and interest not to exceed the amounts listed on
Exhibit A provided by Bank to Borrower and attached hereto. 
 “First Loan Modification Agreement” is
that certain Consent, Waiver and First Loan Modification Agreement, by and between Borrower and Bank,

 
entered into as of November 4, 2009, effective as of the First Loan Modification Effective Date. 
  

	 	“First	Loan Modification Effective Date” is defined in the preamble of the First Loan Modification Agreement.” 

  

	 	8	The Loan Agreement shall be amended by deleting the following definitions from Section 13.1 thereof, each in its entirety: 

 ““Adjusted Quick Ratio” is the ratio of (a) Borrower’s unrestricted cash and unrestricted Cash Equivalents
held with Bank and Bank’s Affiliates plus Borrower’s Eligible Accounts, divided by (b) Borrower’s Current Liabilities (including any amounts used for Cash Management Services and the face amount of outstanding Letters of Credit
(including drawn but unreimbursed Letters of Credit)) minus the current portion of Deferred Revenue. (For purposes of clarity, the parties acknowledge that Borrower’s cash or Cash Equivalents shall not be considered to be restricted by reason
of the fact that they are subject to Bank’s Lien.) 
 “Current Liabilities” are all obligations and
liabilities of Borrower to Bank (regardless of when they mature), plus, without duplication, the aggregate amount of Borrower’s Total Liabilities that mature within one (1) year. 
 “EBITDA” shall mean (a) Net Income, plus (b) Interest Expense, plus (c) to the extent deducted in the
calculation of Net Income, depreciation expense and amortization expense, plus (d) to the extent deducted in the calculation of Net Income, income tax expense, plus (e) to the extent deducted in the calculation of Net Income, non-cash
charges including non-cash equity compensation. 
 “Fixed Charge Coverage Ratio” means a ratio of
(a) EBITDA, minus cash income taxes paid, and minus unfinanced capital expenditures, to (b) current portion of long term debt, plus cash Interest Expense paid. 
 and inserting in lieu thereof the following: 
 ““Adjusted Quick
Ratio” is the ratio of (a) Borrower’s unrestricted cash and unrestricted Cash Equivalents held with Bank and Bank’s Affiliates plus Borrower’s Eligible Accounts, divided by (b) Borrower’s Current Liabilities
(including any amounts used for Cash Management Services and the face amount of outstanding Letters of Credit (including drawn but unreimbursed Letters of Credit)) minus the current portion of Deferred Revenue. (For purposes of clarity, the parties
acknowledge that (i) Borrower’s cash or Cash Equivalents shall not be considered to be restricted by reason of the fact that they are subject to Bank’s Lien and (ii) any account receivable established with respect to expected
insurance proceeds in an amount of up to Two Million Dollars ($2,000,000) associated with the settlement of a class action lawsuit by purchasers of Borrower’s common stock related to alleged securities law violations shall not be considered an
“Eligible Account”). 
 “Current Liabilities” are all obligations and liabilities of Borrower to Bank
(regardless of when they mature), plus, without duplication, the aggregate amount of Borrower’s Total Liabilities that mature within one (1) year; provided, however, Current Liabilities shall not include (a) principal or
interest on the DOJ Obligations to the extent such amounts would otherwise constitute Current Liabilities or (b) up to Two Million Dollars ($2,000,000) of liability

 
associated with the settlement of a class action lawsuit by purchasers of Borrower’s common stock related to alleged securities law violations, but only to the extent that Borrower maintains
an account receivable in respect of insurance proceeds relating to such settlement in the same amount. 
 “EBITDA” shall mean (a) Net Income, plus (b) Interest Expense, plus (c) to the extent deducted in the calculation of Net Income, depreciation expense and amortization expense, plus (d) to the extent
deducted in the calculation of Net Income, income tax expense, plus (e) to the extent deducted in the calculation of Net Income, non-cash charges including non-cash equity compensation plus (f) to the extent deducted from the calculation
of Net Income, principal and interest on the DOJ Obligations. 
 “Fixed Charge Coverage Ratio” means a ratio of
(a) EBITDA, minus cash income taxes paid, and minus unfinanced Capital Expenditures, to (b) the sum of (i) current portion of long term debt (other than DOJ Obligations, to the extent included in the calculation of the current portion
of long term debt), plus (ii) cash Interest Expense paid (other than Interest Expense on the DOJ Obligations, to the extent included in the calculation of Interest Expense).” 
  

