Document:

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Exhibit 10.2

THIRD AMENDED REGISTRATION RIGHTS AGREEMENT

     THIS THIRD AMENDED REGISTRATION RIGHTS AGREEMENT (the “Agreement”) is entered into as of
August 25, 2006, by and among Sutura, Inc., a Delaware corporation (the “Company”), Pandora Select
Partners L.P., a British Virgin Islands limited partnership (“Pandora”), Whitebox Hedged High Yield
Partners L.P., a British Virgin Islands limited partnership (“WHHY”), Whitebox Convertible
Arbitrage Partners L.P., a British Virgin Islands limited partnership (“WCAP”), Whitebox
Intermarket Partners L.P., a British Virgin Islands limited partnership (“WIP”), Gary S. Kohler
(“Kohler”), and Scot W. Malloy (“Malloy”), each residents of the State of Minnesota. Pandora, WHHY,
WCAP, WIP are collectively referred to herein as “Whitebox.” Whitebox, Kohler and Malloy are
individually referred to herein as an “Investor” and together as the “Investors.”

RECITALS

     A. The Company and Investors entered into a Purchase Agreement dated September 17, 2004 (the
“Original Purchase Agreement”), pursuant to which the Investors each purchased a convertible
promissory note (each, an “Original Note” and together, the “Original Notes”) and a warrant to
purchase shares of the Company’s Common Stock (each, an “Original Warrant” and together, the
“Original Warrants”) from the Company in consideration of a collective $6,550,000 loan (the
“Original Loan”).

     B. As a condition to the Original Loan, the Company granted certain registration rights with
respect to the shares of the Company’s Common Stock issuable upon conversion of the Original Notes
and exercise of the Original Warrants pursuant to the terms of a Registration Rights Agreement
dated September 17, 2004 (the “Original Registration Rights Agreement”).

     C. The Company and Whitebox entered into a second Purchase Agreement dated March 24, 2005 (the
“Second Purchase Agreement”), pursuant to which Whitebox additional convertible promissory notes
(each, a “March 2005 Note” and together, the “March 2005 Notes”) and an additional warrants to
purchase the Company’s Common Stock (each, a “March 2005 Warrant” and together, the “March 2005
Warrants”) in consideration of a collective $3,000,000 new loan (the “March 2005 Loan”).

     D. The Company and the Investors entered into an Amended Registration Rights Agreement dated
March 24, 2005 (the “March 2005 Registration Rights Agreement”).

     E. The Company and Whitebox entered into a third Purchase Agreement dated as of September 7,
2005 (the “Third Purchase Agreement”), pursuant to which Whitebox is purchasing additional
convertible promissory notes (each, a “September 2005 Note” and together, the “September 2005
Notes”) and additional warrants to purchase the Company’s Common Stock (each, a “September 2005
Warrant” and together, the “September 2005 Warrants”) in consideration of a collective $7,000,000
new loan (the “August 2005 Loan”)

     F. Effective on August 19, 2005 (the “Effective Date”), Sutura, Inc., a Delaware corporation
(“Premerger Sutura”) merged (the
“Merger”) with and into Technology Visions Group, Inc., a Delaware
corporation (the “TVG”), pursuant to which the separate existence of
Premerger Sutura ceased and TVG continued as the surviving corporation. As part of the
Merger, the name of TVG was changed to Sutura, Inc. (the
“Company”).

 

 

     G. The Company and Investors entered into a Second Amended Registration Rights Agreement dated
September 7, 2005 (the “September 2005 Registration Rights Agreement”).

     H. On April 11, 2006, in accordance with its obligations under the September 2005 Registration
Rights Agreement, the Company filed a Form SB-2 with the Commission to register those securities of
the Company defined as “Registrable Securities” under the September 2005 Registration Rights
Agreement (the “April Registration Statement”). The Commission has not declared the April
Registration Statement effective.

