Document:

Exhibit 10.6

March 1, 2007

Douglas E. Reedich

                                

                                

Dear Doug:

This letter sets forth the agreement between you and
Sepracor concerning the terms of your resignation from Sepracor.

You will remain an employee of Sepracor carrying out
your responsibilities at my direction or as I may delegate until at the latest
December 31, 2007 or earlier as determined by either you or Sepracor, at which
time your resignation will be effective.

If you remain an employee in good standing until
December 31, 2007, or if your employment is terminated by Sepracor without
cause prior to December 31, 2007, then (i) at the time Sepracor makes its
regular bonus payments for 2007, you will be paid a pro rata share of your full
bonus eligibility for 2007 (based on the proportion of 2007 during which you
were employed by Sepracor), and  (ii) you
will be paid bi-weekly until the earlier of December 31, 2009, or the second
anniversary of your termination from Sepracor, with each bi-weekly payment in
the amount of 1/26 of your annual salary and bonus eligibility for 2007 for the
first year, and 1/26 of your annual salary without bonus for the second year.

In addition, in the event that Sepracor establishes an
executive retiree health benefit program prior to December 31, 2007, you will
be eligible to participate. For such time as you elect to participate in any
such program, you will reimburse Sepracor at the lesser of (a) the actual cost
to Sepracor of your participation and (b) the rate applicable to former
Sepracor employees who elect COBRA health coverage.  In the event that Sepracor does not establish
an executive retiree health benefit program prior to December 31, 2007,
Sepracor will reimburse you the cost of your participation in COBRA for such
time as you participate in COBRA.

You agree that, after the date of termination of your
employment, you will undertake any necessary preparation testimony in Sepracor’s
ongoing ANDA litigations at no charge to Sepracor aside from costs related to
independent legal representation to which you may be entitled (if any) and
reasonable travel, lodging and meals as applicable (“out-of-pocket costs”).  You agree to provide up to 8 hours per month
of transition assistance at Sepracor’s reasonable request until December 31,
2009, at no charge to Sepracor aside from out-of-pocket costs.  You agree also to execute a Severance and
Settlement Agreement and Release in a form provided by Sepracor which shall include,
but not be limited to, provisions involving a general release of all claims,
confidentiality, non-competition (in a business capacity), cooperation,
non-disparagement and return of company property.

Notwithstanding anything else to the contrary in this
letter agreement, to the extent that any of the payments that may be made
hereunder constitute “nonqualified deferred compensation”, within the meaning
of Section 409A and you are a “specified employee” upon your separation (as
defined under Section 409A), the timing of any such payment following your
separation date shall be modified if, absent such modification, such payment
would otherwise be subject to penalty under Section 409A.  In any event, the Company makes no
representation or warranty and shall have no liability to you or to any other
person if any provisions of this agreement are determined to constitute “nonqualified
deferred compensation” subject to Section 409A but do not satisfy the
requirements of that section.

This letter agreement constitutes the entire agreement
between Sepracor and you and supercedes all prior agreements and
understandings, whether written or oral, relating to the subject matter of this
letter agreement, other than the Executive Retention Agreement between Sepracor
and you dated February 1, 2002.  For the
avoidance of doubt, the stock options and restricted stock awards you hold
shall continue to be governed by the applicable stock option or stock incentive
plan under which they were granted or issued (or any successor plan thereto)
and any related stock option or restricted stock agreement.

Any changes to the terms
of this letter agreement will be binding only if made in writing and agreed by
both you and Sepracor.

Please acknowledge this
letter by signing and dating in the space provided below. Return one signed
original at your earliest convenience to me. You may keep the other for your
files.

Best regards,

/s/ Timothy J. Barberich

Timothy J. Barberich

Chairman and Chief Executive Officer

Accepted and Agreed:

	
  /s/ Douglas E.
  Reedich

  	
   

  	
  3/1/2007

  	
   

  
	
  Douglas E.
  Reedich, Ph.D, J.D.

  	
  Date

  

 

 2Exhibit 10.1

 

VITAL IMAGES, INC.

AND

TOSHIBA CORPORATION

MARKETING
AND DISTRIBUTION AGREEMENT

THIS AGREEMENT is made as of March 30, 2007 by
and between Vital Images, Inc., a Minnesota corporation having its principal
place of business at 5850 Opus Parkway, Suite 300, Minnetonka, Minnesota 55343
USA (“Vital Images”)  and Toshiba Medical
Systems Corporation having its place of business at 1385, Shimoishigami,
Otawara-Shi, Tochigi 324-8550, Japan (“Toshiba”).

Recitals

A.                                            Vital
Images develops and licenses proprietary medical visualization software
products (defined below as the “Products”) and desires to increase the
marketing and distribution of the Products.

B.                                              Toshiba
develops and markets proprietary medical visualization scanners and related
hardware and software products and desires to market the Products in
combination with the marketing of its products.

C.                                             Toshiba
possesses the necessary expertise and marketing organization to promote,
market, distribute and support the Products.

D.                                            Vital
Images desires to appoint Toshiba and the Dealer Associates, and Toshiba and
the Dealer Associates desire appointment, as a nonexclusive reseller of the
Products.

NOW, THEREFORE, in
consideration of the mutual premises and covenants hereinafter set forth, the
parties agree as follows:

ARTICLE 1:  DEFINITIONS

For purposes of this Agreement, the following words, terms and phrases
shall have the following meanings unless the context otherwise requires:

1.1                                 Confidential
Information.  “Confidential
Information” shall mean all information designated by a party as confidential
and which is disclosed by Vital Images to Toshiba or its Dealer Associates, as
hereinafter specified, is disclosed by Toshiba or its Dealer Associates to
Vital Images, or is embodied in the Products, relating to markets, customers,
products, patents, inventions, procedures, methods, designs, strategies, plans,
assets, liabilities, prices, costs, revenues, profits, organization, employees,
agents, resellers or business in general, or, in the case of Vital Images, the
algorithms, programs, user interfaces and organization of the Products (except
as otherwise agreed between the parties in a separate agreement concerning one
or more options incorporated in the Products).

1.2                                 First
Level Maintenance.  “First Level
Maintenance” shall mean electronic or telephone or in-person response to deal
with any problem or software bug in the Product which is provided by Vital
Images, Toshiba or the Dealer Associates, as hereinafter specified, to Toshiba’s
or the Dealer Associates’ customers in the Territory who have installed the Products
that are under a contractual warranty or software maintenance program with
Toshiba or the Dealer Associates. Such response shall attempt (i) to identify
the nature and extent of the customer’s problem, (ii) if appropriate, to obtain
a copy of magnetic media, hard copy printout or electronic file forwarded over
the internet containing the problem or

* Confidential Treatment has been requested, the
portion indicated has been redacted and the redacted portion has been
separately filed with the Securities and Exchange Commission.

 

Toshiba-Vital Images Confidential

 1
 

software
bug to be forwarded promptly to Vital Images electronically or by facsimile,
and (iii) to advise the customer in the application of any recommended solution
or workaround to such problem or bug.  
For outside the U.S., on-site service may be provided by Vital Images at
an additional charge.

1.3                                 Government
Approval.  “Government Approval”
shall mean any approvals, licenses, registrations or authorizations of any
federal, state or local regulatory agency, department, bureau or other
government entity, foreign or domestic, necessary for use, marketing, sale or
distribution of the Products in a regulatory jurisdiction, including without
limitation the U.S. Food and Drug Administration (“FDA”).

1.4                                 Products.  “Products” shall mean only those software
products in object code form as described in Exhibit A and any related
user documentation as released from time to time by Vital Images, including any
later authorized releases or versions of such software or documentation during
the term of this Agreement.

1.5                                 Second
Level Maintenance.  “Second Level
Maintenance” shall mean electronic or telephone or in-person response provided
by Vital Images to Toshiba or the Dealer Associates to deal with any problem or
software bug in the Products that cannot be handled by Toshiba or the Dealer
Associate alone under the First Level Maintenance for such customers in the Territory
who have installed the Products that are under Vital Images’ standard warranty
or under a Toshiba or Dealer Associate standard software maintenance program.

1.6                                 Territory.  “Territory” shall mean the area described in Exhibit
B.

1.7                                 Vitreaâ.  “Vitreaâ“ shall mean
2-D and 3-D medical visualization software marketed by Vital Images under the
name “Vitreaâ.”

1.8                                 Installation. “First Level Installation” shall
mean unloading, assembling and powering up the applicable computer
workstation(s), installing the Products onto such computer workstation(s) and
integrating such computer workstation(s) onto the customer’s computer network.

1.9                                 Second Level Installation. 
“Second Level Installation” shall mean working with the customer and
non-Toshiba OEM’s to link non-Toshiba equipment to the computer workstation(s)
on which the Products have been installed.

1.10                           Floating
License. “Floating License” shall mean one software license for a Product
which instead of being restricted to one (1) access point (i.e., a computer
workstation), can be used at more than one (1) access point, provided that such
use shall be restricted to one access point at a time.

ARTICLE 2:  APPOINTMENT

2.1                                 Scope.  Vital Images hereby appoints Toshiba, and
Toshiba hereby accepts such appointment, as Vital Images’ nonexclusive reseller
of the Products during the term of this Agreement in the Territory, subject to
all the terms and conditions of this Agreement. 
All sublicenses of the Products are one-time sublicenses, whether or not
they are granted on a term or perpetual basis, and after the initial sublicense
of any Product to a customer, Toshiba or the Dealer Associates may not
sublicense any Products that are returned by that customer, provided that
Toshiba may reinstall Products without paying an additional license fee when
such reinstallation is in connection with a customer trade-in or upgrade of
equipment purchased from Toshiba and it is the same customer for which the
software was initially licensed. Vital Images and Toshiba’s rights and obligations
concerning the SurePlaque will continue to be governed by the Software
Development Agreement entered into between the parties, dated September 7,
2006.

2.2                                 Dealer
Associates.  Effective with the
signing of this Agreement, Toshiba hereby appoints and Vital Images consents to
the appointment of, the Toshiba subsidiaries and distributors listed in Exhibit
C as its agents to market and distribute the Products within the Territory
(collectively “Dealer Associates”). Provided, however, Toshiba shall remain
fully liable for the performance of such Dealer Associates and

* Confidential Treatment has been requested, the
portion indicated has been redacted and the redacted portion has been
separately filed with the Securities and Exchange Commission.

 2
 

Toshiba
hereby indemnifies and holds Vital Images harmless from all damages, losses,
costs or expenses  (excluding any
consequential or incidental damages) arising in any manner from any act or
omission on the part of such Dealer Associates if such act or omission
constitutes a breach of this Agreement. 
Toshiba shall advise Vital Images in writing of any such appointment
agreement with any Dealer Associates.

2.3                                 Use
of Terms.  The terms “sale”, “purchase”,
“distribution”, “resale”, “reseller” and “Dealer” are used herein for
convenience only and refer to the sale of software licenses for the
Products.  Toshiba hereby acknowledges
Vital Images retains all right, title and interest in and to the copyrights and
other intellectual property rights in the Products (except as otherwise agreed
between the parties in a separate agreement concerning one or more options
incorporated in the Products) and
that such Products are to be distributed to Toshiba’s and Dealer Associate’s
customers in compliance with such acknowledgment.

ARTICLE 3:  GENERAL OBLIGATIONS OF TOSHIBA

3.1                                 Marketing.  Toshiba and the Dealer Associates shall have
the following obligations with respect to the marketing and distribution of the
Products:

(a)                                  To
use its commercially reasonable best efforts to further the promotion,
marketing and distribution of the Products in the Territory;

(b)                                 To perform the First Level Installation for
customers in the Territory with respect to the Products, and to ensure that
only authorized versions of the Products are installed as supplied by Vital
Images for customers in the Territory.

(c)                                  To
promptly respond to all inquiries or complaints from customers; outside of the
United States, to provide all necessary and appropriate First Level Maintenance
of the Products; and to cooperate with Vital Images in the provision of the
Second Level Maintenance;

(d)                                 To
provide Vital Images with appropriate details of all complaints and bugs found
in the Products, whether such complaints or bugs were discovered by Toshiba,
any of its Dealer Associates or customers thereof;

(e)                                  To
reasonably investigate possible leads with respect to potential customers in
the Territory who are referred to Toshiba by Vital Images;

(f)                                    To
maintain an adequately trained and staffed sales and technical support group
for the marketing and distribution of the Products in the Territory, for the
First Level Installation in the United States, and for the First Level
Installation and First Level Maintenance outside the United States;

(g)                                 To
provide appropriate sales staff for training by Vital Images in the United
States, and both sales and technical support staff for training by Vital Images
outside of the United States, at mutually-agreeable locations;

(h)                                 To
provide Vital Images with reports of its activities and other information
regarding the Products in the Territory in such detail and with such frequency
as is reasonably agreed between both parties;

(i)                                     To
conduct its business in a professional manner, which will reflect positively
upon Vital Images and its Products;

(j)                                     To
provide Vital Images with customer registration information as is reasonably
requested by Vital Images;

* Confidential Treatment has been requested, the
portion indicated has been redacted and the redacted portion has been
separately filed with the Securities and Exchange Commission.

 3
 

(k)                                  To
abide by all applicable laws and regulations in the Territory, including, if
applicable, the U.S. Export Administration Regulations; and

(l)                                     To
apprise all customers of the terms of Section 2.3 of this Agreement regarding
the ownership of intellectual property embodied in the Products and obtain from
all customers a written license agreement containing all of the terms and
conditions contained in Exhibit K to this Agreement, or other similar
terms and conditions that protect Vital Images to the same degree as the terms
and conditions contained in Exhibit K.

3.2                                 Toshiba
Demonstration License.  To enable
Toshiba to better perform its marketing and distribution of the Products, and
to assist it with its product development and training activities, Vital Images
will grant to Toshiba and/or its Dealer Associates an unlimited number of
royalty free software licenses, for the latest version of the Products solely
for their own customer and trade show demonstration, promotional and training
uses, subject to the Terms and Conditions for the Demonstration License
attached hereto as Exhibit D. 
This Demonstration License will be valid for the term of this Agreement,
and will include upgrades and updates to the Products.  Toshiba and the Dealer Associates will
provide all hardware related to the Demonstration Licenses, and must track the
location of all Demonstration Licenses.

3.3                                 Promotional
Materials.  Vital Images shall
furnish Toshiba with a reasonable quantity of Vital Images data sheets,
brochures and other marketing materials for the Products in the English
language for use by Toshiba and its Dealer Associates.

(a)                                  Upon
request of Toshiba or its Dealer Associates, Vital Images shall provide Toshiba
and the Dealer Associates with sufficient quantities of promotional materials
and any revision(s) thereof, at no charge.

(b)                                 In
lieu of providing such promotional materials directly, Vital Images, at its discretion,
may provide Toshiba with an electronic media copy of same with a nonexclusive,
nontransferable right and license to use same, without modification of any
kind, for the local reproduction of such materials solely for purposes of
Toshiba’s performance under this Agreement.

(c)                                  If
Toshiba or its Dealer Associates believes that non-English language versions of
such promotional materials or non-English language advertising of the Products
are necessary or desirable for effective marketing of the Products in the
Territory, Toshiba shall arrange and pay for the preparation of such
non-English language materials, which shall be subject to the prior review and
written approval of Vital Images. If Toshiba or its Dealer Associates believe
that non-English language versions of user’s manual of the Products are
necessary and upon request of Toshiba or its Dealer Associates and the
agreement of Vital Images, acting reasonably, Vital Images shall provide such
translated version to Toshiba or its Dealer Associates which made such request,
at no charge. In all cases, Vital Images shall be the sole and exclusive owner
of the copyrights in any such materials, regardless of language.