	 	9	The Loan Agreement shall be amended by deleting the following clauses (k) and (l) from the definition of “Permitted Indebtedness” in
Section 13.1 thereof, each in its entirety: 

 “(k)       Contingent
Obligations of Borrower relating to, and not exceeding the amount of, the Indebtedness of any Subsidiary allowed pursuant to clause (i) above; and 
 (l)          extensions, refinancings, modifications, amendments and restatements of any items of Permitted Indebtedness (a) and (b) above,
provided that the principal amount thereof is not increased or the terms thereof are not modified to impose more burdensome terms upon Borrower or its Subsidiary, as the case may be.” 
 and inserting in lieu thereof the following: 
 “(k)       Contingent Obligations of Borrower relating to, and not exceeding the amount of, the Indebtedness of any Subsidiary allowed pursuant to clause
(i) above; 
 (l)          extensions, refinancings, modifications,
amendments and restatements of any items of Permitted Indebtedness (a) and (b) above, provided that the principal amount thereof is not increased or the terms thereof are not modified to impose more burdensome terms upon Borrower or
its Subsidiary, as the case may be; and 
 (m)        subject to the terms and
conditions contained herein and in the First Loan Modification Agreement, including, without limitation, Section 7.4 hereof, the DOJ Settlement.” 
  

	 	10	The Compliance Certificate appearing as Exhibit B to the Loan Agreement is hereby replaced with the Compliance Certificate attached as Exhibit B hereto.

 4.      ACKNOWLEDGMENT OF POTENTIAL DEFAULTS; CONDITIONAL WAIVER AND CONSENT. Borrower
acknowledges that its proposed settlement agreement with the Department of Justice with respect to certain claims asserted to date by the Department of Justice (the “DOJ Settlement”) relating to threatened legal

 
action is subject to the reporting requirements of Section 6.2(k), and the failure to promptly report such action could constitute a breach of Section 6.2(k) and the incurrence of the
DOJ Obligation may be in violation of Section 7.4 of the Existing Loan Agreement (the “Anticipated Defaults”). Subject to the terms and conditions described in Section 5 hereof and delivery of the Conditions Precedent
described in Section 7 hereof, Bank hereby consents to the incurrence of the DOJ Obligations by Borrower pursuant to the DOJ Settlement, and waives the Anticipated Defaults. Bank’s waiver shall only apply to the Anticipated Defaults, and
Borrower hereby acknowledges and agrees that except as specifically provided herein, nothing in this Section or anywhere in this Loan Modification Agreement shall be deemed or otherwise construed as a waiver by the Bank of any of its rights and
remedies pursuant to the Existing Loan Documents, applicable law or otherwise, including, without limitation, any Event of Default (other than the Anticipated Defaults), whether now existing or hereafter occurring. Bank acknowledges that the
incurrence of the DOJ Obligations does not constitute a Material Adverse Change. 
 5.      DOJ SETTLEMENT.
On or before February 28, 2010, or such later date as Bank and Borrower may, in their good faith business judgment, mutually agree, Borrower shall have entered into the DOJ Settlement. Borrower shall keep Bank informed, no less than two times
per month or more frequently as Bank shall require, of the status of the negotiations with the Department of Justice with respect to the definitive DOJ Settlement. Borrower shall ensure that such DOJ Settlement provides, at a minimum, that, until
the termination of the Loan Agreement when all Obligations of Borrower to Bank are paid-in-full and Bank has no obligation to make any further Credit Extensions to Borrower, the DOJ Obligations shall (i) be payable in accordance with scheduled
terms with a present value of and in a maximum amount of principal and interest not to exceed the present value and the amount provided by Borrower to Bank, listed on Exhibit A attached hereto; and (ii) be unsecured and remain free and
clear of any and all Liens or encumbrances, whether consensual, involuntary, contractual, statutory or otherwise, other than the right of set-off retained against any amounts due and owing to the Borrower by the Department of Justice or other
agencies or instrumentalities of the United States of America. Borrower shall deliver to Bank, as soon as available, an executed copy of such definitive DOJ Settlement. Failure of Borrower to comply with any portion of this Section 5 shall
result in an immediate Event of Default under the Loan Agreement, for which there shall be no cure period available. 
 6.      FEES. Borrower shall reimburse Bank for all legal fees and expenses incurred in connection with this amendment to the Existing Loan Documents. 
 7.      CONDITIONS PRECEDENT TO EFFECTIVENESS. Borrower hereby agrees that the following documents shall be delivered
to the Bank prior to the entering into and the effectiveness of this Loan Modification Agreement, each in form and substance satisfactory to the Bank (collectively, the “Conditions Precedent”): 
  

	 	a)	copies, certified by a duly authorized officer of the Borrower to be true and complete as of the date hereof, of each of (i) the governing documents of the
Borrower as in effect on the date hereof (to the extent such governing documents have been amended since the same were last delivered to Bank), (ii) the resolutions of the Borrower authorizing the execution and delivery of this Loan
Modification Agreement, the other documents executed in connection herewith and the Borrower’s performance of all of the transactions contemplated hereby, and (iii) an incumbency certificate giving the name and bearing a specimen signature
of each individual who shall be so authorized; 

  

	 	b)	a certificate of the from the Secretary of State for the applicable jurisdiction, as of a recent date as to the Borrower’s existence, good standing and foreign
qualification (where applicable); 

  

	 	c)	a duly executed copy of this Loan Modification Agreement, together with updated Schedule 5.9 attached thereto; 

  

	 	d)	a legal opinion of counsel to the Borrower as to authority and enforceability of the Loan Modification Agreement; 

  

	 	e)	a copy of Borrower’s 10-Q for the fiscal quarter ended September 30, 2009, unless such report is timely filed with the SEC and is otherwise publicly
available; and 

	 	f)	such other documents as the Bank may reasonably request. 

