Document:

Exhibit 4.8

 

PORTIONS OF THIS AGREEMENT WERE OMITTED AND
HAVE BEEN FILED

SEPARATELY WITH
THE SECRETARY OF THE COMMISSION PURSUANT TO AN

APPLICATION FOR
CONFIDENTIAL TREATMENT UNDER RULE 24b-2 OF THE

SECURITIES EXCHANGE ACT OF 1934; [***] DENOTES
OMISSIONS

 

DISTRIBUTION AGREEMENT

DATA EXHIBIT

 

THIS DATA EXHIBIT IS AN INTEGRAL PART OF THE FOLLOWING DISTRIBUTION
AGREEMENT

 

The DISTRIBUTION Agreement by and between Itamar
Medical Ltd., an Israeli company, having a place of business at 9 Halamish Street, P.O. Box 3579, Caesarea 38900, Israel, (“Itamar”),
and Distributor (as defined below) consists of (a) the Distribution Agreement attached hereto (the “Distribution Agreement”
or the “Agreement”) and (b) this Data Exhibit, which is an integral part of the Distribution Agreement. In any case
of contradiction between the provisions of this Data Exhibit and the Distribution Agreement, the provisions of the Distribution
Agreement shall prevail.

 

Subject to the terms and conditions set forth
in the Distribution Agreement, Itamar hereby appoints Distributor as its exclusive distributor solely with regard to selling the
Products (as defined in this Data Exhibit) and solely in the Territory (as defined in this Data Exhibit).

 

	1.	a.	Date of this Agreement: FEB, 24 2014 (the “Effective Date”)

 

b.           Initial
Term: The initial term of this agreement shall start on the Effective Date and end after three (3) years from the date of granting
of AHI Above 20 Criteria sleep test using WatchPAT by the Ministry of Health Labour and Welfare of Japan (“MHLW”) or
on December 31, 2018, whichever is earlier.

 

For purposes hereof, “AHI Above 20 Criteria”
shall mean the decision of the MHLW to reimburse treatment based on Home Sleep Testing result above or around the threshold of
20 AHI, but significantly lower than the current AHI 40.

 

		2.	Distributor: Philips
Respironics GK (“Distributor”)

Address: 13-37 Kohnan 2-chome Minato-ku Tokyo 108-8507
Japan

 

		3.	Territory: Japan

 

	4	a.	Products: Itamar shall sell the following Watch-PAT products (the “Products”) to Distributor.

 

	 	(1)	Device: WatchPAT 200 KIT (product # : TC2110403)

This includes WatchPAT200 device, Body
Positioning and Snoring sensor, Oximetry module, Oximetry sensor, Wrist strap, Pat cable, AC power adapter, USB cable, Oximeter
adhesive bands (x25), Body positioning and snoring sensor adhesive(xl2), Carrying case, zzzPAT S/W Kit analysis SW, User manual
(EN).

 

	 	(2)	PAT: [12 Pneu-Optic Sleep Probes (xl2) (product # : TC2108210)]

 

	 	(3)	Accessories:

 

	 	i.	PAT Cable Assy WP200 (product # : TS0060600)

	 	ii.	Integrated Sensor WatchPAT Kit (product # : TC2000400)

	 	iii.	Nonin Adapter Box Assy WatchPAT200 (product # : TS2258306)

	 	iv.	Oxi Sensor, WatchPAT200 (product # : TS0060620)

	 	v.	Strap Assy, WatchPAT200 (product # : TS2158301)

	 	vi.	P.S 100-240VAC W.M. 5VDC 1.0A 5W+Mini USB-B (USA) (product # : PS0000013)

	 	vii.	Cord USB A/Mini-B 5Cont Computer Accy.Gray Mold. (product # : CB1000012)

	 	viii.	C.I. Oximeter adh Bands X25 (product # CP7200010)

	 	ix.	12 Stickers for SBP Sensor (product # TC2000110)

	 	x.	zzzPAT S/W Kit (product # : TC2100632)

	 	xi.	Li-Ion Batt.Pack+Cable 3.7V + Connector (product # : TS0037051)

	 	xii.	Carrying Case WatchPAT200 (product # : TP2173302)

	 	xiii.	Operation Manual WatchPAT200 (product # : TM2196330)

	 	xiv.	Watch-PAT200 Training Presentation On CD (product # TS 2165201)

	 	xv.	Quick Reference Cards WatchPAT200 (product # TM2193360)

 

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	 	xvi.	Step by Step Guide WatchPAT200 (product # : TM2193308

	 	xvii.	Patient Video WatchPAT200 (product # : TS2165200)

	 	xviii.	24 Tamper Proof Bracelet WatchPAT200 (product # : TC2008300)

	 	xix.	Cable Bracelet to WP200 adapter (product # : TS0065511)

 

b.           Pricing:
The Products shall be sold at the “Transfer Price” as set forth in this clause.

 

	 	(1)	[***]:

 

	 	-	[***]

 

	 	-	[***]

 

	 	(2)	[***].

 

	 	(3)	[***]

 

	 	i.	[***]

		ii.	[***]

		iii.	[***]

	 	iv.	[***]

	 	v.	[***]

	 	vi.	[***]

	 	vii.	[***]

	 	viii.	[***]

	 	ix.	\[***]

	 	x.	\[***]

	 	xi.	\[***]

	 	xii.	[***]

	 	xiii.	[***]

	 	xiv.	[***]

	 	xv.	[***]

	 	xvi.	[***]

	 	xvii.	[***]

	 	xviii.	[***]

	 	xix.	[***]

 

The Transfer Price will be set upon initial
publication of the reimbursement price and criteria for sleep test using WatchPAT by MHLW on its website, and revised upon release
of any changes to such reimbursement price and criteria by MHLW thereafter. The Transfer Prices may otherwise be changed by agreement
of both parties in writing.

 

c.           Minimum
Purchase Requirement Commitments of the Distributor: The Distributor shall meet the minimum purchase requirement commitments.
The minimum purchase requirement commitments are as set forth in the table below (the “Minimum Purchase Requirements”).

 

    	 	 	Page 2

     

    

  

	 	 	2014	 
	 	 	Q1	 	 	Q2	 	 	Q3	 	 	Q4	 
	Quarterly Purchase Amount (Thousand USD)	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 
	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 
	Annual Purchase Amount (Thousand USD)	 	 	[***]	 

 

	 	 	2015	 
	 	 	Q1	 	 	Q2	 	 	Q3	 	 	Q4	 
	Quarterly Purchase Amount (Thousand USD)	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 
	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 
	Annual Purchase Amount (Thousand USD)	 	 	[***]	 

 

	 	 	2016	 
	 	 	Q1	 	 	Q2	 	 	Q3	 	 	Q4	 
	Quarterly Purchase Amount (Thousand USD)	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 
	 	 	 	[***]	 	 	 	 [***]	 	 	 	 [***]	 	 	 	 [***]	 
	Annual Purchase Amount (Thousand USD)	 	 	[***]	 

 

	 	 	2017	 
	 	 	Q1	 	 	Q2	 	 	Q3	 	 	Q4	 
	Quarterly Purchase Amount (Thousand USD)	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 
	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 
	Annual Purchase Amount (Thousand USD)	 	 	[***]	 

 

	 	 	2018	 
	 	 	Q1	 	 	Q2	 	 	Q3	 	 	Q4	 
	Quarterly Purchase Amount (Thousand USD)	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 
	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 
	Annual Purchase Amount (Thousand USD)	 	 	[***]	 

 

If the Distributor does not meet any of the
Minimum Purchase Requirements in the table above, the provisions of Section 11.2 of the Agreement shall apply.

 

5.          Distributor
Confirmation: Itamar and Distributor acknowledge that each has read each and every paragraph of the Distribution Agreement
and the Data Exhibit, received all necessary explanations and clarifications and fully understands respective rights and obligations
under the Distribution Agreement and the Data Exhibit and the contents, meanings and implications of the Distribution Agreement
and the Data Exhibit.

 

	ITAMAR MEDICAL LTD.	 	“Distributor”
	 	 	 	 	 
	By:	/s/ Eldad Singer	 	By:	/s/ Danny Risberg
	Name:	Eldad Singer	 	Name:	Danny Risberg
	Title:	President, Itamar	 	Title: 	Executive Manager
	 	Medical Japan 	 	 	 
	 	VP Sales, Itamar Medical	 	 	 
	 	Feb 24, 2014	 	 	 

 

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PORTIONS
OF THIS AGREEMENT WERE OMITTED AND HAVE BEEN FILED

SEPARATELY WITH
THE SECRETARY OF THE COMMISSION PURSUANT TO AN

APPLICATION FOR
CONFIDENTIAL TREATMENT UNDER RULE 24b-2 OF THE

SECURITIES EXCHANGE ACT OF 1934; [***] DENOTES
OMISSIONS

 

DISTRIBUTION AGREEMENT

 

This DISTRIBUTION Agreement
(the “Agreement”) is entered into by and between Itamar Medical Ltd., an Israeli company, having a place of business
at 9 Halamish Street, P.O. Box 3579, Caesarea 38900, Israel, or its affiliates, (“Itamar” or the “Company”),
and the Distributor listed on the attached Data Exhibit. The attached Data Exhibit constitutes an integral part of this Agreement.

 

WITNESSETH:

 

WHEREAS, Itamar is engaged, among other
things, in the business of designing, engineering, manufacturing, marketing and selling of medical diagnostic Products (as defined
in the Data Exhibit); and

 

WHEREAS, Distributor is engaged, among
other things in the business of distributing medical and diagnostic devices and is experienced in and familiar with the considerations
involved in the marketing and selling of medical and diagnostic devices in the Territory, subject to regulations, special considerations
and local authority requirements necessary to sell the Products in the Territory; and

 

WHEREAS, subject to the Data Exhibit,
Itamar wishes to appoint Distributor as its exclusive distributor of the Products in the Territory (as defined in the Data Exhibit)
and grant to Distributor the exclusive right and license to distribute and sell Itamar’s Products solely for their intended
use and solely in the Territory; and

 

WHEREAS, Distributor wishes to accept
such appointment and receive such right and license and to provide certain services with respect thereto subject to the terms and
conditions of this Agreement.

 

NOW, THEREFORE, in consideration of
the foregoing premises and for valuable consideration, the sufficiency and receipt of which are hereby acknowledged, the parties
hereto, each intending to be legally bound hereby, agree as follows:

 

DEFINITIONS

 

1.1           “Confidential
Information” shall mean any and all Documentation, confidential and proprietary information belonging to or in the possession
of Itamar, including but not limited to any and all concepts, specifications, formulae, prototypes, software and hardware, and
any and all records, data, methods, techniques, processes, projections, plans, marketing and/or pricing information, materials,
financial statements, memoranda, analyses, notes and any other data or information (in whatever form), as well as improvements
and know-how related thereto, relating to Itamar, Itamar’s suppliers, clients, research and development activities, Products
(including related software), manufacturing, marketing and sales. Confidential Information shall be deemed to include any and all
of Itamar’s information, irrespective of form, which has been or may be: (i) disclosed to Distributor by or on behalf of
Itamar; or to which Distributor has access; or (ii) provided to Itamar from a third party. Confidential Information shall not include
information that: (a) was already known to or independently developed by Distributor prior to its disclosure as demonstrated by
tangible dated evidence satisfactory to Itamar; (b) shall have appeared in any printed publication or patent or shall have become
a part of the public knowledge except as a result of breach of this Agreement by Distributor; (c) shall have been received by the
Recipient from another person or entity having no obligation to Itamar.

 

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1.2           “Documentation”
shall mean Itamar’s confidential ideas, know-how, concepts, methods, processes, formulae, reports, data, business plans,
and any other proprietary information of Itamar that may provide Itamar with a competitive advantage, as well as any of Itamar’s
manuals and other written materials that relate to the Products, including any flow charts, logic manuals, functional specifications,
medical research, clinical trials or their summaries, any machine text or graphic files and or any material relating to any enhancements
or modifications of the Product, as may be from time to time.

 

1.3           “Intellectual
Property Rights” shall mean copyrights, patent rights, trademarks, inventions (whether or not patentable), trade secrets,
and any other proprietary rights relating to intangible property, whether patentable or otherwise, all rights to sue for any past,
present or future infringement of any of the foregoing rights, and the right to all income, royalties, damages and payments now
or hereafter due or payable with respect to any of the foregoing rights, including, without limitation, damages for past, present
or future infringement thereof. Itamar- Medical’s Intellectual Property’s Rights shall be deemed to include all Intellectual
Property Rights related to the measurement of the peripheral arterial tone and/or changes in the peripheral arterial tone and arterial
vaso-activity of a patient, and coronary artery disease diagnosis and other medical conditions.

 

1.4           “Product(s)”
shall mean the products together with all related software and PAT Probes (as hereafter defined) all as listed in Data Exhibit,
which may be amended by Itamar from time to time, at its sole discretion, on ninety (90) days prior written notice to Distributor.

 

1.5           “Affiliate(s)”
shall mean (i) in the case of Distributor, Koninklijke Philips N.V. and (ii) in the case of Distributor and Itamar: any and all
other companies, firms and legal entities with respect to which now or hereafter Koninklijke Philips N.V. or Itamar respectively,
directly or indirectly holds 50% or more of the nominal value of the issued share capital or 50% or more of the voting power at
general meetings or has the power to appoint a majority of directors or otherwise to direct the activities of such company, firm
or legal entity; in the case of Distributor, the Affiliates of Distributor may be listed for convenience purposes in the Eligible
Buying Locations list http://www.philips.com/about/company/businesses/suppliers/ebl.page)

 

SCOPE OF AGREEMENT

 

2.1           Further
to Itamar's appointment of Distributor as detailed in the Data Exhibit, Itamar hereby grants Distributor with an exclusive, royalty
free, limited, non-assignable, non-transferable license to distribute the Products, which license shall be applicable solely in
the Territory (the “License”). The Distributor hereby accepts such appointment. Distributor will purchase the Products
from Itamar pursuant to Sections 7 and 8 herein, and will distribute and resell them solely in the Territory.

 

2.2           Distributor
is hereby granted a non-exclusive, limited, non-assignable, non-transferable license, to use Itamar’s trade names, and trademarks
now owned or hereafter acquired by Itamar (“Proprietary Marks”) solely for the purposes of promoting the Products in
the Territory under the terms of this Agreement and for the Term hereof.

 

2.3           During
the term of this Agreement, Itamar may identify Distributor as a distributor of Itamar’s Products in advertisements and other
promotional literature, and Distributor may present itself as a distributor of Itamar’s Products to its customers.

 

2.4           Other
than the rights set forth in Sections 2.1, 2.2, and 2.3 above or in the Data Exhibit, no other licenses or rights are granted to
Distributor under this Agreement or otherwise. Distributor shall not actively or otherwise promote, pursue or solicit sales of,
advertise, hold, sell, lease, distribute or otherwise market, transfer or commercialize directly the Products outside of the Territory.

 

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2.5           The
parties agree that after the granting of the AHI Above 20 Criteria, and during the Initial Term, Distributor shall not promote,
manufacture, advertise, distribute, lease, sell or otherwise market or transfer, either directly or indirectly, through any person
or entity, any product of Distributor or any third party that competes directly or indirectly, with the Products (i.e., any product
with same or similar specification not included in the EEG and EMG feature for which sleep test using it has been granted AHI criteria
20 by MHLW).

