Document:

Form of 6% Convertable Senior Secured Debentures due March 30, 2009

 Exhibit 10.2 
 THE SECURITIES REPRESENTED BY THIS CONVERTIBLE SENIOR SECURED DEBENTURE, INCLUDING THE SHARES OF COMMON STOCK ISSUABLE UPON CONVERSION HEREOF, HAVE NOT BEEN REGISTERED UNDER THE SECURITIES ACT OF 1933 (THE “ACT”), OR ANY STATE
SECURITIES LAWS AND NEITHER SUCH SECURITIES NOR ANY INTEREST THEREIN MAY BE OFFERED, SOLD, PLEDGED, ASSIGNED OR OTHERWISE TRANSFERRED UNLESS (1) A REGISTRATION STATEMENT WITH RESPECT THERETO IS EFFECTIVE UNDER THE ACT AND ANY APPLICABLE STATE
SECURITIES LAWS, OR (2) THE COMPANY RECEIVES AN OPINION OF COUNSEL TO THE HOLDER OF SUCH SECURITIES, WHICH COUNSEL AND OPINION ARE REASONABLY SATISFACTORY TO THE COMPANY, THAT SUCH SECURITIES MAY BE OFFERED, SOLD, PLEDGED, ASSIGNED OR
TRANSFERRED IN THE MANNER CONTEMPLATED WITHOUT AN EFFECTIVE REGISTRATION STATEMENT UNDER THE ACT OR APPLICABLE STATE SECURITIES LAWS. 
 THIS
INSTRUMENT AND THE RIGHTS AND OBLIGATIONS EVIDENCED HEREBY ARE SUBORDINATE IN THE MANNER AND TO THE EXTENT SET FORTH IN THAT CERTAIN SUBORDINATION AGREEMENT DATED AS OF APRIL 17, 2007 BY AND AMONG MEDICAL SOLUTIONS MANAGEMENT INC., VICIS
CAPITAL MASTER FUND AND APOGEE FINANCIAL INVESTMENTS INC. AND THEIR SUCCESSORS AND ASSIGNS, AND EACH HOLDER OF THIS INSTRUMENT, BY ITS ACCEPTANCE HEREOF, IRREVOCABLY AGREES TO BE BOUND BY THE PROVISIONS THEREOF. 
 FORM OF 
 MEDICAL SOLUTIONS
MANAGEMENT INC. 
 6% CONVERTIBLE SENIOR SUBORDINATED SECURED DEBENTURE 
 DUE APRIL 17, 2009 
  

			
	 $[                    ]
 No. [        ]
	 	 Marlboro, Massachusetts 
 [  Date  ]

  
 FOR VALUE RECEIVED, upon the
terms and subject to the conditions set forth in this convertible senior secured debenture (this “Debenture”), MEDICAL SOLUTIONS MANAGEMENT INC., a Nevada corporation with its principal place of business at 237 Cedar Hill Street, Marlboro,
MA (the “Company”), absolutely and unconditionally promises to pay to the order of [                        ] (the
“Payee” or “Holder”), upon due presentation and surrender of this Debenture, on April 17, 2009 (the “Maturity Date”), unless earlier converted pursuant to Section 3.1 hereof, the principal amount of
[                    ] Dollars ($[                ]) and accrued
interest thereon as hereinafter provided. This Debenture is issued in connection with a certain Securities Purchase and Exchange Agreement, 
  

 of even date herewith, between the Company and the Holder (the “Purchase Agreement”), all terms of which are
incorporated herein by this reference and hereby made a part of this Debenture. Capitalized terms not defined herein shall have the meanings ascribed to them in the Purchase Agreement. By its acceptance of this Debenture, the Holder agrees to be
bound by the terms of the Purchase Agreement. 
 ARTICLE I 
 PAYMENT OF PRINCIPAL AND INTEREST; METHOD OF PAYMENT 
 1.1 Payment of Principal. Payment of
the principal of this Debenture (and any interest accrued thereon) shall be made in shall be made in U.S. dollars in immediately available funds, without setoff or counterclaim and without any withholding or deduction whatsoever. The Company may not
at any time, without the prior written consent of the Purchaser, prepay the Debenture, in whole or in part. 
 1.2 Payment of
Interest. Interest shall accrue on the unpaid portion of the principal amount from time to time outstanding at the rate of six percent (6%) per annum (the “Stated Interest Rate”), computed on the basis of a 360-day year of twelve
30-day months, and become payable to the Payee on the Maturity Date. Interest shall be paid as in U.S. dollars in immediately available funds, without setoff or counterclaim and without any withholding or deduction whatsoever; provided that, in
connection with any conversion of this Debenture pursuant to Section 3.1 hereof, the Company may, in its sole discretion, elect to pay any interest due hereunder in shares of Common Stock in an amount equal to the total amount of interest to be
paid divided by the Conversion Price. 
 1.3 Payment on Non-Business Days. If the outstanding principal and accrued but unpaid
interest under this Debenture becomes due and payable on a Saturday, Sunday or public holiday under the laws of the State of New York, the due date hereof shall be extended to the next succeeding full business day and interest shall be payable at
the rate of six (6%) percent per annum during such extension. All payments received by the Holder shall be applied first to the payment of all accrued interest payable hereunder. 
 1.4 Late Fee. In the event any payment of principal or interest or both shall remain unpaid for a period of ten (10) days or more after the
due date thereof, a one-time late charge equivalent to six percent (6%) of each unpaid amount shall be charged. 
 1.5 Adjustment of
Stated Interest Rate. After an Event of Default and acceleration of the Maturity Date by the Holder the Stated Interest Rate shall be adjusted to a rate of ten percent (10%) per annum, subject to the limitations of applicable law.