 8.      AUTHORIZATION TO FILE. Borrower hereby authorizes Bank to file UCC financing statements without notice to Borrower, with all appropriate jurisdictions, as Bank
deems appropriate, in order to further perfect or protect Bank’s interest in the Collateral, including a notice that any disposition of the Collateral, by either the Borrower or any other Person, shall be deemed to violate the rights of the
Bank under the Code. 
 9.      CONSISTENT CHANGES. The Existing Loan Documents are hereby amended wherever
necessary to reflect the changes described above. 
 10.      RATIFICATION OF LOAN DOCUMENTS. Borrower
hereby ratifies, confirms, and reaffirms all terms and conditions of all security or other collateral granted to the Bank, and confirms that the indebtedness secured thereby includes, without limitation, the Obligations. 
 11.      NO DEFENSES OF BORROWER. Borrower hereby acknowledges and agrees that Borrower has no offsets, defenses,
claims, or counterclaims against Bank with respect to the Obligations, or otherwise, and that if Borrower now has, or ever did have, any offsets, defenses, claims, or counterclaims against Bank, whether known or unknown, at law or in equity, all of
them are hereby expressly WAIVED and Borrower hereby RELEASES Bank from any liability thereunder. 
 12.      CONTINUING VALIDITY. Borrower understands and agrees that in modifying the existing Obligations, Bank is relying upon Borrower’s representations, warranties, and agreements, as set forth in
the Existing Loan Documents. Except as expressly modified pursuant to this Loan Modification Agreement, the terms of the Existing Loan Documents remain unchanged and in full force and effect. Bank’s agreement to modifications to the existing
Obligations pursuant to this Loan Modification Agreement in no way shall obligate Bank to make any future modifications to the Obligations. Nothing in this Loan Modification Agreement shall constitute a satisfaction of the Obligations. It is the
intention of Bank and Borrower to retain as liable parties all makers of Existing Loan Documents, unless the party is expressly released by Bank in writing. No maker will be released by virtue of this Loan Modification Agreement. 
 13.      RIGHT OF SET-OFF. In consideration of Bank’s agreement to enter into this Loan Modification Agreement,
Borrower hereby reaffirms and hereby grants to Bank, a lien, security interest and right of set off as security for all Obligations to Bank, whether now existing or hereafter arising upon and against all deposits, credits, collateral and property,
now or hereafter in the possession, custody, safekeeping or control of Bank or any entity under the control of Silicon Valley Bank (including a Bank subsidiary) or in transit to any of them. At any time after the occurrence and during the
continuance of an Event of Default, without demand or notice, Bank may set off the same or any part thereof and apply the same to any liability or obligation of Borrower even though unmatured and regardless of the adequacy of any other collateral
securing the loan. ANY AND ALL RIGHTS TO REQUIRE BANK TO EXERCISE ITS RIGHTS OR REMEDIES WITH RESPECT TO ANY OTHER COLLATERAL WHICH SECURES THE OBLIGATIONS, PRIOR TO EXERCISING ITS RIGHT OF SETOFF WITH RESPECT TO SUCH DEPOSITS, CREDITS OR OTHER
PROPERTY OF BORROWER, ARE HEREBY KNOWINGLY, VOLUNTARILY AND IRREVOCABLY WAIVED. 
 14.      CONFIDENTIALITY. Bank may use confidential information for the development of databases, reporting purposes, and market analysis, so long as such confidential information is aggregated and
anonymized prior to distribution unless otherwise expressly permitted by Borrower. The provisions of the immediately preceding sentence shall survive the termination of the Loan Agreement. 
 JURISDICTION/VENUE. California law governs the Loan Documents, including, without limitation, this Loan Modification Agreement
without regard to principles of conflicts of law. Borrower and Bank each submit to the exclusive jurisdiction of the State and Federal courts in Santa Clara County, California; provided, however, that nothing in this Agreement shall be deemed to
operate to preclude Bank from bringing suit or taking other legal action in any other jurisdiction to realize on the Collateral or any other security for the Obligations, or to enforce a judgment or other court order in favor of Bank. Borrower
expressly submits and consents in advance to such jurisdiction in any action or suit commenced in any such court, and Borrower hereby waives any objection that it may have based upon lack of personal jurisdiction, improper venue, or forum non
conveniens and hereby consents to