     I. The Company and Whitebox entered into a fourth Purchase Agreement dated as of this date
(the “Fourth Purchase Agreement”) pursuant to which
Whitebox is purchasing an aggregate 62,180,556 shares of the Company’s Common Stock and warrants to purchase shares of the
Company’s Common Stock for an aggregate consideration of $ 4,974,444.44 (the “New Loan”).

     J. Prior to this date, the Company withdrew the April Registration Statement from the
Commission to enable the issuance of the shares of Common Stock purchased under the Fourth Purchase
Agreement.

     K. As a condition of the New Loan, the Company granted certain Registration Rights with
respect to shares of the Company’s Common Stock purchased pursuant to the Fourth Purchase Agreement
and issuable upon exercise of the New Warrants.

     L. The Company and Investors desire to enter this Agreement relating to those registration
rights and desire that this Agreement supersede and replace the September 2005 Registration Rights
Agreement.

     M. The execution of this Agreement is a condition precedent to Whitebox’s performance
obligations under the Fourth Purchase Agreement.

     NOW, THEREFORE, in consideration of the foregoing and of the mutual promises and covenants
contained in this Agreement, and for other good and valuable consideration, the receipt and
sufficiency of which are hereby acknowledged, the parties, intending to be legally bound, hereby
agree as follows:

ARTICLE 1.

DEFINITIONS

     As used in this Agreement, the following terms shall have the following respective meanings:

     1.1 “Commission” shall mean the U.S. Securities and Exchange Commission or any other successor
federal agency at the time administering the Securities Act.

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     1.2 “Common Stock” shall mean the Company’s common stock, $0.001 par value per share.

     1.3 “Exchange Act” shall mean the Securities and Exchange Act of 1934, as amended, or any
similar federal statute and the rules and regulations of the Commission thereunder, all as the same
shall be in effect at the time.

     1.4 “Holders” shall mean and include each Investor and any transferee thereof to whom the
registration rights conferred by this Agreement have been transferred in accordance with Article 10
hereof.

     1.5 “Register,” “registered” and “registration” refer to a registration effected by preparing
and filing with the Commission a registration statement in compliance with the Securities Act, and
the declaration or ordering by the Commission of the effectiveness of such registration statement.

     1.6 “Registrable Securities” means: (i) all shares of Common Stock issued or issuable upon
exercise of the Original Warrants, the March 2005 Warrants, the September 2005 Warrants and the New
Warrants being purchased pursuant to the Fourth Purchase Agreement or hereafter acquired by the
Investor; (ii) all shares of Common Stock issued or issuable upon conversion of or payment on the
Original Notes, the March 2005 Notes and the September 2005 Notes or hereafter acquired by the
Investor; (iii) any and all shares of Common Stock issued pursuant to the Fourth Purchase Agreement
or hereafter acquired by Investor; and (iv) any and all shares of Common Stock issuable upon any
stock split, stock dividend, recapitalization, reclassification, merger, consolidation or other
similar event with respect to the Common Stock issued or issuable pursuant to subsections (i), (ii)
and (iii) of this Section 1.6; excluding in all cases, however, Registrable Securities sold by a
Holder to the public pursuant to a registered offering or pursuant to Rule 144 promulgated by the
Commission under the Securities Act or sold in a private transaction in which the Holder’s
registration rights under this Agreement are not assigned.

     1.7 “Registration Expenses” shall mean all expenses incurred by the Company in complying with
Articles 2, 3 and 4 hereof, including, without limitation, all registration, qualification and
Commission, National Association of Securities Dealers, Inc., stock exchange and other filing fees,
printing expenses, escrow fees, fees and disbursements of legal counsel for the Company, blue sky
fees and expenses, and the expense of any special audits incident to or required by any such
registration (but excluding the compensation of regular employees of the Company, which shall be
paid in any event by the Company).

     1.8 “Securities Act” shall mean the Securities Act of 1933, as amended, or any similar federal
statute and the rules and regulations of the Commission thereunder, all as the same shall be in
effect at the time.

     1.9 “Selling Expenses” shall mean all underwriting fees, discounts, selling commissions and
stock transfer taxes applicable to the Registrable Securities registered by the Holders and the
fees and expenses of any special counsel engaged by the Holders.