(d)                                 Toshiba
and the Dealer Associates will not remove any marks of Vital Images or attributions
to Vital Images from the promotional materials provided, even if the materials
are combined with other materials not from Vital Images.

3.4                                 Reverse
Engineering.  Toshiba shall not
reverse engineer, decompile or disassemble the Products and shall not allow any
other person to do so, nor, except as expressly permitted hereunder, copy the
Products.

3.5                                 Expenses.  Except as otherwise specified in this
Agreement, Toshiba and its Dealer Associates assume full responsibility for all
its own costs and expenses incurred in carrying out its obligations under this

* Confidential Treatment has been requested, the
portion indicated has been redacted and the redacted portion has been
separately filed with the Securities and Exchange Commission.

 4
 

Agreement,
including but not limited to all rents, salaries, commissions, advertising,
demonstrations, travel and accommodations.

ARTICLE
4:  GENERAL OBLIGATIONS OF VITAL IMAGES

4.1                                 Development and Integration. 
Continued collaboration on product is a shared goal of the parties.  Once Toshiba has made its stent visualization
software and its myocardial perfusion software available to Vital Images, Vital
Images will use reasonable and prompt commercial efforts to integrate such
options into the “VitalCardia” package.

4.2                                 Market Awareness. 
Vital Images will use reasonable commercial efforts to promote awareness
of the Products for use in the radiology and  cardiology
market through tradeshows and other marketing venues.  At a minimum, Vital Images will attend the
trade shows set forth in Exhibit G to this Agreement.  Vital Images will exercise its best efforts
to attend other trade shows that are not set forth in Exhibit G,
provided that Toshiba gives Vital Images reasonable advance notice sufficient
to allow Vital Images to send representatives to such shows.  For the shows that are set forth in Exhibit
G, if Vital Images will have a separate booth in any trade show in which
Toshiba also participates, Vital Images will provide such workstations and
qualified personnel for the Toshiba booth in addition to its own. Vital Images
will exercise its best efforts to provide such workstations and qualified
personnel for the Toshiba booth for the trade shows that are not set forth in Exhibit
G, provided that Toshiba gives Vital Images reasonable advance notice
sufficient to allow Vital Images to provide such workstations and qualified
personnel. Furthermore, Vital Images will exercise its best efforts to have its
booth located adjacent to TAMS’ booth where both participate.  Vital Images will also advise TAMS of any
trade shows in which Vital Images participates. 
Any exhibits prepared by Vital Images for Toshiba’s booth at trade shows
must show the Vital Images products working in conjunction with Toshiba’s
images from Toshiba’s CT equipment, but Vital Images is not precluded from
presenting additional exhibits that show its products working in conjunction
with images from other CT manufacturers.

4.3                                 Support.  During the term of this
Agreement, Vital Images agrees to maintain an adequate number of trained sales,
applications and service support personnel to perform its duties under this
Agreement.  Included within Vital Images’
support responsibilities are the following:

(a)                                  Vital Images has available global support for
customers who wish to purchase such support in accordance with Exhibit J
attached to this Agreement,; and

(b)                                 Vital Images agrees to share statistics for
own call center support to Toshiba users

(c)                                  To promptly  respond to all inquiries or complaints from
Toshiba or its Dealer Associates; outside of the United States, to provide all
appropriate Second Level Maintenance of the Products to Toshiba or its Dealer
Associates.

4.4                                 Training. During the term of this Agreement Vital Images will provide training at
its headquarters location, or such other location mutually agreed between the
parties, for Toshiba and Dealer Associate personnel in the function,
application, installation and the First Level Maintenance of the Products and
in the provision of assistance to Vital Images for Second Level Maintenance,
provided, however, Toshiba or the Dealer Associates shall pay the salaries and
all transportation and living expenses for its staff.  Toshiba
and the Dealer Associates in aggregate may place up to four (4) staff members
in any of Vital Images’ regularly-scheduled training classes, upon at least two
weeks’ advance notice to Vital Images, provided space is available.

4.5                                 Customer Training.  Vital
Images will provide training for two people per Vitrea
license at a Vital Images training location. 
Training shall include an overview of the Vital Images

* Confidential Treatment has been requested, the
portion indicated has been redacted and the redacted portion has been separately
filed with the Securities and Exchange Commission.

 5
 

developed tools and
features of the products purchased by the customer.  Training at other locations will be available
for an additional charge per session.

 

ARTICLE 5: 
ORDERS FOR PRODUCTS

5.1                                 Purchase
Orders.  Toshiba shall cause its
Dealer Associates, and itself shall use its best efforts to submit purchase
orders for the Products to Vital Images in writing (preferably by facsimile or
other electronic means) at least       
*     days prior to the requested
delivery date, which orders shall include the following information:

(a)                                  An
identification of the Products ordered;

(b)                                 Quantity
of Products;

(c)                                  Requested
delivery dates;

(d)                                 Shipping
instructions and shipping address; and

(e)                                  If
applicable, any relevant export control information or documentation to enable
Toshiba and Vital Images to comply with applicable U.S. export control laws.

5.2                                 Acceptance
of Orders – All purchase orders from Toshiba and the Dealer Associate are
subject to acceptance in writing by Vital Images, which acceptance shall not be
unreasonably withheld and shall be delivered by reply facsimile or by e-mail.
Vital Images may withhold its acceptance only if (a)  the lead time for delivery is less than       *    
days; (b) Toshiba or the Dealer Associate who has submitted the purchase
order is delinquent in its payments to Vital Images under this Agreement; or
(c) Toshiba or the Dealer Associate show has submitted the purchase order is in
breach of this Agreement. Failure to respond to each purchase order by Vital
Images within       *     business days from receipt of such
purchase order shall be deemed acceptance of such purchase order by Vital Images.
Vital Images will provide to Toshiba monthly reports no later than  *   days
from the end of each month listing all purchase orders and amounts of such
purchase orders placed by each Dealer Associate during the prior month. Such
report shall also list all service contracts and options purchased by each
Dealer Associate during such month.

5.3                                 Delivery
Terms.  All deliveries of the
Products shall be from Vital Images’ facilities unless otherwise agreed in
writing between the parties.  Vital
Images shall bear shipping charges for the shipment of any Products to its
destination specified in the purchase order. 
All risk of damage to or loss or delay of the Products shall pass to
Toshiba or the Dealer Associate upon their delivery to a common carrier.

5.4                                 Modification
of Orders.  No accepted purchase
order may be modified or canceled later than thirty (30) days before the
scheduled delivery date, except upon the written agreement of both parties,
provided, however, any price decrease for the Products shall be implemented
upon the effective date of such decrease and therefore, will apply to any
purchase order for which delivery has not yet taken place. Furthermore, Vital
Images will, at no additional cost to Toshiba and the Dealer Associate, ship
its latest authorized version or release of a Product in response to any
accepted purchase order.  Toshiba’s and
the Dealer Associate’s purchase orders or mutually-agreed change orders shall
be subject to all provisions of this Agreement, whether or not the purchase
order or change order so states, and any terms and conditions of such purchase
order or change order which conflict with the terms and conditions of this
Agreement shall be deemed excluded and of no legal effect as between the
parties.

5.5                                 Purchase
Commitment.  Toshiba annual purchase
commitment is set forth on Exhibit F attached hereto and incorporated
herein by this reference.  Vital Images
shall ship to Toshiba and/or its Dealer Associates during the Term of this
Agreement such Products as are identified in and in accordance with the
purchase orders submitted by Toshiba and/or its Dealer Associates.  In the event of a Change of Control of Vital
Images, as defined in Section 18.11 of this Agreement,   *

* Confidential Treatment has been requested, the
portion indicated has been redacted and the redacted portion has been
separately filed with the Securities and Exchange Commission.

 6
 

*

*

*

*.

Annual
Vitreaâ software
purchases above the minimums set forth in the Commitment may be applied to
reduce or  satisfy the next year’s
purchase commitments for Products during the term of this Agreement, provided
that Vitreaâ software
purchases above the minimums set forth in the Commitment during the last year
of the current term of this Agreement may be applied to reduce or satisfy the
next year’s purchase commitments for Products

5.6           Product
Changes. Vital Images may do any of the following upon sixty (60) days’
prior written notice (or such sooner notice as practicable, if required for
regulatory or legal reasons) to Toshiba:

(a)                                  Alter
the specifications for any Product or any new release thereof, provided,
however, that Toshiba has the option to request Vital Images to continue to
provide Products without such alteration for any purchase orders submitted by
Toshiba and/or Dealer Associates prior to the date that Vital Images notifies
Toshiba of such alteration, unless such prior Product has been discontinued for
regulatory or other legal reasons;

(b)                                 Except
as set forth below, discontinue the production of any Product. However, such
discontinuation will not release or modify Vital Images’ obligations for
warranty and service support specified in this Agreement;

(c)                                  Discontinue
the development of any new release of a Product, if such new release has not
been announced publicly; or

(d)                                 Commence
the development and distribution of new software products having features,
which may make any Product wholly or partially obsolete, provided Toshiba is
granted  the right to continue to
purchase the obsolete Products for a period of at least one year from the date
that the new software products are commercially introduced by Vital Images,
unless such prior Product has been discontinued for regulatory or other legal
reasons or this Agreement terminates before the expiration of such one-year
period.

Notwithstanding
the foregoing, at all times throughout the term of this Agreement, Vital Images
must have available for Toshiba Vitreaâ or a successor software of Vitreaâ  that
will have specifications that are at least equal to or better than those for
the version of Vitreaâ software existing as of the date of this
Agreement, and give at least six (6) months’ prior written notice (or
such sooner notice as practicable, if required for regulatory or legal reasons)
to Toshiba before discontinuing the production of Vitreaâ . Toshiba’s minimum purchase
commitments will end in the event Vital Images discontinues the production of Vitreaâ  and does not provide Toshiba with a successor
product acceptable to Toshiba.  Such discontinuation will not release or modify Vital Images’
obligations for warranty and service support specified in this Agreement.

5.7                               Installation
of Products.  Unless otherwise agreed
in writing by Vital Images, all deliveries of the Products shall be directly to
Toshiba or the Dealer Associates, unless the parties agree that Vital Images
shall ship the Products directly to the customers, and Toshiba and the Dealer
Associates shall then have the sole responsibility for the First Level
Installation of such Products into a customer’s computer system in the
Territory in accordance with the standards and specifications established by
Vital Images from time to time and provided to Toshiba and the Dealer
Associates hereunder.

If the Products
need to be integrated with non-Toshiba equipment, Vital Images will perform the
Second Level Installation, upon request from Toshiba, or the Dealer Associates
or the customers, to ensure proper integration

* Confidential Treatment has been requested, the
portion indicated has been redacted and the redacted portion has been
separately filed with the Securities and Exchange Commission.

 7
 

5.8                                 Distribution
Report.  Name, address, telephone and
facsimile numbers of customers who purchased the Product and Service contracts
in each calendar quarter shall be provided to Vital Images within thirty (30)
days after the end of such quarter.

 

ARTICLE 6: 
SOFTWARE MAINTENANCE SERVICES

6.1                                 Software
Maintenance Agreements.  For each
customer purchasing a license for the Products in the Territory, Toshiba and/or
the Dealer Associates shall use its reasonable best efforts to persuade such
customer to purchase annual or long-term software maintenance services under a
software maintenance program. Such software maintenance services shall include
updates and upgrades  to the Vitreaâ  and other applicable Products that have
been purchased by the customer, free of charge to the customer, for so long as
that customer is current in its payment of fees for software maintenance
services.  Included in software
maintenance services is the provision of updates, which are new versions of the
products that include enhancements and upgrades and are released to Vital
Images’ general installed base, and corrections, which are fixes to errors in
the Products that are reported by Vital Images customers and are released to
Vital Images’ general installed base. It is agreed between the parties that
newly released options to Vitreaâ ,except for those listed in Exhibit E and purchased by the
customer, shall be excluded from such updates and upgrades, unless explicitly
agreed between the parties.  Provided,
however, even after the Warranty Period (hereinafter defined in Section
9.1(a)), upon written request from Toshiba or its Dealer Associates for any
particular end-user, for up to six (6) months after the expiration date of the
Warranty Period, Vital Images shall, without charge, upgrade or update such
end-user’s Product to its latest version available within the end-user’s
Warranty Period, with downward compatibility. Further, for non-U.S. sales,
after the expiration of such six-month post warranty grace period, Toshiba
and/or its Dealer Associates may purchase the latest version of the Vitreaâ 2 for their customers at a
price of $ * , provide the customer executes a one-year maintenance contract
for $  * 
..

6.2                                 First
Level Maintenance Service.   Toshiba
and/or the Dealer Associates shall provide the First Level Maintenance to
customers outside the United States. 
Vital Images shall provide First Level Maintenance to customers within
the United States.  If Vital Images
requests on-site assistance from Toshiba or TAMS in the United States, such
assistance will be provided at a * % discount off of Toshiba’s or TAMS’
prevailing labor rates.

6.3                                 Second Level Maintenance Service.  
Vital Images shall provide the Second Level Maintenance to Toshiba and
the Dealer Associates.   In accordance
with their technical ability, and based upon their prior experience and
training by Vital Images, except for the United States, Toshiba and/or the
Dealer Associates shall use their reasonable best efforts to assist Vital
Images in providing the Second Level Maintenance for the benefit of customers
in the Territory.  Toshiba shall
pay Vital Images to provide Second Level Maintenance at the amounts set forth
in Exhibit E. 

6.4                                 Customer
Contact.  Except as set forth in
Section 6.3 outside the U.S., and Sections 6.2 and 6.3 within the U.S., Toshiba
and/or the Dealers Associates shall have the primary responsibility for direct
contact with customers in the Territory in regard to the function, application,
installation or maintenance of the Products under the First Level Maintenance
and the Second Level Maintenance, provided that Vital Images may contact
directly any customer not enrolled in support to enter into a support  agreement.

ARTICLE 7:  PRICES AND PAYMENTS

7.1                                 Prices.  Toshiba and the Dealer Associates shall pay
Vital Images in accordance with the prices for the Products or for maintenance
support services as specified in the Product Price List, Exhibit E
hereto. All Product Price List prices are for shipment from Vital Images’
facilities to its destination.  Any
special packing or handling shall be at the sole expense of Toshiba.

In recognition of
the purchase commitments made by Toshiba and its Dealer Associates pursuant to
Section 5.5 of this Agreement, Vital Images hereby covenants and agrees that
the transfer price charged to Toshiba and its Dealer Associates for the
standalone Products shall at all times be *

* Confidential Treatment has been requested, the
portion indicated has been redacted and the redacted portion has been
separately filed with the Securities and Exchange Commission.

 8
 

*

*

*

*.

 

Toshiba is free to
resell the Products and maintenance support services at any price at which
Toshiba deems appropriate. Vital Images will not coerce or otherwise dictate
such resale price.

7.2                                 Payment
Terms.  For each order of the
Products or annual maintenance support services, Toshiba and/or its Dealer
Associates, who ordered such Products or annual maintenance support service,
shall pay for Product in accordance with the Product Price List in U.S. Dollars
within forty-five (45) days of the date of shipment and shall pay for services
in accordance with the Product Price List in U.S. Dollars on a quarterly basis
in advance of the quarter in which the services are to be provided, provided
that the ordered item is delivered to the purchaser specified in the purchase
order prior to the payment due date.