 ARTICLE II 
 SECURITY

 The obligations of the Company under this Debenture are secured pursuant to security interests on assets, tangible and intangible, of
the Company granted by the Company to the Holder pursuant to a security agreement of even date herewith and a stock pledge agreement referred to in the Purchase Agreement. In addition, OrthoSupply Management, Inc., a Delaware corporation and
wholly-owned subsidiary of the Company, has executed in favor of 

  

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the Holder a certain guaranty agreement, dated of even date herewith, guaranteeing the full and unconditional payment when due of the amounts payable by the
Company to the Holder pursuant to the terms of this Debenture. The obligations of OrthoSupply Management, Inc. under its guaranty agreement are secured pursuant to security interests on and collateral assignments of, assets, tangible and intangible,
of OrthoSupply Management, Inc. granted by OrthoSupply Management, Inc. to the Holder pursuant to a security agreement of even date herewith referred to in the Purchase Agreement. 
 ARTICLE III 
 CONVERSION 
 3.1 Conversion at Option of Holder. At any time and from time to time on and after the date hereof (the “Initial Conversion Date”) until
the Maturity Date, the outstanding principal balance and accrued but unpaid interest under this Debenture is convertible in whole or in part at the Holder’s option into shares of Common Stock (“Conversion Shares”) upon surrender of
this Debenture, at the office of the Company, accompanied by a written Conversion Notice in the form attached hereto as Annex II duly executed by the registered Holder or its duly authorized attorney. “Common Stock” means
common stock of the Company as it exists on the date this Debenture is originally signed. This Debenture is convertible on or after the Initial Conversion Date into shares of Common Stock at a price per share of Common Stock equal to $.30 per share
(subject to proportionate adjustment in the event of any stock dividend, stock split, combination of shares, reorganization, recapitalization, reclassification or other similar event affecting the Common Stock occurring after the date hereof) (the
“Conversion Price”). No fractional shares or scrip representing fractional shares will be issued upon any conversion, but an adjustment in cash will be made, in respect of any fraction of a share which would otherwise be issuable upon the
surrender of this Debenture for conversion. The Conversion Price is subject to adjustment as provided in Section 3.5 and Section 3.6 hereof. As soon as practicable following conversion and upon the Holder’s compliance with the
conversion procedure described in Section 3.3 hereof, the Company shall deliver a certificate for the number of full shares of Common Stock issuable upon conversion and a check for any fractional share and, in the event the Debenture is
converted in part, a new Debenture in the principal amount equal to the remaining principal balance of this Debenture after giving effect to such partial conversion. 
 3.2 Registration of Transfer. The Company shall maintain books for the transfer and registration of this Debenture. Upon the transfer or assignment of this Debenture by the Holder pursuant to the terms hereof
and its delivery of a properly completed and executed Assignment attached hereto as Annex I, the Company shall issue and register this Debenture in the names of the new holders. The new Debentures shall be signed manually by the
Chairman, Chief Executive Officer, President or any Vice President and the Secretary or Assistant Secretary of the Company. 
 3.3
Conversion Procedure. The Company shall convert, from time to time, any outstanding portion of this Debentures upon the books to be maintained by the Company for such purpose upon surrender thereof for conversion properly endorsed and
accompanied by a properly completed and executed Conversion Notice attached hereto as Annex II. Subject to the terms of this Debenture, upon surrender of this Debenture the Company shall issue and deliver 

  

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a certificate or certificates in such name or names as the Holder may designate for the number of full shares of Common Stock due to such Holder upon the
conversion of this Debenture. Such certificate or certificates shall be deemed to have been issued and any person so designated to be named therein shall be deemed to have become the Holder of record of such Shares as of the date of the surrender of
this Debenture; provided, however, that if, at the date of surrender the transfer books of the Common Stock shall be closed, the certificates for the Shares shall be issuable as of the date on which such books shall be opened and until such date the
Company shall be under no duty to deliver any certificate for such Shares; provided, further, however, that such transfer books, unless otherwise required by law or by applicable rule of any national securities exchange, shall not be closed at any
one time for a period longer than twenty (20) days. 
 3.4 Issuance of Common Stock. As of the date hereof, the Company has duly
authorized and reserved for issuance all shares of Common Stock to permit the full conversion of this Debenture. The Conversion Shares which may be issued upon the conversion of this Debentures shall be fully paid and non-assessable and free of
preemptive rights. The Company will endeavor to comply with all securities laws regulating the offer and delivery of the Conversion Shares upon conversion of this Debenture. 
 3.5 Dividends; Reclassifications, etc. In the event that the Company shall, at any time prior to the earlier to occur of (i) exercise of
conversion rights hereunder and (ii) the Maturity Date: (i) declare or pay to the holders of the Common Stock a dividend payable in any kind of shares of capital stock of the Company; or (ii) change or divide or otherwise reclassify
the Common Stock into the same or a different number of shares with or without par value, or in shares of any class or classes; or (iii) transfer its property as an entirety or substantially as an entirety to any other company or entity; or
(iv) make any distribution of its assets to holders of the Common Stock as a liquidation or partial liquidation dividend or by way of return of capital; then, upon the subsequent exercise of conversion rights under this Debenture, the Holder of
the Conversion Shares shall receive, in addition to or in substitution for the Conversion Shares to which it would otherwise be entitled upon such exercise, such additional shares of stock or scrip of the Company, or such reclassified shares of
stock of the Company, or such shares of the securities or property of the Company resulting from transfer, or such assets of the Company, which it would have been entitled to receive had it exercised these conversion rights prior to the happening of
any of the foregoing events. 
 3.6 Most Favored Nations Exchange. Except for any Qualified Issuance, (as hereinafter defined), if at
any time until one year after the Effective Date of the Registration Statement, the Company shall offer, issue or agree to issue any Common Stock or securities convertible into or exercisable for shares of Common Stock (or modify any of the
foregoing which may be outstanding at any time prior to the Closing Date) to any person or entity at a price per share or conversion or exercise price per share which shall be less than the Conversion Price then in effect, then, for each such
occasion, as to this Debenture (if remaining outstanding), without the consent of the Holder, the Conversion Price shall be adjusted to equal such other lower price per share, and, as to shares of Common Stock, if any, that were previously issued
upon the partial conversion of this Debenture and are then still owned by the Purchaser, the Company shall issue additional shares of Common Stock to the Holder so that the average per share purchase price of the shares of Common Stock issued to the
Holder upon 