 

2.6           Company
may sell a uniquely branded Original Equipment Manufacturer (“OEM”) device for sale within the Territory directly
or via another 3rd party with agreement of the Distributor.

 

2.7           Subject
to the terms and conditions set forth in APPENDIX C to this Agreement, Itamar is hereby granted the right to use the wordmark PHILIPS
in Israel solely for the purpose of advertising of the Products.

 

TERM OF THE AGREEMENT

 

3.             This
Agreement shall become effective as of the Effective Date and shall continue and remain in force until the date specified in Section
l.b. of the Data Exhibit (the “Initial Term”), unless terminated earlier under the provisions of Section 11
herein. This Agreement may be renewed by mutual agreement in writing for additional periods beyond the Initial Term (“Additional
Term”). The Initial Term and any Additional Term(s) or Additional Period as defined in Section 11.1 shall be referred
to together as the “Term”.

 

UNDERTAKINGS OF DISTRIBUTOR AND ITAMAR

 

4.1           In
addition to all other rights and obligations under this Agreement, Distributor shall:

 

(a)          Use
commercially reasonable best effort to promote, advertise, sell, and distribute the Products in the Territory (“Distributor's
Services”).

 

(b)          Provide
such support and other services as detailed in Appendix A.

 

(c)          Reports
to Itamar: Distributor shall provide quarterly reports no later than the fifteenth (15th) day of the month following
the end of each quarter (via email or in writing), in the form provided for in Appendix B, containing the following: (i) account-by-account
description, by direct customer or sub-distributor name, affiliation, address, telephone number and summary of device units and
probes sold and (ii) serial number of sold Products.

 

(d)          Bear
all costs and expenses of conducting its activities hereunder, including but not limited to any taxes or levies, and any travel,
lodging, entertainment, office, clerical, accounting, advertising and general selling expenses.

 

    	 	 	Page 6

     

    

  

(e)          Except
as set forth herein, not resell, sublicense, rent, or lease the Product, either in whole or in part to anyone but the intended
first end user and purchaser. Any attempt by either Distributor or first end user to do so shall be considered a material breach
of these terms and conditions and Itamar shall have the right to fully prosecute such breach to the fullest extent permitted by
law, without derogating from any of Itamar's other rights under these terms and conditions. Distributor shall be permitted to sell
to sub-distributors with whom Distributor has a written agreement subject to: (i) all agreements with sub-distributor shall be
subject to the terms of this Agreement; (ii) the Distributor shall remain liable to Itamar for all acts or omissions of the sub-distributor;
(iii) any act or omission of the sub-distributor which would be considered a breach of this Agreement if committed or omitted by
Distributor shall be considered a breach by Distributor.

 

(f)          Make
best efforts to achieve the Minimum Purchase Requirements Commitments for each calendar year and quarter, as specified in the Data
Exhibit, during the Term.

 

(g)          To
the extent necessary under applicable law, the Distributor shall apply for, obtain, facilitate and maintain any and all permits,
registrations, notifications, approvals, authorizations and/or clearances (including but not limited to approvals and/or licenses
from local, state, governmental, quasi-govemmental or other authorities) required, necessary or desirable for the importation,
sale, marketing, use, labeling, promoting, or distribution of and/or for making claims regarding the Products or their uses in
the Territory, including without limitation, regulatory approvals for medical and diagnostic devices and trademarks and other intangible
property rights (collectively, the “Required Approvals”. Distributor shall comply with all applicable laws and
regulations in connection with the performance of its obligations hereunder.

 

(h)          The
Products shall be sold pursuant to the “Shrink Wrap Licenses” provided to the end user by Itamar.

 

4.2           In
addition to all other rights and obligations under this Agreement and subject to Itamar's right to accept or reject each Order,
as that term is defined herein, Itamar shall:

 

(a)          Make
spare parts available at prices (according to the price list set forth in the Data Exhibit, which may be amended from time to time)
for so long as this Agreement remains in effect. Notwithstanding the aforesaid, Itamar shall be entitled to substitute a spare
part or component with a part/component that is form-fit and maintains the same functionality as the original part/component.

 

(b)          Provide
guidelines and instructions for a training program, to be conducted in the English language, on the installation, operation and
maintenance of the Products. The scope, timing and the terms of such training shall be mutually agreed upon between the Parties
on a case by case basis. Itamar shall provide Distributor all available documentation relevant for such programs.

 

(c)          Provide
Distributor with copies of Itamar's existing English-language user manuals, installation manuals, brochures and catalogues relating
to the Products. Itamar shall not be obligated to translate the aforesaid literature into any language other than English.

 

(d)          Itamar
shall use its commercially reasonable efforts to fulfill all Orders, as that term is defined below, placed by Distributor and approved
by Itamar.

 

(e)          Itamar
shall designate one coordinating representative who oversees all Distributor issues and coordinates Itamar activity. Itamar personnel
will only take direction from the Itamar coordinating representative.

 

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PROPRIETARY RIGHTS AND MARKS

 

5.1           It
is acknowledged and agreed that (i) Itamar’s Products, Intellectual Property and the Documentation, have been, are, and will
be developed solely by Itamar, at the risk and expense of Itamar; and (ii) Itamar’s Intellectual Property Rights, Documentation
and other information embodied in the Products constitute valuable trade secrets and is proprietary to Itamar; and (iii) all Intellectual
Property Rights, in or related to Itamar’s Products, Documentation and/or to any related design and manufacturing, as well
as any modification, adaptation or derivation thereof, are and will remain the exclusive property of Itamar. Distributor, by taking
delivery of, making payment for, distributing and selling or transferring any of the Products to third parties, shall not become
entitled to any proprietary or non proprietary rights in any such Products, Intellectual Property or Documentation.

 

5.2           Distributor,
and anyone acting on Distributor's behalf, shall take all reasonable and acceptable measures to ensure that all Intellectual Property
Rights of Itamar in the Products and the Documentation remain exclusively with Itamar.

 

5.3           Distributor
shall not reverse engineer, decompile, misuse, incorporate into another product, modify, alter, enhance, change, copy or attempt
to copy, or perform any similar type of operation on Itamar’s Products, in any fashion or for any purpose whatsoever or otherwise,
either directly or indirectly, violate such Itamar’s rights with regard to the Products or Intellectual Property.

 

5.4           Itamar
may affix its Proprietary Marks to any of the Products. Except as provided for in Section 2.2, Distributor shall not have or acquire
any right, title or interest in the Proprietary Marks, either used alone or in conjunction with other words or names, or in the
good will thereof and shall not use any such Proprietary Marks without the express prior written consent of Itamar, and Distributor
acknowledges and agrees that Itamar's consent and approval may be withheld by Itamar in its sole discretion.

 

5.5           With
Company approval, Distributor can independently develop, at its own expense, marketing and teaching materials for the Products
and such materials including translation of the literature relating to the Products mentioned in Section 4.2(c) of the Data Exhibit,
which prior to usage in the field, will be reviewed and approved in writing by the Company. Such materials will be the property
of both the Company and the Distributor and may be used freely by both sides.

 

Intellectual Property Indemnification

 

5A.1       Itamar
shall indemnify and hold harmless Distributor, its Affiliates, their agents and employees in respect of any and all damages, costs
and expenses (including but not limited to reasonable attorneys’ fees) in connection with any third party claim that any
of the Products infringe any third party patent, trademark, copyright (including portrait rights and moral rights), trade name,
trade secret, license or other proprietary or other intellectual property rights, and shall defend any such claim at Itamar’s
own expense.

 

5A.2.      Distributor
shall provide Itamar with immediate notice of any such claim. Any delay in notice of any such claim shall not relieve Itamar of
its obligations hereunder except to the extent it is prejudiced by such delay. Each party shall provide all necessary assistance
in connection with any such claim as the other party may reasonably require. Distributor may not settle any such claim without
the prior approval of Itamar.

 

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5A.3.       If
Itamar believes that any Product may infringe any third party intellectual property rights in the Territory; or if (i) any Product,
alone or in any combination, supplied under this Agreement is held to infringe any third party rights in the Territory or (ii)
if their use is enjoined in the Territory, Itamar shall, in its sole discretion, and at its own expense: either

 

(a)    Procure for Distributor
or Distributor's customers the right to continue using the Product alone or in any combination; or

 

(b)    Replace or modify
the Product alone or in any combination with a functional, non-infringing equivalent.

 

5A.4.      If
Itamar is unable either to procure for Distributor the right to continue to use the Product alone or in any combination or to replace
or modify the Product alone or in any combination in accordance with the provisions of Section 5A.3 above, Distributor may terminate
this Agreement and upon such termination, Itamar shall reimburse to Distributor the price paid in five years before the termination,
without prejudice to Itamar's obligation to indemnify Distributor as set forth herein.

 

CONFIDENTIALITY

 

6.          From
time to time, Itamar or Distributor may make available to the other party Confidential Information. The Distributor or Itamar shall
not disclose such information to any person or entity, or use such Confidential Information without the prior written consent of
the other party. Distributor or Itamar shall take all measures to protect the other party’s Confidential Information which
shall be treated by Distributor or Itamar with at least the same care as it would exercise in the handling of its own confidential
or proprietary information, and shall not be disclosed to any person or entity except as required by law or by a court of competent
jurisdiction. Itamar may disclose the existence of this Agreement, including the identity of the Distributor and financial information
relating to this Agreement by order of a government authority or the court as required under applicable laws and regulations. The
provisions of this Section 6 shall remain in force after the termination of this Agreement.

 

PRICES

 

7.1           Product
Transfer Prices are as set forth in the Data Exhibit and are based on [***], Itamar's Caesarea, Israel facilities, as that term
is defined in Incoterms 2010, ICC Rules for the Use of Domestic and International Trade Terms, ICC Publication No. 715EF (the “Delivery
Point”).

 

7.2           Transfer
Prices are exclusive of all sales, use, value added, or other similar taxes, fees, levies, duties and other governmental charges
(with the exception of taxes imposed on the income of Itamar), all of which will be borne exclusively by Distributor. Any change
of Transfer Prices as aforesaid will not affect orders accepted prior to the effective date of such change of Transfer Prices.

 

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PURCHASE OF PRODUCTS

 

8.1           Distributor
shall purchase the Products from Itamar, for the purpose of reselling them to end-users subject to the terms and conditions of
this Agreement, and including but not limited to Sections 7 and 8 herein, through purchase orders (“Orders”).
The Orders shall be issued in writing and transmitted via fax or by electronic means (including without limitation to electronic
mail), by Distributor to Itamar and shall be subject to (i) acceptance by Itamar; and (ii) to Section 8.3 below.

 

(a)          Order
acceptance by Itamar shall be made by fax or by electronic means (including without limitation to electronic mail) no later than
five (5) Itamar working days from receipt of the Order from Distributor.

 

(b)          The
placing by Distributor of an Order and Itamar's acceptance thereof under and in accordance with the terms of this Agreement shall
form a contract of sale between Itamar and Distributor on the terms of such Order and of this Distribution Agreement, provided,
however, that unless otherwise agreed to by Itamar in writing, the terms and conditions of any Order issued by Distributor or any
order acceptance issued by Itamar shall not alter the terms and conditions of this Distribution Agreement. In the event of a conflict
between such terms of any such Order or order acceptance and this Distribution Agreement, the terms of this Agreement shall prevail.

 

(c)          All
Orders shall be compatible with Itamar's Minimum Lead Time, as set forth in 8.2 below.

 

8.2           All
purchased Products shall be delivered to the Delivery Point. Except as otherwise agreed upon, the minimum lead time for delivery
of Products under an Order shall be [***] from the acceptance of the Order by Itamar and provided, however, that
for any Order that is 50% larger than the immediately previous Order, the minimum lead time for delivery of Products under such
Order shall be [***] from the acceptance of the Order by Itamar (“Minimum Lead Time”). Following the acceptance
of an Order, Itamar shall issue to Distributor a notice specifying the period within which the Products will be delivered. The
Minimum Lead Time will commence upon the approval of the Order by Itamar. Any revisions to accepted Orders would be subject to
acceptance by Itamar.

 

8.3           Terms
of payment shall be

 

(a)         
All of the aggregate price of the Order shall be payable within [***] following delivery.

 

All payments shall be via wire transfer to Itamar’s bank account
set forth below:

 

Name of Bank: [***] Address of Bank: [***] 

Name of Account: [***] Bank Account Number:
[***] Swift/Routing/Sort: [***] IBAN: [***] 

 

(b)          Alternatively,
Distributor may pay via an irrevocable and confirmed fully executed letter of credit with a bank of international repute acceptable
to Itamar and in form and substance satisfactory to Itamar (the “Letter of Credit”).

 

    	 	 	Page 10

     

    

  

(c)          Any
invoiced amount, which is not fully paid when due, will bear interest at the rate of [***] per month or portion thereof.

 

(d)         All
payments referred to herein shall be in net freely transferable, free of withholding income or other taxes or deductions.

 

8.4           Risk
of loss and damage for all Products ordered by Distributor shall pass to Distributor upon delivery. Title to all Products ordered
by Distributor shall pass to Distributor upon receipt by Itamar of payment pertaining to the Products and until such time Itamar
shall retain full ownership rights in such Products.

 

8.5           Distributor’s
sole compensation for its Services and for the sale of the Products in the Territory shall consist of profits on its sales to customers.
No compensation, commission, fee, bonus, reimbursement or any other form of payment shall be payable to Distributor.

 

8.6           Subject
to any applicable regulatory requirements, Itamar reserves the right to discontinue the manufacture or sale of any or all of the
Products upon sixty (60) days prior written notice to Distributor, and Itamar shall not be liable to Distributor for any liability
imposed upon or damage suffered by Distributor as a result of any such discontinuation. Notwithstanding anything to the contrary,
Itamar shall fulfill existing accepted Orders if it elects to discontinue manufacture or sale of any of the Products.

 

LIMITED WARRANTY

 

9.1           Warranties
hereunder are solely for the benefit of Distributor’s direct customers, and the ultimate end users of the Products. Distributor
shall be responsible to its customers for any and all warranties, which it makes relating to Products apart from Itamar’s
warranties set forth in this Section 9.

 

9.2           Itamar
warrants that each Product to be delivered hereunder will be free of defects in material and workmanship under normal use and service
for the Warranty Period (as defined hereunder). For the purpose of this Section 9 the “Warranty Period” shall mean
eighteen (18) months from the date of delivery to Distributor of the Product(s).

 

9.3           If,
during the Warranty Period, a Product or any component of the Products becomes defective by reason of material or workmanship,
and provided the Distributor immediately notifies Itamar of such defect, Itamar may, at its option, supply a replacement, or request
the return of equipment to Itamar’s premises for repair. Distributor/customer must return all Products to Itamar and pay
shipping and handling costs of the return to Itamar’s premises. Prior to returning any Product, whether for replacement or
repair Distributor must obtain a return material authorization (“RMA”) number from Itamar, and display such RMA number
prominently on the packaging for any such returned Products. Distributor must return all Products to Company. Itamar shall pay
all shipping charges for the return of the repaired or replacement Product to Distributor/customer. Any Products returned to Company
other than in accordance with the terms of this Agreement may be refused by Company, at its sole discretion.