7.3                                 Overdue
Payments.  If and for so long as any
payment from Toshiba to Vital Images under this Agreement shall be overdue:

(a)                                  Interest
at twelve percent (12%) per annum or the highest rate permitted under
applicable law, whichever is lower, shall become due on all balances
outstanding that are past due by more than 30 days from the date that Vital
Images provides written notice to Toshiba or Dealer Associate, as the case may
be, of such past due amount, provided, however, that if payment is not made by
the expiration of such 30-day period, the above-mentioned interest will be paid
beginning the original due date of the payment; and

(b)                                 Vital
Images reserves the right to withhold or suspend shipment of the Products to
Toshiba and/or the Dealer Associate if there is an unsettled outstanding
balance owed by Toshiba or the Dealer Associate to Vital Images, provided,
however, that Vital Images shall first provide Toshiba or the Dealer Associate,
as the case may be, with 30-days prior written notice and opportunity to cure
before withholding or suspending shipment under this paragraph. Any such
withholding or suspension will be effected only against the Dealer Associate
that has an unsettled outstanding balance, and not other Dealer Associates or
Toshiba.

ARTICLE 8:  APPROVALS; ADVERSE REACTIONS; PRODUCT RECALLS

8.1                                 Government
Approval.  Vital Images shall make
diligent efforts to prepare and file all applications required to obtain all
necessary Government Approval for each country in the Territory specified in Exhibit
B hereto, the Principal Countries, where such Government Approval has not
already been obtained.  For all other
countries in the Territory, if any, Vital Images shall diligently prepare and
file all applications required to obtain all necessary Government Approval for
each such country as Vital Images, in its sole discretion, deems
necessary.  Vital Images shall keep
Toshiba apprised of its progress with respect to any such applications.  Toshiba shall furnish Vital Images with such
assistance and cooperation as may be reasonably requested in connection with
the securing of such Government Approval.

8.2                                 Compliance.
Vital Images  shall  comply with all applicable regulatory
requirements.  However, Toshiba shall
provide all information within its possession 
to Vital Images necessary for Vital Images to comply with its medical
device reporting requirements to the FDA or any other comparable regulatory
body elsewhere in the world.  Vital
Images shall comply with all health registration laws, regulations and orders
of any government entity within the Territory and with all other governmental
requirements relating to the promotion, marketing and sale of the Products in
each country in the Territory.  Toshiba
shall submit all advertising claims to Vital Images for written approval prior
to their first use by any party, such consent not to be unreasonably withheld.
Toshiba will comply with all applicable regulatory requirements applicable to
Toshiba’s marketing and sale of the Products.

* Confidential Treatment has been requested, the
portion indicated has been redacted and the redacted portion has been
separately filed with the Securities and Exchange Commission.

 9
 

8.3                                 Adverse
Event Reporting.  Toshiba shall
advise Vital Images, by telephone or facsimile, within twenty-four (24) hours
after it becomes aware of any adverse event (which is defined as personal
injury or death) from the use of any Product or malfunction of any
Product.  Unless otherwise required by
applicable local laws, Toshiba shall advise Vital Images of any such adverse
event prior to any report or filing being made by Toshiba with the FDA or any
other comparable regulatory body elsewhere in the world. Vital Images shall
appoint an Authorised Representative according to the European Union Medical
Devices Directive MDD 93/42/EEC as set forth in Exhibit I.

8.4                                 Corrective
Action.

(a)          Notice
of Corrective Action.  If Vital
Images believes that a corrective action with respect to the Products is
desirable or required by law, or if any governmental agency having jurisdiction
(including, without limitation, the FDA) shall request or order any corrective
action with respect to the Products, including any recall, customer notice,
restriction, change, corrective action or market action or any Product change,
Vital Images shall promptly notify Toshiba and the Dealer Associates.  Any and all corrective actions shall be
conducted at the expense of Vital Images, except costs associated with
notifying customers of such corrective action. 
Toshiba and/or the Dealer Associates shall maintain complete and
accurate records, for such periods as may be required by applicable law, of all
Products they sold.  The parties shall
cooperate fully with each other in effecting any corrective action with respect
to the Products pursuant to this Article 8.4, including communication with any
customers and Toshiba shall cause its Dealer Associates, and itself shall
comply with all reasonable directions of Vital Images’ regarding such
corrective action.  This Article 8.4
shall not limit the obligations of either party under law regarding any
corrective action with respect to the Products required by law or properly
mandated by governmental authority.

(b)         Refund.  If any Products are required to be returned
to Vital Images pursuant to this Article 8.4 and no replacement is provided
therefor by Vital Images, Vital Images shall refund to Toshiba’s or the Dealer
Associate’s customers any unearned license fees paid to Toshiba or the Dealers
Associates (the amount of the license fee each such customer paid for the products,
less a reasonable value for use determined by prorating the license fee paid on
a thirty-six (36) month straight-line amortization method). Vital Images shall
indemnify Toshiba or the Dealer Associate from any actions made by Toshiba’s or
the Dealer Associate’s customers claiming reimbursement of license fees,
whether or not in excess of the amount specified in this paragraph.

ARTICLE 9: 
WARRANTIES AND REPRESENTATIONS; INDEMNIFICATION

9.1                                 Product
Warranties to Customers.  Vital
Images hereby authorizes Toshiba and the Dealer Associates to pass through to
its customers Vital Images’ standard software warranties as set forth below.

(a)                                  Limited
Warranty.

 

(i) Vital  Images warrants to Toshiba and the Dealer
Associates for twelve (12) months from installation or sixteen (16) months from
the delivery date, whichever expires first (the “Warranty Period”), that the
Products, when properly installed and operated, will perform the functions
described in the functional specifications for the Products, as contained in
the applicable written documentation for the Products, and that such Product
shall be upgraded or updated to its latest version with the assurance of
downward compatibility. Vital Images shall have no obligation under this
provision if (a) the Products have not been properly installed, used or
maintained (except for any maintenance performed by Vital Images), in
accordance with Vital Images’ then-applicable operating manuals; or (b) the
Products have been modified in any

 

* Confidential Treatment has been requested, the
portion indicated has been redacted and the redacted portion has been
separately filed with the Securities and Exchange Commission.

 10
 

manner by anyone other
than Vital Images, or are used or combined with other computer software
programs (other than standard operating software) not approved by Vital Images,
hardware not validated by Vital Images and without the prior written consent of
Vital Images; or (c) the Products have been distributed to a customer with any
warranties or representations, oral or written, made by Toshiba or any third
party beyond those expressly set forth herein., however Vital Images will
nevertheless be responsible for performing its warranty obligations to the
extent set forth in this paragraph, but not for the additional warranties made
by Toshiba or any third party.

 

(ii) The warranty for
sale of any Product in Germany will be *                             months
from installation, subject to Toshiba’s paying Vital Images an amount equal to                             *of
the maintenance fees that would have been paid for *                             *
                             the
warranty period in Germany, had the warranty not been *  pursuant to this Article 9.1(a)(ii).

 

(iii) TMSE will include annual
or long-term software maintenance services for the Products as part of TMSE’s
service contract proposals to its customers. However, if the TMSE customers do
not wish to sign up to such software maintenance services, TMSE is not
precluded from offering its service contract without such software maintenance.

 

(b)                                 Exclusive
Remedy.  Vital Images’ entire
liability for any warranty claim made by Toshiba or the Dealer Associates under
Section 9.1(a) above during the Warranty Period, and
Toshiba’s and its Dealer Associates’ exclusive remedy for any such claim, shall
be for Vital Images, at its option, to either (i) replace any defective media
which prevents the Products from satisfying the limited warranty described in
Section 9.1(a); or (ii) attempt to correct any material and reproducible errors
reported by Toshiba or the Dealer Associate.         *

*

*

*

*

*.

Vital Images does not warrant that the operation of the Products will
be uninterrupted or error-free, that all errors in the Products will be
corrected, that the Products will satisfy customer’s requirements or that the
Products will operate in the combinations which such customer may select for
use.

(c)                                  Warranty
Extension.  Replacement or correction
of all or any part of the Products does not extend the Warranty Period, which
shall begin on the delivery date. However, if Vital Images is unable to correct
an error by the deadline by which it projected such correction, the warranty
will be extended for the number of days for which the error remains uncorrected
beyond such deadline Notwithstanding the foregoing, and notwithstanding Section
9.1(a) above, in the event that the Products have been installed on a hardware
platform which has been recommended in writing by Vital Images, and do not
perform because the Products are not compatible with such hardware, the
Warranty Period shall not commence until the date on which all issues defined
in the customer’s warranty claim regarding the hardware have been resolved.
Vital Images and its third party licensors expressly disclaim any commitment to
provide maintenance or support of the Products beyond the Warranty Period, in
the absence of entering into a separate software maintenance arrangement with
Vital Images and except to the extent stated in Section 6.1 for the 6-month
post warranty grace period. Furthermore, the Products are derived from and
include software from third party licensors, who make no warranty, express or
implied, regarding the

* Confidential Treatment has been requested, the
portion indicated has been redacted and the redacted portion has been
separately filed with the Securities and Exchange Commission.

 11
 

Products, who disclaim any and all liability for the Products and who
will not undertake to provide any information or support regarding the
Products.

(d)                                 Maintenance
Obligations.  As part of its First
Level Maintenance obligations outside the U.S., Toshiba shall and it shall
cause its Dealer Associates to promptly inform Vital Images of any claims made
by their customers in the Territory under such software warranties.  All such warranty claims shall state the
nature and details of the claim, the date the cause of the claim was first
observed and the serial number of the Products concerned, if any.  Further, all such warranty claims must be
received by Vital Images before the expiration of the Warranty Period for such
customer, or will be handled as part of Maintenance and Support for customers
who remain current in their fees for Maintenance and Support.

9.2                                 Warranty
to Toshiba.  Vital Images hereby
represents and warrants to Toshiba:

(a)                                  Vital
Images owns or has the lawful right from others to grant the rights to market
and distribute the Products as set forth in this Agreement;

(b)                                 Vital
Images has entered into an agreement with PointDx, Inc. and has procured any
necessary license from PointDx, Inc. to fulfill its obligations under this
Agreement. Vital Images has no knowledge of any claim of infringement by the
Products of any third party intellectual property rights, such as patents,
copyrights, trade secrets or trademarks; and

(c)                                  Vital
Images has taken all appropriate corporate action to authorize execution and
performance of this Agreement.

9.3                                 Limited
Warranty.  THE WARRANTIES SET FORTH
IN ARTICLES 9.1 AND  9.2 ABOVE ARE IN
LIEU OF ALL OTHER WARRANTIES, EXPRESS OR IMPLIED, WHICH ARE HEREBY DISCLAIMED
AND EXCLUDED BY VITAL IMAGES, INCLUDING WITHOUT LIMITATION ANY WARRANTY OF
MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE.

9.4                                 Indemnification
of Toshiba.  Vital Images hereby
agrees to indemnify, defend and hold Toshiba and/or Dealer Associates harmless
from any third party suit, claim or other legal action (“Legal Action”) (i)
that alleges any bodily injuries or death and damages to tangible property
caused solely by use of the Products, but only to the extent caused or
contributed to by Vital Images, and/or (ii) that alleges the Products, or any
of them, infringe any patent, copyright, or trade secret, including any
reasonable costs or legal fees thereby incurred by Toshiba and/or the Dealer
Associates.  Vital Images shall be given
written notice of any Legal Action within thirty (30) days of Toshiba’s and/or
Dealer Associates first knowledge thereof, provided, that, the failure of
Toshiba and/or Dealer Associates to notify Vital Images of any such matter
within the thirty (30) day period shall not release Vital Images, in whole or
in part, from its obligations under this Section 9.4, except to the extent
Toshiba’s and/or Dealer Associates’ failure to so notify Vital Images
materially prejudices Vital Images’ ability to defend against such Legal Action.  Vital Images shall have sole and exclusive
control of the defense of any Legal Action, including the choice and direction
of any legal counsel.  Toshiba and/or
Dealer Associates may not settle or compromise any Legal Action without the
written consent of Vital Images.  Toshiba
and/or Dealer Associates shall provide all reasonably requested assistance to
Vital Images, at Vital Images’ expense. 
If a Product is found to infringe any such third party intellectual
property right in such a Legal Action, at Vital Images’ sole discretion and
expense, Vital Images may (i) obtain a license from such third party for the
benefit of Toshiba and/or Dealer Associates and their customers; or (ii)
replace or modify the Product so that it is no longer infringing; or (iii) if
neither of the foregoing is commercially feasible, terminate this Agreement and
refund to Toshiba and/or the Dealer Associates all amounts previously paid by
Toshiba and/or the Dealer Associates for the Software and the Products.

* Confidential Treatment has been requested, the
portion indicated has been redacted and the redacted portion has been separately
filed with the Securities and Exchange Commission.

 12
 

9.5                                 Indemnification
of Vital Images.  Toshiba hereby
agrees to indemnify, defend and hold Vital Images harmless from any and all
claims, demands, losses and liabilities, including any reasonable costs or
legal fees thereby incurred by Vital Images, resulting from Toshiba’s acts or
omissions, including, without limitation, misrepresentations regarding the
Products, any violation of applicable laws or regulations relating to the
marketing and distribution of the Products, any breach of any covenant or term
in this Agreement, any failure by Toshiba to provide the required support or
training to end users or to properly install the Products to the extent
specified in this Agreement; and any misappropriation by a Toshiba or the Dealer
Associate customer of any Vital Images intellectual property.

Vital Images hereby agrees to indemnify, defend and
hold Toshiba and/or Dealer Associates harmless from any and all claims,
demands, losses and liabilities, including any reasonable costs or legal fees
thereby incurred by Toshiba and/or Dealer Associates, resulting from Vital
Images’ acts or omissions, including, without limitation, misrepresentations
regarding the Products, any violation of applicable laws or regulations
relating to the marketing and distribution of the Products, or any failure by
Vital Images to provide the required support or training to end users or to
properly install the Products to the extent specified in this Agreement.

ARTICLE 10:  LIMITATION OF REMEDIES

10.1                           Delay.   The delivery date for each order placed by
Toshiba or the Dealer Associate will be indicated on Toshiba or the Dealer
Associate’s purchase order.  Once Vital
Images accepts such purchase order, if Vital Images fails to deliver the
Products within twenty (20) days of the deadline(s) indicated in such purchase
orders, Toshiba or the Dealer Associate shall have the right to cancel such
order and  purchase equivalent products
from an alternative source.  Vital Images
shall pay Toshiba or the Dealer Associate for the difference between the price
of the alternative product and the price for the Products under the cancelled
purchase order(s), not later than twenty (20) days following receipt of Toshiba
or the Dealer Associate’s invoice.

10.2                           Sole
Remedies.   THE SOLE AND EXCLUSIVE
REMEDIES FOR BREACH OF ANY AND ALL WARRANTIES  AND
THE SOLE REMEDIES FOR VITAL IMAGES’ LIABILITY OF ANY KIND (INCLUDING LIABILITY
FOR NEGLIGENCE OR PRODUCTS LIABILITY) WITH RESPECT TO THE PRODUCTS AND THEIR
USE, THE SERVICES COVERED BY THIS AGREEMENT, AND ALL OTHER PERFORMANCE BY VITAL
IMAGES UNDER THIS AGREEMENT SHALL BE LIMITED TO THE REMEDIES PROVIDED IN THIS
AGREEMENT.