  

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the conversion of this Debenture is equal to such other lower price per share. For purposes of this Section 3.6 “Qualified Issuance” shall
mean (x) the grant, issuance or exercise of any convertible securities pursuant to a qualified or non-qualified stock option plan of the Company or any other bona fide employee benefit plan or incentive arrangement, adopted or approved by the
Board and approved by the Company’s shareholders, as may be amended from time to time, (y) the grant, issuance or exercise of any convertible securities in connection with the hire or retention of any officer, director or key employee of
the Company, provided such grant is approved by the Board, or (z) the issuance of any shares of Common Stock pursuant to the grant or exercise of convertible securities outstanding as of the date hereof (exclusive of any subsequent amendments
thereto). 
 3.7 Notice to Holder. If, at any time while this Debenture is outstanding, the Company shall pay any dividend payable in
cash or in Common Stock, shall offer to the holders of Common Stock for subscription or purchase by them any shares of stock of any class or any other rights, shall enter into an agreement to merge or consolidate with another corporation, shall
propose any capital reorganization or reclassification of the capital stock of the Company, including any subdivision or combination of its outstanding shares of Common Stock or there shall be contemplated a voluntary or involuntary dissolution,
liquidation or winding up of the Company, the Company shall cause notice thereof to be mailed to the registered Holder of this Debenture at its address below, at least thirty (30) days prior to the record date as of which holders of Common
Stock shall participate in such dividend, distribution or subscription or other rights or at least thirty (30) days prior to the effective date of the merger, consolidation, reorganization, reclassification or dissolution. 
 ARTICLE IV 
 MISCELLANEOUS

 4.1 Default. Upon the occurrence of any one or more of the Events of Default specified or referred to in the Purchase Agreement
or in the other documents or instruments executed in connection therewith, all amounts then remaining unpaid on this Debenture may be declared to be immediately due and payable as provided in the Purchase Agreement. 
 4.2 Collection Costs. Should all or any part of the indebtedness represented by this Debenture be collected by action at law, or in bankruptcy,
insolvency, receivership or other court proceedings, or should this Debenture be placed in the hands of attorneys for collection after default, the Company hereby promises to pay to the Holder, upon demand by the Holder at any time, in addition to
the outstanding principal and all (if any) other amounts payable on or in respect of this Debenture, all court costs and reasonable attorneys’ fees and other collection charges and expenses incurred or sustained by the Holder. 
 4.3 Rights Cumulative. The rights, powers and remedies given to the Payee under this Debenture shall be in addition to all rights, powers and
remedies given to it by virtue of the Purchase Agreement, any document or instrument executed in connection therewith, or any statute or rule of law. 
 4.4 No Waivers. Any forbearance, failure or delay by the Payee in exercising any right, power or remedy under this Debenture, the Purchase Agreement, any documents or instruments executed in connection
therewith or otherwise available to the Payee shall not be 

  

 5 

 
deemed to be a waiver of such right, power or remedy, nor shall any single or partial exercise of any right, power or remedy preclude the further exercise
thereof. 
 4.5 Amendments in Writing. No modification or waiver of any provision of this Debenture, the Purchase Agreement or any
documents or instruments executed in connection therewith shall be effective unless it shall be in writing and signed by the Payee, and any such modification or waiver shall apply only in the specific instance for which given. 
 4.6 Governing Law. This Debenture and the rights and obligations of the parties hereto, shall be governed, construed and interpreted according to
the laws of the State of New York, wherein it was negotiated and executed, and the undersigned consents and agrees that the State and Federal Courts which sit in the State of New York, County of New York shall have exclusive jurisdiction of all
controversies and disputes arising hereunder. 
 4.7 No Counterclaims. The Company waives the right to interpose counterclaims or
set-offs of any kind and description in any litigation arising hereunder and waives the right in any litigation with the Payee (whether or not arising out of or relating to this Debenture) to trial by jury. 
 4.8 Successors. The term “Payee” and “Holder” as used herein shall be deemed to include the Payee and its successors,
endorsees and assigns. 
 4.9 Notices. All notices, demands or other communications given hereunder shall be in writing and shall be
sufficiently given if delivered either personally or by a nationally recognized courier service marked for next business day delivery or sent in a sealed envelope by first class mail, postage prepaid and either registered or certified, addressed as
follows: 
  

	 	(a)	if to the Company: 

 Medical Solutions
Management Inc. 
 237 Cedar Hill Street 
 Marlboro MA 01752 
 Attn: Chief Executive Officer 
  

	 	(b)	if to the Holder: 

 [                    ] 
 (or at such other address as the Holder may have furnished in writing to the Company) 
  