 
the granting of such legal or equitable relief as is deemed appropriate by such court. Borrower hereby waives personal service of the summons, complaints, and other process issued in such action
or suit and agrees that service of such summons, complaints, and other process may be made by registered or certified mail addressed to Borrower at the address set forth in, or subsequently provided by Borrower in accordance with, Section 10 of
the Loan Agreement and that service so made shall be deemed completed upon the earlier to occur of Borrower’s actual receipt thereof or three (3) days after deposit in the U.S. mails, proper postage prepaid. 
 TO THE FULLEST EXTENT PERMITTED BY APPLICABLE LAW, BORROWER AND BANK EACH WAIVE THEIR RIGHT TO A JURY TRIAL OF ANY CLAIM OR CAUSE OF
ACTION ARISING OUT OF OR BASED UPON THIS LOAN MODIFICATION AGREEMENT, THE LOAN AGREEMENT, THE LOAN DOCUMENTS OR ANY CONTEMPLATED TRANSACTION, INCLUDING CONTRACT, TORT, BREACH OF DUTY AND ALL OTHER CLAIMS. THIS WAIVER IS A MATERIAL INDUCEMENT FOR
BOTH PARTIES TO ENTER INTO THIS AGREEMENT. EACH PARTY HAS REVIEWED THIS WAIVER WITH ITS COUNSEL. 
 WITHOUT INTENDING IN ANY WAY TO LIMIT
THE PARTIES’ AGREEMENT TO WAIVE THEIR RESPECTIVE RIGHT TO A TRIAL BY JURY, if the above waiver of the right to a trial by jury is not enforceable, the parties hereto agree that any and all disputes or controversies of any nature between them
arising at any time shall be decided by a reference to a private judge, mutually selected by the parties (or, if they cannot agree, by the Presiding Judge of the Santa Clara County, California Superior Court) appointed in accordance with California
Code of Civil Procedure Section 638 (or pursuant to comparable provisions of federal law if the dispute falls within the exclusive jurisdiction of the federal courts), sitting without a jury, in Santa Clara County, California; and the parties
hereby submit to the jurisdiction of such court. The reference proceedings shall be conducted pursuant to and in accordance with the provisions of California Code of Civil Procedure §§ 638 through 645.1, inclusive. The private judge shall
have the power, among others, to grant provisional relief, including without limitation, entering temporary restraining orders, issuing preliminary and permanent injunctions and appointing receivers. All such proceedings shall be closed to the
public and confidential and all records relating thereto shall be permanently sealed. If during the course of any dispute, a party desires to seek provisional relief, but a judge has not been appointed at that point pursuant to the judicial
reference procedures, then such party may apply to the Santa Clara County, California Superior Court for such relief. The proceeding before the private judge shall be conducted in the same manner as it would be before a court under the rules of
evidence applicable to judicial proceedings. The parties shall be entitled to discovery which shall be conducted in the same manner as it would be before a court under the rules of discovery applicable to judicial proceedings. The private judge
shall oversee discovery and may enforce all discovery rules and orders applicable to judicial proceedings in the same manner as a trial court judge. The parties agree that the selected or appointed private judge shall have the power to decide all
issues in the action or proceeding, whether of fact or of law, and shall report a statement of decision thereon pursuant to California Code of Civil Procedure § 644(a). Nothing in this paragraph shall limit the right of any party at any time to
exercise self-help remedies, foreclose against collateral, or obtain provisional remedies. The private judge shall also determine all issues relating to the applicability, interpretation, and enforceability of this paragraph. 
 15.      COUNTERSIGNATURE. This Loan Modification Agreement shall become effective only when it shall have been
executed by Borrower and Bank. 
 [The remainder of this page is intentionally left blank] 

 This Loan Modification Agreement is executed as of the date first written above. 

 

							
	 BORROWER:
	  	BANK:
		
	 ATRICURE, INC.
	  	SILICON VALLEY BANK
				
	 By:
	 	/S/    JULIE A. PITON      
	  	By:	  	/S/    ADAM M.
GLICK        
	Name:	 	Julie A. Piton	  	Name:	  	Adam M. Glick
	Title:	 	 Vice President, Finance and Administration and
 Chief Financial Officer
	  	Title:	  	Relationship Manager

 EXHIBIT A 
 Proposed Payment Schedule 
 (see attached) 

 EXHIBIT B 
 COMPLIANCE CERTIFICATE 
  

	 TO:       SILICON VALLEY BANK 
	 Date:                             