10.3                           Consequential
Damages.  VITAL IMAGES AND TOSHIBA OR
THE DEALER ASSOCIATE SHALL HAVE NO LIABILITY OF ANY KIND FOR ANY SPECIAL,
INDIRECT, INCIDENTAL OR CONSEQUENTIAL LOSS OR DAMAGE, EVEN IF VITAL IMAGES OR
TOSHIBA OR THE DEALER ASSOCIATE SHALL HAVE BEEN ADVISED OF THE POSSIBILITY OF
SUCH POTENTIAL LOSS OR DAMAGE BY TOSHIBA OR THE DEALER ASSOCIATE OR VITAL
IMAGES.  IN NO EVENT SHALL  VITAL IMAGES BE LIABLE FOR ANY DAMAGES IN
EXCESS OF THE AGGREGATE AMOUNTS ACTUALLY PAID BY TOSHIBA OR DEALER ASSOCIATE TO
VITAL IMAGES UNDER THIS AGREEMENT, EXCEPT FOR ACTIONS FOR BODILY INJURY OR
DEATH BROUGHT BY THIRD PARTIES, TANGIBLE PROPERTY DAMAGE, INTELLECTUAL PROPERTY
INFRINGEMENT, ACTIONS ARISING UNDER FDA OR APPLICABLE LOCAL REGULATIONS IN THE
TERRITORY, OR AS OTHERWISE PROVIDED UNDER THIS AGREEMENT OR BY LAW.

* Confidential Treatment has been requested, the
portion indicated has been redacted and the redacted portion has been
separately filed with the Securities and Exchange Commission.

 13

ARTICLE 11: 
CONFIDENTIALITY

11.1                           Confidential
Information; Term.  All Confidential
Information shall be deemed confidential and proprietary to the party
disclosing such information hereunder. 
Each party may use the Confidential Information of the other party
during the term of this Agreement only as permitted or required for the
receiving party’s performance hereunder. 
The receiving party shall not disclose or provide any Confidential
Information to any third party and shall take reasonable measures to prevent
any unauthorized disclosure by its employees, agents, contractors or
consultants during the term hereof including appropriate individual
nondisclosure agreements.  The foregoing
duty shall apply to any Confidential Information for a period of five (5) years
from the date of its disclosure. All confidential information must be clearly
and conspicuously marked by the disclosing party as proprietary
information.  Any proprietary information
that is disclosed orally must be identified as 
confidential at the time of disclosure and must be confirmed in writing
no later than thirty (30) days following disclosure.

11.2                           Exclusions.  The following shall not be considered
Confidential Information for purposes of this Article 11:

(a)                                  Information
which is or becomes in the public domain through no fault or act of the
receiving party;

(b)                                 Information
which was independently developed by the receiving party without the use of or
reliance on the disclosing party’s Confidential Information;

(c)                                  Information
which was provided to the receiving party by a third party under no duty of
confidentiality to the disclosing party; or

(d)                                 Information
which is required to be disclosed by law, provided, however, prompt prior
notice thereof shall be given to the party whose Confidential Information is
involved.

ARTICLE
12:  TRADEMARKS

12.1                           Use
of Trademarks.  Vital Images hereby
grants to Toshiba and the Dealer Associates, and Toshiba and the Dealer
Associates hereby accepts from Vital Images, a nonexclusive, nontransferable
and royalty-free license to use the Vital Images trademarks specified in the
List of Trademarks, Exhibit H hereto, as such list may be modified from
time to time, solely in connection with the distribution, promotion,
advertising and maintenance of the Products. 
Toshiba shall cause its Dealer Associates, and itself shall not use any
other marks or trade names in connection with the marketing and distribution of
the Products.  All such Vital Images
trademarks shall be used by Toshiba and/or the Dealer Associates in accordance
with Vital Images’ standards, specifications and instructions, but in no event
beyond the term of this Agreement.   
Toshiba and the Dealer Associates are not granted any right, title or
interest in such trademarks other than the foregoing limited license, and
Toshiba shall cause its Dealer Associates, and itself shall not use any Vital
Image trademarks as part of Toshiba’s or the Dealer Associate’s corporate or
trade name or permit any third party to do so.

12.2                           Registration.  Vital Images shall use its best efforts to
register the Vital Images trademarks specified in the List of Trademarks, Exhibit
H hereto, as such list may be modified during the term of this Agreement,
within the Territory when and if Vital Images determines, in its sole discretion,
that registration is necessary or useful to the successful distribution of the
Products.  Vital Images shall be the sole
party to initiate any such registration and shall bear all the expenses
thereof.

12.3                           Markings.  Toshibas shall cause its Dealer Associates,
and itself shall not remove or alter any Vital Images trade names, trademarks,
copyright notices, serial numbers, labels, tags or other identifying marks,
symbols or legends affixed to any Products, or images generated by such
Products, documentation, containers or packages.  All promotional materials prepared by Toshiba
relating to the Products, regardless of manner or media of display, shall
conspicuously bear attribution to Vital Images.

* Confidential Treatment has been requested, the
portion indicated has been redacted and the redacted portion has been
separately filed with the Securities and Exchange Commission.

 14
 

12.4                           Infringement.  Toshiba shall cause its Dealer Associates,
and itself shall promptly notify Vital Images in writing of any unauthorized
use of Vital Images’ trademarks or similar marks which may constitute an
infringement or passing off of Vital Images’ trademarks, to the extent known to
Toshiba or its Dealer Associates.  Vital
Images reserves the right in its sole discretion to institute any proceedings
against such third party infringers, and Toshiba shall refrain from doing
so.  Toshiba shall cooperate fully with
Vital Images in any legal action taken by Vital Images against such third parties,
provided that Vital Images shall pay all expenses of such action.  All damages, which may be awarded or agreed
upon in settlement of any legal action, shall accrue to Vital Images.

12.5                           Termination
of Use.  Toshiba shall not adopt, use
or register any words, phrases or symbols which are identical to or confusingly
similar to any of Vital Images’ trademarks. 
Upon termination of this Agreement, Toshiba shall immediately cease any
use of the Vital Images trademarks in any manner.  In addition, Toshiba hereby empowers Vital
Images and shall assist Vital Images, if requested, to cancel, revoke or
withdraw any governmental registration or authorization permitting Toshiba to
use Vital Images trademarks in the Territory.

12.6                     Toshiba Trademarks. Vital
Images will not, under any circumstances, use any of Toshiba’s or Dealer
Associates’ trademarks, without Toshiba’s prior written consent.  Vital Images shall not adopt, use or register
any words, phrases or symbols which are identical to or confusingly similar to
any of Toshiba’s or Dealer Associates’ 
trademarks without Toshiba’s or the applicable Dealer Associate’s prior
written consent.

ARTICLE
13:  TAXES AND DUTIES

13.1                           Taxes
in the Territory.  Toshiba and/or its
Dealer Associates shall be responsible for and shall pay all taxes (except
Vital Images’ income taxes), duties, import deposits, assessments and other
governmental charges, however designated, which are now or hereafter imposed by
any governmental authority or agency that are based on (a) the payment of any
amount by Toshiba or the Dealer Associates to Vital Images pursuant to this
Agreement for the Products or the use thereof, or (b) the import of the
Products into the Territory if such transaction is international in nature.

13.2                           Net
Payments.  All payments to be made by
Toshiba and its Dealer Associates to Vital Images pursuant to this Agreement
represent net amounts Vital Images is entitled to receive and shall not be
subject to any deductions for any reason whatsoever except as allowed in this Agreement
or by law.  In the event any of said
charges become subject to withholding taxes, duties, import deposits,
assessments or other governmental charges, however designated, except Vital
Images’ income taxes, said payments from Toshiba or its Dealer Associates shall
be increased to such an extent as to allow Vital Images to receive the net
amounts due under this Agreement.

ARTICLE 14:  IMPORT AND EXPORT OF PRODUCTS

14.1                           Import
Documentation.  If applicable,
Toshiba shall be responsible for obtaining all licenses and permits required to
import the Products into the Territory in accordance with applicable laws or
regulations in the Territory.

14.2                           Export
Regulations.  If applicable, Toshiba
shall supply Vital Images on a timely basis with all necessary information and
documentation reasonably requested by Vital Images for export of the Products
in accordance with U.S. export control laws or regulations. Promptly after
execution of this Agreement, Vital Images will notify Toshiba and its Dealer
Associates of the U.S. export status of the Products, and will make its best
efforts to continue to update Toshiba and its Dealer Associates of any changes
in the export status of the Products based on any changes in the U.S. export
regulations.  Vital Images shall be responsible
for compliance with all applicable U.S. Export Administration Regulations for
all Products shipped by it to Toshiba or the Dealer Associates. If applicable,  Toshiba hereby assures Vital Images that:

* Confidential Treatment has been requested, the
portion indicated has been redacted and the redacted portion has been
separately filed with the Securities and Exchange Commission.

 15
 

(a)                                  Toshiba
shall cause its Dealer Associates, and itself shall not re-export, directly or
indirectly, the Products or the direct product of the Products to any
destination forbidden under the then-applicable U.S. Export Administration
Regulations;

(b)                                 Toshiba’s
commitment in paragraph (a) above shall apply in all cases unless the U.S. Export
Administration Regulations expressly permit such re-export or the U.S. Commerce
Department’s Office of Export Licensing has granted such authorization in
writing; and

(c)                                  Toshiba’s
commitment in paragraph (a) above shall survive termination of this Agreement.

ARTICLE 15: 
TERM AND TERMINATION

15.1                           Term.  This Agreement shall take effect as of
January 1, 2007 and shall have an initial term through December 31, 2008 (the “Term”).  At the end of the Term, this Agreement shall
automatically terminate unless prior to the date of termination, this Agreement
is extended pursuant to the mutual written agreement of Toshiba and Vital
Images. However, in the event of a Change of Control, as defined in Section
18.11 of this Agreement, Toshiba may, in its sole discretion, extend this
Agreement for up to an additional term of three (3) years from the date of the
Change of Control, by providing Vital Images written notice, specifying the
term for which it seeks to extend the agreement. Such notice must be provided
no later than 30 days prior to the expiration of the initial Term of this
Agreement. In the event of such extension, Toshiba shall have the continued
right for the duration of the extension to obtain the products and services
available under this Agreement at prices and under terms to be mutually
determined, negotiating in good faith, which prices shall not exceed the
commercially-available prices for such products and services, and all terms and
conditions of this Agreement, including pricing and the Commitment, will
discontinue for the extension term of the Agreement, unless otherwise agreed by
the parties in writing.

15.2                           Termination.  Notwithstanding the provisions of Section
15.1 above, this Agreement may be terminated earlier by either party upon
written notice to the other party:

(a)                                  If
the other party files a petition of any type as to its bankruptcy, is declared
bankrupt, becomes insolvent, makes an assignment for the benefit of creditors,
goes into liquidation or receivership or otherwise loses legal control of its
business voluntarily;

(b)                                 If
the other party is in material breach of this Agreement and has failed to cure
such breach within thirty (30) days of receipt of written notice thereof from
the first party;

(c)                                  If
an event of Force Majeure continues for more than six (6) months.

(d)                                 If
Vital Images so elects due to a Legal Action, as specified in Article 9.4
above.

(e)                                  Upon
mutual agreement by both parties.

This Agreement may also be
terminated by Toshiba in the event of          
*

*

*  .                                   Toshiba will provide Vital Images with thirty
(30) days’ prior written notice of termination.

15.3                           Rights
and Obligations on Termination.  In
the event of termination of this Agreement for any reason, the parties shall
have the following rights and obligations:

* Confidential Treatment has been requested, the
portion indicated has been redacted and the redacted portion has been
separately filed with the Securities and Exchange Commission.

 16
 

(a)                                  Neither
party shall be released from the obligation to make payment of all amounts then
or thereafter due and payable;

(b)                                 The
rights of any customer of Toshiba or the Dealer Associates who holds a valid
license for the Products prior to the effective date of such termination shall
not be affected;

(c)                                  Toshiba’s
indemnification obligation under Article 2.2, Vital Images’ obligations to
provide First Level Maintenance (U.S.) and Second Level Maintenance as well as
Second Level Installation for all purchase orders submitted by Toshiba and/or
Dealer Associates prior to the date of termination of this Agreement, and the
parties’ obligations under Articles 7, 8, 9, 10, 11, 12, 13, 16, 17, and 18.11
[need to update section numbers when contract final] shall survive any
termination of this Agreement;

(d)                                 Unless
the parties otherwise agree in writing, Toshiba shall cause its Dealer
Associates and itself shall return all copies of the Products and any other
items of Confidential Information to Vital Images and, if applicable, shall
erase all copies of the Products from its computer systems and shall certify in
writing to Vital Images that it has done so; and

(e)                                  Unless
the parties otherwise agree in writing, Vital Images shall return all
Confidential Information of Toshiba or the Dealer Associate and any copy
thereof to Toshiba or the Dealer Associate.

ARTICLE
16:  FORCE MAJEURE

16.1                           Definition.  “Force Majeure” shall mean any event or
condition beyond the reasonable control of either party which prevents, in
whole or in material part, the performance by one of the parties of its
obligations hereunder or which renders the performance of such obligations so
difficult or costly as to make such performance commercially unreasonable.  Without limiting the foregoing, the following
shall constitute events or conditions of Force Majeure:  acts of State or governmental action, riots,
disturbance, war, strikes, lockouts, slowdowns, prolonged shortage of energy or
other supplies, epidemics, fire, flood, hurricane, typhoon, earthquake,
lightning and explosion, or any refusal or failure of any governmental
authority to grant any export license legally required.

16.2                           Notice.  Upon written notice to the other party, a
party affected by an event of Force Majeure shall be suspended without any
liability on its part from the performance of its obligations under this
Agreement, except for the obligation to pay any amounts due and owing
hereunder.  Such notice shall include a
description of the nature of the event of Force Majeure, and its cause and
possible consequences.  The party
claiming Force Majeure shall also promptly notify the other party of the
termination of such event.

16.3                           Suspension
of Performance.  During the period
that the performance by one of the parties of its obligations under this
Agreement has been suspended by reason of an event of Force Majeure, the other
party may likewise suspend the performance of all or part of its obligations
hereunder to the extent that such suspension is commercially reasonable.

ARTICLE
17:  ARBITRATION

17.1                           Dispute
Resolution.  Except as provided in
Section 17.2 below, Vital Images and Toshiba shall each use its best efforts to
resolve any dispute between them promptly and amicably and without resort to
any legal process if feasible within thirty (30) days of receipt of a written
notice by one party to the other party of the existence of such dispute.  Except as provided in Section 17.2 below, no
further action may be taken under this Article 17 unless and until executive
officers of Vital Images and Toshiba have met in good faith to discuss and
settle such dispute.  The foregoing
requirement in this Article 17.1 shall be

* Confidential Treatment has been requested, the
portion indicated has been redacted and the redacted portion has been
separately filed with the Securities and Exchange Commission.

 17
 

without prejudice to
either party’s right, if applicable, to terminate this Agreement under Article
14.2 above.