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 4.10 Certain Waivers. The Company hereby irrevocably waives notice of acceptance, presentment,
notice of nonpayment, protest, notice of protest, suit and all other conditions precedent in connection with the delivery, acceptance, collection and/or enforcement of this Debenture or any collateral or security therefor. 
 4.11 Mutilated, Lost, Stolen or Destroyed Debentures. In case this Debenture shall be mutilated, lost, stolen or destroyed, the Company shall
issue and deliver in exchange and substitution for and upon cancellation of the mutilated Debenture, or in lieu of and substitution for the Debenture, mutilated, lost, stolen or destroyed, a new Debenture of like tenor and representing an equivalent
right or interest, but only upon receipt of evidence satisfactory to the Company of such loss, theft or destruction and an indemnity, if requested, also satisfactory to it. 
 4.12 Transfer and Assignment. The Holder may transfer or assign this Debenture without the consent of the Company; provided that, it may not so
transfer or assign this Debenture or any rights hereunder to any competitor of the Company. The Company may not transfer or assign this Debenture or its obligations hereunder without the consent of the Holder. 
 4.13 Ownership Cap and Certain Exercise Restrictions. Notwithstanding the Holder’s ownership of shares of the Common Stock, at no time may
the Holder convert this Debenture if the number of shares of Common Stock to be issued pursuant to such exercise would exceed, when aggregated with all other shares of Common Stock owned by the Holder at such time, the number of shares of Common
Stock which would result in the Holder beneficially owning (as determined in accordance with Section 13(d) of the Exchange Act and the rules thereunder) in excess of 4.99% of the then issued and outstanding shares of Common Stock; provided,
however, that upon the Holder providing the Company with sixty-one (61) days notice (the “Waiver Notice”) that the Holder would like to waive this Section 4.13 with regard to any or all shares of Common Stock issuable upon
conversion of this Debenture, this Section 4.13 will be of no force or effect with regard to all or a portion of this Debenture referenced in the Waiver Notice; provided, further, that this provision shall be of no further force or effect
during the sixty-one (61) days immediately preceding the Maturity Date. 
 [signature page follows] 
  

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 IN WITNESS WHEREOF, Medical Solutions Management Inc. has caused this Debenture to be signed by its Chief
Executive Officer and to be dated the day and year first above written. 
  

			
		
	 ATTEST [SEAL]
  
 ____________________________________________
  
  
	 	 MEDICAL SOLUTIONS MANAGEMENT INC.
  
 ____________________________________________
 Brian
Lesperance
 Chief Executive Officer

  

 ANNEX I 
 ASSIGNMENT 
 For value received, the undersigned hereby assigns subject to the provisions of
Section 12.4 of that certain Securities Purchase Agreement, dated as of April 17, 2007, of Medical Solutions Management Inc., a Nevada corporation (the “Company”), as may be amended or modified from time to time, to ________
$_________________ principal amount of and $_________________ in accrued but unpaid interest under the 6% Convertible Senior Subordinated Secured Debenture due April 17, 2009 evidenced hereby and hereby irrevocably appoints _______________
attorney to transfer the Debenture (or such portion thereof) on the books of the within named corporation with full power of substitution in the premises. 
 Dated: 
 In the presence of: 
  
  
  

 ANNEX II 
 CONVERSION NOTICE 
 TO: MEDICAL SOLUTIONS MANAGEMENT INC. 
 The undersigned holder of this Debenture hereby irrevocably exercises the option to convert $________ principal amount of and $_________________ in
accrued but unpaid interest under such Debenture (which may be less than the stated principal amount thereof) into shares of Common Stock of Medical Solutions Management Inc., in accordance with the terms of such Debenture, and directs that the
shares of Common Stock issuable and deliverable upon such conversion, together with a check (if applicable) in payment for any fractional shares as provided in such Debenture, be issued and delivered to the undersigned unless a different name has
been indicated below. If shares of Common Stock are to be issued in the name of a person other than the undersigned holder of such Debenture, the undersigned will pay all transfer taxes payable with respect thereto. 
 ____________________________________ 
 Name and address of Holder 
 ____________________________________ 
 Signature of Holder 
  
 Principal amount of Debenture 
 to be converted
$                                        
             
 If shares are to be issued otherwise then to the holder: 
 ______________________________________ 
 Name of Transferee 
 Address of Transferee 
 ____________________________________ 
 ____________________________________ 
 ____________________________________ 
 Social Security or Tax ID Number of Transferee 
 ____________________________________Subordination Agreement dated as of April 17, 2007

 Exhibit 10.4 
 SUBORDINATION AGREEMENT 
 THIS SUBORDINATION AGREEMENT (this “Agreement”) is
dated as of April 17, 2007, by and among MEDICAL SOLUTIONS MANAGEMENT INC. (“Borrower”), VICIS CAPITAL MASTER FUND, as the holder of the Senior Debt, as defined below (in such capacity, the “Senior Creditor”),
APOGEE FINANCIAL INVESTMENTS INC. (“Apogee”), as a holder of the Junior Debt, as defined below, and VICIS CAPITAL MASTER FUND, as a holder of the Junior Debt (in such capacity, together with Apogee, the “Subordinated
Creditors”) and as agent for the holders of the Junior Debt (in such capacity, “Agent”). 
 WHEREAS,
pursuant to the terms and conditions of the Senior Debt Documents, Borrower is indebted to the Senior Creditor. 
 WHEREAS, pursuant
to the terms and conditions of the Junior Debt Documents, Borrower is, or is about to be, indebted to the Subordinated Creditors. 
 WHEREAS, Agent and the Subordinated Creditors have agreed to subordinate their rights and claims to the rights and claims of the Senior Creditor, all in accordance with the terms and provisions of this Agreement. 
 NOW, THEREFORE, for and in consideration of the premises and the mutual agreements contained herein, the parties hereto hereby agree as follows:

 1. Definitions. 
 “Agent” shall have the meaning set forth in the recitals hereto. 
 “Agreement” means this
Subordination Agreement entered into by the parties hereto, as the same may be amended, restated, supplemented or otherwise modified from time to time. 
 “Bankruptcy Code” means Title 11 of the United States Code, as amended from time to time, and any successor statute and all rules and regulations promulgated thereunder. 
 “Borrower” shall have the meaning set forth in the recitals hereto. 
 “Collateral” shall mean any and all property, if any, which now constitutes or hereafter will constitute collateral or other security
for payment of the Senior Debt pursuant to the Senior Debt Documents or otherwise. 
 “Event of Default” means an Event of
Default as that term is defined in the 6% Convertible Senior Subordinated Secured Debentures due April 17, 2009. 
 “Obligors” shall mean Borrower and any other person who has agreed to pay or has guaranteed any amounts due under the Senior Debt Documents. 
  