 

    	 	 	Page 11

     

    

  

Return of the repaired or replacement Products
to the customer's original destination shall be at the expense of Itamar unless Itamar determines, at its sole discretion, that
the Product is not defective within the terms of the warranty, in which event Distributor shall pay Itamar all costs of handling,
transportation and labor at Itamar's then prevailing rates. Repaired or replacement Products shall be shipped to the destination
designated by Distributor. Risk of loss or damage to returned Products shall be borne by Distributor until delivery to Itamar’s
premises.Risk of loss of or damage to repaired or replacement Products shall be borne by Itamar until delivery to the destination
designated by Distributor, unless Itamar determines that the Product is not defective within the terms of the warranty. This defective
product determination will not be unduly withheld.

 

9.4           All
Products or parts that have been replaced shall be the property of Itamar. Itamar shall be released from all obligations under
its warranty and this warranty shall not apply to any Products or component parts, that (a) have been damaged by improper operation,
tampering with, improper maintenance, misuse, accident, or neglect, or were subject to any of the prohibited activities described
in Section 5.3 above; (b) have been used in a manner not in accordance with the instructions supplied by Itamar; (c) have had changes
or repairs made without written authorization of Itamar to do so or by inadequate and/or unqualified personnel; (d) were incorporated
into another product without the prior written approval of Itamar; or (e) were stored in conditions and/or for such long period
of time contrary to the guidelines of Itamar which proves to be inadequate or unreasonable.

 

9.5           Repaired
or replaced parts shall be covered by this warranty for a period of the greater of (i) the remainder of the Warranty Period hereunder,
(ii) one hundred eighty (180) days from the date of delivery of the repaired or replaced parts or Products by Itamar, or (iii)
the minimum legal or regulatory requirement that is in effect in the Territory.

 

9.6           THE
ABOVE WARRANTIES GIVEN BY ITAMAR ARE IN LIEU OF ALL OTHER WARRANTIES, EXPRESS OR IMPLIED, INCLUDING, BUT NOT LIMITED TO, WARRANTIES
OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE. THE ABOVE WARRANTIES CONSTITUTE ITAMAR’S SOLE AND EXCLUSIVE LIABILITY
FOR DEFECTIVE OR NONCONFORMING PRODUCTS. NO OTHER WARRANTIES OF ANY KIND, WHETHER STATUTORY, WRITTEN, ORAL OR IMPLIED SHALL APPLY.

 

Notwithstanding anything herein contained
to the contrary, this warranty of repair and replacement shall be the sole and exclusive remedy available to Distributor's customers
for any Products delivered hereunder which are found to be defective. However, this shall not limit any claims to be made by Distributor
or Distributor’s customers under applicable Japanese laws.

 

Distributor and Distributor’s
direct customers shall be entitled to purchase from Itamar annual maintenance support services as well as an extended warranty
following the end of the Warranty Period, set forth in Appendix A.

 

INDEMNITY/LIMITATION OF LIABILITY

 

10.1         Distributor
hereby releases and discharges Itamar, its officers, directors, employees and agents in advance and agrees that it shall indemnify,
defend and hold them harmless from any and all loss, damage, cost and/or expense (including attorney fees) arising out of or in
connection with (i) Distributor's acts or omissions; or (ii) any breach of this Agreement by Distributor, or (iii) Distributor’s
failure to obtain permits, approvals, authorizations and/or clearances, provided, however, that Distributor shall have no such
liability (a) to the extent that any claims result from Itamar's gross negligence or willful misconduct, or (b) if Itamar does
not provide Distributor prompt notice of any such claims. Itamar shall cooperate with Distributor in the defense or settlement
of any claims, and shall neither admit liability for, nor settle any claims without Distributor's prior written consent.

 

    	 	 	Page 12

     

    

  

10.2         Itamar
hereby releases and discharges Distributor and agrees that it shall indemnify, defend and hold Distributor harmless from any and
all loss, damage, cost and/or expense (including attorney fees) arising out of or in connection with (1) Itamar's acts or omissions;
or (2) any material breach of this Agreement; provided, however, that Itamar shall have no such liability if Distributor does not
provide Itamar prompt notice of any such claims, and allow it to assume sole defense of any such claim. Distributor shall fully
cooperate with Itamar in the defense or settlement of any claims, and shall neither admit liability for nor settle any claims without
Itamar's prior written consent.

 

10.3         ITAMAR
SHALL NOT BE LIABLE TO ANY PERSON OR ENTITY FOR ANY SPECIAL, CONSEQUENTIAL OR INDIRECT DAMAGES, INCLUDING, BUT NOT LIMITED TO,
DAMAGES TO OR LOSS OF PROPERTY OR EQUIPMENT, LOSS OF PROFIT, LOSS OF USE OF DATA, LOSS OF REVENUES OR DAMAGES TO BUSINESS OR REPUTATION
ARISING FROM THE PERFORMANCE OR NON- PERFORMANCE OF ANY ASPECT OF THIS AGREEMENT OR ANY ORDER HEREUNDER OR FROM ANY CAUSE WHATSOEVER
ARISING FROM OR IN ANY WAY CONNECTED WITH THE MANUFACTURE, SALE, HANDLING, REPAIRS MAINTENANCE OR USE OF THE PRODUCTS, WHETHER
OR NOT ITAMAR SHALL HAVE BEEN MADE AWARE OF THE POSSIBILITY OF SUCH LOSS. NOTWITHSTANDING ANY OF THE FOREGOING, ITAMAR’S
LIABILITY FOR ANY CLAIMS ARISING OUT OF OR IN CONNECTION WITH THIS AGREEMENT OR ANY PARTICULAR ORDER, SHALL IN THE AGGREGATE, BE
LIMITED TO THE TOTAL PRICE PAID UNDER SUCH PARTICULAR ORDER.

 

TERMINATION

 

11.1         Either
party may terminate this Agreement upon the occurrence of one of the following:

 

(a)          By
providing sixty (60) days written notice if the other party (i) becomes or is declared insolvent or bankrupt, is the subject of
any proceedings related to its liquidation, insolvency or for the appointment of a receiver or similar officer, and is unable to
terminate such proceedings within sixty (60) days, or if Itamar (1) makes an assignment of assets for the benefit of, or sells
all or substantially all of its capital stock or all of its assets to a third party not in accordance with Section 13.3 herein
(an “M&A Event”), or (2) Itamar enters into an agreement for the composition, extension, or readjustment of all
or substantially all of its obligations; or

 

(b)          the
other party breaches any of its obligations hereunder and fails to remedy such breach within sixty (60) days of notice of the breach.

 

11.2         Itamar
may, in its sole discretion, terminate this Agreement upon the occurrence of one of the following:

 

(a)            immediately
upon the provison of written notice if:

 

	 	(1)	Distributor does not achieve the Minimum Purchase Requirement in either 2014 or 2015;

 

	 	(2)	Distributor does not achieve at least [***] of the Minimum Purchase Requirement in either 2016, 2017 or 2018; or

 

    	 	 	Page 13

     

    

  

	 	(3)	Distributor does not achieve at least [***] of the Minimum Purchase Requirement in any quarter during any calendar year.

 

(b)          upon
thirty (30) days written notice to the Distributor to the extent applicable, Distributor fails to receive all Required Approvals
within one (1) month from the Effective Date of this Agreement; or

 

(c)          immediately
upon the provision of written notice if Distributor violated or breached the provisions of Section 2.5 herein.

 

11.3         Remedies
available to Itamar or Distributor under this Section 11, shall in no event constitute a waiver, affect or diminish either party’s
rights to other remedies either under any applicable law or by equity.

 

EFFECTS OF TERMINATION

 

12. 1      Upon
termination or expiration of this Agreement for any reason, the performance of obligations of both parties under this Agreement
shall cease; however, the following provisions of this Agreement shall survive: Section 5 (Proprietary Rights and Marks), Section
6 (Confidentiality), Section 9 (Limited Warranty), Section 10 (Indemnity/Limitation of Liability), Section 11 (Termination), Section
12 (Effects of Termination), Section 13.10 (Governing Law/Disputes), and Section 13.5 (Relationship of Parties

 

12.2        Upon termination,
cancellation or expiration of this Agreement for any reason:

 

(a)          Distributor
shall be obligated to pay, and shall pay Itamar the balance of any and all payments due to Itamar for units of the Products ordered
up to and including the date of termination in accordance with the set payment schedule for such payments. Any unpaid amount shall
accrue interest as set forth in Section 8.3(b) above; upon such payment, Itamar shall deliver said units;

 

(b)          Distributor
may sell further any unsold inventory of its Products. To the extent permitted by applicable law, such sales shall be at prices
no less than those listed as the End User List Price on the Data Exhibit. As soon as Distributor no longer has any unsold inventory,
Distributor shall remove all reference to Itamar, if any, from its letterhead, business forms, advertising literature, and place
of business, shall cease to use any name or Proprietary Mark of Itamar and shall refrain from representing itself as a sales representative
or distributor of Itamar or from doing any act or making any representation in connection with Itamar’s Products;

 

(c)          Distributor
and Itamar shall promptly return to the other party any Confidential Information, Documentation as well as all sales data, price
lists, catalogues, advertising literature and display material in respective possession;

 

(d)          All
licenses granted pursuant to Section 2 shall be terminated;

 

(e)          Distributor
shall transfer to Itamar, or its designees, all Required Approvals and Itamar shall pay all governmental fees Distributor has incurred
to obtain and maintain such Required Approvals up to the date of termination (including [***]). All governmental fees and other
costs related to such transfers shall be borne by Itamar. Distributor shall cooperate and provide information as necessary in order
for Itamar to make the necessary applications.

 

    	 	 	Page 14

     

    

  

(f)          Itamar
shall fulfill its Product delivery obligations for any Orders fully paid for in advance except in the event this Agreement was
terminated or cancelled in accordance with any of the provisions of Section 11.2 above, notwithstanding anything to the contrary.

 

MISCELLANEOUS PROVISIONS

 

13.1         Notices
and other communications under this Agreement shall be in writing and sent to each Party at its address, electronic mail or fax
number set forth herein or, in the event of a change in any address, electronic mail, or fax number, then to such other address,
electronic mail, or fax number as to which notice of the change is given. Notice will be deemed given twenty-four (24) hours after
it was sent by electronic mail or fax or five (5) days after it was sent by registered mail.

 

13.2         This
Distribution Agreement, together with the Data Exhibit and appendices referred to herein which are an integral part hereof, sets
forth the entire agreement between the parties on the subject hereof and supersedes any previous agreement, understanding, memorandum,
letter of intent or representation on the subject matter hereof. This Distribution Agreement may be amended only by written agreement
signed by the duly empowered representatives of both parties.

 

13.3         This
Distribution Agreement may not be assigned by either Party without the prior written consent of the other party, except that Itamar
and Distributor may assign this Distribution Agreement to any entity which is the successor to any part of its business related
to this Distribution Agreement by merger or change of control transaction, or to any party which acquires all or substantially
all of its assets related to this Distribution Agreement, provided that such entity agrees to assume all obligations of the assigning
party under this Distribution Agreement from and after the date of such assignment.

 

13.4.       
Any failure by either party to enforce any provision of this Distribution Agreement on one occasion shall in no way constitute
a waiver or affect its right to require the performance thereof by the other party nor affect the validity of such provision or
any other provision of this Distribution Agreement, except when this Agreement expressly provides otherwise.

 

13.5         This
Distribution Agreement is not intended by the parties to constitute or create a joint venture, pooling arrangement, partnership,
agency, employer-employee relationship or a formal business organization of any kind. Itamar and Distributor shall be independent
contractors with each other for all purposes at all times and no party shall act, as or hold itself out as, agent for the other,
unless so designated in a separate agreement signed by the principal. None of the parties shall bind or attempt to bind any other
party to any agreement or to the performance of any obligation, nor shall any party represent that it has the right to enter into
any undertaking on behalf of the other.

 

13.6         Non-performance
of a Party (other than for the payment of money) shall be excused to the extent that performance is rendered impossible by strike,
fire, earthquake, flood, governmental acts or orders or restrictions, terrorist acts, failure of suppliers, or any other reason
where failure to perform is beyond the reasonable control and not caused by the negligence, intentional conduct or misconduct of
the non-performing Party.

 

    	 	 	Page 15

     

    

  

13.7         If
any provision of this Agreement or the application thereof to any person or entity or circumstance is invalid or unenforceable
to any extent, the remainder of this Agreement and the application of such provisions to other persons or entities or circumstances
shall not be affected thereby and shall be enforced to the greatest extent permitted by law.

 

13.8         Each
party agrees that a breach of the obligations of Sections 5 PROPRIETARY RIGHTS AND MARKS or 6 CONFIDENTIALITY will result in the
substantial likelihood of irreparable harm and injury to the other party, for which monetary damages alone would be an inadequate
remedy, and which damages are difficult to accurately measure. Accordingly, each party agrees that the other party shall have the
right to obtain immediate injunctive relief, in addition to any other rights and remedies available at law or in equity, including
without limitation, the right to terminate this Agreement and seek damages or other legal or equitable relief allowed by the federal
and state courts.

 

13.9         Neither
Party shall disclose, publicize or advertise in any manner the discussions or negotiations contemplated by the Agreement without
the prior written consent of the other Party, except as may be required by law.

 

13.10       Governing
Law; Disputes. This Agreement and all Orders issued shall be governed by and construed in accordance with the laws of New York,
New York, United States of America. The competent courts and tribunals situated in Manhattan, New York, United States of America
shall have sole and exclusive jurisdiction in any dispute or controversy arising out of or relating to this Distribution Agreement.

 

	ITAMAR MEDICAL LTD	 	Philips Respironics GK (“Distributor”)
	 	 	 
	By:	/s/ Eldad Singer	 	By:	/s/ Danny Risberg
	Name:	Eldad Singer	 	Name:	Danny Risberg
	Title:	President, Itamar	 	Title:	Executive Manager
	 	Medical Japan	 	 	 
	 	VP Sales, Itamar Medical	 	 	 
	 	Feb 24, 2014	 	 	 

 

    	 	 	Page 16

     

    

  

APPENDIX A

Support and other optional services to be provided by Distributor

 

Itamar-Medical Ltd. offers following
optional software and hardware Extended Service Plan for Itamar products including, but not limited to:

 

	 	·	Free software updates when released

	 	·	Hardware troubleshooting and support

	 	·	Software troubleshooting and support

	 	·	Free Remote training for product operation (up to 4 hours per year)

	 	·	Preventive Maintenance includes pro-active part replacements

	 	·	Device diagnosis and software support through phone call         or email (support available 9 AM to 5 PM)

 

    	 	 	Page 17

     

    

  

APPENDIX B

Format of Quarterly Report to be sent to Company

	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	No	 	Date of sold	 	Product/Item	 	S/N	 	Name of account	 	Name of End user	 	Address	 	Phone #	 	Note
	1	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	2	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	3	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	4	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	5	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	6	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	7	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	8	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 

    	 	 	Page 18

     

    

 

APPENDIX C

 

For the duration of the Agreement and subject
to Itamar’s full compliance with its obligations hereunder, Itamar is granted the right to use the wordmark PHILIPS
as specified on www.ourbrand.philips.com at which the ID and password for the site will be informed from Distributor, in printed
advertising matter as well as on-line advertising communications, in its showrooms and exhibition stands, for the sole purpose
of advertising the Distributor Products in Israel, and in accordance with the following:

 

-           Insofar
as advertisements, showrooms and exhibition stands or other promotional content include the promotion of non-Distributor branded
products, Itamar shall follow Itamar’s trading style and identity.

 

-           Itamar
is not allowed to use the Philips Shield or the tag line “Innovation and you”.