17.2                           Litigation
Rights Reserved.  If any dispute
arises with regard to the unauthorized use or infringement of the Confidential
Information by any party hereto, the party whose Confidential Information is
being infringed may seek any available remedy at law or in equity from a court
of competent jurisdiction.

17.3                           Procedure
for Arbitration.  Except as provided
in Section 17.2 above, any dispute, claim or controversy arising out of or in
connection with this Agreement which has not been settled through negotiation
within a period of thirty (30) days after the date on which either party shall
first have notified the other party in writing of the existence of a dispute
shall be settled by final and binding arbitration under the International
Arbitration Rules of the American Arbitration Association (“AAA”).  Any such arbitration shall be conducted by three
(3) neutral arbitrators appointed by mutual agreement of the parties or,
failing such agreement, in accordance with said Rules.  At least one (1) arbitrator shall be an
experienced computer software professional, and at least one (1) arbitrator
shall be an experienced business attorney with a background in the licensing
and distribution of computer software. Any such arbitration initiated by Vital
Images shall be conducted in Orange County, California, U.S.A., and any such
arbitration initiated by Toshiba or Dealer Associate shall be conducted in
Minneapolis, Minnesota, U.S.A., any such arbitration to be conducted in the
English language.  An arbitral award may
be enforced in any court of competent jurisdiction.  Notwithstanding any contrary provision in the
AAA Rules, the following additional procedures and rules shall apply to any
such arbitration:

(a)                                  Each
party shall have the right to request from the arbitrators, and the arbitrators
shall order upon good cause shown, reasonable and limited pre-hearing
discovery, including (i) exchange of witness lists, (ii) depositions under oath
of named witnesses at a mutually convenient location, (iii) written
interrogatories and (iv) document requests.

(b)                                 Upon
conclusion of the pre-hearing discovery, the arbitrators shall promptly hold a
hearing upon the evidence to be adduced by the parties and shall promptly
render a written opinion and award.

(c)                                  The
arbitrators may not award or assess punitive damages, consequential or indirect
damages against either party.

(d)                                 Each
party shall bear its own costs and expenses of the arbitration and one-half
(1/2) of the fees and costs of the arbitrators, subject to the power of the
arbitrators, in their sole discretion, to award all such reasonable costs,
expenses and fees to the prevailing party.

ARTICLE
18:  MISCELLANEOUS

18.1                           Relationship.  This Agreement does not make either party the
employee, agent or legal representative of the other for any purposes
whatsoever.  Neither party is granted any
right or authority to assume or to create any obligation or responsibility,
express or implied, on behalf of or in the name of the other party.  Each party is acting as an independent
contractor.

18.2                           Assignment.   Toshiba shall not assign or otherwise
transfer its rights and obligations under this Agreement except with the prior
written consent of Vital Images, which consent will not be unreasonably
withheld.  Vital Images shall not assign
or otherwise transfer its rights and obligations under this Agreement except
with the prior written consent of Toshiba, which consent will not be
unreasonably withheld, except that consent may be withheld for any reason
(whether or not reasonable) for assignments or transfers to any of the
following entities: GE Healthcare, Philips Medical Systems, and Siemens Medical
Solutions.  This restriction against
assignment or transfer by Vital Images shall not apply to any entity who
purchases 50% or more of the shares of stock of Vital Images.  Any prohibited assignment shall be null and
void.

* Confidential Treatment has been requested, the
portion indicated has been redacted and the redacted portion has been
separately filed with the Securities and Exchange Commission.

 18
 

18.3                           Notices.  Notices permitted or required to be given
hereunder shall be deemed sufficient if given by registered or certified mail,
postage prepaid, return receipt requested, by private courier service, or by
facsimile addressed to the respective addresses of the parties as first written
above or at such other addresses as the respective parties may designate by
like notice from time to time.  Notices
so given shall be effective upon (i) receipt by the party to which notice is
given, or (ii) on the fifth (5th)
day following domestic mailing or the tenth (10th) day following international mailing, as
may be the case, whichever occurs first.

18.4                           Entire
Agreement.  This Agreement, including
the Exhibits hereto which are incorporated herein, constitutes the entire
agreement of the parties with respect to the subject matter hereof and
supersedes all proposals, oral or written, and all negotiations, conversations,
discussions, and previous distribution or value added reseller agreements
heretofore between the parties, including, without limitation, the Marketing and
Distribution Agreement dated January 21, 2002, and effective
October 1, 2001, and the amendments 1, 2 and 3 to said Agreement (together
“2001 Agreement”). However, Vital Images and Toshiba’s rights and obligations
concerning pricing, installation (First Level and Second Level), warranty and
maintenance (First Level and Second Level) for all purchase orders issued under
the 2001 Agreement will continue to be subject to the 2001 Agreement. Toshiba
and Vital Images hereby acknowledge that neither party has been induced to
enter into this Agreement by any representations or statements, oral or
written, not expressly contained herein. 
Vital Images and Toshiba’s rights and obligations concerning the
SurePlaque will continue to be governed by the License Agreement entered into
between the parties, dated September 7,. 2006. Vital Images and Toshiba America
Medical Systems, Inc.’s rights and obligations under the letter agreement dated
May 31, 2006, will continue and are not superceded or otherwise altered by this
Agreement.

18.5                           Amendment.  This Agreement may not be modified, amended,
rescinded, canceled or waived, in whole or in part, except by written amendment
signed by both parties hereto.

18.6                           Publicity.  This Agreement is confidential, and no party
shall issue press releases or engage in other types of publicity of any nature
dealing with the commercial or legal details of this Agreement without the
other party’s prior written approval, which approval shall not be unreasonably
withheld.  However, approval of such
disclosure shall be deemed to be given to the extent such disclosure is
required to comply with governmental rules, regulations or other governmental
requirements.  In such event, the
publishing party shall furnish a copy of such disclosure to the other party.

18.7                           Governing
Law.    This Agreement shall be
governed by and interpreted under the laws of the state within which the action
is filed as specified in Section 17.3 above, excluding its choice of law rules.
“The parties hereby exclude application of the 1980 United Nations Convention
on Contracts for the International Sale of Goods.”

18.8                           Severability.  If any provision of this Agreement is found
unenforceable under any of the laws or regulations applicable thereto, such
provision terms shall be deemed stricken from this Agreement, but such
invalidity or unenforceability shall not invalidate any of the other provisions
of this Agreement.

18.9                           Counterparts.  This Agreement may be executed in two or more
counterparts in the English language and each such counterpart shall be deemed
an original hereof.  In case of any
conflict between the English version and any translated version of this
Agreement, the English version shall govern.

18.10                     Waiver.  No failure by either party to take any action
or assert any right hereunder shall be deemed to be a waiver of such right in
the event of the continuation or repetition of the circumstances giving rise to
such right.

18.11                     Change of Control.  For purposes of this Agreement, “Change of
Control” shall mean: (i) any merger, statutory share exchange or consolidation
of a party with or into any third party, that entitles the shareholders of the
third party to receive at least one (1) seat on the board of directors and at
least

* Confidential Treatment has been requested, the
portion indicated has been redacted and the redacted portion has been
separately filed with the Securities and Exchange Commission.

 19
 

thirty-three and one-third percent (33-1/3%) of the
outstanding capital stock of the post-merger company (provided,
however, that          *

*

*

*;                                                                                                                  (ii)
any third party becoming the holder of a majority of the capital stock of a
party entitled to vote generally for the election of directors; or (iii) the
sale, lease, assignment, transfer or other conveyance of all or substantially
all of the assets of a party in any transaction or series of transactions by
such party.  In case of “Change of
Control” of either party, that party shall assure that the acquiring equity
shall agree to honor and fullfill the obligation of the party as contained in
this Agreement.

 

18.12                                                                     *.
The parties agree that *

* subject to legal, regulatory or governance
constraints and an agreement that is
appropriate                *
.. The parties further agree that they will diligently and in good faith use
their best efforts to determine whether there are any legal, regulatory or
governance obstacles
to           *                 which
they mutually agree would render *

*                                         inadvisable.
The parties agree that there will be some instances in which *

*                                                           and
that they will diligently and in good faith use their best efforts to identify specific
circumstances under which they mutually
agree                                                *

*                                         (such
as owing to                     *

*                                                                                                      ).
The parties will use their good faith and diligent best efforts to resolve
these issues on or
before            *                                     .

IN WITNESS WHEREOF, the
parties have caused this Agreement to be executed by their duly authorized

representatives below.

	
  VITAL IMAGES, INC.

  	
   

  	
  Toshiba Medical Systems

  
	
   

  	
   

  	
   

  
	
   

  	
   

  	
   

  
	
  By

  	
   

  	
   

  	
   

  	
  By

  	
   

  	
   

  
	
   

  	
   

  	
   

  
	
  Name

  	
   

  	
   

  	
   

  	
  Name

  	
   

  	
   

  
	
   

  	
   

  	
   

  
	
  Title

  	
   

  	
   

  	
   

  	
  Title

  	
   

  	
   

  
											

 

 

LIST OF EXHIBITS

A                                      Products

B                                        Territory

C                                        List
of Dealer Associates

D                                       Terms
and Conditions for the Demonstration License

E                                         Product
Price List

F                                         Product
Commitments

G                                        Principal
Countries

H                                       List
of Vital Images Trademarks

idmsmpl:482368_7

* Confidential Treatment has been requested, the
portion indicated has been redacted and the redacted portion has been
separately filed with the Securities and Exchange Commission.

 20
 

VITAL IMAGES, INC. AND TOSHIBA
CORPORATION

MARKETING
AND DISTRIBUTION AGREEMENT

EXHIBIT A

PRODUCTS

Vitrea  â

VScoreÔ option

VScore with
EKG GateÔ option

VScore
with AutoGateÔ option

3D
Angiography option

CT Perfusion option

CT Colonography option

Automated Vessel Measurements
option

CT Cardiac option

Cardiac Functional Analysis
option

CT Cardiac Option with Peripheral
Vessel Probe option

SUREPlaqueTM option

Electro-physiology option*

Peripheral Vessel Probe option

Soft Read option

Nodule Probe option (Lung option)

Fusion7DTM option

Fusion7DTM Advanced option

Fusion7DTM Standard option

Fusion7DTM Advanced option with
DICOMPrint &CDburn

Fusion7DTM Standard option with
DICOMPrint &CDburn

Fusion7DTM Basic option with
DICOMPrint &CDburn

ImageChecker® Lung CAD(Ver.2.0)
option

AutoPoint Temporal Comparison
option (must also buy Lung CAD)

Pulmonary Artery Patency Exam
option (must also buy Lung CAD)

Vitrea ACCESSTM option(3)(4)

VitreaACCESS
Remote option

 

*when and if available

 21
 

VITAL IMAGES, INC. AND TOSHIBA
CORPORATION

MARKETING
AND DISTRIBUTION AGREEMENT

EXHIBIT B

TERRITORY

Worldwide, except
for Japan and those countries barred by the

Office of Foreign Assets Control (“OFAC”) of the U.S. Department of the
Treasury

 22
 

VITAL IMAGES, INC. AND TOSHIBA
CORPORATION

MARKETING
AND DISTRIBUTION AGREEMENT

EXHIBIT C

LIST OF
DEALER ASSOCIATES

	
  Company Name

  	
   

  	
  MAIN COUNTRY

  	
   

  	
  Address

  
	
  TOSHIBA AMERICA
  MEDICAL SYSTEMS, INC.

  	
   

  	
  U.S.A.

  	
   

  	
  2441 MICHELLE
  DR., TUSTIN, CA 92780, U.S.A.

  
	
  TOSHIBA OF CANADA
  LTD.

  	
   

  	
  CANADA

  	
   

  	
  191 McNABB
  STREET, MARKHAM, ONTARIO, L3R 8H2 CANADA

  
	
  TOSHIBA MEDICAL
  SYSTEMS EUROPE B.V.

  	
   

  	
  EUROPE

  	
   

  	
  ZILVERSTRAAT 1,
  2718 RP ZOETERMEER, THE NETHERLAND

  
	
  TOSHIBA
  (AUSTRALIA) PTY.

  	
   

  	
  AUSTRALIA

  	
   

  	
  55 Talavera
  Road, North Ryde, NSW 2113

  
	
  TOSHIBA MEDICAL
  DO BRAZIL LTDA

  	
   

  	
  BRAZIL BOLIVIA
  PARAGUAY

  	
   

  	
  RUA MARCELO
  MORAES CORDEIRO,110 CEP 06765-280 TABOAO DE SERRA-SP, BRASIL

  
	
  TOSHIBA MEDICAL
  SYSTEMS ASIA PTE., LTD.

  	
   

  	
  SINGAPORE

  	
   

  	
  BLOCK 211, HENDERSON
  ROAD, #08-02, HENDERSON INDUSTRIAL PARK SINGAPORE 159552

  
	
  SANKO MEDICAL
  SYSTEMS CO., LTD.

  	
   

  	
  CHINA

  	
   

  	
  7/F.,AIR-CHINA
  BLDG.,5-2,TORANOMON 2-CHOME, MINATO-KU,TOKYO

  
	
  DAEYOUNG MEDICAL
  CORPORATION

  	
   

  	
  KOREA

  	
   

  	
  9-1 HONG-DONG
  DONG-KU, TAEJEONG, KOREA 

  
	
  ROTARY TRADING
  CO., LTD

  	
   

  	
  TAIWAN

  	
   

  	
  5F, NO.233,
  CHUNG-YANG RD., NAN-KANG DISTRICT, TAIPEI, TAIWAN

  
	
  SANKO MEDICAL
  SYSTEMS (H.K.) LTD.

  	
   

  	
  HONGKONG

  	
   

  	
  RM808, 8F TOWER
  1, THE GATEWAY, HARBOUR CITY, TSIM SHA TSUI, KOWLOON, HONG KONG

  
	
  PHILIPPINE
  MEDICAL SYSTEMS INC.

  	
   

  	
  PHILIPPINES

  	
   

  	
  SUITE 4A,
  VERNIDA L CONDOMINIUM 120 AMORSOLO ST., LEGASPI VILLAGE, MAKATI METRO MANILA,
  PHILIPPINES

  
	
  PT MURTI INDAH
  SENTOSA

  	
   

  	
  INDONESIA

  	
   

  	
  JI. SULTAN
  ISKANDAR MUDA KAV. 29 KEBAYORAN LAMA SELATAN JAKARTA 12240, INDONESIA

  
	
  ABEX MEDICAL
  SYSTEM SDN. BHD.

  	
   

  	
  MALAYSIA

  	
   

  	
  LOT 2-6, JALAN
  SU/6A LION INDUSTRIAL PARK SECTION 26, 40000 SHAH ALAM SELANGOR DARUL EHSAN

  
	
  CMC BIOTECH
  COMPANY LIMITED

  	
   

  	
  THAILAND

  	
   

  	
  364 MUBAN
  TOWN-IN-TOWN, LADPHRAO 94(SOI PANJAMIT) WANGTHONGLANG, BANGKOK 10310,
  THAILAND

  
	
  GOLD LITE

  	
   

  	
  VIET NAM MYAMMAR
  CAMBODIA

  	
   

  	
  BLOCK 211,
  HENDERSON ROAD, #08-03, HENDERSON INDUSTRIAL PARK SINGAPORE 159552

  

 

 23
 

 

	
  ERBIS
  ENGINEERING CO.LTD.