 “Permitted Subordinated Debt Payments” means (i) payments of regularly scheduled
cash payments of interest on the Subordinated Debt due and payable in accordance with the terms of the Subordinated Debt Documents as in effect on the date hereof or as modified in accordance with the terms of this Agreement, and (ii) accruals
and capitalization of interest in accordance with the terms of the Subordinated Debt Documents. For the avoidance of doubt, payments of principal, interest or fees due upon acceleration of any of the Subordinated Debt, payments of cash interest for
interest which is to be accrued under the terms of the Subordinated Debt Documents as in effect on the date hereof or as modified in accordance with the terms of this Agreement and purchases of Subordinated Debt by an Obligor as required under the
Subordinated Debt Documents shall not constitute Permitted Subordinated Debt Payments. 
 “Proceeding” shall mean any
voluntary or involuntary insolvency, bankruptcy, receivership, custodianship, liquidation, dissolution, reorganization, assignment for the benefit of creditors, marshaling of assets, appointment of a custodian, receiver, trustee or other officer
with similar powers or any other proceeding for the liquidation, dissolution or other winding up of a person or entity, including, without limitation, any of the foregoing under the Bankruptcy Code. 
 “Senior Creditor” shall have the meaning set forth in the recitals hereto, together with its successors and assigns, including, without
limitation, any participants in the Senior Debt. 
 “Senior Debt” shall mean all indebtedness, obligations and liabilities
of Borrower and the Obligors to the Senior Creditor under the Senior Debt Documents, including, without limitation, principal, accrued and unpaid interest, fees, costs and expenses, now and from time to time hereafter owing, due or payable under the
Senior Debt Documents, whether before or after the filing of a Proceeding or judgment, together with (a) any amendments, modifications, refinancings, replacements, substitutions, renewals or extensions thereof and (b) any interest accruing
thereon after the commencement of a Proceeding, without regard to whether or not such interest is an allowed claim. 
 “Senior Debt
Documents” means the 6% Convertible Senior Secured Debentures due June 28, 2008 (the “Senior Debentures”), the Securities Purchase and Exchange Agreement, dated as of June 28, 2006 between the Borrower and Agent and the
Transaction Documents identified therein, and all other documents related thereto, in each case as amended, restated, supplemented or otherwise modified from time to time. 
 “Subordinated Creditors” shall have the meaning set forth in the recitals hereto. 
 “Subordinated Debt” shall mean all indebtedness, obligations and liabilities of Borrower and the Obligors to Agent and the Subordinated
Creditors under the Subordinated Debt Documents, including, without limitation, principal, accrued and unpaid interest, fees, costs and expenses, now and from time to time hereafter owing, due or payable under the Subordinated Debt Documents,
whether before or after the filing of a Proceeding or judgment, together with (a) any amendments, modifications, refinancings, replacements, substitutions, renewals or extensions thereof and (b) any interest accruing thereon after the
commencement of a Proceeding, without regard to whether or not such interest is an allowed claim. 
  

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 “Subordinated Debt Agreement” shall have the meaning set forth in the recitals hereto.

 “Subordinated Debt Documents” means the 6% Convertible Senior Subordinated Secured Debentures due April 17, 2009
(the “Junior Debentures”), the Securities Purchase and Exchange Agreement, dated as of April 17, 2007 between the Borrower and the Subordinated Creditors and the Transaction Documents identified therein, and all other documents
related thereto, in each case as amended, restated, supplemented or otherwise modified from time to time. 
 2. Subordination of Debt. Agent and the
Subordinated Creditors subordinate, to the extent and in the manner provided in this Agreement, all Subordinated Debt to the payment in full of all Senior Debt. If Borrower or any Obligor issues, has issued or is party to any instrument or document
evidencing all or any part of the Subordinated Debt, it (and all copies thereof) shall bear a conspicuous legend stating: 
 “THIS
INSTRUMENT AND THE RIGHTS AND OBLIGATIONS EVIDENCED HEREBY ARE SUBORDINATE IN THE MANNER AND TO THE EXTENT SET FORTH IN THAT CERTAIN SUBORDINATION AGREEMENT DATED AS OF APRIL 12, 2007 BY AND AMONG MEDICAL SOLUTIONS MANAGEMENT INC., VICIS
CAPITAL MASTER FUND AND APOGEE FINANCIAL INVESTMENTS INC. AND THEIR SUCCESSORS AND ASSIGNS, AND EACH HOLDER OF THIS INSTRUMENT, BY ITS ACCEPTANCE HEREOF, IRREVOCABLY AGREES TO BE BOUND BY THE PROVISIONS THEREOF.” 
 Borrower’s and the Subordinated Creditors’ books shall be marked to evidence subordination of all Subordinated Debt to the Senior Creditor
pursuant to the terms of this Agreement. Nothing contained in this Agreement shall affect the validity of the Subordinated Debt. 
 3. Payments on
Subordinated Debt. 
 (a) Permitted Payments. Until (i) the Agent becomes aware of the occurrence of an Event of Default or
(ii) the Senior Creditor provides written notice to the Subordinated Creditors of the occurrence of an Event of Default, Borrower may make, and the Subordinated Creditors may retain, to the extent such payment would not violate this Agreement,
all Permitted Subordinated Debt Payments. Borrower may resume making Permitted Subordinated Debt Payments (and may make any Permitted Subordinated Debt Payments missed due to the application of this Agreement) in respect of the Subordinated Debt
upon the earliest to occur of (i) the cure or waiver of such Event of Default and receipt of the prior written consent of the Senior Creditor to such payment and (ii) the termination of this Agreement in accordance with Section 7.