 

-           Itamar
is not entitled to register or use any domain name or URL containing the name Philips or any other trademark of Distributor or
any of Distributor’s affiliates.

 

-           Unless
previously approved by Distributor in writing, Itamar is not authorised to use the wordmark PHILIPS or any other trademark
of Distributor or any of Distributor’s affiliates in search engines advertising, including but not limited to the Adwords
program of Google.

 

-           The
application and use of the wordmark PHILIPS may only occur in a form previously approved by Distributor in writing. Itamar
shall provide Distributor with drafts of the proposed use of the wordmark PHILIPS and await approval from Distributor in
writing, before commencing use of the wordmark PHILIPS. If Distributor rejects the proposed use of the wordmark PHILIPS,
Itamar will modify the use in accordance with Distributor’s directions. Artwork will be provided by Distributor upon Itamar’s
request.

 

If, in Distributor's opinion, Itamar does not
adhere to the requirements and directions provided by Distributor and Itamar fails to remedy this deficiency within one month following
receipt of a written notification from Distributor, Distributor may withdraw the permission forthwith.

 

Itamar will not be entitled to use for its
own activities any statutory name, trade name, or other name, indication or description, of which the name Philips, any name similar
thereto or any other trademark of Distributor or the Philips group of companies forms part.

 

Itamar hereby acknowledges all right, title
and interest of the registered proprietor Koninklijke Philips N.V. in and to the name Philips and the wordmark PHILIPS.
Itamar shall not obtain any rights to said name or trademark by virtue of the use and/or marketing of the Distributor Products
marked or branded with said name and/or trademark and the applications therefor as permitted hereunder shall not be construed as
use for Itamar's benefit.

 

Upon termination of the Agreement for any cause,
Itamar shall cease all uses of the name Distributor and the wordmark PHILIPS.

 

    	 	 	Page 19Exhibit 4.9

 

PORTIONS
OF THIS AGREEMENT WERE OMITTED AND HAVE BEEN FILED

SEPARATELY WITH
THE SECRETARY OF THE COMMISSION PURSUANT TO AN

APPLICATION
FOR CONFIDENTIAL TREATMENT UNDER RULE 24b-2 OF THE

SECURITIES EXCHANGE ACT OF 1934; [***]
DENOTES OMISSIONS

 

CONTRACT NO. RS -1233

  

MASTER PRODUCTS AND SERVICES AGREEMENT

 

This MASTER PRODUCTS AND SERVICES
AGREEMENT (“Agreement”) is made and entered into as of this 16 day of August 2007 (the “Effective Date”)
by and between KAISER FOUNDATION HEALTH PLAN, INC., a California nonprofit public benefit corporation (“Customer”)
and Itamar Medical Inc, a Delaware Corporation (“Supplier”), having its principal place of business at 160 Speen St.
Framingham, MA, and remains in effect for 2 years commencing on the Effective Date and expiring on August 15, 2009 unless terminated
or extended as provided herein (the “Term”). Customer and Supplier agree as follows:

 

1.             DEFINITIONS

 

1.1           “Acceptance”
means a Customer’s verification that the Product conforms to the Specifications is ready for use and all required documentation
has been delivered.

 

1.2           “Change
Notice” means a document issued by a Customer and accepted by Supplier pursuant to this Agreement to amend a Purchase
Order placed by such Customer.

 

1.3           “Confidential
Information” means any and all Documentation, confidential and proprietary information belonging to or in the possession
of Supplier or Customer, including but not limited to any and all concepts, specifications, formulae, prototypes, software and
hardware, and any and all records, data, marketing and/or pricing information, materials, financial statements, memoranda, analyses,
notes and any other data or information (in whatever form), as well as improvements and know-how, relating to Supplier, Customer,
, Products (including related software), manufacturing, marketing and sales. Confidential Information shall be deemed to include
any and all of Supplier and/or Customer’s information, irrespective of form, which has been or may be: (i) disclosed to receiving
party by or on behalf of disclosing party; or to which receiving party has access; or (ii) provided to disclosing party from a
third party. Confidential Information shall not include information that: (a) was already known to or independently developed by
receiving party prior to its disclosure as demonstrated by tangible dated evidence satisfactory to disclosing party; (b) shall
have appeared in any printed publication or patent or shall have become a part of the public knowledge except as a result of breach
of this Agreement by receiving party; (c) shall have been received from another person or entity having no obligation to disclosing
party.

 

1.4           “Customer”
means any KPMCP Entity purchasing services under this Agreement.

 

1.5           “Delivery
Date” means the date a Product is delivered complete to the Delivery Location.

 

1.6           “Delivery
Location” means the location specified by the Customer for delivery of a Product.

 

1.7           “Documentation”
means Supplier’s or Customer’s confidential ideas, know-how, concepts, methods, processes, formulae, reports, data,
business plans, and any other proprietary information of Supplier or Customer that may provide Supplier or Customer with a competitive
advantage, including, but not limited to any of Supplier’s manuals and other written materials that relate to the Products,
including any flow charts, logic manuals, functional specifications, medical researches, clinical trials or their summaries, any
machine text or graphic files and or any material relating to any enhancements or modifications of the Product, as may be from
time to time.

 

1.8           “KPMCP
Entity” means an entity participating in the integrated health care delivery organization doing business as Kaiser Permanente®
and its affiliates, which includes, without limitation, Kaiser Foundation Health Plan, Inc., Kaiser Foundation Hospitals, The Permanente
Federation, the Permanente Medical Groups, The Permanente Company, Kaiser Permanente Insurance Company, Archimedes, Inc., Kaiser
Permanente Ventures, and all subsidiaries and successors of the foregoing.

 

    	 	 	 

     

    

 

1.9           “Law”
means federal, state and local statutes, implementing regulations, executive orders, ordinances and case law, including healthcare
program statutes, regulations and policies.

 

1.10         “Product”
means any product and service listed on Exhibit A that Supplier is offering to supply under this Agreement, including related training,
documentation, deliverables, maintenance, spare parts and upgrades, as applicable.

 

1.11         “Prices”
means the prices for Products under this Agreement as set forth in Exhibit A.

 

1.12         “Purchase
Order” means a purchase order for Products issued by Customer to Supplier under this Agreement.

 

1.13         “Specifications”
means the technical and functional specifications for a Product as described in Exhibit B or, if no specifications are set forth
in Exhibit B, the published specifications.

 

2.             PURCHASING
OF SERVICES

 

2.1.          During
the Term of this Agreement, Supplier agrees to supply the services to KPMCP Entities according to the terms and conditions as set
forth in this Agreement, and subject to Supplier’s general terms and conditions provided with each Product.

 

2.2.          Customers.
Any KPMCP Entity (including any entity that becomes a KPMCP Entity after the Effective Date) in any location within the United
States (including the District of Columbia) may elect to purchase services pursuant to the terms and conditions of this Agreement.
This Agreement neither (i) obligates any KPMCP Entity to purchase any minimum quantity or dollar value of services, nor (ii) precludes
any KPMCP Entity from purchasing similar products from other vendors. A Customer is bound to the terms and conditions of this Agreement
by purchasing services under this Agreement. Each Customer is solely and exclusively liable directly to Supplier for all of its
payments and any other obligations with respect to the services purchased and Purchase Orders placed by such Customer.

 

2.3.          KP.
KP has negotiated this Agreement on behalf of the KPMCP Entities, but KP does not imply any participation levels by KPMCP Entities.
If KP places Purchase Orders, it will be deemed to be a KPMCP Entity and will have all of the rights and obligations of a Customer
under this Agreement with respect to Purchase Orders it places. However, KP has no liability or responsibility to Supplier relating
to a Purchase Order placed by any other KPMCP Entity.

 

2.4.          Pricing.
Exhibit A sets forth the Prices for each Product Unless otherwise specified in Exhibit A, all Prices are FOB Supplier’s offices
in Massachusetts on the Delivery Date with freight and insurance paid by Supplier. If the Delivery Period (as defined in Section
2.7 below) requires express delivery by air,the actual shipping will not be included in the Price, Supplier may invoice Customer
for the actual shipping cost of the Product but the shipping charges must be itemized separately on the Product invoice, otherwise,
shipping will be included in the Price.

 

2.5.          Taxes.
Supplier must calculate according to the state statutes applicable to the shipping location and pay any applicable local and state
sales tax or other taxes with respect to the direct purchase of any Product all of which will be bom exclusively by Customer. Supplier
may invoice the Customer for any applicable taxes if they are correctly and separately reflected on the invoice.

 

2.6.          Ordering.
(a) Customer may issue a Purchase Order using Customer’s designated format (e.g. fax, electronic or web-based interface).
Supplier must confirm or reject a Purchase Order within 5 business days using Customer’s designated format or the Purchase
Order will be deemed accepted by Supplier. Unless otherwise agreed, Supplier’s confirmation must reference the Purchase Order
number, quantity, description, price, Delivery Location and Delivery Date, (b) The placing by Customer of a Purchase Order and
Supplier’s confirmation thereof under and in accordance with the terms of this Agreement shall form a contract of sale between
Supplier and Customer on the terms of such Purchase Order and of this Agreement, provided, however, that unless otherwise agreed
to by Supplier in writing, the terms and conditions of any Purchase Order issued by Customer or any confirmation issued by Supplier
shall not alter the terms and conditions of this Agreement. In the event of a conflict between such the terms of any such Purchase
Order or confirmation and this Agreement, the terms of this Agreement shall prevail. (c) A Customer may send a request to change
a Purchase Order at any time prior to the Delivery Date of Products ordered by issuing a Change Notice. Supplier must accept or
reject a Change Notice within 5 Business Days of receipt or the Change Notice will be deemed rejected by Supplier. (d) Customer
is not required to place any minimum orders for Products or pay any minimum fees in connection with a Purchase Order or Change
Notice.

 

    	 	 	 

     

    

 

2.7.          Delivery.
Supplier must deliver Products to the Delivery Location specified by the customer on the Delivery Date specified in the Purchase
Order or Change Notice, as applicable. Unless otherwise agreed in writing, the Delivery Date for a stock Product is not more than
7 business days after Supplier’s receipt of the Purchase Order for the Product (the “Delivery Period”).
Partial shipments are not permitted unless agreed with Customer prior to shipment. The risk of loss and damage of any Product shall
pass to a Customer upon delivery at the FOB-point. Title to all Products under a Purchase Order or Change Notice shall pass upon
receipt by Supplier of payment pertaining to the Products under such Purchase Order or Change Notice, until such time Supplier
shall retain full ownership rights to all of its Products.

 

2.8.          Invoicing.
Supplier will not issue an invoice for a Product until (i) the Acceptance date or (ii) the Delivery Date, if Acceptance is not
applicable. All invoices must reference the Purchase Order number, if any.

 

2.9           Payment.
A Customer must pay for an ordered Product within [***] days after the Customer’s receipt of an accurate invoice.

 

Any invoiced amount, which is not
fully paid when due and not fully paid within days after receipt of written notice from Supplier, will bear interest at the rate
of [***] per month or portion thereof.

 

All payments referred to herein
shall be in net freely transferable Dollars, free of withholding income or other taxes or deductions.

 

2.9.          Packaging.
All Product packaging and shipping containers should identify the Purchase Order number, UPC barcodes, expiration date and other
Product identifiers reasonably required by a Customer. All shipments must include a packing slip.

 

3.            WARRANTIES

 

3.1           General.

 

(a)          Warranties
hereunder are solely for the benefit of Customer and Customer’s patients and shall not be extended to any other person or
entity whatsoever, except to another KPMCP Entity. Customer shall be responsible to its customers for any and all warranties which
it makes relating to Products.

 

(b)          Supplier
warrants that Products (i) will be free from defects in workmanship and materials under normal use, in accordance with the Product’s
user manuals, and (ii) will conform to the Product Specifications for a period of 1 year from the date of Acceptance of the Product
or the Delivery Date, if Acceptance is not applicable.

 

(c)          Supplier
represents and warrants that its employees and agents have the certification, skills and qualifications necessary to perform services
under this Agreement in a timely, competent, and professional manner in accordance with the applicable industry standards and Laws.

 

3.1           Title.
Supplier warrants that it has good title to the Products, and the Products must be delivered to Customer free and clear of all
liens and encumbrances.

 

3.2           Intentionally
Omitted. [see 3.1(a)]

 

3.3           Product
Returns. If the Product contains a defect in design, materials or workmanship and such Product is returned to Supplier within
1 year of delivery of the Product to Customer, Supplier will repair or replace the Product or issue a credit for the purchase price
of the Product, with the choice of repair, replace or credit being within the sole discretion of Supplier.

 

    	 	 	 

     

    

 

3.2           Product
Recalls. Supplier must make efforts to notify Customer of any Product recalls not more than 24 hours after Supplier first learns
of the recall, and Supplier must use its commercial reasonable efforts to monitor the recall status of all Products. Recall notices
must include instructions and information regarding the Product recall and appropriate action to be taken by a Customer. Customer
shall notify Supplier of the address for Product recall notices and any special procedures to follow. Supplier must pay all reasonable
direct costs associated with the correction of the recall notwithstanding any limitations of liability contained in this Agreement
or otherwise.

 

3.3           Disclaimer.
SUPPLIER DISCLAIMS ALL OTHER REPRESENTATIONS AND WARRANTIES, EITHER EXPRESS OR IMPLIED, INCLUDING, WITHOUT LIMITATION, WARRANTIES
OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE. THE ABOVE WARRANTIES AND THE OTHER OBLIGATIONS OF THE SUPPLIER HEREIN,
CONSTITUTE SUPPLIER’S SOLE AND EXCLUSIVE LIABILITY FOR DEFECTIVE OR NONCONFORMING PRODUCTS. NO OTHER WARRANTIES OF ANY KIND,
WHETHER STATUTORY, WRITTEN, ORAL OR IMPLIED SHALL APPLY. EXCEPT AS PROVIDED IN SECTIONS 5.4 AND 5.5, IN NO EVENT SHALL SUPPLIER
OR CUSTOMER BE LIABLE FOR ANY SPECIAL, INDIRECT, INCIDENTAL, OR CONSEQUENTIAL LOSSES OR DAMAGES, EVEN IF SUPPLIER OR CUSTOMER HAVE
BEEN ADVISED OF THE POSSIBILITY OF SUCH POTENTIAL LOSS OR DAMAGE.

 

4.            TERM
AND TERMINATION

 

4.1           Extension
of Term. Customer may request to extend the Term of this Agreement for 2 additional 1 year periods, which such request may
be accepted or rejected by the Supplier, in its sole and obsolete discretion. Customer will provide written notice of the extension
of the Term at least 90 days prior to the expiration of the then-current Term.

 

4.2           Termination
for Convenience. Customer may terminate this Agreement at any time with or without cause upon 60 days prior written notice
to Supplier.

 

4.3           Termination
for Breach. This Agreement and any Purchase Orders may be terminated without cost by sending written notice to the breaching
party if a material breach has not been cured within 30 days after receipt of written notice describing such breach in reasonable
detail.

 

4.4           Effect
of Termination. The termination of this Agreement or a Purchase Order (or Change Notice) does not preclude the non-breaching
party from pursuing any and all remedies available to it at law or equity. Upon termination of any Purchase Order (or Change Notice),
this Agreement shall become null and shall have no further force and effect, expect that termination shall not release the Customer
from the obligation of Customer to make any payments due on or after the effective date of termination, or Sections 3.2, 3.4„
3.5, 4.4, 5.4, and 6.3, which shall survive termination.