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     1.10 “Underwriter” shall mean (whether or not the term is capitalized) a broker-dealer engaged
by the Company to distribute Registrable Securities as principal or agent.

     1.11 “Underwriting” or “Underwritten” shall mean (whether or not the term is capitalized) a
method of publicly distributing securities through an Underwriter.

ARTICLE 2.

COMPANY REGISTRATION

     2.1 Notice of Registration to Holders. If the Company determines to register any of its
securities, either for its own account or the account of a security holder or holders, other than
(i) a registration relating solely to employee benefit plans on Form S-8 (or any successor form) or
(ii) a registration relating solely to a Commission Rule 145 transaction on Form S-4 (or any
successor form), the Company will:

     (a) promptly give to each Holder written notice thereof and

     (b) include in such registration (and any related qualification under blue sky laws or
other compliance), and in any underwriting involved therein, all the Registrable Securities
specified in a written request or requests, made within 30 days after receipt of such
written notice from the Company described in Section 3.1(a), by any Holder or Holders,
subject to any reductions in the Registrable Securities to be registered made in the manner
set forth in Section 3.2(a).

     2.2 Underwriting. If the registration of which the Company gives notice is for an offering
involving an underwriting, the Company shall so advise the Holders as a part of the written notice
given pursuant to Section 2.1(a). In such event, the right of any Holder to registration pursuant
to this Article 2 shall be conditioned upon such Holder’s participation in such underwriting and
the inclusion of such Holder’s Registrable Securities in the underwriting to the extent provided
herein. All Holders proposing to distribute their securities through such underwriting shall
(together with the Company) enter into an underwriting agreement in customary form with the
managing underwriter selected for such underwriting by the Company.

     (a) Notwithstanding any other provision of this Article 2, if the managing underwriter
determines that marketing factors require a limitation of the number of shares to be
underwritten, the underwriter may exclude some or all Registrable Securities from such
registration and underwriting. The Company shall so advise all Holders of Registrable
Securities, and the number of shares of Common Stock to be included in such registration
shall be allocated as follows: first, for the account of the Company, all shares of Common
Stock proposed to be sold by the Company; and second, for the account of the Holders and
any other shareholders of the Company participating in such registration, the number of
shares of Common Stock requested to be included in the registration by the Holders and such
other shareholders in proportion, as nearly as practicable, to the respective amounts of
Registrable Securities that are proposed to be offered and sold by the Holders and such
other shareholders of Registrable Securities at the time of filing the registration
statement. No Registrable Securities excluded from the underwriting in this
Article 2 by reason of the underwriters’ marketing limitation shall be included in such
registration.

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     (b) The Company shall so advise all Holders and the other holders distributing their
securities through such underwriting of any such limitation, and the number of shares of
Registrable Securities held by Holders that may be included in the registration. If any
Holder disapproves of the terms of any such underwriting, such Holder may elect to withdraw
therefrom by written notice to the Company and the managing underwriter. Any securities
excluded or withdrawn from such underwriting shall be withdrawn from such registration, but
the Holder shall continue to be bound by the terms hereof.

     (c) The Company shall have the right to terminate or withdraw any registration
initiated by it under this Article 2 prior to the effectiveness of such registration,
whether or not a Holder has elected to include Registrable Securities in such registration.

     2.3 Inclusion of Shares by the Company. If the resale distribution of Registrable Securities
is being effected by means of an underwriting and if the managing underwriter will not limit the
number of Registrable Securities to be underwritten, the Company may include securities for its own
account or for the account of others in such registration if the managing underwriter so agrees.
The inclusion of such shares shall be on the same terms as the registration of shares held by the
Holders. In the event that the underwriters exclude some of the securities to be registered, the
securities to be sold for the account of the Company and any other holders shall be excluded in
their entirety prior to the exclusion of any Registrable Securities.

ARTICLE 3.