 (b) Limitations. Except as set forth in Section 3(a) and, with respect to clauses (i) and (ii) below, until this
Agreement expires pursuant to Section 7 hereof: (i) Borrower and the Obligors shall not, directly or indirectly, make any payments on account of or transfer any Collateral to satisfy any part of the Subordinated Debt; (ii) Agent and
the Subordinated Creditors shall not demand or accept from Borrower or any Obligor or retain any payment on or any Collateral or any assets of Borrower or the Obligors for any part of the Subordinated Debt; (iii) Agent and the Subordinated
Creditors shall not cancel, set off or otherwise discharge any part of 

  

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the Subordinated Debt; and (iv) Borrower, the Obligors, Agent and the Subordinated Creditors shall not otherwise take or permit any action prejudicial
to or inconsistent with the Senior Creditor’s priority position over Agent and the Subordinated Creditors created by this Agreement. 
 (c) Payments Received. Except as permitted in Section 3(a), if any payment on account of, or any asset of Borrower or any Obligor for, any part of the Subordinated Debt (other than capitalized interest on the Subordinated Debt)
is received by Agent or the Subordinated Creditors, Agent and/or the Subordinated Creditors shall immediately deliver such payment or asset to the Senior Creditor for application to the Senior Debt, in the form received except for the addition of
any endorsement or assignment necessary to effect a transfer of all rights therein to the Senior Creditor. Agent and the Subordinated Creditors irrevocably authorize the Senior Creditor to supply any required endorsement or assignment which may have
been omitted. Until so delivered, any such payment or asset shall be held by Agent and/or the Subordinated Creditors in trust for the Senior Creditor and shall not be commingled with other funds or property of Agent or the Subordinated Creditors.
Upon expiration of this Agreement pursuant to Section 7 hereof, Agent on behalf of the Subordinated Creditors shall be subrogated to all rights of the Senior Creditor to receive all further payments or distributions applicable to the Senior
Debt, and, to the extent permitted by law, shall have the benefit of all liens and security interests of the Senior Creditor in the assets and properties of Borrower and any other person or entity that secures the Senior Debt until the Subordinated
Debt shall have been paid in full. Agent and the Subordinated Creditors shall not exercise any right of subrogation, reimbursement, restitution, contribution or indemnity whatsoever prior to the expiration of this Agreement pursuant to
Section 7 hereof. For purposes of Agent’s subrogation rights hereunder, payment to the Senior Creditor with respect to the Senior Debt that Agent on behalf of the Subordinated Creditors would have been entitled to receive with respect to
the Subordinated Debt but for the provisions of this Agreement shall not, as between Borrower and any other Obligor on the Senior Debt and Agent and the Subordinated Creditors, be deemed payments with respect to the Senior Debt, but rather shall be
deemed payments with respect to the Subordinated Debt, it being understood that the provisions of this Agreement are solely for the purpose of defining the relative rights of the holders of the Senior Debt, on the one hand, and Agent and the
Subordinated Creditors, on the other hand. 
 4. Collection of Subordinated Debt; Bankruptcy. Until the expiration of this Agreement pursuant to
Section 7 hereof, Agent and the Subordinated Creditors shall not, without the prior written consent of the Senior Creditor, accelerate the maturity of any of the Subordinated Debt, or initiate or join with any other creditor of Borrower or any
other Obligor in initiating any proceedings, voluntary or involuntary, for the collection of the Subordinated Debt or for the distribution, division or application of all or any part of the assets of Borrower or any other Obligor or the proceeds
thereof, whether such proceedings be for the liquidation, dissolution or winding up of Borrower or any other Obligor or their business, receivership, insolvency or bankruptcy proceedings, an assignment for the benefit of creditors or proceedings by
or against Borrower or any other Obligor for relief under any bankruptcy, reorganization or insolvency law (including without limitation the Bankruptcy Code) or any law relating to the relief of debtors, readjustment of indebtedness, reorganization,
arrangement, composition, extension or otherwise (all such proceedings are sometimes referred to herein as “Insolvency Proceedings”). In the 

  

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event of any Insolvency Proceeding, Agent and the Subordinated Creditors will hold in trust for the Senior Creditor and promptly pay over to the Senior
Creditor in the form received (except for the endorsement of Agent and/or the Subordinated Creditors where necessary) for application to the Senior Debt any and all moneys and other assets received in such Insolvency Proceedings on account of the
Subordinated Debt until the expiration of this Agreement pursuant to Section 7 hereof. Agent and the Subordinated Creditors irrevocably authorize, empower and direct any debtor, debtor in possession, receiver, trustee, liquidator, custodian,
conservator or other person having authority, to pay or otherwise deliver all distributions required to be delivered to the Senior Creditor in accordance with the preceding sentence and irrevocably authorize and empower the Senior Creditor, in the
name of Agent and/or the Subordinated Creditors, to demand, sue for, collect and receive any and all such distributions. In the event Agent or the Subordinated Creditors shall fail to timely take any such action, Agent and the Subordinated Creditors
automatically and irrevocably authorize, empower and appoint the Senior Creditor their agent and attorney in fact to, at its option at any meeting of the creditors of any Borrower or any other Obligor or in any such Insolvency Proceeding:

 (a) Enforce claims comprising Subordinated Debt either in its own name or the name of Agent and/or the Subordinated Creditors, by proof of
debt, proof of claim, suit or otherwise; 
 (b) Collect any assets of Borrower or any other Obligor distributed, divided or applied by way of
dividend or payment, or any securities issued, on account of Subordinated Debt and apply the same, or the proceeds of any realization upon the same that the Agent in its discretion elects to effect, to the Senior Debt until all Senior Debt has been
paid in full, delivering any surplus to Agent for the benefit of the Subordinated Creditors; 
 (c) Vote claims comprising the Subordinated
Debt to accept or reject any plan of partial or complete liquidation, reorganization, arrangement, composition or extension; and 
 (d) Take
any action in connection with any such meeting or proceeding which Agent and/or the Subordinated Creditors might otherwise take; provided, however, that upon expiration of this Agreement pursuant to Section 7 hereof, all rights of the Senior
Creditor, Agent and the Subordinated Creditors under any remaining Subordinated Debt shall be assigned to the Agent for the benefit of the Subordinated Creditors without the necessity of further documentation or action. 
 5. Warranties, Representations and Covenants. Borrower and the Subordinated Creditors represent and warrant that the Subordinated Creditors are the lawful owner
of one hundred percent of the Subordinated Debt and no part thereof has been assigned to, or subordinated or subjected to any other security interest in favor of, anyone other than the Senior Creditor. The Subordinated Creditors agree that they will
not subordinate the Subordinated Debt to any other indebtedness and further agree that they will not transfer or assign all or any portion of the Subordinated Debt without the prior written consent of the Senior Creditor. Agent and the Subordinated
Creditors shall promptly provide the Senior Creditor with notice of any default or event of default under the Subordinated Debt Documents, or any other instrument evidencing any of the Subordinated Debt as well as written notice of the cure or
waiver of said default or event of default. 
  

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 6. Waivers. Agent and the Subordinated Creditors waive any defense based on the adequacy of a remedy at law which
might be asserted as a bar to the remedy of specific performance hereof in any action brought therefor by the Senior Creditor. Agent and the Subordinated Creditors further waive presentment, notice and protest in connection with all negotiable
instruments evidencing the Senior Debt or the Subordinated Debt to which they may be a party, notice of the acceptance of this Agreement by the Senior Creditor, notice of any loans made, extensions granted or other action taken in reliance hereon
and all demands and notices of every kind in connection with this Agreement, the Senior Debt or the Subordinated Debt. Agent and the Subordinated Creditors assent to any substitution, exchange or release of any collateral securing the Senior Debt
and to the addition or release of any person primarily or secondarily liable thereon. Agent and the Subordinated Creditors waive any and all rights they may have with respect to marshalling of assets. 
 7. Duration. This Agreement is a continuing agreement, and the Senior Creditor may, without notice to Agent or the Subordinated Creditors, extend or continue
credit, extend additional, or increases in, credit, refinance and make other financial accommodations to or for the account of Borrower and any Obligor or refinance the Senior Debt in reliance upon this Agreement. This Agreement shall continue in
full force and effect until all outstanding Senior Debt is paid in full and is not subject to any recovery and the Senior Creditor has no commitments to extend or continue credit to Borrower or any Obligor. 
 8. Modifications to Senior Debt Documents. The Senior Creditor may at any time and from time to time without the consent of or notice to Agent or the Subordinated
Creditors, without incurring liability to Agent or the Subordinated Creditors and without impairing or releasing the obligations of Agent or the Subordinated Creditors under this Agreement, change the manner or place of payment or extend the time of
payment of or renew or alter any of the terms of the Senior Debt, or amend in any manner any of the Senior Debt Documents and any other agreement, note, guaranty or other instrument evidencing or securing or otherwise relating to the Senior Debt or
increase the amount of the Senior Debt or extend additional credit facilities to Borrower and the other Obligors under the Senior Debt Documents or refinance the Senior Debt. 
 9. Modifications to Subordinated Debt Documents. Until the termination of this Agreement in accordance with Section 7, and notwithstanding anything to the contrary contained in the Subordinated Debt
Documents, Agent and the Subordinated Creditors shall not, without the prior written consent of the Senior Creditor, agree to any amendment, modification or supplement to the Subordinated Debt Documents or any agreement, note, guaranty or other
instrument evidencing or securing or otherwise relating to the Subordinated Debt. 
 10. Default. If any representation or warranty made by Borrower,
the Obligors, Agent or the Subordinated Creditors in this Agreement or in any instrument evidencing the Senior Debt (including, without limitation, the Senior Debt Documents) proves to have been materially false when made; or in the event of a
breach by Borrower, any other Obligor, Agent or the Subordinated Creditors in the performance of any of the terms of this Agreement, the Senior Creditor may, at its option, declare all Senior Debt to be forthwith due and payable, without
presentment, demand, protest or notice of any kind, notwithstanding any time or credit otherwise allowed. At any time Agent or the Subordinated Creditors fail to comply with any provision 

  