 

5.            GENERAL
PROVISIONS

 

5.1.          Accounting
Reports. Within 30 days following the end of each calendar quarter, Supplier must submit to the Customer an accounts receivable
statement (in electronic format, preferred) for each Customer. Upon Supplier’s request, the Customer will provide a format
for the reports. Seller must send the reports by U.S. mail, fax, or email to: Kaiser Permanente, Attn: Statement Review, Controller’s
Office, 393 E. Walnut Street, 4th Floor, Pasadena, CA 91188, Fax No.: 626.405.6477, E-Mail: statement.review@ko.org

 

5.2.          Sales
Records. If requested by Customer, Supplier will use its reasonable commercial efforts to provide periodic sales reports of
the number of units of each Product distributed or sold to Customer pursuant to this Agreement, as being internally used by Supplier.
Supplier must not (a) sell or distribute sales or usage information to anyone not a party to this Agreement without the prior written
consent of the Customer or (b) distribute copies, excerpts, facsimiles or summaries to Customer’s personnel without the prior
approval of the Customer’s personnel originally requesting such information.

 

    	 	 	 

     

    

 

5.3.          No
Disruption in Use of Products. Supplier acknowledges that Customer is a provider of health care services; that Customer’s
use of Products is vital to the business operations of Customer and to the health and safety of Customer’s patients and members;
and that any interruption of Customer’s business could result in substantial liability to Customer. Supplier warrants and
represents that, expected as permitted by applicable law, pursuant to a court order, or under any rights provided to it herein
or under applicable law, it will not at any time take possession of Products provided to Customer.

 

5.4.          General
Indemnification. Supplier will indemnify, defend, and hold Customer and its officers, directors, employees and agents harmless
from and against all claims by third parties arising from a breach of this Agreement by Supplier, expect due to Customer’s
negligence, breach of this Agreement or willful misconduct, provided, however, that the Customer shall provide the Supplier with
prompt notice of any such claim by third party, and the Supplier shall have the right to take over the defense of such claim, and
that the Customer may not settle with any such third party, without the prior written consent if Suppler.

 

5.5.          Infringement
Indemnification. Supplier will indemnify, defend, and hold Customer and its officers, directors, employees and agents harmless
from and against any claim by a third party that a Product furnished to a Customer under this Agreement infringes any patent, trademark,
copyright, or other proprietary right of any third party or becomes the subject of an injunction or settlement prohibiting the
use of a Product, expect due to Customer’s negligence, breach of this Agreement or willful misconduct, provided, however,
that the Customer shall provide the Supplier with prompt notice of any such claim by third party, and the Supplier shall have the
right to take over the defense of such claim, and that the Customer may not settle with any such third party, without the prior
written consent if Suppler.

 

5.6.          Insurance.
Supplier will retain product liability insurance in an amount and covering claims substantially similar to those described in the
attached Commercial General Liability Declarations.

 

6.            MISCELLANEOUS

 

6.1           Independent
Contractor. Supplier is an independent contractor and engages in the operation of its own business, and neither party is or
will be considered to be the agent of the other party for any purposes. A party has no authorization to enter into any contracts,
assume any obligations or make any warranties or representations on behalf of the other party. Nothing in this Agreement will be
construed to establish a relationship of co-partner or joint venturer between the parties or with Customer. Customer will not be
responsible to Supplier, the employees of Supplier or any governing body for taxes on the payroll of Supplier.

 

6.2           Successors
and Assigns. Supplier and Customer shall not assign, transfer or delegate any of the rights or obligations under this Agreement
without the prior written consent of Customer, except as a result of a merger or a change of control transaction. This Agreement
and all of its provisions shall inure to the benefit of and become binding upon the parties and the successors and permitted assigns
of the respective parties.

 

6.3           Confidentiality,
(a) The provisions of this Agreement are deemed to be confidential information and neither party will, without the other party’s
prior written consent, divulge any of the provisions set forth in this Agreement or any confidential or proprietary information
about Customer or Supplier, including without limitation, information about its purchases, operations, customers and strategies,
to any third parties; provided, however, a party receiving confidential information (“receiving party”) may disclose
it to a third party having a need to know such information in order to perform the receiving party’s obligations under the
terms of this Agreement or as may otherwise be required by Law, but the receiving party is responsible to ensure that such third
parties are bound by a like covenants of confidentiality (b) From time to time, Supplier may make available to Customer Confidential
Information. The Customer shall not disclose such information to any person or entity, or use such Confidential Information without
the prior written consent of Supplier. Customer shall take all measures to protect Supplier’s Confidential Information which
shall be treated by Customer with at least the same care as it would exercise in the handling of its own confidential or proprietary
information, and shall not be disclosed to any person or entity.

 

    	 	 	 

     

    

 

6.4           Compliance
with Laws. Supplier will materially comply with all Laws applicable to the delivery of Products and the performance of the
services, and to its personnel performing the services, under this Agreement, including, as applicable, the Federal Anti- kickback
statute, 42 U.S.C. 1320a-7b(b) and the STARK law, 42 U.S.C. 1395NN. Supplier has and shall maintain throughout the Term of this
Agreement: (a) all professional and business licenses, certifications and similar requirements as required by Law and (b) all accrediting
requirements to perform the services, except for such business licenses, certifications, accrediting requirement, and similar requirements,
the failure of which shall not have a material adverse effect on the Supplier.

 

6.5         Regulatory
Compliance.

 

(a)     Equal
Opportunity. Supplier will make all reasonable commercial efforts to provide services to Customer without discrimination on
account of race, sex, color, religion, national origin, age, physical or mental disability, or veteran’s status. Supplier
recognizes that as a governmental contractor, Customer is subject to various Laws regarding equal opportunity and affirmative action
which also may be applicable to subcontractors. Therefore, Customer is required to give notice to Supplier that Supplier may be
subject to certain Laws by incorporating herein by reference the following clauses from the Federal Acquisition Regulation (FAR)
at 48 CFR Part 52: (a) Equal Opportunity (Feb. 1999) at FAR 52.222-26; (b) Equal Opportunity for Special Disabled Veterans, Veterans
of the Vietnam Era, and Other Eligible Veterans (Dec. 2001) at FAR 52.222-35; (c) Affirmative Action for Workers with Disabilities
(June 1998) at FAR 52.222-36, and (d) Small Business Subcontracting Plan (Oct. 1999) at FAR 52.219-9.

 

(b)     Medicare.
If this Agreement is subject to the provisions of Section 952 of P.L. 96-499, which governs access to books and records of subcontractors
of services to Medicare providers where the cost of value of such services under the contract exceeds $10,000.00 over a 12-month
period, then Supplier will permit representatives of the Secretary of the Department of Health and Human Services and of the Comptroller
General to have access to the contract and books, documents and records of Supplier, as necessary to verify the costs of the contract,
in accordance with criteria and procedures contained in applicable Federal regulations.

 

(c)     HIPAA.
Supplier will make reasonable commercial efforts to comply with the requirements relating to business associates in the Health
Insurance Portability and Accountability Act of 1996, Public Law 104-191 (“HIPAA”) and regulations promulgated thereunder
by the U.S. Department of Health and Human Services (“HIPAA Regulations”). If a Business Associate Agreement pursuant
to HIPAA is required with respect to the services, Customer’s standard Business Associate Agreement will be executed by the
parties and incorporated in this Agreement. Customer’s standard Business Associate Agreement is attached hereto in Exhibit
C. Exhibit C may be periodically modified by Customer to accord with any changes to the obligations imposed by HIPAA or HIPAA Regulations,
and such modification will be deemed accepted by Supplier and will serve to amend this Agreement if no written objection is submitted
to Customer by Supplier within 45 days of written notice of modification.

 

(d)     Notice
of Employee Rights Concerning Payment of Union Dues or Fees. If applicable, Supplier will comply with the provisions of 29
CFR Part 470.

 

(e)     Federal
Program Participation. Supplier represents and warrants throughout the Term of the Agreement that neither it, nor any of its
key personnel, have been or will be convicted of an offense related to healthcare or listed by a federal agency as debarred, excluded,
otherwise ineligible for federal program participation. Customer may immediately terminate this Agreement if Supplier or any of
Supplier’s key personnel breaches this clause or is otherwise ineligible for federal program participation.

 

(f)     Right
to Inspect. Upon five (5) days notice from Customer, Supplier will provide Customer’s internal auditors (or such independent
auditors and inspectors as Customer may designate in writing and have agreed to abide by reasonable confidentiality provisions)
copies of Customer’s invoices.

 

6.6         Kaiser
Permanente Policies. Supplier will make material efforts to comply with the Kaiser Permanente Policies, including the required
disclosures, set forth in Exhibit C.

 

6.7         Governing
Law. This Agreement is governed by and construed in accordance with the internal laws of the New York, without regard to its
choice of law principles.

 

    	 	 	 

     

    

 

6.8           Notices.
All notices provided under this Agreement will be in writing, and will be deemed given upon receipt if sent as follows: personally
delivered or sent by confirmed fax, overnight mail by USPS or a commercial service with confirmed delivery, or certified mail (return
receipt requested). If notice is mailed or faxed, delivery is effective at the date and time shown on the confirmation or return
receipt. The addresses for notices to Customer and Supplier are set forth on the signature page of this Agreement. These addresses
may be changed by notice to the other party.

 

6.9           Publicity.
Supplier will not, without the prior written consent of Customer, use in advertising, publicity, on the internet or otherwise the
names, trade names, service marks, trade dress or logo of Customer, the Kaiser Permanente Medical Care Program or any affiliates
of these entities or refer to the existence of this Agreement in any press releases, advertising, web sites or materials distributed
or made available to prospective customers or other third parties; provided, that Supplier may issue a press release and make any
disclosure necessary or required under applicable laws and regulations of Israeli securities laws or the Tel- Aviv Stock Exchange.

 

6.10         No
Waiver. The waiver of any breach of any term or condition of this Agreement does not waive any other breach of that term or
condition or of any other term or condition, unless agreed to in writing signed by both parties.

 

6.11         Severability.
If any part of this Agreement is for any reason found to be unenforceable, then the unenforceable provision is reformed to conform
to the law, and all other parts of this Agreement nevertheless remain enforceable.

 

6.12         Headings.
The descriptive headings of the sections of this Agreement are inserted for convenience only and do not control or affect the meaning
or construction of any section.

 

6.13         Sole
Remedies: Limitation on Liability. The rights and remedies of Customer provided in this Agreement are exclusive. NOTWITHSTANDING
ANYTHING IN THE AGREEMENT TO THE CONTRARY, THE AMOUNT OF DAMAGES THAT EITHER PARTY MAY RECOVER UNDER THIS AGREEMENT. EXCEPT
WITH RESPECT TO SECTIONS 5.4. 5.5. SHALL NOT EXCEED THE TOTAL PROCEEDS RECEIVED BY SUPPLIER UNDER THIS AGREEMENT.

 

6.14         Time
is of the Essence. Time is of the essence for any act or obligation of either party under this Agreement when time is a factor.

 

6.15         Force
Majeure. Neither Party will be liable for any delays resulting from circumstances or causes beyond its reasonable control,
including, without limitation, fire or other casualty, act of God, war or other violence, or any Law, of any governmental agency
or authority (“Force Majeure”) if the Party claiming the Force Majeure uses reasonable efforts to continue to perform
and give prompt written notice to the other party.

 

6.16         Survival.
Any provision of this Agreement which by its nature must survive termination or expiration as set forth in Section 4 will survive
any termination or expiration of this Agreement.

 

6.17         Controlling
Terms. The provisions of this Agreement and the terms of any Purchase Order or Change Notice will supersede any inconsistent
provisions contained in Supplier’s quotation, general terms and conditions provided with each product, invoice, confirmation,
acceptance, acknowledgement or similar form. All terms or conditions proposed in Supplier’s acceptance or acknowledgment
form which add to, vary from, or conflict with the provision in this Agreement will be void. Any pre-printed terms in Customer’s
or Supplier’s documents will also be void. In the event of conflicting provisions between the following documents, the provisions
will govern in the following order: the latest Change Notice, the Purchase Order, the main body of the Agreement; and the exhibits
in order of priority as set forth in the table following the signature blocks.

 

6.18         Entire
Agreement. This Agreement may be executed in any number of counterparts, each of which is deemed an original but all of which
constitute the same instrument. This Agreement including all exhibits and attachments (all of which are incorporated in this Agreement
by reference), constitutes the entire agreement on this subject and supersedes all previous and contemporaneous communications,
representations, or agreements regarding the referenced subject matter. This Agreement may not be modified orally, and no modification,
amendment, or supplement is binding unless it is in writing and signed by authorized representatives of Customer and Supplier.

 

    	 	 	 

     

    

 

IN WITNESS WHEREOF, Customer and
Supplier have executed this Agreement as written below:

 

ITAMAR MEDICAL, INC.

 

	By:	/s/ Israel Schreiber	 
	 	 	 
	Title:	CEO	 
	Print Name:	Israel Schreiber	 
	Date:	Aug 16,2007	 

 

Address and Contact Person for Notices:

2 Ha’eshel st. Caesarea, Israel 38900.

Contact: Shaul Sharoni, CFO

 

KAISER FOUNDATION HEALTH PLAN, INC.

 

	By: 	/s/ Robert Getto	 
	 	 	 
	Title: 	Sourcing Director	 
	Print Name: 	Robert Getto	 
	Date: 	9/5/2007	 

 

Address and Contact Person for
Notices:

Chief Procurement Officer (Currently
Dean Edwards

Kaiser Foundation Health Plan,
Inc.

1800 Harrison Street, Suite 1800

Oakland, CA 94612

 

Fax:(510) 625-2882

 

    	 	 	 

     

    

 

 

	Exhibits	 	 	 	Order of Priority	 
	A	 	Products and Pricing	 	1	 
	B	 	Product Specifications	 	2	 
	C	 	Customer Policies	 	3	 

 

    	 	 	 

     

    

 

PORTIONS
OF THIS EXHIBIT WERE OMITTED AND HAVE BEEN FILED

SEPARATELY WITH
THE SECRETARY OF THE COMMISSION PURSUANT TO AN

APPLICATION
FOR CONFIDENTIAL TREATMENT UNDER RULE 24b-2 OF THE

SECURITIES EXCHANGE ACT OF 1934;
[***] DENOTES OMISSIONS

 

EXHIBIT A

 

Products/Services and Prices

Product Pricing

 

Watch-PATIOO, US Kaiser Permanente
price list

As of [***]

 

Watch-PATIOO Kit

 

	 	 	Itamar P/N	 	Product description	 	Price $	 
	1	 	AC21102	 	Watch-PATI00 Kit,	 	 	[***]	 
	1.01	 	FG21502	 	Watch-PATI00 Device	 	 	[***]	 
	1.02	 	FG21620	 	Cable conn Probe - WP100	 	 	[***]	 
	1.03	 	FG21610	 	Oxi sensor for WP100	 	 	[***]	 
	1.04	 	FG21810	 	Compact Flash Disk 16MB (Itamar formatted)	 	 	[***]	 
	1.05	 	FG21710	 	Velcro Sleeve +Extension	 	 	[***]	 
	1.06	 	FG21800	 	Watch-PAT I00 Charger	 	 	[***]	 
	1.07	 	FG21720	 	Hard shell case - WP100	 	 	[***]	 
	1.08	 	OM21970	 	Step by Step Guide WP100	 	 	[***]	 
	1.09	 	OM21960	 	Operation manual WP100	 	 	[***]	 
	 	 	 	 	 	 	 	 	 
	1	 	AC21002	 	Box of 12 Pneumo-Opt probes	 	 	[***]	 
	2	 	CP72000	 	Oximeter adh. bands x25	 	 	[***]	 
	3	 	FG21701	 	Sleeve Disposable x25	 	 	[***]	 
	4	 	FM07000	 	Annual Service Contract (including Help Desk)	 	 	[***]	 
	5	 	OM2103100	 	Installation and training	 	 	[***]	 

 

zzzPAT software Kit

	 	 	Itamar P/N	 	Product description	 	Price $	 
	1	 	AC21001	 	zzzPAT S/W Kit for WPI00	 	 	[***]	 
	1.01	 	FG21820	 	Reader/Writer USB CF	 	 	[***]	 
	1.02	 	FG21600	 	Cable maintenance WP100	 	 	[***]	 
	1.03	 	OM21971	 	zzzPAT operation manual	 	 	[***]	 
	1.04	 	AS21611	 	zzzPAT S/W CD WP100	 	 	[***]	 

 

Services Pricing (if any)

 

Maintenance &Support (if any)

See price list for Annual Service Contract 

Spare Parts (if any)

 

See below

 

Training (if any) 

See below

 

    	 	 	 

     

    

 

EXHIBIT B 

 

Product (including services)
Specifications

 

Describe the Products:

 

UL certification is required for all electrical equipment

 

Describe the Services (if any)

See below

Describe the Maintenance &Support (if any)

Free SW upgrades - on new version release including
training /installation

24/7 support Technicians and patients

direct file transfer of technical/clinical queries to
Itamar Data Engineers and Medical managers. (HIPAA compliant file transfer)

36 hours device replacement.