REQUIRED REGISTRATION

     3.1 Required Registration. On or before October 24, 2006, the Company will file a registration
statement under the Securities Act on Form S-1 (or any successor to Form S-1) or a similar long
form registration statement, covering the registration of the Registrable Securities and will, as
soon as practicable, use its best efforts to effect such registration (including, without
limitation, filing post-effective amendments, related qualification under blue sky laws or other
compliance) of all the Registrable Securities.

     3.2 Underwriting. If the registration is for an underwritten offering, the provisions of
Sections 2.2(a), (b) and (c) and Section 2.3 hereof shall apply to such registration.

ARTICLE 4.

REGISTRATION ON FORM S-3

     4.1 Request for Registration. After it becomes subject to the periodic reporting requirements
under the Exchange Act, the Company shall use its best efforts to qualify for registration on Form
S-3 or any comparable or successor form. After the Company has qualified for the use of Form S-3,
in addition to the rights contained above in Articles 2 and 3, the Holders of 10% or more of the
Registrable Securities then outstanding shall have the right to request registrations on Form S-3.
Such requests shall be in writing and shall state the number of shares of Registrable Securities to
be disposed of and the intended methods of disposition of such shares. Company shall not be
obligated to effect any such registration if in a given 6-month
period, the Company has effected a registration of Registrable Securities within the preceding
6-month period.

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     4.2 Underwriting. If the registration is for an underwritten offering, the provisions of
Sections 2.2(a), (b) and (c) and Section 2.3 hereof shall apply to such registration.

ARTICLE 5.

EXPENSES OF REGISTRATION

     All Registration Expenses incurred in connection with any registration, qualification or
compliance pursuant to Articles 2, 3 and 4 hereof, shall be borne by the Company; provided,
however, that any expenses incurred as a result of any amendment described in Section 2.2(a) shall
be borne by the Holders of the Registrable Securities being registered in such registration. All
Selling Expenses relating to Registrable Securities registered by the Holders shall be borne by the
Holders of such Registrable Securities pro rata on the basis of the number of shares so registered.

ARTICLE 6.

REGISTRATION PROCEDURES

     6.1 In the case of each registration effected by the Company pursuant to this Agreement, the
Company will keep each Holder advised in writing as to the initiation of each registration and as
to the completion thereof. The Company agrees to use its best efforts to effect or cause such
registration to permit the sale of the Registrable Securities covered thereby by the Holders
thereof in accordance with the intended method or methods of distribution thereof described in such
registration statement. In connection with any registration of any Registrable Securities, and
except as otherwise provided in Article 5 hereof, the Company shall, at its expense:

     (a) prepare and file with the Commission a registration statement with respect to such
Registrable Securities and use its best efforts to cause such registration statement filed
to become effective;

     (b) maintain the effectiveness of such registration statement until the earlier of (A)
five years after the date that the registration statement filed pursuant to Section 3.1 is
first declared effective by the Commission, (B) the date on which all of the Registrable
Securities covered by a registration statement may be sold by the Holders pursuant to Rule
144(k) or (C) such time as all of the Registrable Securities have been publicly sold
pursuant to a registration statement;

     (c) prepare and file with the Commission such amendments and supplements to such
registration statement and the prospectus included therein as may be necessary to effect and
maintain the effectiveness of such registration statement as may be required by the
applicable rules and regulations of the Commission and the instructions applicable to the
form of such registration statement and furnish to the Holders of the Registrable Securities
covered thereby copies of any such supplement or amendment prior to this being used and
filed with the Commission;

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     (d) promptly notify the Holders of Registrable Securities to be included in a
registration statement hereunder, the sales or placement agent, if any, therefor and the
managing underwriter of the securities being sold, and confirm such advice in writing, (A)
when such registration statement or the prospectus included therein or any prospectus
amendment or supplement or post-effective amendment has been filed, and, with respect to
such registration statement or any post-effective amendment, when the same has become
effective, (B) of the issuance by the Commission of any stop order suspending the
effectiveness of such registration statement or the initiation of any proceedings for that
purpose, (C) of the receipt by the Company of any notification with respect to the
suspension of the qualification of the Registrable Securities for sale in any jurisdiction
or the initiation or threatening of any proceeding for such purpose or (D) if, to the
Company’s knowledge, it shall be the case, at any time when a prospectus is required to be
delivered under the Securities Act, that such registration statement or prospectus, or any
document incorporated by reference in any of the foregoing, contains an untrue statement of
a material fact or omits to state any material fact required to be stated therein or
necessary to make the statements therein not misleading in light of the circumstances then
existing;