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applicable to Agent or the Subordinated Creditors, the Senior Creditor may demand specific performance of this Agreement, whether or not Borrower and the
Obligors have complied with this Agreement, or exercise any other remedy available at law or equity. 
 11. Duties Limited. The rights granted to the
Senior Creditor in this Agreement are solely for its protection, and nothing herein contained imposes on the Senior Creditor any duties with respect to any property of Borrower, any Obligor, Agent or the Subordinated Creditors received hereunder.
The Senior Creditor has no duty to preserve rights against prior parties in any instrument or chattel paper received hereunder. 
 12. Modification.
This Agreement may only be modified in writing signed by Borrower, the Senior Creditor, Agent and the Subordinated Creditors. 
 13. Additional
Documentation. Borrower, Agent and the Subordinated Creditors shall execute and deliver to the Senior Creditor, as applicable, such further instruments and shall take such further action as the Senior Creditor may at any time or times reasonably
request in order to carry out the provisions and intent of this Agreement. 
 14. Expenses. Borrower agrees to pay the Senior Creditor on demand all
expenses of every kind, including attorney’s fees, which the Senior Creditor may incur in enforcing or protecting any of its rights under this Agreement. Agent and the Subordinated Creditors agree to pay the Senior Creditor on demand all
expenses of every kind, including reasonable attorney’s fees, which the Senior Creditor may incur in enforcing or protecting any of its rights under this Agreement as a result of any violation of this Agreement by Agent or the Subordinated
Creditors. 
 15. Notices. Unless otherwise specifically provided herein, any notice delivered under this Agreement shall be delivered in accordance
with Section 4.9 of the Junior Debentures. 
 16. No Impairment of Borrower’s Obligations. Except as otherwise expressly provided herein,
nothing contained in this Agreement shall impair, as between Borrower, Agent and the Subordinated Creditors, the obligations of Borrower, which is unconditional and absolute, to pay the Subordinated Debt to Agent for the benefit of the Subordinated
Creditors as and when all or any portion thereof shall become due and payable in accordance with its terms (except as expressly limited hereby). 
 17.
Persons Bound. This Agreement benefits the Senior Creditor and its successors and assigns, and binds the undersigned, their personal representatives, successors and assigns. 
 18. Defects Waived. This Agreement is effective notwithstanding any defect in the validity or enforceability of any instrument or document evidencing the Senior Debt. 
 19. Law Governing. The validity, construction and enforcement of this agreement are governed by the internal laws of New York without regard to conflict of laws
principles. 
 20. No Third Party Beneficiaries. All of the understandings, agreements, representations and warranties contained herein are solely for
the benefit of the Senior Creditor and its successors and assigns, and there are no parties (including Borrower and the other Obligors and other 

  

 7 

 
creditors of Borrower or any Obligors) who are intended to be benefited in any way by this Agreement. 
 21. Counterparts. This Agreement may be executed in counterparts. 
 22. CONSENT TO JURISDICTION. EACH OF THE PARTIES HERETO HEREBY CONSENTS TO THE JURISDICTION OF ANY STATE OR FEDERAL COURT LOCATED WITHIN THE STATE OF NEW YORK AND IRREVOCABLY AGREES THAT ALL ACTIONS OR PROCEEDINGS ARISING OUT OF OR
RELATING TO THIS AGREEMENT SHALL BE LITIGATED IN SUCH COURTS. EACH OF THE PARTIES HERETO EXPRESSLY SUBMITS AND CONSENTS TO THE JURISDICTION OF THE AFORESAID COURTS AND WAIVES ANY DEFENSE OF FORUM NON CONVENIENS. EACH OF THE PARTIES HERETO HEREBY
WAIVES PERSONAL SERVICE OF ANY AND ALL PROCESS AND AGREES THAT ALL SUCH SERVICE OF PROCESS MAY BE MADE UPON IT BY CERTIFIED OR REGISTERED MAIL, RETURN RECEIPT REQUESTED, ADDRESSED TO SUCH PARTIES AT THEIR RESPECTIVE ADDRESSES SET FORTH IN SECTION
4.9 OF THE JUNIOR DEBENTURES AND SERVICE SO MADE SHALL BE COMPLETE TEN (10) DAYS AFTER THE SAME HAS BEEN POSTED. 
 23. WAIVER OF JURY TRIAL.
EACH OF THE PARTIES HERETO HEREBY WAIVES ITS RESPECTIVE RIGHTS TO A JURY TRIAL OF ANY CLAIM OR CAUSE OF ACTION BASED UPON OR ARISING OUT OF THIS AGREEMENT. EACH OF THE PARTIES HERETO ACKNOWLEDGES THAT THIS WAIVER IS A MATERIAL INDUCEMENT TO ENTER
INTO A BUSINESS RELATIONSHIP, THAT EACH HAS RELIED ON THE WAIVER IN ENTERING INTO THIS AGREEMENT AND THAT EACH WILL CONTINUE TO RELY ON THE WAIVER IN THEIR RELATED FUTURE DEALINGS. EACH OF THE PARTIES HERETO WARRANT AND REPRESENT THAT EACH HAS HAD
THE OPPORTUNITY OF REVIEWING THIS JURY WAIVER WITH LEGAL COUNSEL, AND THAT EACH KNOWINGLY AND VOLUNTARILY WAIVES ITS JURY TRIAL RIGHTS. 
 24. WAIVER OF
DAMAGES. EACH OF THE PARTIES HERETO HEREBY WAIVES, TO THE MAXIMUM EXTENT NOT PROHIBITED BY LAW, ANY RIGHT IT MAY HAVE TO CLAIM OR RECOVER FROM ANY OTHER PARTY ANY SPECIAL, EXEMPLARY, PUNITIVE OR CONSEQUENTIAL DAMAGES. 
  

 8 

 IN WITNESS WHEREOF, the parties hereto have executed this Subordination Agreement as of the day
and year first above written. 
  

					
	 MEDICAL SOLUTIONS MANAGEMENT INC.,

	 as Borrower

	
	 /s/ Brian Lesperance

	 Brian Lesperance

	 Chief Executive Officer

	
	 VICIS CAPITAL MASTER FUND,
 as Senior Creditor, Agent and Subordinated Creditor

		
	By:	 	 Vicis Capital LLC

	
	 /s/ Shad Stastney

	 Shad Stastney

	 Chief Operating Officer

	
	 APOGEE FINANCIAL INVESTMENTS INC.,
 as Subordinated Creditor

	
	 /s/ Chris Phillips

	 Chris Phillips

	 President

 [Signature Page to Subordination Agreement] 
  

 S-1

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