Retraining of new staff upon demand

Periodic equipment maintenance inspection.

Easy to follow step by step guides for the RT and the
patient.

 

Describe the Spare Parts (if any)

See price list

Describe the Training (if any)

Kaiser Permanente Clinical & Technical Training
Plan

Clinical Training to MDs and staff members

Presented by Clinical Manager

Phase 1

 

Introduction to the Watch PAT technology- Oral presentation
to clinical staff (duration-1.5 hours). 

Agenda: 

		•	About the Peripheral Arterial
Tone (PAT) signal.

		•	The PAT and sleep apnea.

		•	PAT Signals review.

		•	Watch PAT 100 validations
studies review.

		•	About the Watch PAT technology,
hardware and propriety software; zzzPAT.

		•	Clinical applications of
the Watch PAT.

		•	Interpretation of the sleep
report.

		•	Patient follow-up utilities.

		•	Exclusion criteria for using
the Watch PAT

		•	Support tools for both the
staff and the patient

Phase2

 

Personal clinical training to staff
members (duration -1 hour each) 

Agenda; 

		•	Sample studies review.

		•	Basic signal assessment training.

		•	More about exclusion criteria,
additional examples.

		•	Yielding additional information
from the raw data.

		•	Creating a partial report.

		•	Creating a follow-up report

Phase 3

 

Remote clinical support: 

		•	Studies inspection via FTP
site* and assistance with clinical questions.

 

Future clinical training: 

		•	Additional clinical training
according to the site’s requirements.

		•	Clinical lectures on new
studies and developments - yearly

 

    	 	 	 

     

    

 

AMENDMENT TO ITAMAR MEDICAL AGREEMENT

Contract No. RS-1233

Between

KAISER FOUNDATION HEALTH PLAN, INC.

 

and

ITAMAR MEDICAL, INC.

 

This Amendment (the
 “Amendment”) to the Itamar Medical Agreement, Contract No. RS-1233 entered into on August 16th, 2009(the “Agreement”),
is effective August 16th, 2009 (“Amendment Effective Date”), and is between Kaiser Foundation Health Plan, Inc. and
Itamar Medical, Inc. (“Supplier”).

 

1.       Change
in Expiration Date. The expiration date of the Agreement is changed to October 16th, 2009. Thereafter, the parties may elect
to renew this Agreement upon mutual agreement.

 

2.       Principles
of Construction. Whenever the terms or conditions of the Agreement and the Amendment are in conflict, the terms of this Amendment
control. Except as specifically modified by the terms of this Amendment, all of the Agreement remains in full force and effect.
This Amendment may be executed in any number of counterparts, each of which is an original, but all counterparts of which constitute
the same instrument.

 

3.       Execution.
Authorized representatives of the parties have executed this Amendment as of the dates written below.

 

	KAISER FOUNDATION HEALTH PLAN, INC 	 	ITAMAR MEDICAL, INC.
	 	 	 	 	 
	By:	 /s/ Eric Quinn	 	By:	/s/ Dov Rubin
	 	 	 	 	 
	Printed Name:	 Eric Quinn	 	Printed Name: 	Dov Rubin
	 	 	 	 	 
	Its:	 Sourcing Manager	 	Its: 	Pres. & CEO
	 	 	 	 	 
	Date:	 10-27-09	 	Date: 	23-Oct-09

 

    	 	 	 

     

    

   

AMENDMENT TO ITAMAR MEDICAL AGREEMENT

Contract No. RS-1233

Between

KAISER FOUNDATION HEALTH PLAN, INC.

 

and

ITAMAR MEDICAL, INC.

 

This Amendment (the “Amendment”)
to Contract No. RS-1233 entered into on August 16, 2007 (the “Agreement”), is effective October 16, 2009 (“Amendment
Effective Date”), and is between Kaiser Foundation Health Plan, Inc. and Itamar Medical, Inc. (“Supplier”).

 

1.       Change
in Expiration Date. The expiration date of the Agreement is changed to March 31, 2010. Thereafter, the parties may elect to
renew this Agreement upon mutual agreement.

 

2.       Principles
of Construction. Whenever the terms or conditions of the Agreement and the Amendment are in conflict, the terms of this Amendment
control. Except as specifically modified by the terms of this Amendment, all of the Agreement remains in full force and effect.
This Amendment may be executed in any number of counterparts, each of which is an original, but all counterparts of which constitute
the same instrument.

 

3.       Execution.
Authorized representatives of the parties have executed this Amendment as of the dates written below.

 

	KAISER FOUNDATION HEALTH PLAN, INC 	 	ITAMAR MEDICAL, INC.
	 	 	 	 	 
	By:	/s/ Neerav D. Shah	 	By:	/s/ Dov Rubin
	 	 	 	 	 
	Printed Name:	Neerav D. Shah	 	Printed Name: 	Dov Rubin
	 	 	 	 	 
	Its:	Sourcing Manager	 	Its: 	Pres. & CEO
	 	 	 	 	 
	Date:	10-27-09	 	Date: 	23-Oct-09

 

     

     

    

 

AMENDMENT #3 TO ITAMAR MEDICAL AGREEMENT

 

Contract No. RS-1233

 

Between

 

KAISER FOUNDATION HEALTH PLAN, INC.

 

and

 

ITAMAR MEDICAL, INC.

 

This Amendment (the
 “Amendment”) to Contract No. RS-1233 entered into on August 16, 2007 (the “Agreement”), is effective April
1, 2010 (“Amendment Effective Date”), and is between Kaiser Foundation Health Plan, Inc. and Itamar Medical, Inc. (Supplier”).

 

1.       Change
in Expiration Date. The expiration date of the Agreement is changed to March 31, 2013. Thereafter, the parties may elect to
renew this agreement upon mutual agreement.

 

2.       Products
and Pricing. Pricing revised as set forth in Exhibit A

 

3.       Principles
of Construction. Whenever the terms or conditions of the Agreement and the Amendment are in conflict, the terms of this Amendment
control. Except as specifically modified by the terms of this Amendment, all of the Agreement remains in full force and effect.
This Amendment may be executed in any number of counterparts, each of which is an original, but all counterparts of which constitute
the same instrument.

 

4.       Execution.
Authorized representatives of the parties have executed this Amendment as of the dates written below.

 

	KAISER FOUNDATION HEALTH PLAN, INC.	ITAMAR MEDICAL, INC.
	 	 	 	 	 
	By:	/s/ Robert Gotto	 	By:	/s/ Dov Rubin
	 	 	 	 	 
	Printed Name: 	Robert Gotto	 	Printed Name:	Dov Rubin
	 	 	 	 	 
	Its:	Senior Sourcing Director	 	Its:	Pres. & CEO 
	 	 	 	 	 
	Date: 	2-25-10	 	Date:	26-Jan-10

 

    	 	 	 

     

    

 

PORTIONS
OF THIS EXHIBIT WERE OMITTED AND HAVE BEEN FILED

SEPARATELY WITH
THE SECRETARY OF THE COMMISSION PURSUANT TO AN

APPLICATION
FOR CONFIDENTIAL TREATMENT UNDER RULE 24b-2 OF THE

SECURITIES EXCHANGE ACT OF 1934; [***]
DENOTES OMISSIONS

 

EXHIBIT A

 

	WatchPat 100 Kit/WatchPAT 200 Kit
	Item	 	Itamar P/N	 	Product description	 	Price $
	1	 	AC21102	 	Watch-PAT100 Kit,	 	[***]
	1.01	 	FG21502	 	Watch-PAT100 Device	 	[***]
	1.02	 	FG21620	 	Cable conn Probe - WP100	 	[***]
	1.03	 	FG21610	 	Oxi sensor for WP100	 	[***]
	1.04	 	FG21810	 	Compact Flash Disk 16MB
 (Itamar formatted)	 	[***]
	1.05	 	FG21710	 	Velcro Sleeve +Extension	 	[***]
	1.06	 	FG21800	 	Watch-PAT 100 Charger	 	[***]
	1.07	 	FG21720	 	Hard shell case - WP100	 	[***]
	1.08	 	OM21970	 	Step by Step Guide WP100	 	[***]
	1.09	 	OM21960	 	Operation manual WP100	 	[***]
	 	 	 	 	 	 	 
	1	 	AC21002	 	Box of 12 Pneumo-Opt probes	 	[***]
	2	 	CP72000	 	Oximeter adh. bands x25	 	[***]
	3	 	FG21701	 	Sleeve Disposable x25	 	[***]
	4	 	FM07000	 	Annual Service Contract (including Help Desk)	 	[***]
	5	 	OM2103100	 	Installation and training	 	[***]
	6	 	AC3110302	 	Watch-PAT 200 Kit	 	[***]
	7	 	AS2000200	 	PS Sensor(Body Position/Snoring)	 	[***]
	8	 	AS2000100	 	Adhesive Set for PS Sensor	 	[***]
	9	 	AS000520	 	Oximeter sensor for WP200	 	[***]
	10	 	AS0060590	 	PAT Cable-WP200	 	[***]
	11	 	FG2110010	 	WP200 (qty.10) Kits with Software	 	 [***]
	12	 	FG2110015	 	WP200 (qty.l5) Kits with Software	 	 [***]
	13	 	N/A	 	1000 Boxes of 12 Pneumo-Opt probes-Package/qty order	 	[***]
	1	 	AC21001	 	zzzPAT S/W Kit for WP100	 	[***]
	1.01	 	FG21820	 	Reader/Writer USB CF	 	[***]
	1.02	 	FG21600	 	Cable maintenance WP100	 	[***]
	1.03	 	OM21971	 	zzzPAT operation manual	 	[***]
	1.04	 	AS21611	 	zzzPAT S/W CD WP100	 	[***]
	 	 	 	 	 	 	 
	2	 	N/A	 	zzzPAT S/W Kit for WP200	 	[***]

 

    	 	 	 

     

    

 

 

 

AMENDMENT #4 TO ITAMAR MEDICAL AGREEMENT

 

This Amendment #2 (the
 “Amendment”) to contract number RS-1233 (the “Agreement”) effective as of April 1, 2010, is effective as
of February 4, 2013, and is between Kaiser Foundation Health Plan (“KP”) and Itamar Medical, Inc. (“Supplier”).
The parties have agreed to amend the Agreement as follows:

 

1.       Change
in Expiration Date. The expiration date of the Agreement is changed to October 31, 2013.

 

2.       Principles
of Construction. Whenever the terms or conditions of the Agreement and the Amendment are in conflict, the terms of this Amendment
control. Except as specifically modified by the terms of this Amendment, all of the Agreement remains in full force and effect.
This Amendment may be executed in any number of counterparts, each of which is an original, but all counterparts of which constitute
the same instrument.

 

3.       Execution.
Authorized representatives of the parties have executed this Amendment as of the dates written below.

 

	KAISER FOUNDATION HEALTH PLAN, INC.	 	ITAMARMEDICAL, INC.
	 	 	 	 	 
	By:	/s/ Andy Delgesso	 	By:	/s/ Dov Rubin
	 	 	 	 	 
	Printed Name: 	Andy Delgesso	 	Printed Name:	Dov Rubin
	 	 	 	 	 
	Its:	Executive Director Procurement	 	Its:	CEO
	 	 	 	 	 
	Date: 	2/22/13	 	Date:	31-Jan-13

 

     

     

    

 

PORTIONS
OF THIS AGREEMENT WERE OMITTED AND HAVE BEEN FILED

SEPARATELY WITH
THE SECRETARY OF THE COMMISSION PURSUANT TO AN

APPLICATION
FOR CONFIDENTIAL TREATMENT UNDER RULE 24b-2 OF THE

SECURITIES EXCHANGE ACT OF 1934; [***]
DENOTES OMISSIONS

 

	 	Contract # RS-1233

 

AMENDMENT #5 TO ITAMAR MEDICAL AGREEMENT

 

This Amendment #5 (the
 "Amendment") to the Master Products and Services Agreement (#RS- 1233) (the "Agreement"), effective as of February
4th, 2013, is effective as of November 1, 2013, and is between Kaiser Foundation Health Plan, Inc. ("KP")
and Itamar Medical, Inc. ("Supplier"). The parties have agreed to amend the Agreement as follows:

 

1.          Change
of Supplier Principal Place of Business. Supplier's principal place of business is at 842 Upper Union St, Suite 2, Franklin,
MA.

 

2.          Change
in Expiration Date. The expiration date of the Agreement is changed to October 31, 2015

 

3.          Products
and Pricing. The Agreement is amended by revising the Products and pricing set forth on Exhibit A attached to the Agreement
and incorporated therein by this reference.

 

4.          The
following language shall be added to contract Section 2. Purchasing of Services

 

2.10.   [***].
[***].

 

2.11.   Pricing
for New Products. [***].

 

2.12.    Supplier
Travel and General Expenses. No additional charges shall be incurred byKP for travel or general expenses for Supplier's employees
or subcontractors.

 

2.13.    No
Minimum Order Quantities. There are no minimum order quantities or fees associated with any purchase order provided by KP..

 

2.14.   Product
Returns. Supplier will accept un-expired products for return without charging restocking fees. Supplier's company policy states
no returns; exchanges are allowed in the case of order entry errors but shipping charges are not waived.

 

2.15.   Third
Parties Purchasing on Behalf of KP. If KP elects, a third party may purchase any Product on its behalf (including an outsourced
clinical engineering service provider, a leasing company financing the acquisition, etc.). Supplier must (a) sell that Product
to the third party selected by KP at the same price, terms and conditions as though KP purchased the Product directly, and (b)
treat that sale as a sale to KP only if used by KP.