 FROM: ATRICURE, INC. 
 The
undersigned authorized officer of AtriCure, Inc. (“Borrower”) certifies that under the terms and conditions of the Loan and Security Agreement between Borrower and Bank (the “Agreement”): 
 (1) Borrower is in complete compliance for the period ending             
with all required covenants except as noted below; (2) there are no Events of Default; (3) all representations and warranties in the Agreement are true and correct in all material respects on this date except as noted below; provided,
however, that such materiality qualifier shall not be applicable to any representations and warranties that already are qualified or modified by materiality in the text thereof; and provided, further that those representations and warranties
expressly referring to a specific date shall be true, accurate and complete in all material respects as of such date; (4) Borrower, and each of its Subsidiaries, has timely filed all required tax returns and reports, and Borrower has timely
paid all foreign, federal, state and local taxes, assessments, deposits and contributions owed by Borrower except as otherwise permitted pursuant to the terms of Section 5.9 of the Agreement; and (5) no Liens have been levied or claims
made against Borrower or any of its Subsidiaries relating to unpaid employee payroll or benefits of which Borrower has not previously provided written notification to Bank. 
 Attached are the required documents supporting the certification. The undersigned certifies that these are prepared in accordance with GAAP
consistently applied from one period to the next except as explained in an accompanying letter or footnotes. The undersigned acknowledges that no borrowings may be requested at any time or date of determination that Borrower is not in compliance
with any of the terms of the Agreement, and that compliance is determined not just at the date this certificate is delivered. Capitalized terms used but not otherwise defined herein shall have the meanings given them in the Agreement. 
 Please indicate compliance status by circling Yes/No under “Complies” column. 
  

					
	 Reporting Covenant
	  	 Required
	  	 Complies

	 Transaction Reports
	  	Non-Streamline: Weekly; Streamline: monthly within 15 days	  	Yes  No
			
	 Monthly payable & receivable items, check
registers, general ledger, & reconciliations
	  	Monthly within 15 days	  	Yes  No
			
	 Monthly financial statements with Compliance Certificate
	  	Monthly within 30 days	  	Yes  No
			
	 Annual financial statement (CPA Audited)
	  	FYE within 120 days	  	Yes  No
			
	 Annual budgets and projections
	  	Prior to FYE	  	Yes  No

  

								
	 Financial Covenants
	  	 Required
	  	 Actual
	  	 Complies

	 Maintain on a Monthly Basis:
	  		  			  	
	 Minimum Adjusted Quick Ratio (when required)
	  	1.2:1.0	  	 	            :1.0	  	Yes  No
	 Maximum Capital Expenditures
	  	*	  	$	            	  	Yes  No
	 Minimum Fixed Charge Coverage Ratio (when required)
	  	1.5:1.0	  	 	            :1.0	  	Yes  No
	 Minimum EBITDA
	  	*	  	$	            	  	Yes  No

  

	*See	Loan Agreement 

					
	 Performance Pricing  
	  	 Applies

	 Adjusted Quick Ratio:
	  		  	
	 greater or equal to 2 to 1
	  	First Tier Rate	  	Yes  No
	 greater or equal to 1.5 to 1, but less than 2 to 1
	  	Second Tier Rate	  	Yes  No
	 Less than 1.5 to 1, or Event of Default exists
	  	Regular Rate	  	Yes  No

  

					
	 Streamline Requirement  
	  	 
	 Minimum Cash Condition
	  	See Loan Agreement	  	Yes  No

 Borrower is party to, or bound by, the following material Restricted Licenses that
were not previously noted in the Perfection Certificate or a prior Compliance
Certificate:                                       
                     . 
 Borrower intends to register the following copyrights or mask works with the United States Copyright Office that were not previously noted in a prior Compliance Certificate:
                                         
                   . 
 Borrower has (i) obtained the following Patents, registered Trademarks, registered Copyrights, registered mask work, or any pending application for any of the foregoing, whether as owner, licensee or otherwise, and (ii) applied
for the following Patents and the registration of the following Trademarks; in each case, that were not previously noted in the Perfection Certificate or a prior Compliance Certificate (to be reported on as part of the Compliance Certificate due
following the last month of each fiscal quarter):
                                         
               . 
 The following financial
covenant analyses and information set forth in Schedule 1 attached hereto are true and accurate as of the date of this Certificate. 
 The following are the exceptions with respect to the certification above: (If no exceptions exist, state “No exceptions to note.”) 
  
  
  
  
  
  
  

							
	 ATRICURE, INC.
	  	BANK USE ONLY
				
	 By:
	  	  
	  	Received by:	  	  
 AUTHORIZED
SIGNER

				
	 Name:
	  	  
	  	Date:	  	  

				
	 Title:
	  	  
	  	Verified:	  	  
 AUTHORIZED
SIGNER

				
		  		  	Date:	  	  

				
		  		  	Compliance Status:	  	Yes        No

 Schedule 1 to Compliance Certificate 
 Financial Covenants of Borrower 
 In the event of a conflict between this Schedule and the Loan Agreement, the terms of the Loan Agreement shall govern. 
 Dated:                              
  

	I.	Minimum Adjusted Quick Ratio (Section 6.9(a)) 

 Required:             at least 1.20:1.00, at all times 
 Actual:

  