     (e) use its best efforts to obtain the withdrawal of any order suspending the
effectiveness of such registration statement or any post-effective amendment thereto or of
any order suspending or preventing the use of any related prospectus or suspending the
qualification of any Registrable Securities included in such registration statement for sale
in any jurisdiction at the earliest practicable date;

     (f) furnish to each Holder of Registrable Securities to be included in such
registration statement hereunder, each placement or sales agent, if any, therefor and each
underwriter, if any, thereof a conformed copy of such registration statement, each such
amendment and supplement thereto (in each case excluding all exhibits and documents
incorporated by reference) and such number of copies of the registration statement
(excluding exhibits thereto and documents incorporated by reference therein unless
specifically so requested by such holder, agent or underwriter, as the case may be) of the
prospectus included in such registration statement (including each preliminary prospectus
and any summary prospectus), in conformity with the requirements of the Securities Act, as
such Holder, agent, if any, and underwriter, if any, may reasonably request in order to
facilitate the disposition of the Registrable Securities owned by such Holder sold by such
agent or underwritten by such underwriter and to permit such Holder, agent and underwriter
to satisfy the prospectus delivery requirements of the Securities Act;

     (g) use its best efforts to (A) register or qualify the Registrable Securities to be
included in such registration statement under such other securities laws or blue sky laws of
such states of the United States or the District of Columbia to be designated by the Holders
of a majority of such Registrable Securities participating in such registration and each
placement or sales agent, if any, therefor and underwriter, if any, thereof, as any Holder
and each underwriter, if any, of the securities being sold shall reasonably request
(provided, that the Company shall not be required to use its best efforts to register or
qualify the Registrable Securities in more than 15 such jurisdictions unless the expenses
thereof are borne by the Holders requesting such efforts), (B) keep such registrations or

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qualifications in effect and comply with such laws at all times during the period
described in Section 6.1(b) above and (C) take any and all such actions as may be reasonably
necessary or advisable to enable such Holder, agent, if any, and underwriter to consummate
the disposition in such jurisdictions of such Registrable Securities; provided, however,
that in order to fulfill the foregoing obligations under this Section 6.1(g), the Company
shall not (unless otherwise required to do so in any jurisdiction) be required to (1)
qualify generally to do business as a foreign company or a broker-dealer, (2) execute a
general consent to service of process or (3) subject itself to taxation; and

     (h) furnish, at the request of a majority of the Holders participating in the
registration, on the date that such Registrable Securities are delivered to the underwriters
for sale, if such securities are being sold through underwriters, or, if such securities are
not being sold through underwriters, on the date that the registration statement with
respect to such securities becomes effective, (i) an opinion, dated as of such date, of the
counsel representing the Company for the purposes of such registration, in form and
substance as is customarily given to underwriters in an underwritten public offering and
reasonably satisfactory to a majority in interest of the Holders requesting registration,
addressed to the underwriters, if any, and to the Holders requesting registration of
Registrable Securities and (ii) a letter dated as of such date, from the independent
certified public accountants of the Company, in form and substance as is customarily given
by independent certified public accountants to underwriters in an underwritten public
offering and reasonably satisfactory to a majority in interest of the Holders requesting
registration, addressed to the underwriters, if any, and if permitted by applicable
accounting standards, to the Holders requesting registration of Registrable Securities.