  	
   

  	
  INDIA BANGLADESH
  NEPAL

  	
   

  	
  KAMIYA-CHO PLAZA
  BUILDING 1-14, 4CHOME-TORANOMON, MINATO-KU, TOKYO, JAPAN

  
	
  MEDIQUIPMENT
  (PTE) LTD.

  	
   

  	
  SRI LANKA

  	
   

  	
  95, COTTA ROAD,
  COLOMBO 8, SRI LANKA

  
	
  MEDIQUIPS

  	
   

  	
  PAKISTAN

  	
   

  	
  30,
  SHAHRAH-E-QUAID-E-AZAM LAHORE, PAKISTAN

  
	
  MODERN MEDICAL
  TECHNOLOGY EST

  	
   

  	
  YEMEN

  	
   

  	
  HADDA ST.
  BOX16165, SANA’A,YEMEN

  
	
  EBIN RUSHED
  PHARMACY CO. LLC.

  	
   

  	
  OMAN

  	
   

  	
  PO BOX 169,
  MUSCAT SULTANATE OF OMAN

  
	
  EMIRATES HOSPITAL
  SUPPLIES

  	
   

  	
  U.A.E.

  	
   

  	
  PO BOX 366, ABU
  DHABI, U.A.E.

  
	
  MEDISERV

  	
   

  	
  SAUDI ARABIA

  	
   

  	
  P.O. BOX 17550,
  AL TAHLIA ST. OLAYA, RIYADH 11494, SAUDI ARABIA

  
	
  AL-JISHI
  CORPORATION WLL.

  	
   

  	
  BAHRAIN

  	
   

  	
  PO BOX 617,
  SALMANIYA AVE. STATE OF BAHRAIN

  
	
  TAREQ COMPANY

  	
   

  	
  KUWAIT

  	
   

  	
  PO BOX 20506,
  13066 SAFAT, KUWAIT

  
	
  TMST TIBBI
  SISTEMLER TICARET VE SERVIS A.S.

  	
   

  	
  TURKEY

  	
   

  	
  ALEMDAG CAD.
  NO.46 MASALDAN IS MERKEZI E BLOK NO. 10 CAMLICA 81190 ISTANBUL, TURKEY

  
	
  FILM TRADING
  COMPANY

  	
   

  	
  SYRIA

  	
   

  	
  AL CHABANDAR
  BOURAN ST. P.O. BOX 5350, DAMASCUS, SYRIA

  
	
  TRADING MEDICAL
  SYSTEM JORDAN EST.

  	
   

  	
  JORDAN

  	
   

  	
  SIXTH CIRCLE- 2nd FLOOR –ORBIT BUILDING, OPPOSITE AMRA HOTEL
  P.O. BOX 3279 AMMAN 11181. JORDAN

  
	
  LIFE SCIENCE
  EQUIPMENT SARL

  	
   

  	
  LEBANON

  	
   

  	
  VILLA ESTEPHAN
  NAWFAL, GREEN ZONE, ADONIS, ZOUK MODSBEH, KESROUAN, BEIRUT, LEBANON, 90-2000

  
	
  THE PALESTINIAN
  MEDICAL SYSTEMS TRADE CO.

  	
   

  	
  PALESTINE

  	
   

  	
  GAZA, AL
  THALATHINI ST., BEHIND THE GOVERNERATE OF GAZA P.O.BOX 4040 GAZA - PALESTINE

  
	
  TRADING MEDICAL
  SYSTEMS

  	
   

  	
  EGYPT

  	
   

  	
  9 GEZIRET AL
  ARAB ST. 4TH FLOOR, MOHANDSSIN, CAIRO,
  EGYPT

  
	
  MEDICAL TECHNOLOGY
  FOR TRADING

  	
   

  	
  EGYPT

  	
   

  	
  16 EL KHARTOUM
  STREET, HELIOPOLIS, CAIRO, EGYPT

  
	
  UNIVERSEL SYSTEM

  	
   

  	
  MOROCCO

  	
   

  	
  207-209
  BOULEVARD DE LA RESISTANCE, CASABLANCA, MOROCCO

  
	
  AFRIC MEDICAL

  	
   

  	
  IVORY COAST

  	
   

  	
  ZONE 3, RUE DES
  CARROSSIERS, 25 BP 897, ABIDJAN 25, IVORY COAST

  
	
  SAVANNAH
  HOSPITAL & MEDICAL APPLICATIONS LTD.

  	
   

  	
  NIGERIA

  	
   

  	
  PLOT 1438,
  SANUSI FAFUNWA STREET, VICTORIA ISLAND, LAGOS, NIGERIA

  
	
  TECMED (PTY)
  LTD.

  	
   

  	
  S.AFRICA

  	
   

  	
  TECMED CENTRE,
  GEORGE ROAD ERAND GARDENS, MIDRAND PO BOX 4229, HALFWAY HOUSE 1685 REPUBLIC
  OF SOUTH AFRICA

  
	
  GRIENSU S.A.

  	
   

  	
  ARGENTINA
  URUGUAY

  	
   

  	
  AV. JULIO A.
  ROCA 636 (F10, 11 & 12) 1067 BUENOS AIRES, ARGENTINA

  

 

 24
 

 

	
  TECNOIMAGEN S.A.

  	
   

  	
  CHILE

  	
   

  	
  LAUTARO NO.754,
  PROVIDENCIA, SANTIAGO, CHILE

  
	
  CYMED MEDICAL S.A.C.

  	
   

  	
  PERU

  	
   

  	
  AV.GUILLERMO
  PRESCOT 346-352 SAN ISIDRO-LIMA-PERU

  
	
  TOP MEDICAL
  ECUADOR S.A.

  	
   

  	
  ECUADOR

  	
   

  	
  AV. AMAZONAS
  4430 Y VILLALENGUA OFICINA 1005, QUITO-ECUADOR

  
	
  TOP MEDICAL
  SYSTEMS S.A.

  	
   

  	
  COLOMBIA

  	
   

  	
  TRANSVERSAL 21
  NO. 108-65 SANTA FE DE BOGOTA D.C., COLOMBIA

  
	
  SEIJIRO YAZAWA
  IWAI C.A.

  	
   

  	
  VENEZUELA

  	
   

  	
  CALLE PARIS
  ENTRE MUCUCHIES Y LA TRINIDAD EDIFICIO SEIJIRO YAZAWA IWAI, LAS MERCEDES,
  CARACAS 1060, VENEZUELA

  
	
  RESERMA S. A.

  	
   

  	
  PANAMA

  	
   

  	
  AVENIDA 1RA D.
  SUR Y CALLE 60 E, OBARRIO APARDADO 55-0645 PAITILLA, PANAMA, REPUBLICA DE
  PANAMA

  
	
  MULTISERVICIOS
  ELECTROMEDICOS S.A.

  	
   

  	
  COSTA RICA

  	
   

  	
  APDO. 74-1005
  SAN JOSE, COSTA RICA

  
	
  DISTRIBUIDORA
  FOTORAFICA , S.A

  	
   

  	
  GUATEMALA

  	
   

  	
  42 CALLE 11-43,
  ZONA 8 GUATEMALA, GUATEMALA

  
	
  TELECOMUNICACION
  Y EQUIPOS S.A.

  	
   

  	
  MEXICO

  	
   

  	
  RIO AMAZONAS
  NO.15 COL.CUAUHTEMOC 06500,   MEXICO.D.F.,   MEXICO

  

 

 25

VITAL IMAGES, INC. AND TOSHIBA
CORPORATION

MARKETING
AND DISTRIBUTION AGREEMENT

EXHIBIT D

TERMS AND
CONDITIONS FOR THE DEMONSTRATION LICENSE

ARTICLE 1: LICENSE GRANT AND USE FOR
DEMONSTRATION LICENSE

1.1                                 License
Grant.  Subject to the terms of this Exhibit
D, Vital Images hereby grants to Toshiba and its Dealer Associates (“Licensees”)
a nonexclusive, non-transferable, royalty free license (“Demonstration License”)
to use the Products limited solely to promotion, demonstration, evaluation and
testing.  Except as provided herein, Licensees
hereby agree that the Products under this License shall not be used for any
business activities of the Licensees without the prior written consent of Vital
Images, such consent to be at the sole discretion of Vital Images.  No software provided under this Demonstration
License may be provided to customers.

1.2                                 Restrictions
on Use.  Licensees agree not to
engage in, cause or permit the reverse engineering, disassembly, recompilation,
modification or any similar manipulation of the Products, nor may Licensees
loan, lease, distribute, assign or otherwise transfer the Products or copies
thereof, in whole or in part, to any third party.

1.3                                 Copying.  Licensees shall not copy the Products, except
that each Licensee may make and maintain one (1) copy of the Products for
back-up and archival purposes, provided such copy includes all Vital Images
copyright, proprietary rights and other notices included on or in the Products.

1.4                                 Ownership.  All right, title and interest in the Products
(except as otherwise agreed between the parties in a separate agreement
concerning one or more options incorporated in the Products) shall at all times remain the
property of Vital Images and its licensors, subject to the Demonstration Licenses
granted to Licensees under this Exhibit D.  Licensees understand and agree that it takes
title only to the media on which the Products are provided to it, but that the
Products shall remain the property of, and proprietary to, Vital Images.

ARTICLE
2: TERM AND TERMINATION

2.1                                 Term.  The term of each Demonstration License shall
be for the duration of the Agreement.

2.2                                 Termination.
 Each Licensee may terminate the
Demonstration License at any time by giving written notice to Vital Images.

2.3                                 Termination
of a Demonstration License.  Upon any
termination of a Demonstration License, Licensee shall (a) immediately cease
all use of the Products licensed pursuant to such Demonstration License, and
(b) certify in writing to Vital Images within thirty (30) days after such termination
that Licensee has either destroyed, permanently erased or returned to Vital
Images the Products and all copies thereof licensed pursuant to such
Demonstration License.

2.4                                 Effect
of Termination of Demonstration License. 
Upon termination of the Demonstration License,  such License to the Products granted under
this Exhibit D shall immediately terminate.  Articles 1.4, 3, 4 and 5 of this Exhibit D
shall survive such termination of the Demonstration License, if the Product(s)
licensed pursuant to such Demonstration License is not purchased. Otherwise, as
provided in Section 3.2 of the main body of that certain Marketing and
Distribution Agreement between Toshiba Corporation and Vital Images,

* Confidential Treatment has been requested, the
portion indicated has been redacted and the redacted portion has been
separately filed with the Securities and Exchange Commission.

 26
 

Inc. dated January
  , 2007 (the “Agreement’), the terms and conditions under this Exhibit
D shall be superseded upon purchase of the Products and shall be totally
subject to the terms and conditions provided in the main body of the Agreement.

ARTICLE 3: WARRANTIES; INDEMNIFICATION

3.1                                 No
Warranty.  Vital  Images makes no warranty to Licensees that
the Products licensed under the Demonstration License, even when properly
installed and operated, will substantially perform the functions described in
the functional specifications for the Products, as contained in the applicable
written documentation for the Products. 
All Products licensed under the Demonstration License are provided to
Licensees “AS IS.” Provided however, during the term of each Demonstration
License, Vital Images shall provide Licensees with any update or upgrade
releases to the Vitrea® or other applicable Products licensed
thereunder, as soon as they become available. 
It is agreed between the parties that newly released options to Vitrea®, except for those
listed in Exhibit E to the Agreement and licensed under the applicable
Demonstration License, shall be excluded from such updates and upgrades unless
explicitly agreed between the parties.

3.2                                 Exclusive
Remedy.  Vital Images’ entire
liability, and Licensees’ exclusive remedy, for any claim made by Licensees
under Article 3.1 above shall be for Licensee to terminate the Demonstration License
for such Product.   Vital Images does not
warrant that the operation of the Products will be uninterrupted or error-free,
that all errors in the Products will be corrected, that the Products will satisfy
Licensee’s requirements or that the Products will operate in the combinations
which Licensees may select for use.

3.3                                 Warranty
Disclaimer.  THE WARRANTY SET FORTH
IN ARTICLE 3.1 ABOVE IS EXCLUSIVE AND IN LIEU OF ALL OTHER WARRANTIES, EXPRESS
OR IMPLIED, WHICH ARE HEREBY DISCLAIMED AND EXCLUDED BY VITAL IMAGES, INCLUDING
WITHOUT LIMITATION ANY WARRANTY OF MERCHANTABILITY, FITNESS FOR A PARTICULAR
PURPOSE, NON-INFRINGEMENT OR USE, AND ALL OBLIGATIONS OR LIABILITIES ON THE
PART OF VITAL IMAGES FOR DAMAGES ARISING OUT OF OR IN CONNECTION WITH THE USE,
MAINTENANCE OR PERFORMANCE OF THE PRODUCTS. 
Furthermore, the Products are derived from and include software from
third party licensors, who make no warranty, express or implied, regarding the
Products, who disclaim any and all liability for the Products and who will not
undertake to provide any information or support regarding the Products.

ARTICLE 4: LIMITATION OF REMEDIES

4.1                                 Delay.  VITAL IMAGES SHALL NOT BE LIABLE FOR ANY LOSS
OR DAMAGE CAUSED BY DELAY IN FURNISHING PRODUCTS OR ANY OTHER PERFORMANCE UNDER
THIS EXHIBIT D.

4.2                                 Sole
Remedies.  THE SOLE AND EXCLUSIVE
REMEDIES FOR BREACH OF ANY AND ALL WARRANTIES AND THE SOLE REMEDIES FOR VITAL
IMAGES’ LIABILITY OF ANY KIND (INCLUDING LIABILITY FOR NEGLIGENCE OR PRODUCT
LIABILITY) WITH RESPECT TO THE PRODUCTS COVERED BY THIS EXHIBIT D AND
ALL OTHER PERFORMANCE BY VITAL IMAGES UNDER THIS EXHIBIT D SHALL BE
LIMITED TO THE REMEDIES PROVIDED IN ARTICLE 3 OF THIS EXHIBIT D.

4.3                                 Damages
Limitation.  VITAL IMAGES SHALL HAVE
NO LIABILITY OF ANY KIND FOR ANY SPECIAL, INDIRECT, INCIDENTAL OR CONSEQUENTIAL
LOSS OR DAMAGE, EVEN IF VITAL IMAGES SHALL HAVE BEEN ADVISED OF THE POSSIBILITY
OF SUCH POTENTIAL LOSS OR DAMAGE, INCLUDING ANY LIABILITY FOR DAMAGES ARISING
OUT OF OR RESULTING

* Confidential Treatment has been requested, the
portion indicated has been redacted and the redacted portion has been
separately filed with the Securities and Exchange Commission.

 27
 

FROM THE USE,
MAINTENANCE OR PERFORMANCE OF THE PRODUCTS, INCLUDING, WITHOUT LIMITATION, THE
LOSS OR CORRUPTION OF LICENSEES’ OR ANY THIRD PARTY DATA.

ARTICLE 5: RELATIONSHIP OF THIS EXHIBIT D AND
THE MAIN BODY OF THE AGREEMENT

In all other
respects, the main body of the Agreement shall prevail and shall apply to the
Demonstration Licenses granted under this Exhibit D as well.  Specifically, and not in limitation of the
foregoing, defined terms used in this Exhibit D, if not defined herein, shall
have the meaning given them in the Agreement.

* Confidential Treatment has been requested, the
portion indicated has been redacted and the redacted portion has been
separately filed with the Securities and Exchange Commission.