					
	 A.
	  	Borrower’s unrestricted cash (and Cash Equivalents) held with Bank and its Affiliates	  	$                
			
	 B.
	  	Borrower’s Eligible Accounts (excluding any account receivable established with respect to expected insurance proceeds in an amount of up to Two Million Dollars ($2,000,000)
associated with the settlement of a class action lawsuit)	  	$                
			
	 C.
	  	Line A plus line B	  	$                
			
	 D.
	  	Borrower’s Current Liabilities (including any amounts used for Cash Management Services and the face amount of outstanding Letters of Credit (including drawn but
unreimbursed Letters of Credit), but excluding the amount of principal or interest on the DOJ Obligations and excluding up to Two Million Dollars ($2,000,000) of liability associated with the settlement of a class action lawsuit, but only to the
extent that Borrower maintains an account receivable in respect of insurance proceeds relating to such settlement in the same amount)	  	$                
			
	 E.
	  	The current portion of Deferred Revenue	  	
			
	 F.
	  	Line D minus line E	  	
			
	 G.
	  	Adjusted Quick Ratio (line C divided by line F)	  	        :        

 Is line G greater than or equal to 1.20:1.00? 
  

			
	              No, not in compliance
	  	             Yes, in compliance

  

	II.	Maximum Capital Expenditures (Section 6.9(b)) 

 Required:             not to exceed per fiscal year the limits provided for in Section 6.9(b) of the Loan Agreement 
 Actual: 
  

					
	 A.
	  	Capital expenditure limit provided for in Section 6.9(b) (including any prior-year rollover amount)	  	$                
			
	 B.
	  	Capital expenditures for fiscal year	  	$                
			
	 C.
	  	Line A minus line B	  	$                

 Is line C greater than or equal to zero? 
  

			
	              No, not in compliance
	  	             Yes, in compliance

	III.	Minimum Fixed Charge Coverage Ratio (Section 6.9(c)) 

 Required:              not less than 1.50:1.00 (required upon release of the Term Loan-Related Reserve) 
 Actual: 
  

					
	 A.
	  	EBITDA (as defined in the Loan Agreement)	  	$              
			
	 B.
	  	Cash income taxes paid	  	$              
			
	 C.
	  	Unfinanced Capital Expenditures	  	$              
			
	 D.
	  	Line A minus line B minus line C	  	$              
			
	 E.
	  	Current portion of long term debt, other than DOJ Obligations to the extent included in calculation of the current portion of long term debt	  	$              
			
	 F.
	  	Interest Expense, other than Interest Expense on the DOJ Obligations, to the extent included in the calculation of Interest Expense	  	$              
			
	 G
	  	Line E plus line F	  	$              
			
	 H.
	  	Fixed Charge Coverage Ratio (line D divided by line G)	  	___:___

 Is line H greater than or equal to 1.50:1.00? 
  

			
	             No, not in compliance	  	             Yes, in compliance

	IV.	Minimum EBITDA (Section 6.9(d)) 

 Required:              equal to or greater than the amounts set forth in Section 6.9(d) of the Loan Agreement 
 Actual: 
  

					
	 A.
	  	EBITDA (as defined in the Loan Agreement)	  	$                
			
	 B.
	  	Minimum required per Section 6.9(d)	  	$                
			
	 C.
	  	Line A minus line B	  	$                

 Is line C greater than or equal to zero? 
  

			
	              No, not in compliance
	  	             Yes, in compliance

 SCHEDULE 5.9 
 Pension Plans 
 The Borrower has prepared and submitted to the
internal revenue service a report for the period January 31, 2002 through December 31, 2008 detailing certain non-compliance under borrower’s 401(k) plan, including as a result of improper calculations of compensation under the plan
documents, errors in properly calculating required “matching” contributions to be made by the borrower and improper exclusion of certain employees from participation in the plan. The Borrower has also submitted an amendment to the plan
which is effective January 1, 2009.Fifth Amendment to Amended and Restated Credit Agreement

 Exhibit 10.1 
 EXECUTION COPY 
 FIFTH AMENDMENT TO 
 AMENDED AND
RESTATED CREDIT AGREEMENT 
 THIS FIFTH
AMENDMENT TO AMENDED AND RESTATED CREDIT AGREEMENT (this “Amendment”) is entered into as of September 14, 2009, between
NATUS MEDICAL INCORPORATED, a Delaware corporation (“Borrower”), and WELLS FARGO BANK, NATIONAL ASSOCIATION
(“Bank”). 
 RECITALS 
 WHEREAS Borrower is currently indebted to Bank pursuant to the terms and conditions of the Amended and Restated Credit
Agreement, dated as of November 28, 2007 (as amended, amended and restated, modified or supplemented prior to the date hereof, the “Credit Agreement”), between Borrower and Bank; and 
 WHEREAS Bank and Borrower have agreed to certain changes in the terms and conditions set forth in the Credit Agreement and
have agreed to amend the Credit Agreement to reflect such changes; 
 NOW, THEREFORE, for valuable
consideration, the receipt and sufficiency of which are hereby acknowledged, Bank and Borrower hereby agree that the Credit Agreement shall be amended as follows; provided that nothing contained herein shall terminate any security interests,
guaranties, subordinations or other documents in favor of Bank, all of which shall remain in full force and effect unless expressly amended hereby: 
 Section 1. Definitions. Each capitalized term used but not otherwise defined herein has the meaning assigned to it in the Credit Agreement. 
 Section 2. Amendments to Credit Agreement. Subject to Section 3 hereof, the Credit Agreement is hereby amended as follows:

 (a) The definition of “Consolidated EBITDA” in Section 1.1 of the Credit Agreement is hereby
amended and restated in its entirety to read as follows: 
 “Consolidated EBITDA” means, for any
period, for Borrower and its Subsidiaries on a consolidated basis, an amount equal to Consolidated Net Income for such period plus (a) the following to the extent deducted in calculating such Consolidated Net Income:
(i) Consolidated Interest Expense for such period, (ii) the provision for Federal, state, local and foreign income taxes payable by Borrower and its Subsidiaries for such period, (iii) depreciation and amortization expense,
(iv) all non-cash expenses related to stock-based compensation deducted to arrive at Consolidated Net Income, (v) other non-recurring expenses of Borrower and its Subsidiaries reducing such Consolidated Net Income which do not represent a
cash item in such period or any future period, (vi) cash based restructuring charges, as defined under GAAP, for Excel-Tech (provided that the aggregate amount added to Consolidated Net Income for all periods pursuant to this
clause (vi)

 
shall not exceed $5,000,000), and (vii) expenses created by contingent consideration or transaction costs related to a business combination or acquisition, to the extent required to be
expensed by Financial Accounting Standards Board’s Statement of Financial Accounting Standards No. 141, Business Combinations, issued December 7, 2007 (“SFAS 141R”), and minus (b) the following to the
extent included in calculating such Consolidated Net Income: (i) interest income (ii) extraordinary or non-recurring non-cash income or gains, (iii) Federal, state, local and foreign income tax credits of Borrower and its Subsidiaries
for such period, (iv) all non-cash items increasing Consolidated Net Income for such period, and (v) adjustments to income created by contingent consideration related to a business combination or acquisition, to the extent required to be
recognized by SFAS 141R. 
 (b) The definition of “Permitted Investments” in Section 1.1 of
the Credit Agreement is hereby amended by deleting the period (“.”) at the end of such section and replacing it with “; and”. 
 (c) The definition of “Permitted Investments” in Section 1.1 of the Credit Agreement is hereby amended by inserting a new paragraph (l) immediately following the existing
paragraph (k) to read as follows: 
 (l) A Forty-Three Million Two Hundred Fifty Thousand Dollar
($43,250,000.00) investment by Borrower in the stock of Alpine Biomed Holdings Corp., a Delaware corporation, pursuant to documentation as presented to, and found to be satisfactory to, Bank on or before the Fifth Amendment Closing Date. 

(d) The following definition is hereby added to Section 1.1 of the Credit Agreement in a manner that maintains
alphabetical order: 
 “Fifth Amendment Closing Date” means September 14, 2009. 

(e) The definition of “Specified Earn-out Payments” in Section 1.1 of the Credit Agreement is hereby
amended and restated in its entirety to read as follows: 
 “Specified Earn-out Payments” means
payments made by Borrower (A) pursuant to the Asset Purchase Agreement, dated as of September 11, 2006, between the “Seller,” as named therein, and Borrower, as presented to, and found to be satisfactory to, Bank, in amounts not
to exceed $225,000 per year for each of the three years immediately following the date of effectiveness of such transaction, (B) pursuant to the Stock Purchase Agreement, dated as of October 16, 2006, by and between the
“Stockholders,” as named therein, and Borrower, as presented to, and found to be satisfactory to, Bank, in an aggregate amount not to exceed $2,622,848 during the period commencing November 8, 2006 and ending March 22, 2010, and
(C) pursuant to the Agreement and Plan of Merger, dated as of September 14, 2009, by and between “Merger Sub” and “Company,” as named therein, and Borrower, as presented to, and found to be satisfactory to, Bank, in an
aggregate amount not to exceed $3,750,000.00 within 75 days of December 31, 2009. 
  