 

2.16.    Market
Changes. If KP determines that (a) a material change occurred in the market that affected a Product, and (b) such market change
resulted in a market price for that Product that is lower than the price set forth on the Agreement pricelist, then, upon notice
from KP, Supplier must, within 30 days after receiving KPS' notice, [***].

 

2.17.   Release
of New Products. If Supplier begins to sell a similar product not listed on the Agreement pricelist, then Supplier must notify
KP within 30 days after governmental approval or Supplier's release of the product. At KP's discretion, KP and Supplier may amend
the Agreement pricing to add the new Product at a mutually agreed-upon price.

 

    	 	 	 

     

    

 

2.18.   New
Technology. If New Technology becomes available from any source, including Supplier, then KP may evaluate and contract with
any supplier so that KP will have access to New Technology at all times. If Supplier cannot offer New Technology at comparable
or lower prices, KP may either (a) amend contract pricelist to add Supplier's New Technology at a mutually agreed-upon price; or
(b) contract with other suppliers for New Technology. Regardless of whether New Technology is added to this Agreement, Supplier
and KP will negotiate in good faith to equitably adjust the pricing for any current Product under this Agreement affected by the
New Technology.

 

2.19.   Discontinuation
of Products. Supplier may discontinue the manufacture of any Product, but Supplier must (a) replace the discontinued Product
with a functionally equivalent Product at a price equal to or less than the discontinued Product, and (b) provide [***] months'
prior written notice to KP of Supplier's intent to discontinue the Product.

 

2.20.   Support
and Maintenance; Equipment End-of-Life. Supplier agrees to make service and maintenance support available for its Products
for a minimum of seven (7) years after the sale of a Product.

 

5.          Section
3.1 (b) is deleted and replaced with the following language:

 

3.1.     Supplier
warrants that Products will be free from defects in workmanship and materials under normal use and in accordance with the Product's
user manuals. Products will conform to the Product Specifications for a period of 2 years from either the date of Product acceptance
by facilities that are in operation or from the first day of operation at a new facility.

 

6.          Section
3.2 is deleted and replaced with the following language:

 

3.2.     Product
Recalls. In addition to any notification required by law, within 24 hours after Supplier first learns of a recall, Supplier
agrees to notify the Kaiser Permanente National Recall Department (kp-product-recall@kp.org) and any KP facility that received
or ordered a recalled Product. Supplier must use its reasonable commercial efforts to monitor the recall status of affected Products.
Each recall notice must include specific information related to the recall as well as the suggested action to be taken by KP. Supplier
must reimburse KP for its costs associated with the correction of a recall and actions taken in response to a recall. This Section
3.2 survives the expiration or other termination of this Agreement, regardless of the cause giving rise to the expiration or termination.

 

7.          The
following language shall be added under Section 6. Miscellaneous

 

6.19.   Best
in Nation.[***].

 

6.20.   Rebate.
Supplier will issue a credit to [***] if for the period of [***] to [***] of the following year (the "Rebate
Period"), during each year of the Agreement, [***]. The rebate value will correspond to [***]. [***] may use this credit
in exchange for any consumables sold by vendor, at the contract prices. For clarity, if [***].

 

8.          Principles
of Construction. Whenever the terms or conditions of the Agreement and the Amendment are in conflict, the terms of this Amendment
control. Except as specifically modified by the terms of this Amendment, all of the Agreement remains in full force and effect.
This Amendment may be executed in any number of counterparts, each of which is an original, but all counterparts of which constitute
the same instrument.

 

9.          Execution.
Authorized representatives of the parties have executed this Amendment as of the dates written below.

 

	Kaiser Foundation Health Plan, Inc.  	 	Itamar Medical, inc.  
	 	 	 	 	 
	By:	 	 	By:	/s/ Marvin Slosman
	 	 	 	 	 
	Printed Name: 	 	 	Printed name: 	Marvin L. Slosman
	 	 	 	 	 
	Its: 	 	 	Its: 	President, Itamar Inc.
	 	 	 	 	 
	Date:	 	 	Date: 	September 5, 2013

 

    	 	 	 

     

    

 

PORTIONS
OF THIS EXHIBIT WERE OMITTED AND HAVE BEEN FILED

SEPARATELY WITH
THE SECRETARY OF THE COMMISSION PURSUANT TO AN

APPLICATION
FOR CONFIDENTIAL TREATMENT UNDER RULE 24b-2 OF THE

SECURITIES
EXCHANGE ACT OF 1934; [***] DENOTES OMISSIONS 

 

Exhibit A

Pricing

 

	Manufacturer

    Name	 	Manufacturer

    Catalog 

    Number	 	Manufacturer Product

    Description	 	Extended Manufacturer

    Product 

    Description	 	Base

        UOM
	 	Sell

Use

    UOM	 	Sell Use
    

    Quantity	 	 	Manufacturer

        Purchase

        Price
	 
	Itamar Medical	 	AC2000300	 	24 Bracelets for WatchPAT	 	Chain of Custody bracelets	 	EA	 	BOX	 	 	[***]	 	 	 	[***]	 
	Itamar Medical	 	AC2000102	 	Adhesive Set for Sensor	 	Pkg for body position and snore	 	EA	 	PKG	 	 	[***]	 	 	 	[***]	 
	Itamar Medical	 	AS0037050	 	Battery for WP200	 	 	 	EA	 	EA	 	 	[***]	 	 	 	[***]	 
	Itamar Medical	 	AS0065511	 	Cable Bracelet to WP200	 	Y-cable for Chain of Custody use	 	EA	 	EA	 	 	[***]	 	 	 	[***]	 
	Itamar Medical	 	AC2000201	 	Integrated Sensor	 	 	 	EA	 	EA	 	 	[***]	 	 	 	[***]	 
	Nonin	 	CP7200010	 	Oximeter Adhesive Bands x 25	 	Pkg for Oximeter	 	EA	 	PKG	 	 	[***]	 	 	 	[***]	 
	Itamar Medical	 	OM2193302	 	Step by Step Guide WP200	 	 	 	EA	 	EA	 	 	[***]	 	 	 	[***]	 
	Itamar Medical	 	-	 	Upgrade WP 100 to WP200	 	 	 	EA	 	EA	 	 	[***]	 	 	 	[***]	 
	Itamar Medical	 	AC2110400	 	WatchPAT 200 Kit	 	 	 	EA	 	EA	 	 	[***]	 	 	 	[***]	 
	Itamar Medical	 	CS2110010	 	WatchPAT 200 Kit 10 to 14	 	10-14 WP200 Kits & sensors, 1 s/w cd @ $[***] ea	 	EA	 	PKG	 	 	[***]	 	 	 	[***]	 
	Itamar Medical	 	CS2110015	 	WatchPAT 200 Kit 15 to 29	 	15-29 WP200 kits & sensors, 1 s/w cd @ $[***] ea.	 	EA	 	PKG	 	 	[***]	 	 	 	[***]	 
	Itamar Medical	 	CS2110030	 	WatchPAT 200 Kit 30-59	 	30-59 WP200 kits & sensors, 1 s/w cd @ $[***] ea	 	EA	 	PKG	 	 	[***]	 	 	 	[***]	 
	Itamar Medical	 	CS2110060	 	WatchPAT 200 Kit 60 Up	 	60-up WP200 kits & sensors, 1 s/w cd @ $[***] ea	 	EA	 	PKG	 	 	[***]	 	 	 	[***]	 
	Itamar Medical	 	AS2161531	 	zzzPAT S/W CD for WatchPAT 4.3.61.4	 	 	 	EA	 	EA	 	 	[***]	 	 	 	[***]	 
	Itamar Medical	 	AS2165200	 	WatchPAT 200 Patient Video	 	 	 	EA	 	EA	 	 	[***]	 	 	 	[***]	 
	Itamar Medical	 	CS1000101	 	1 Year Warranty WatchPAT	 	 	 	EA	 	EA	 	 	[***]	 	 	 	[***]	 
	Itamar Medical	 	OM2196303	 	Operation Manual	 	 	 	EA	 	EA	 	 	[***]	 	 	 	[***]	 
	Itamar Medical	 	AS0060620	 	Oximeter Sensor for WP200	 	 	 	EA	 	EA	 	 	[***]	 	 	 	[***]	 
	Itamar Medical	 	AS0060600	 	PAT Cable WP200	 	 	 	EA	 	EA	 	 	[***]	 	 	 	[***]	 
	Itamar Medical	 	MP2173302	 	Carrying Case WP200	 	 	 	EA	 	EA	 	 	[***]	 	 	 	[***]	 
	Itamar Medical	 	PS0000013	 	Pow-Supp 100-240 VAC W.M.	 	 	 	EA	 	EA	 	 	[***]	 	 	 	[***]	 
	Itamar Medical	 	AC2100210	 	12 Pneumo-opt sip probes-WP	 	 	 	EA	 	BOX	 	 	[***]	 	 	 	[***]	 
	Itamar Medical	 	CS2100210	 	12 WatchPAT Probes 1K	 	orders of [***] boxes of probes or more	 	EA	 	BOX	 	 	[***]	 	 	 	[***]	 
	Itamar Medical	 	AC21103xx-AC21104xx	 	Upgrade WP200	 	 	 	EA	 	EA	 	 	[***]	 	 	 	[***]	 

 

    	 	 	 

     

    

 

PORTIONS
OF THIS EXHIBIT WERE OMITTED AND HAVE BEEN FILED

SEPARATELY WITH
THE SECRETARY OF THE COMMISSION PURSUANT TO AN

APPLICATION
FOR CONFIDENTIAL TREATMENT UNDER RULE 24b-2 OF THE

SECURITIES EXCHANGE ACT OF 1934; [***]
DENOTES OMISSIONS

 

Exhibit B 

Extended Service plan

 

Supplier will provide the following software
and hardware services for Supplier's Products included in this Service Plan subject to the Coverage Description below:

 

• Free software updates when released

• Hardware troubleshooting and support
(as per A. below)

• Software troubleshooting and support
(as per B. below)

• Free Remote training for product
operation (up to 4 hours per year)

• Preventive Maintenance includes
pro-active part replacements (as per C. below)

• Cable/connector/tubing replacements
as a result of normal use.

• One-time battery pack replacement
or tubing replacements (where applicable)

• Device inspection & problem
assessment at Supplier labs

• Device diagnosis and software support
through phone call or email (support available 9 AM to 5 PM Sunday -Thursday Israel Time or Monday - Friday in Eastern Time U.S.)

• Free subassembly level repair at
Supplier's laboratory (as per D. below)

• Loan equipment replacement (subject
to availability and as per E. below)

• Three (3) technical study analyses
per device (medical interpretation & diagnosis not included)

• Free shipping to Customer (as per
F. below)

• See Exhibit B-1 for more product-specific
coverage

 

Coverage Description; The following
items are not covered: All consumable items, such as probes, adhesives, accessories, etc. Probes are covered for manufacturing
defects within the first ninety (90) days of purchase. If probes are discovered to be defective after this period, Supplier will
not be responsible for any such defects. Device and accessory warranty coverage is subject to normal use and to storing items at
recommended storage conditions, as described in the device User's Manual. This does not cover damage to the Product due to abuse
or mishandling. Products returned to Supplier and proven upon inspection to be defective under normal use will be repaired or exchanged.

 

A. Hardware Troubleshooting and Support:
Hardware troubleshooting and support is provided remotely by the system analysts and engineers working at Supplier's Customer
Support Center. Troubleshooting tests and services include: 

• System Integrity testing

• Analysis of clinical performance
issues

• Identifying of problems related
to accessories and connections to the system

• Interface testing

 

B. Software Troubleshooting and Support:
Supplier, through its Customer Support Center, will remotely assist KP with software installation, software updates, software
interface operation, study analyses and report generations.

 

NOTE: Updates apply only to those Supplier
software products/application programs that were purchased with the original hardware configuration or added by subsequent purchases.
Revisions do not include new hardware features or hardware enhancements that became available subsequent to the original product
configuration that was quoted and/or purchased.

 

NOTE: If the new versions of Supplier's
software products/application programs require hardware enhancements or other platform upgrades (e.g., revisions to licensed, third
party software products such as operating systems), a separate quotation will be provided. Supplier does not include replacement
hardware with software version update revisions.

 

    	 	 	 

     

    

 

The following is a list of services that
will be performed whenever software update and/or upgrade revisions are provided:

 

• Software portion of Preventive Maintenance
testing.

• Remote installation of new software
version in all devices, i.e. computer workstations, front end, etc.

• Release notes and documentation.

• Modifications to system software
configuration notes and reports as necessary to maintain existing features and formats.

 

C. Preventive Maintenance: Provides
remote phone call or email training on the best preventive care and maintenance guidelines upon KP request. KP should follow the
preventive maintenance guidelines issued with the product to ensure proper product operation. Failing to follow the preventive
maintenance guidelines may result repair charges case product is serviced at Supplier's lab. See Exhibit B-1 for a list of product-specific
Preventive Maintenance actions included within this Service Plan.

 

D.  Subassembly Level Repair Service:
This module offers a free exchange of defective system subassemblies (circuit boards, LCD display, connectors and internal
parts) with fully functional, factory- tested parts.

 

E. Loan Equipment Replacement: Supplier
will provide loan equipment replacement as necessary, to maintain core system functionality in the event that hardware components
must be sent for factory repair. Loan equipment replacement is provided based on determination of the core functionality necessary
to maintain clinical operations and the availability within our inventory. No additional fees will be charged for loan replacement
equipment even if newer than the returned equipment.

 

F. Shipping & Postage: Loan
equipment replacement (when applicable and available) will be shipped to the Customer within two (2) working days after the broken
equipment has been shipped by KP to Supplier and a proof of shipment has been emailed to Supplier. KP shall obtain an RMA number
from Supplier which includes a KP-prepared pro-forma invoice to be shipped together with the equipment. Supplier, at its sole discretion,
has the right to leave the loan equipment as a permanent replacement to equipment sent for repair. Customer shall pay postage costs
to Itamar.

 

    	 	 	 

     

    

 

General Terms and Conditions - Extended
Service Plan Agreement ("ESPA")

 

The following general terms and conditions
apply to each Extended Service Plan Agreement ("ESPA"):

 

1. Term of Agreement:

The ESPA shall have an effective term as
set forth on the ESPA, provided, however, that the term of the ESPA may be terminated upon 90 days written notice by either party
to the other. In the event the Customer elects to terminate the ESPA prior to the expiration of its stated term, the Customer shall
pay to Itamar-Medical Ltd. [***] of the stated terms of the ESPA. For clarity, if the annual cost is $[***] and KP cancels the
contract after 3 months, then KP shall pay [***]

 

Itamar Medical Ltd shall also be entitled
to terminate the ESPA in the event Customer fails to pay any Itamar invoice in a timely manner or Customer commits a material default
under this Agreement if and only if Itamar Medical has provided at least 30 days written notice to Customer detailing the late
payment or default and providing at least a 30 day opportunity for Customer to cure such late payment or default.

 

2. Eligibility for Service Agreement:

For those Customers having any equipment
out of warranty and/or not currently being serviced under an Supplier Service Agreement or, if a recent post-Warranty Support
Agreement has lapsed for a period of more than thirty (30) days, the equipment must be first inspected by Supplier, repaired and
adjusted to applicable factory specifications, and subsequently accepted by Supplier as serviceable under the ESPA. Should repairs
be necessary to bring the system to current operational specifications, KP remains responsible to purchase any required components
at the then prevailing component list price.

 

NOTE: Mandatory inspection, and any
subsequent repairs or adjustments, are provided at additional cost. They are NOT part of this post Warranty Support Agreement proposal.