     6.2 The Company may require each Holder of Registrable Securities as to which any registration
is being effected to furnish to the Company such information regarding such Holder and such
Holder’s method of distribution of such Registrable Securities as the Company may from time to time
reasonably request in writing. Each such Holder agrees to notify the Company as promptly as
practicable of any inaccuracy or change in information previously furnished by such Holder to the
Company or of the occurrence of any event in either case as a result of which any prospectus
relating to such registration contains or would contain an untrue statement of a material fact
regarding such Holder or the distribution of such Registrable Securities or omits to state any
material fact regarding such Holder or the distribution of such Registrable Securities required to
be stated therein or necessary to make the statements therein not misleading in light of the
circumstances then existing, and promptly to furnish to the Company any additional information
required to correct and update any previously furnished information or required so that such
prospectus shall not contain, with respect to such Holder or the distribution of such Registrable
Securities, an untrue statement or a material fact or omit to state a material fact required to be
stated therein or necessary to make the statements therein not misleading in light of the
circumstances then existing.

     6.3 Each of the Holders will comply with the provisions of the Securities Act with respect to
disposition of the Registrable Securities to be included in any registration statement filed by the
Company.

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ARTICLE 7.

INDEMNIFICATION

     7.1 The Company will indemnify each Holder, each of its officers, directors and partners, and
such Holder’s legal counsel and independent accountants, if any, and each person controlling any
such persons within the meaning of Section 15 of the Securities Act, with respect to which
registration, qualification or compliance has been effected pursuant to this Agreement, and each
underwriter, if any, and each person who controls any underwriter within the meaning of Section 15
of the Securities Act, against all expenses, claims, losses, damages and liabilities (or actions in
respect thereof), including any of the foregoing incurred in settlement of any litigation,
commenced or threatened, arising out of or based on any untrue statement (or alleged untrue
statement) of a material fact contained in any registration statement, prospectus, offering
circular or other document, or any amendment or supplement thereof, incident to any such
registration, qualification or compliance, or based on any omission (or alleged omission) to state
therein a material fact required to be stated therein or necessary to make the statements therein
not misleading, or any violation by the Company of any rule or regulation promulgated under the
Securities Act or any state securities laws applicable to the Company and relating to action or
inaction by the Company in connection with any such registration, qualification or compliance, and
will reimburse each such Holder, each of its officers, directors and partners and such Holder’s
legal counsel and independent accountants, and each person controlling any such persons, each such
underwriter and each person who controls any such underwriter, for any legal and any other expenses
reasonably incurred in connection with investigating, preparing or defending any such claim, loss,
damage, liability or action; provided, however, that the Company will not be liable in any such
case to the extent that any such claim, loss, damage, liability or expense arises out of or is
based on any untrue statement or omission or alleged untrue statement or omission made in reliance
upon and in conformity with written information furnished to the Company by such Holder, officers,
directors, partners, legal counsel, accountants, underwriter or controlling persons, and expressly
intended for use in such registration statement, prospectus, offering circular or other document,
or any amendment or supplement thereof.

     7.2 Each Holder will, if Registrable Securities held by such Holder are included in the
securities as to which such registration, qualification or compliance is being effected, indemnify
the Company, each of its directors and officers and its legal counsel and independent accountants,
each underwriter, if any, of the Company’s securities covered by such a registration statement,
each person who controls the Company or such underwriter within the meaning of Section 15 of the
Securities Act, and each other such Holder, each of its officers, directors, partners, legal
counsel and independent accountants, if any, and each person controlling such Holder within the
meaning of Section 15 of the Securities Act, against all expenses, claims, losses, damages and
liabilities (or actions in respect thereof), including any of the foregoing incurred in settlement
of any litigation, commenced or threatened, arising out of or based on any untrue statement (or
alleged untrue statement) of a material fact contained in any such registration statement,
prospectus, offering circular or other document, or any amendment or supplement thereto, incident
to any such registration, qualification or compliance or based on any omission (or alleged
omission) to state therein a material fact required to be stated therein or necessary to make the
statements therein not misleading, and will reimburse the Company, such Holders, such directors,
officers, partners, legal counsel, independent accountants, underwriters

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or control persons for any legal or any other expenses reasonably incurred in connection with
investigating, preparing or defending any such claim, loss, damage, liability or action, in each
case to the extent, but only to the extent, that such untrue statement (or alleged untrue
statement) or omission (or alleged omission) is made in such registration statement, prospectus,
offering circular, other document or amendment or supplement in reliance upon and in conformity
with written information furnished to the Company by such Holder and expressly intended for use in
such registration statement, prospectus, offering circular or other document, or any amendment or
supplement thereof; provided, however, that the obligations of each Holder hereunder shall be
limited to an amount equal to the proceeds to such Holder of Registrable Securities sold as
contemplated herein.