 28
 

VITAL IMAGES, INC. AND TOSHIBA
CORPORATION

MARKETING
AND DISTRIBUTION AGREEMENT

EXHIBIT E

PRODUCT
PRICE LIST

	
   

  	
   

  	
   

  	
   

  	
  U.S.(2007) (1)

  	
   

  	
  Non-U.S. (2)

  	
   

  	
  Non-U.S. (2)

  
	
  License

  	
   

  	
  U.S.(2006) (1)

  	
   

  	
  Standalone

  	
   

  	
  Enterprise

  	
   

  	
  (2006)

  	
   

  	
  (2007)

  
	
  Vitrea  â

  	
   

  	
  *

  	
   

  	
  *

  	
   

  	
  *

  	
   

  	
  *

  	
   

  	
  *

  
	
  VScoreÔ
  option

  	
   

  	
  *

  	
   

  	
   

  	
  *

  	
   

  	
   

  	
  *

  	
   

  	
  *

  
	
  VScore with EKG GateÔ option

  	
   

  	
  *

  	
   

  	
   

  	
  *

  	
   

  	
   

  	
  *

  	
   

  	
  *

  
	
  VScore with AutoGateÔ option

  	
   

  	
  *

  	
   

  	
   

  	
  *

  	
   

  	
   

  	
  *

  	
   

  	
  *

  
	
  3D Angiography option

  	
   

  	
  *

  	
   

  	
   

  	
  *

  	
   

  	
   

  	
  *

  	
   

  	
  *

  
	
  CT Perfusion option

  	
   

  	
  *

  	
   

  	
   

  	
  *

  	
   

  	
   

  	
  *

  	
   

  	
  *

  
	
  CT Colonography option

  	
   

  	
  *

  	
   

  	
   

  	
  *

  	
   

  	
   

  	
  *

  	
   

  	
  *

  
	
  Automated Vessel Measurements option

  	
   

  	
  *

  	
   

  	
   

  	
  *

  	
   

  	
   

  	
  *

  	
   

  	
  *

  
	
  CT Cardiac option

  	
   

  	
  *

  	
   

  	
   

  	
  *

  	
   

  	
   

  	
  *

  	
   

  	
  *

  
	
  Cardiac Functional Analysis option

  	
   

  	
  *

  	
   

  	
   

  	
  *

  	
   

  	
   

  	
  *

  	
   

  	
  *

  
	
  CT Cardiac Option with Peripheral Vessel Probe option

  	
   

  	
  *

  	
   

  	
   

  	
  *

  	
   

  	
   

  	
  *

  	
   

  	
  *

  
	
  SUREPlaque option

  	
   

  	
  *

  	
   

  	
   

  	
  *

  	
   

  	
   

  	
  *

  	
   

  	
  *

  
	
  Electro-physiology option*

  	
   

  	
  *

  	
   

  	
   

  	
  *

  	
   

  	
   

  	
  *

  	
   

  	
  *

  
	
  Peripheral Vessel Probe option

  	
   

  	
  *

  	
   

  	
   

  	
  *

  	
   

  	
   

  	
  *

  	
   

  	
  *

  
	
  Soft Read option

  	
   

  	
  *

  	
   

  	
   

  	
  *

  	
   

  	
   

  	
  *

  	
   

  	
  *

  
	
  Nodule Probe option (Lung option)

  	
   

  	
  *

  	
   

  	
   

  	
  *

  	
   

  	
   

  	
  *

  	
   

  	
  *

  
	
  Fusion7DTM option

  	
   

  	
  *

  	
   

  	
   

  	
  *

  	
   

  	
   

  	
  *

  	
   

  	
  *

  
	
  Fusion7DTM Advanced option

  	
   

  	
  *

  	
   

  	
   

  	
  *

  	
   

  	
   

  	
  *

  	
   

  	
  *

  
	
  Fusion7DTM Standard option

  	
   

  	
  *

  	
   

  	
   

  	
  *

  	
   

  	
   

  	
  *

  	
   

  	
  *

  

 

* Confidential Treatment has been requested, the
portion indicated has been redacted and the redacted portion has been
separately filed with the Securities and Exchange Commission.

 29
 

 

	
  Fusion7DTM Basic option

  	
   

  	
  *

  	
   

  	
   

  	
  *

  	
   

  	
   

  	
  *

  	
   

  	
  *

  
	
  Fusion7DTM Advanced option with DICOMPrint
  &CDburn

  	
   

  	
  *

  	
   

  	
   

  	
  *

  	
   

  	
   

  	
  *

  	
   

  	
  *

  
	
  Fusion7DTM Standard option with DICOMPrint
  &CDburn

  	
   

  	
  *

  	
   

  	
   

  	
  *

  	
   

  	
   

  	
  *

  	
   

  	
  *

  
	
  Fusion7DTM Basic option with DICOMPrint
  &CDburn

  	
   

  	
  *

  	
   

  	
   

  	
  *

  	
   

  	
   

  	
  *

  	
   

  	
  *

  
	
  ImageChecker® Lung CAD(Ver.2.0) option

  	
   

  	
  *

  	
   

  	
   

  	
  *

  	
   

  	
   

  	
  *

  	
   

  	
  *

  
	
  AutoPoint Temporal Comparison option (must also
  buy Lung CAD)

  	
   

  	
  *

  	
   

  	
   

  	
  *

  	
   

  	
   

  	
  *

  	
   

  	
  *

  
	
  Pulmonary Artery Patency Exam option (must also
  buy Lung CAD)

  	
   

  	
  *

  	
   

  	
   

  	
  *

  	
   

  	
   

  	
  *

  	
   

  	
  *

  
	
  Vitrea ACCESSTM option(3)(4)

  	
   

  	
  *

  	
   

  	
   

  	
  *

  	
   

  	
   

  	
  *

  	
   

  	
  *

  
	
  VitreaACCESS Remote option

  	
   

  	
  *

  	
   

  	
   

  	
  *

  	
   

  	
   

  	
  *

  	
   

  	
  *

  

 

*when and if available

(1)          Includes
warranty pursuant to Section 9.1(a) of the Agreement and end user training, and
the Second Level Installation.

(2)          Includes warranty
pursuant to Section 9.1(a) of the Agreement, and the Second Level Installation.

(3)          Prices are subject to an additional *  discount on additional Vitrea purchases
for multi-license purchases by the same customer on the same purchase order
(the customer purchases more than one Vitrea  â Software License).

(4)          Any
purchases made by Toshiba and/or its Dealer Associates pursuant to Sections 3.2
and 3.3 of this Agreement shall not be credited against the Commitment.

SOFTWARE
PACKAGE PRICING 

	
  

  	
   

  	
  Pricing

  	
   

  
	
   

  	
   

  	
  U.S.

  	
   

  	
   

  	
   

  
	
  Packages

  	
   

  	
  Standalone

  	
   

  	
  Enterprise

  	
   

  	
  Non-U.S.

  	
   

  
	
  US Radiology Package

  ·Vitrea  â

  ·CT
  Colonography option

  ·Automated
  Vessel Measurements option

  ·VScoreÔ option

  ·Peripheral
  Vessel Probe option

  ·CT Cardiac
  option

  ·Cardiac
  Functional Analysis option

  ·Nodule
  Probe option (Lung option)

  ·CT
  Perfusion option

  	
   

  	
  *

  	
   

  	
  *

  	
   

  	
  *

  	
   

  

 

* Confidential Treatment has been requested, the
portion indicated has been redacted and the redacted portion has been
separately filed with the Securities and Exchange Commission.

 30
 

 

	
  US Cardiology Package

  ·Vitrea  â

  ·CT Cardiac
  option

  ·Cardiac
  Functional Analysis option

  ·Peripheral
  Vessel Probe option

  ·Automated
  Vessel Measurements option

  ·VScoreÔ option

  	
   

  	
  *

  	
   

  	
  *

  	
   

  	
  *

  	
   

  
	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Non-US Package -1

  ·Vitrea  â

  ·CT
  Colonography option

  ·Automated
  Vessel Measurements option

  ·Peripheral
  Vessel Probe option

  ·VScoreÔ option

  ·CT Cardiac
  option, including Cardiac Functional Analysis option

  	
   

  	
  *

  	
   

  	
  *

  	
   

  	
  *

  	
   

  
	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Non-US Package -2

  ·Vitrea  â

  ·CT
  Colonography option

  ·Automated
  Vessel Measurements option

  ·VScoreÔ option

  ·Peripheral
  Vessel Probe option

  ·CT Cardiac
  option, including Cardiac Functional Analysis option

  ·Nodule
  Probe option (Lung option)

  	
   

  	
  *

  	
   

  	
  *

  	
   

  	
  *

  	
   

  
	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Non-US Package -3

  ·Vitrea  â

  ·CT
  Colonography option

  ·Automated
  Vessel Measurements option

  ·VScoreÔ option

  ·Peripheral
  Vessel Probe option

  ·Nodule
  Probe option (Lung option)

  	
   

  	
  *

  	
   

  	
  *

  	
   

  	
  *

  	
   

  

 

MAINTENANCE
PRICING OPTIONS 

	
   

  	
   

  	
  US (2006)

  	
   

  	
  US (2007)

  	
   

  	
  Non-US (2006)

  	
   

  	
  Non-US (2007)

  
	
  Vitrea® incl. ViTAL options

  For both of standalone and enterprise

  	
   

  	
  *

  	
   

  	
  *

  	
   

  	
  *

  	
   

  	
  *

  
	
  Fusion7DTM option

  	
   

  	
  *

  	
   

  	
  *

  	
   

  	
  *

  	
   

  	
  *

  
	
  ImageChecker® option

  	
   

  	
  *

  	
   

  	
  *

  	
   

  	
  *

  	
   

  	
  *

  

 

* Confidential Treatment has been requested, the
portion indicated has been redacted and the redacted portion has been
separately filed with the Securities and Exchange Commission.

 31
 

ADDITIONAL
MAINTENANCE PRICING OPTIONS 

	
   

  	
   

  	
  US (2006)

  	
   

  	
  US (2007)

  	
   

  	
  Non-US (2006)

  	
   

  	
  Non-US (2007)

  
	
  Premium Maintenance Package (24x7, 4 hour
  on-site, proactive support and preventative maintenance)

  	
   

  	
  *

  	
   

  	
  *

  	
   

  	
  *

  	
   

  	
  *

  
	
  530 Memory Upgrade

  	
   

  	
  *

  	
   

  	
  *

  	
   

  	
  *

  	
   

  	
  *

  
	
  ATI Graphics Upgrade (Dell 530 and 650)

  	
   

  	
  *

  	
   

  	
  *

  	
   

  	
  *

  	
   

  	
  *

  
	
  License Transfer Fee

  	
   

  	
  *

  	
   

  	
  *

  	
   

  	
  *

  	
   

  	
  *

  
	
  Technology Refresh (from old hardware to new
  Toshiba provided hardware)

  	
   

  	
  *

  	
   

  	
  *

  	
   

  	
  *

  	
   

  	
  *

  

 

If the parties elect to renew this Agreement, Vital Images and Toshiba
hereby agree to use their best efforts to determine Products Prices and Product
Commitments which go into effect on January 1, 2008 by not later than December
31, 2007.   In the event Vital
Images and Toshiba do not reach an agreement regarding new Products Prices and
Product Commitments by January 1, 2008, the Products Prices and product
commitments set forth in Exhibit E (but not including third party
products) shall remain as the Products Prices and the product commitments for
the year 2008.

* Confidential Treatment has been requested, the
portion indicated has been redacted and the redacted portion has been
separately filed with the Securities and Exchange Commission.

 32
 

VITAL
IMAGES, INC. AND TOSHIBA CORPORATION

MARKETING
AND DISTRIBUTION AGREEMENT

EXHIBIT F

PRODUCT
COMMITMENTS

	
  

  	
   

  	
   

  	
   

  	
  (million US dollar)

  
	
  Calendar Year

  	
   

  	
  2007

  	
   

  	
  2008

  
	
  Commitment

  	
   

  	
  *

  	
   

  	
  *

  

 

Conditions
:

1) Vital Images shall use
reasonable commercial efforts to develop a body perfusion software such as for
liver and pancreas and such software may be sold under terms to be agreed upon
by the parties when and if such software is developed.

2) Vital Images shall
agree to reduce a missed revenue in China from the commitment above in case Toshiba
is unable to sell Vitrea in China because Vital Images could not get a SFDA
approval for the current Vitrea model.

3) Toshiba Europe shall
agree to promote Vital Images’ maintenance contract to Toshiba Europe group
companies. And Vital Images shall provide Toshiba Europe marketing materials as
appropriate to support sales of Vital Images maintenance and support services
by Toshiba Europe group companies.

* Confidential Treatment has been requested, the
portion indicated has been redacted and the redacted portion has been
separately filed with the Securities and Exchange Commission.

 33
 

VITAL
IMAGES, INC. AND TOSHIBA CORPORATION

MARKETING
AND DISTRIBUTION AGREEMENT

EXHIBIT G

PRINCIPAL COUNTRIES

2007 MAJOR TRADE SHOW LIST

US

	
  Event

  	
   

  	
  Date

  	
   

  	
  Location

  
	
  ACC

  	
   

  	
  March 24-27

  	
   

  	
  New Orleans

  
	
  Stanford Annual
  Symposium on MDCT (WS Face Off)

  	
   

  	
  June 13-16

  	
   

  	
  San Francisco, CA

  
	
  SCCT

  	
   

  	
  July

  	
   

  	
  Arlington, VA

  
	
  ESI : Annual
  Spiral/Helical CT: National Symposium

  	
   

  	
  Oct.11-14

  	
   

  	
  Las Vegas, NV

  
	
  NASCI

  	
   

  	
  October 4-9

  	
   

  	
  Washington, DC

  
	
  ASTRO

  	
   

  	
  Oct 28- Nov.1

  	
   

  	
  Los Angels, CA

  
	
  TCT

  	
   

  	
  Oct 21-26

  	
   

  	
  Washington, DC

  
	
  AHA

  	
   

  	
  Nov 4-7

  	
   

  	
  Orlando, FL

  
	
  RSNA

  	
   

  	
  Nov25-30

  	
   

  	
  Chicago, IL

  

 

Europe

	
  Event

  	
   

  	
  Date

  	
   

  	
  Location

  
	
  ECR

  	
   

  	
  March

  	
   

  	
  Vienna, Austria

  
	
  ESC

  	
   

  	
  Sept. 1-5

  	
   

  	
  Vienna, Austria

  
	
  JFR

  	
   

  	
  Oct. 20-24

  	
   

  	
  Paris, France

  

 

International

	
  Event

  	
   

  	
  Date

  	
   

  	
  Location

  
	
  IRIA

  	
   

  	
  Jan. 4-7

  	
   

  	
  Munbai, India

  
	
  Singapore Live

  	
   

  	
  Jan.20-24

  	
   

  	
  Singapore

  
	
  Arab Health

  	
   

  	
  Jan.29-Feb.1

  	
   

  	
  Dubai

  
	
  JPR

  	
   

  	
  Apr.13-16

  	
   

  	
  Sao Paulo, Brazil

  
	
  China Med

  	
   

  	
  Apr. 22-24

  	
   

  	
  Beijing, China

  
	
  CT/NM/RT

  	
   

  	
  Jul.21-22

  	
   

  	
  Gold Coast, Australia

  

 

* Confidential Treatment has been requested, the
portion indicated has been redacted and the redacted portion has been
separately filed with the Securities and Exchange Commission.