 - 2 - 

 (f) Section 6.9(a) of the Credit Agreement is amended and restated in
its entirety to read as follows: 
 (a) As of each fiscal quarter end of Borrower, Consolidated EBITDA not less
than the amount set forth below: 
  

				
	 For each quarterly period ending as of each fiscal quarter end of Borrower ending on or before September 30,
2008:
	  	$	5,000,000
		
	 For the four consecutive fiscal quarters ending as of each fiscal quarter end of Borrower ending on December 31, 2008 and
March 31, 2009:
	  	$	35,000,000
		
	 For the four consecutive fiscal quarters ending as of each fiscal quarter end of Borrower ending on June 30, 2009 and
September 30, 2009:
	  	$	32,000,000

 Section 3. Conditions Precedent. This Amendment, including, without
limitation the amendments to the Credit Agreement contained herein, shall become effective as of the date first set forth above (the “Effective Date”) upon satisfaction of all of the conditions set forth in this
Section 3 to the satisfaction of Bank; provided that, in the event such conditions are not so satisfied on or before September 25, 2009, then this Amendment shall be of no further force and effect: 
 (a) Bank shall have received each of the following, duly executed and delivered by each of the applicable parties thereto:

 (i) this Amendment together with the Consent and Reaffirmation attached hereto; and 
 (ii) such other documents as Bank may require under any other Section of this Amendment; and 
 (b) No Event of Default or event which, with the giving of notice, the lapse of time or both would constitute an Event of
Default, shall have occurred and be continuing. 
  

 - 3 - 

 Section 4. Interpretation. Except as specifically provided herein, all terms and
conditions of the Credit Agreement remain in full force and effect, without waiver or modification. This Amendment and the Credit Agreement shall be read together, as one document. The Recitals hereto, including the terms defined therein, are
incorporated herein by this reference and acknowledged by Borrower to be true, correct and complete. 
 Section 5.
Representations, Warranties and Covenants. Borrower hereby remakes all representations and warranties contained in the Credit Agreement and reaffirms all covenants set forth therein (as amended hereby) as of the date of this Amendment.
Borrower further certifies that as of the date of this Amendment there exists no Event of Default, nor any condition, act or event which with the giving of notice or the passage of time or both would constitute an Event of Default. 
 Section 6. Further Assurances. Borrower will make, execute, endorse, acknowledge, and deliver any agreements, documents, or
instruments, and take any and all other actions, as may from time to time be reasonably requested by Bank to perfect and maintain the validity and priority of the liens and security interests granted to Bank pursuant to the Credit Agreement and the
other Loan Documents and to effect, confirm, or further assure or protect and preserve the interests, rights, and remedies of Bank under the Credit Agreement (as amended hereby) and the other Loan Documents. 
 Section 7. Counterparts. This Amendment may be executed in any number of identical counterparts, any set of which signed by all
the parties hereto shall be deemed to constitute a complete, executed original for all purposes. Delivery of an executed counterpart of a signature page of this Amendment by telefacsimile transmission shall be as effective as delivery of a manually
executed counterpart hereof. 
 Section 8. Governing Law. This Amendment shall be governed by and construed in
accordance with the internal laws of the State of California. 
 [Signatures follow on next page.] 
  

 - 4 - 

 IN WITNESS WHEREOF, the parties hereto have
caused this Amendment to be executed as of the date first written above. 
  

									
	NATUS MEDICAL INCORPORATED, 	 		 	WELLS FARGO BANK,
	a Delaware corporation	 		 	NATIONAL ASSOCIATION
					
	By:	 	 /s/ STEVEN J. MURPHY
	 		 	By:	 	 /s/ LISA M. CUPPETT

	Name:	 	Steven J. Murphy	 		 	Name:	 	Lisa M. Cuppett
	Title:	 	 Vice President Finance and Chief
 Financial Officer
	 		 	Title:	 	Senior Vice President

 Fifth Amendment to Amended and Restated Credit Agreement 

 CONSENT AND REAFFIRMATION 
 Each of the undersigned, a subsidiary of Natus Medical Incorporated (“Borrower”) who has executed a Continuing Guaranty in
favor of Wells Fargo Bank, National Association (“Bank”), hereby: (i) consents to the foregoing Fifth Amendment to Amended and Restated Credit Agreement; (ii) reaffirms its obligations under its respective
Continuing Guaranty; (iii) reaffirms the waivers of each and every one of the defenses to such obligations as set forth in such Continuing Guaranty; and (iv) reaffirms that its obligations under such Continuing Guaranty are separate and
distinct from the obligations of any other party under the Credit Agreement (as modified by the Fifth Amendment to Amended and Restated Credit Agreement) and the other Loan Documents. 
 Dated as of September 14, 2009 
 GUARANTOR: 
  

									
	NATUS ACQUISITION CORPORATION	 		 	NEUROCOM INTERNATIONAL, INC.
					
	By:	 	 /s/ STEVEN J. MURPHY
	 		 	By:	 	 /s/ STEVEN J. MURPHY

	Name:	 	Steven J. Murphy	 		 	Name:	 	Steven J. Murphy
	Title:	 	Chief Financial Officer	 		 	Title:	 	Chief Financial Officer

 CONSENT AND REAFFIRMATION

Source: [{"source": "alea-institute/alea-institute/kl3m-data-edgar-agreements/train-00165-of-00352.parquet"}, [{"source": "alea-institute/alea-institute/kl3m-data-edgar-agreements/train-00165-of-00352.parquet"}]]