 

3. Period of Service Availability and Charges:

 

a. For each maintenance request, Supplier
representative will respond within four (4) hours by phone during normal business hours or email, to collect required information
for processing the service call. Supplier's technical support representative will provide the schedule for problem repair within
two (2) working days.

 

b. In an emergency, advanced replacement
equipment will be provided based on Supplier's determination of the core functionality necessary to maintain clinical operations
and the availability of Supplier's inventory.

 

An "emergency" is defined as
the inability of KP to perform a study due to the loss of function of the device only. Loss of function of the third party computer
used for running the product software or for creating final reports is the responsibility of the third party manufacturer, even
if the computer is provided by Supplier, as Supplier's Service and Support Team cannot assume repair function for a third party
computer. Third party warranty and support information will be provided to KP at time of sale.

 

4. Exclusions;

a. Supplier shall have no obligation to
perform any maintenance services to any equipment or software, where the maintenance service required results from any of the following.
Under such circumstances, if Supplier elects to repair the equipment or software, KP shall pay for the same at Supplier's then
applicable standard rates for labor and materials (available upon request):

• Improper use of the equipment
or software.

• Failure to follow Supplier's
Preventive Maintenance guidelines for the product.

• Failure to operate the equipment
in accordance with applicable operating manuals.

• Any modification or alteration
of the equipment or software without Supplier's prior written consent.

• Equipment that has been subjected
to unusual physical or electrical stress.

 

    	 	 	 

     

    

 

• Failure to exercise reasonable efforts to take
proper care of the equipment and minimize any damage to the equipment or software.

• If maintenance to the equipment or software has
been performed by persons other than Supplier personnel without the prior written consent of Supplier.

• If damage results from operator error or misuse.

 

b. Consumables and other semi-disposable
items, such as, but not limited to, probes, external sensors, tubes, carrying case, straps, adhesives, etc., are not covered under
the ESPA. Replacement of these disposable items, if required, will be at applicable contract prices.

 

5. Access to Equipment;

In order to perform its obligations pursuant
to the ESPA, Supplier shall provide ready access to all equipment and software covered by this agreement including on-line remote
computer access.

 

    	 	 	 

     

    

 

Exhibit B-1: Product-specific Coverage

 

1. WatchPAT

• WatchPAT Device - refers to
WatchPAT of any model

• WatchPAT Software (zzzPAT)

 

• Coverage Description Includes
subassembly level hardware repair and free replacement of cables and sensors if found to be broken through normal use.

 

• Preventive Maintenance for
WatchPAT includes replacement of the following items after 200 sleep studies or when found to be faulty: battery pack, PAT-probe
cable, Oxi-sensor. Supplier will mail replacement part to KP for self installation. Parts and shipment not included.

 

2. EndoPAT

• EndoPAT 2000 Device

• EndoPAT 2000 Software

 

• Preventive Maintenance for
EndoPAT includes pro-active replacement of the pneumatic tubes (pneumatic cables) after 1,000 studies or when found to be faulty.
Parts and shipment are not included.

 

    	 	 	 

     

    

  

PORTIONS
OF THIS AGREEMENT WERE OMITTED AND HAVE BEEN FILED

SEPARATELY WITH
THE SECRETARY OF THE COMMISSION PURSUANT TO AN

APPLICATION FOR
CONFIDENTIAL TREATMENT UNDER RULE 24b-2 OF THE

SECURITIES EXCHANGE ACT OF 1934; [***] DENOTES
OMISSIONS

 

	 	Contract #RS-1233

 

AMENDMENT #6 TO ITAMAR MEDICAL AGREEMENT

 

This Amendment #6 (the
 “Amendment”) to the Master Products and Services Agreement (the “Agreement”) effective as of August 16th,
2007, is effective as of November 1, 2015, and is between Kaiser Foundation Health Plan, Inc. (“KP”) and Itamar Medical,
Inc. (“Supplier”). The parties have agreed to amend the Agreement as follows:

 

1.       Change
in Expiration Date. The expiration date of the Agreement is changed to October

31, 2018.

 

2.       Extension
of Term. Section 4.1 is deleted in its entirety and replaced with the following:

 

“Customer may extend the Term
of this Agreement for 2 additional 1 year periods by providing written notice to the Supplier prior to the expiration of the then-current
Term.”

 

3.       Products
and Pricing. The Agreement is amended by deleting Exhibit A in its entirety and replacing it with a new Exhibit A, attached
to this Amendment and incorporated herein.

 

4.       Maintenance
Services After Expiration. A new section 2.11 shall be added to the Agreement as follows:

 

“2.11 Maintenance Services
After Expiration. Supplier agrees to offer maintenance services throughout the useful life of the equipment supplied to Customer
under this Agreement. Supplier may increase prices for maintenance services after the expiration of this Agreement in an amount
[***]. This clause shall survive after expiration of the contract.”

 

5.       Principles
of Construction. Whenever the terms or conditions of the Agreement and the Amendment are in conflict, the terms of this Amendment
control. Except as specifically modified by the terms of this Amendment, all of the Agreement remains in full force and effect.
This Amendment may be executed in any number of counterparts, each of which is an original, but all counterparts of which constitute
the same instrument.

 

6.       Execution.
Authorized representatives of the parties have executed this Amendment as of the dates written below.

 

[Intentionally Left Blank] 

 

     

     

    

  

	Kaiser Foundation Health Plan, Inc.	 	Itamar Medical, Inc.
	 	 	 	 	 
	By: 	/s/ Kenneth . R. Mudge	 	By:	/s/ Avnon Tuval
	 	 	 	 	 
	Printed Name 	Kenneth . R. Mudge	 	Printed Name: 	Avnon Tuval
	 	 	 	 	 
	Its: 	Vice President, Sourcing	 	its: 	VP Operations
	 	 	 	 	 
	Date:	07/16/2015	 	Date: 	6/24/15

 

     

     

    

 

PORTIONS
OF THIS EXHIBIT WERE OMITTED AND HAVE BEEN FILED

SEPARATELY WITH
THE SECRETARY OF THE COMMISSION PURSUANT TO AN

APPLICATION FOR
CONFIDENTIAL TREATMENT UNDER RULE 24b-2 OF THE

SECURITIES EXCHANGE ACT OF 1934; [***] DENOTES
OMISSIONS

 

Exhibit A - Pricing

A.1) Price List

 

	Manufacturer
    Catalog 

    Number	 	Manufacturer
    Product Description	 	Extended
    Manufacturer Product 

    Description	 	Base

    UOM	 	Sell
    Use

    UOM	 	Sell
    Use

    Quantity	 	 	Manufacturer

    Purchase 

    Price	 
	AC2000300	 	24 Bracelets for WatchPAT	 	Chain of Custody bracelets	 	EA	 	BOX	 	 	[***]	 	 	 	[***]	 
	AC2000102	 	Adhesive Set for Sensor	 	Pkg for body position and
    snore	 	EA	 	PKG	 	 	[***]	 	 	 	[***]	 
	AS0037050	 	Battery for WP200	 	 	 	EA	 	EA	 	 	[***]	 	 	 	[***]	 
	AS0065511	 	Cable Bracelet to WP200	 	Y-cable for Chain of Custody
    use	 	EA	 	EA	 	 	[***]	 	 	 	[***]	 
	AC2000201	 	Integrated Sensor	 	 	 	EA	 	EA	 	 	[***]	 	 	 	[***]	 
	CP7200010	 	Oximeter Adhesive Bands x 25	 	Pkg for Oximeter	 	EA	 	PKG	 	 	[***]	 	 	 	[***]	 
	OM2193302	 	Step by Step Guide WP200	 	 	 	EA	 	EA	 	 	[***]	 	 	 	[***]	 
	CS2110500	 	WP200U With Trade In	 	Older device trade in for
    a WP200U	 	EA	 	EA	 	 	[***]	 	 	 	[***]	 
	CS2110010	 	WatchPAT 200U Kit 10 to 14	 	10-14 WP200 Kits &
    sensors, 1 s/w cd @ [***] ea	 	EA	 	PKG	 	 	[***]	 	 	 	[***]	 
	CS2110015	 	WatchPAT 200U Kit 15 to 29	 	15-29 WP200 kits &
    sensors, 1 s/w cd @ [***] ea.	 	EA	 	PKG	 	 	[***]	 	 	 	[***]	 
	CS2110030	 	WatchPAT
    200U Kit 30-59	 	30-59 WP200
    kits & sensors, 1 s/w cd @ [***] ea	 	EA	PKG 	 	 	[***]	 	 	 	[***] 	 
	CS2110060	 	WatchPAT 200U Kit 60 Up	 	60-up WP200 kits &
    sensors, 1 s/w cd @ [***] ea	 	EA	 	PKG	 	 	[***]	 	 	 	[***]	 
	AS2161531	 	zzzPAT S/W CD for WatchPAT 4.3.61.4	 	 	 	EA	 	EA	 	 	[***]	 	 	 	[***]	 
	AS2165200	 	WatchPAT 200 Patient Video	 	 	 	EA	 	EA	 	 	[***]	 	 	 	[***]	 
	CS1000101	 	1 Year Warranty WatchPAT	 	 	 	EA	 	EA	 	 	[***]	 	 	 	[***]	 
	OM2196303	 	Operation Manual	 	 	 	EA	 	EA	 	 	[***]	 	 	 	[***]	 
	AS0060620	 	Oximeter Sensor for WP200	 	 	 	EA	 	EA	 	 	[***]	 	 	 	[***]	 
	AS0060600	 	PAT Cable WP200	 	 	 	EA	 	EA	 	 	[***]	 	 	 	[***]	 
	MP2173302	 	Carrying Case WP200	 	 	 	EA	 	EA	 	 	[***]	 	 	 	[***]	 
	PS0000013	 	Pow-Supp 100-240 VAC W.M.	 	 	 	EA	 	EA	 	 	[***]	 	 	 	[***]	 
	AC2100210	 	12 Pneumo-opt slp probes-WP	 	 	 	EA	 	BOX	 	 	[***]	 	 	 	[***]	 
	CS2100210	 	12 WatchPAT Probes 1K	 	orders of 1000 boxes of
    probes or more	 	EA	 	BOX	 	 	[***]	 	 	 	[***]	 
	AC21103xx-AC21104xx	 	Upgrade WP200	 	 	 	EA	 	EA	 	 	[***]	 	 	 	[***]	 
	AC2101200	 	12 Pneumo-Opt uPAT Probes	 	12 Pneumo-Opt uPAT Probes	 	EA	 	Box	 	 	[***]	 	 	 	[***]	 
	AC2110400	 	WatchPAT-200U	 	 	 	EA	 	EA	 	 	[***]	 	 	 	[***]	 
	AS0065515	 	Cable Bracelet to WatchPAT200U	 	Y-cabie for Chain of Custody
    use U devise	 	EA	 	EA	 	 	[***]	 	 	 	[***]	 
	UP2100300	 	Upgrade Kit Watch-PAT200U	 	Upgrade kit for WatchPAT
    200 3 series	 	EA	 	EA	 	 	[***]	 	 	 	[***]	 

  

A.2) Trade-in

 

	Manufacturer	 	Manufacturer Product	 	Extended Manufacturer Product	 	Manufacturer	 	 	Price for purchases made	 
	Catalog Number	 	Description	 	Description	 	Purchase Price	 	 	before [***]	 
	CS2110500	 	WP200U With Trade In	 	Older itamar device or any competitor’s equipment at working condition - trade in for a WP200U	 	 	[***]	 	 	 	[***]	 
	UP2100300	 	Upgrade Kit Watch- PAT200U	 	Upgrade kit for Watch PAT 200 5 series	 	 	[***]	 	 	 	[***]	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 

 

     

     

    

 

PORTIONS
OF THIS AGREEMENT WERE OMITTED AND HAVE BEEN FILED

SEPARATELY WITH
THE SECRETARY OF THE COMMISSION PURSUANT TO AN

APPLICATION FOR
CONFIDENTIAL TREATMENT UNDER RULE 24b-2 OF THE

SECURITIES EXCHANGE ACT OF 1934; [***] DENOTES
OMISSIONS

 

Contract # RS-1233

 

AMENDMENT
#7 TO ITAMAR MEDICAL AGREEMENT

 

This Amendment #7 (the “Amendment”)
to the Master Products and Services Agreement (#RS-1233) (the “Agreement”), effective as of August 16, 2007, is effective
as of June 26th, 2017, and is between Kaiser Foundation Health Plan, Inc. (“”) and Itamar Medical, Inc. (“Supplier”).
The parties have agreed to amend the Agreement as follows:

 

1.       Change
of Supplier Principal Place of Business. Supplier’s principal place of business is at 3290 Cumberland Club Drive, Suite 100,
Atlanta, GA.

 

2.       Products
and Pricing. The Agreement is amended by adding the Products and pricing set forth on Exhibit A.1 attached to the Agreement and
incorporated therein by this reference.

 

3.       Section
6 is deleted and replaced with the following language:

 

6.20. Rebate. Supplier will issue a credit
to KP if [***] (the “Rebate Period”), during each year of the Agreement, [***] The rebate value will correspond to
[***]. KP may [***]. For clarity, if [***], then [***]. Supplier will provide the credit amount to KP within 30 days after the
end of the Rebate Period.

 

4.       Principles
of Construction. Wherever the terms or conditions of the Agreement and the Amendment are in conflict, the terms of this Amendment
control. Except as specifically modified by the terms of this Amendment, all of the Agreement remains in full force and effect.
This Amendment may be executed in any number of counterparts, each of which is an original, but all counterparts of which constitute
the same instrument.

 

5.       Execution,
Authorized representatives of the parties have executed this Amendment as of the dates written below.

 

	Kaiser Foundation Health Plan, Inc.	Itamar Medical, Inc.

 

	By:	/s/ Nestor  Jarquin	 	By	/s/ Jeff Levin
	 	 	 	 	 
	Printed Name:	Nestor  Jarquin	 	Printed Name:	Jeff Levin
	 	 	 	 	 
	Its: 	Sourcing manager Medical 	 	Its: 	Region  Business Director, Kaiser Permanente
	 	 	 	 	 
	Date:	06/08/2017	 	Date:	6/23/17

  

     

     

    

 

 PORTIONS
OF THIS EXHIBIT WERE OMITTED AND HAVE BEEN FILED

SEPARATELY WITH
THE SECRETARY OF THE COMMISSION PURSUANT TO AN

APPLICATION FOR
CONFIDENTIAL TREATMENT UNDER RULE 24b-2 OF THE

SECURITIES EXCHANGE ACT OF 1934; [***] DENOTES
OMISSIONS

 

Exhibit A.l

Pricing

 

	Manufacturer Catalog

Number	 	Manufacturer Product Description	 	
        Base

        UOM
	 	Sell Sse 

UOM	 	Sell Sse

Quantity	 	 	Manufacturer Purchase 

Price	 
	AC3000100	 	Central Plus Sensor Replacement	 	EA	 	EA	 	 	[***]	 	 	 	[***]	 
	AC3000300	 	Central Plus Add-On Kit with RESBP	 	EA	 	EA	 	 	[***]	 	 	 	[***]

Source: [{"source": "alea-institute/alea-institute/kl3m-data-edgar-agreements/train-00290-of-00352.parquet"}, [{"source": "alea-institute/alea-institute/kl3m-data-edgar-agreements/train-00290-of-00352.parquet"}]]