 34
 

VITAL IMAGES, INC. AND TOSHIBA
CORPORATION

MARKETING
AND DISTRIBUTION AGREEMENT

EXHIBIT H

LIST OF
VITAL IMAGES TRADEMARKS

Vitrea  â

ViTALConnect®

VScoreÔ

VScore
with EKG GateÔ

VScore with AutoGateÔ

VitreaACCESSTM

LIST OF TOSHIBA TRADEMARKS

SUREPlaqueÔ

CorE64TM

* Confidential Treatment has been requested, the
portion indicated has been redacted and the redacted portion has been
separately filed with the Securities and Exchange Commission.

 35
 

VITAL IMAGES, INC. AND TOSHIBA
CORPORATION

MARKETING
AND DISTRIBUTION AGREEMENT

EXHIBIT I

AUTHORISED
REPRESENTATIVE

Medimark Europe

Address: 11, rue Emile Zola - BP 2332,

38033 Grenoble Cedex 2 -FRANCE

Phone: +33 (0)4 76 86 43 22 
 Fax: +33 (0)4 76 17 19 82

* Confidential Treatment has been requested, the
portion indicated has been redacted and the redacted portion has been
separately filed with the Securities and Exchange Commission.

 36

VITAL IMAGES, INC. AND TOSHIBA
CORPORATION

MARKETING
AND DISTRIBUTION AGREEMENT

EXHIBIT J

GLOBAL
SERVICE PLAN

Slide 1

 

* Confidential Treatment has been requested, the
portion indicated has been redacted and the redacted portion has been
separately filed with the Securities and Exchange Commission.

 37
 

Slide 2

*

* Confidential Treatment has been requested, the
portion indicated has been redacted and the redacted portion has been
separately filed with the Securities and Exchange Commission.

 38
 

Slide 3

*

* Confidential Treatment has been requested, the
portion indicated has been redacted and the redacted portion has been
separately filed with the Securities and Exchange Commission.

 39
 

Slide 4

*

* Confidential Treatment has been requested, the
portion indicated has been redacted and the redacted portion has been
separately filed with the Securities and Exchange Commission.

 40
 

Slide 5

*

* Confidential Treatment has been requested, the
portion indicated has been redacted and the redacted portion has been
separately filed with the Securities and Exchange Commission.

 41
 

Slide 6

 

* Confidential Treatment has been requested, the
portion indicated has been redacted and the redacted portion has been
separately filed with the Securities and Exchange Commission.

 42
 

Slide 7

*

* Confidential Treatment has been requested, the
portion indicated has been redacted and the redacted portion has been
separately filed with the Securities and Exchange Commission.

 43
 

Slide 8

* Confidential Treatment has been requested, the
portion indicated has been redacted and the redacted portion has been
separately filed with the Securities and Exchange Commission.

 44

VITAL IMAGES, INC. AND TOSHIBA
CORPORATION

MARKETING
AND DISTRIBUTION AGREEMENT

EXHIBIT K

CUSTOMER
AGREEMENT

TERMS
AND CONDITIONS OF SALE

1.                                      GENERAL
TERMS.   Unless otherwise
specified on the face of this document, this Quotation/Order (“Agreement”) will
remain valid only if accepted by Customer no later than 60 days from date of
submission to Customer.

2.                                      TITLE
AND RISK OF LOSS.  Title and risk
of loss to the Equipment purchased under this Agreement will pass to Customer:
(a) if Toshiba is to provide installation, upon Toshiba’s completion of
installation, or (b) if Toshiba will not provide installation, upon delivery by
Toshiba to a common carrier at Toshiba’s facility from which the Equipment is
shipped.

3.                                      TERMS
OF PAYMENT.   Unless otherwise
specified on the face of this document, prices stated are F.O.B.  Tustin, CA. or other facilities of Toshiba in
the U.S.A. from which the Equipment may be shipped, freight prepaid and
charged. All taxes which are payable by Toshiba in connection with the sale,
use, or possession of the Equipment (excluding income taxes), and
transportation charges (including rigging) for shipment to installation site
will be paid by Customer in addition to the quoted price.  Terms of payment for, C.T., M.R.I. and X-Ray
will be cash-10% upon execution of this Agreement, 70% upon delivery, balance
due upon completion of installation and/or availability for first use,
whichever is earlier.  Terms of payment
for Ultrasound and Nuclear will be cash-10% upon execution of this Agreement,
90% NET upon completion of installation and/or availability for first use,
whichever is earlier. All invoices paid after due date will be assessed a late
payment charge of the lesser of 1 1/2% per month or the maximum rate permitted
by law.

4.                                      DELAYS.
If Customer changes the scheduled delivery date specified on the face of this
document (“Scheduled Delivery Date”) during the period of 120 days preceding
such date, Customer will nevertheless pay the installment of the purchase price
which would have been payable upon delivery, on the Scheduled Delivery Date as
if delivery had been made on such date. 
In addition, Customer will pay all extra costs incurred by Toshiba as a
result of such delay, including, without limitation, storage and
transportation.  Storage fees will be
charged at commercially comparable rates for storage on Toshiba’s site.  If delivery is delayed by 12 months or more
from the Scheduled Delivery Date, except through the fault of Toshiba, the
price set forth in this Agreement may be increased by Toshiba to a level equal
to the prevailing price in effect at the time of the revised delivery date.

5.                                      ACCEPTANCE
BY TOSHIBA. This Quotation/Order will not be binding on Toshiba even if
signed by a Toshiba employee, until Customer’s order for the Equipment is
booked by Toshiba’s Headquarter office.

6.                                      EQUIPMENT
INSTALLATION.  Toshiba will
install all Equipment purchased under this Agreement and connect them to
existing power and/or plumbing lines at no additional charge to Customer.
Customer will be responsible for electrical wiring, plumbing, carpentry,
plastering, painting, or all other site preparation required prior to
installation and connection of the Equipment by Toshiba.  Customer will provide space at the installation
site for the safe storage of Toshiba’s tools, test equipment and other
materials used for installation at no charge to Toshiba.  Customer shall, at its cost, obtain all
permits and licenses required by governmental authorities in connection with
the installation and operation of the Equipment. The Equipment may contain
certain components that may have been re-manufactured. However, such components
will meet the manufacturer’s specifications for new components as of the date
of completion of installation.

* Confidential Treatment has been requested, the
portion indicated has been redacted and the redacted portion has been
separately filed with the Securities and Exchange Commission.

 45
 

7.                                      EQUIPMENT
OPERATION AND INDEMNITY. 
Customer agrees that all Equipment purchased under this Agreement will
be operated exclusively by duly qualified technicians and/or medical doctors in
a safe and reasonable manner in accordance with Toshiba’s written instructions,
applicable laws and regulations, and for the purposes for which such Equipment
was intended.  Customer agrees to defend,
indemnify and hold Toshiba and Toshiba’s officers, directors and employees
harmless from and against all claims, demands, lawsuits, liabilities, judgments
and costs (including reasonable attorney’s fees, expert fees, and other
litigation costs) arising out of or in connection with the Customer’s negligent  operation of the Equipment.

8.                                      LIMITED
WARRANTY AND REMEDY.  For the
warranty period described below by product, Toshiba, as its only obligation,
will replace or repair, without charge to Customer during Toshiba’s normal
working hours (if Customer requests warranty service outside such hours,
Customer will pay overtime premium for labor), any component of the Equipment
that is  defective in materials or
workmanship, provided such defect is reported to Toshiba within the warranty
period. Toshiba’s warranty period is as follows:  (a) Systems and Major Components - one year
from date of completion of installation; (b) Accessories/Options (except glassware)
- six months from date of completion of installation.  Toshiba does not warrant that the operation
of the Equipment will be uninterrupted. Components not manufactured by Toshiba,
including but not limited to X-Ray tubes, monitors, glassware, VTRS, cameras,
computer equipment, and software will be furnished subject only to the
manufacturer’s warranty, if any, and without any warranty whatsoever by
Toshiba.  During the warranty period,
Toshiba will furnish free of charge any upgrades, including software required
to correct any defect in the Equipment or as required under applicable
laws.  All defective parts replaced by
Toshiba will become the property of Toshiba. Replacement parts may be
re-manufactured. However, such parts will meet the manufacturer’s
specifications for new components as of the date of completion of installation.
TOSHIBA’S OBLIGATION TO REPAIR OR REPLACE DEFECTIVE PARTS WILL BE CUSTOMER’S
SOLE AND EXCLUSIVE REMEDY FOR A BREACH OF THE WARRANTY SET FORTH IN THIS
SECTION.  SUCH WARRANTY WILL BE IN LIEU
OF ALL OTHER WARRANTIES, EXPRESS OR IMPLIED, INCLUDING WITHOUT LIMITATION, THE
WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE.  The warranty set forth in this Section will
not apply to, and Toshiba will not be liable for any defects resulting from
misuse, repairs performed by unauthorized third parties, accidents, acts of
God, or neglect of anyone other than Toshiba.

9.                                      LIMITATION
OF LIABILITY.  TOSHIBA WILL NOT
UNDER ANY CIRCUMSTANCES BE LIABLE FOR CONSEQUENTIAL, SPECIAL, INCIDENTAL, OR
EXEMPLARY DAMAGES OR ECONOMIC LOSS ARISING OUT OF OR RELATED TO THE
TRANSACTIONS CONTEMPLATED IN THIS AGREEMENT, EVEN IF TOSHIBA IS APPRISED OF THE
LIKELIHOOD OF SUCH DAMAGES OCCURRING.  IN
NO EVENT WILL TOSHIBA’S LIABILITY TO CUSTOMER (WHETHER BASED ON AN ACTION OR
CLAIM IN CONTRACT, TORT, INCLUDING NEGLIGENCE, STRICT LIABILITY, OR OTHERWISE)
ARISING OUT OF OR RELATING TO THE TRANSACTIONS CONTEMPLATED IN THIS AGREEMENT
EXCEED THE AGGREGATE AMOUNT ACTUALLY PAID BY CUSTOMER TO TOSHIBA UNDER THIS
AGREEMENT. THE LIMITATION OF LIABILITY SET FORTH ABOVE WILL NOT APPLY TO CLAIMS
FOR PERSONAL INJURY OR PROPERTY DAMAGE CAUSED BY EQUIPMENT DEFECTS, OR TO
CLAIMS FOR PATENT INFRINGEMENT.

10.                               SECURITY
INTEREST.   Toshiba hereby
reserves and Customer grants to Toshiba a security interest pursuant to the
Uniform Commercial Code, in and to the Equipment (and all products and proceeds
of it) until full payment of the purchase price is received.

11.                               REMOVAL
OF EQUIPMENT.  Until Toshiba has
received full payment of the purchase price, Customer will not remove all or
any part of the Equipment from Customer’s premises, nor will Customer sell,
lease, transfer or otherwise part with the possession of, or permit any lien or
encumbrance to be placed on all or any part of the Equipment.

* Confidential Treatment has been requested, the
portion indicated has been redacted and the redacted portion has been
separately filed with the Securities and Exchange Commission.
 
46
 

12.                               REMEDIES
OF TOSHIBA.  If Customer fails to
make any payment when due under this Agreement or under any other agreement
between Customer and Toshiba, or becomes insolvent or makes an assignment for
the benefit of creditors, or if a petition in Bankruptcy is filed by or against
Customer, or if the financial responsibility of Customer becomes impaired or
unsatisfactory in Toshiba’s judgment, or if Customer otherwise breaches any of
the terms and conditions of this Agreement, then Toshiba may, without prior
notice or demand, defer shipments, cancel the balance of the order, suspend
performance of any obligation (including without limitation, all obligations
set forth under Limited Warranty And Remedy above), and/or take immediate
possession of the Equipment delivered, until the full purchase price of the
Equipment is paid by Customer or, at Toshiba’s discretion, until security
satisfactory to Toshiba is given by Customer. 
Any costs incurred by Toshiba as a result of suspending performance or
repossession or collection will be payable by Customer. Toshiba may sell
repossessed Equipment with proceeds to be applied to unpaid balance and
expenses incurred in sale, repossession and collection. Customer will pay any
remaining deficiency.  Toshiba may
exercise any other rights available to it by law.

13.                               EXCUSED
PERFORMANCES. Neither party will be liable to the other for
non-performance or delay in performance resulting directly or indirectly from
any occurrences beyond such party’s control, including without limitation,
strikes or other labor troubles, acts of God, war, accidents, fires, floods,
other catastrophes, inclement weather, transportation, unavailability of
materials and labor, delays caused by suppliers, or laws, regulations, or acts
of any governmental agency.

14.                               SOFTWARE.  All rights and interest in any software that
may be furnished under this Agreement, and any updates and enhancements to it,
will remain the property of Toshiba or its licensors.  Such software is being furnished to Customer
under a non-exclusive license.  Customer
will not, or allow others to reverse-engineer, disassemble, decompile, modify,
copy, reproduce, or transcribe the software nor use it to create derivative
works, nor allow third parties to use the same without Toshiba’s prior written
consent.  All rights, title and interest
to the Software not expressly granted to you will remain the property of
Toshiba or its licensors.  Customer may
not sublicense, loan, lease, distribute, assign or otherwise transfer any
Software or copies thereof, in whole or in part, or otherwise make any Software
available to third parties or allow third parties to use of the Software
without the written consent of Toshiba or, if such Software is owned by a
licensor to Toshiba, such licensor.  Upon
Toshiba’s request, Customer will execute an End-User Software License Contract,
in a form to be mutually agreed between the parties.

15.                               CANCELLATION.  Customer may not cancel the order subject to
this Agreement except with Toshiba’s prior written consent. In the event of
such cancellation, Toshiba will be entitled to recover any and all damages
suffered by it caused by the cancellation as allowed by law, but in no event
less than an amount equal to twenty percent (20%) of the purchase price for a
restocking charge.

16.                               ASSIGNMENT.
Neither party may assign any of its obligations under this Agreement without
the prior written consent of the other party.

17.                               EXPORT
REGULATIONS.  This Agreement
involves products, and/or technical data that may be controlled under the U.S.
Export Administration Regulations and may be subject to the approval of the
U.S. Department of Commerce prior to export. 
Any export or re-export by Customer, directly or indirectly, in
contravention of such Regulations is prohibited.

18.                               ENTIRE
AGREEMENT.  This quotation
contains the entire agreement between the parties and supersedes all prior and
contemporaneous agreements between the parties, whether oral or written,
relating to its subject matter, including, without limitation, all different or
additional terms and conditions which may be contained in Customer’s bid
documents, purchase order or any other documents furnished by Customer.  The provisions of this Agreement may not
be modified unless in writing and executed by both parties.

19.                               U.S. GOVERNMENT RIGHTS.  The
Software is provided with Restricted Rights. 
Use, duplication or disclosure by the U.S. government is subject to
restrictions as set forth in (a) this Agreement pursuant to DFARs

* Confidential Treatment has been requested, the
portion indicated has been redacted and the redacted portion has been
separately filed with the Securities and Exchange Commission.

 47
 

227.7202-3(a);
(b) subparagraph (c)(1)(i) of the Rights in Technical Data and Computer
Software clause at DFARs 252.227-7013; or (c) the Commercial Computer Software
Restricted Rights clause at FAR 52.227-110 subdivision (c)(1) and (2), as
applicable.

* Confidential Treatment has been requested, the
portion indicated has been redacted and the redacted portion has been
separately filed with the Securities and Exchange Commission.

 48

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