     7.3 Each party entitled to indemnification under this Section 7 (the “Indemnified Party”)
shall give notice to the party required to provide indemnification (the “Indemnifying Party”)
promptly after such Indemnified Party has actual knowledge of any claim as to which indemnity may
be sought, and shall permit the Indemnifying Party to assume the defense of any such claim or any
litigation resulting therefrom, provided that counsel for the Indemnifying Party, who shall conduct
the defense of such claim or litigation, shall be approved by the Indemnified Party (whose approval
shall not unreasonably be withheld). The Indemnified Party may participate in such defense at such
party’s expense; provided, however, that the Indemnifying Party shall bear the expense of such
defense of the Indemnified Party if representation of both parties by the same counsel would be
inappropriate due to actual or potential conflicts of interest. The failure of any Indemnified
Party to give notice as provided herein shall not relieve the Indemnifying Party of its obligations
under this Agreement, unless such failure is prejudicial to the ability of the Indemnifying Party
to defend the action. No Indemnifying Party, in the defense of any such claim or litigation,
shall, except with the consent of each Indemnified Party, consent to entry of any judgment or enter
into any settlement which does not include as an unconditional term thereof the giving by the
claimant or plaintiff to such Indemnified Party of a release from all liability in respect of such
claim or litigation.

     7.4 If the indemnification provided for in Section 7.1 or 7.2 is unavailable or insufficient
to hold harmless an Indemnified Party, then each Indemnifying Party shall contribute to the amount
paid or payable by such Indemnified Party as a result of the expenses, claims, losses, damages or
liabilities (or actions or proceedings in respect thereof) referred to in Section 7.1 or 7.2, in
such proportion as is appropriate to reflect the relative fault of the Company on the one hand and
the sellers of Registrable Securities on the other hand in connection with statements or omissions
which resulted in such losses, claims, damages or liabilities (or actions or proceedings in respect
thereof) or expenses, as well as any other relevant equitable considerations. The relative fault
shall be determined by reference to, among other things, whether the untrue or alleged untrue
statement of a material fact or the omission or alleged omission to state a material fact relates
to information supplied by the Company or the sellers of Registrable Securities and the parties’
relative intent, knowledge, access to information and opportunity to correct or prevent such untrue
statement or omission. The Company and the Holders agree that it would not be just and equitable
if contributions pursuant to this Section 7.4 were to be determined by pro rata allocation (even if
all Sellers of Registrable Securities were treated as one entity for such purpose) or by any other
method of allocation which does not take account of the equitable considerations referred to in the
first sentence of this Section 7.4. The amount paid by an Indemnified Party as a result of the
expenses, claims, losses, damages or

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liabilities (or actions or proceedings in respect thereof) referred to in the first sentence
of this Section 7.4 shall be deemed to include any legal or other expenses reasonably incurred by
such Indemnified Party in connection with investigating or defending any claim, action or
proceeding which is the subject of this Section 7.4. No person guilty of fraudulent
misrepresentation (within the meaning of Section 11(f) of the Securities Act) shall be entitled to
contribution from any person who was not guilty of such fraudulent misrepresentation. The
obligations of sellers of Registrable Securities to contribute pursuant to this Section 7.4 shall
be several in proportion to the respective amount of Registrable Securities sold by them pursuant
to a registration statement.

ARTICLE 8.

RULE 144 REPORTING

     With a view to making available the benefits of certain rules and regulations of the
Commission which may at any time permit the sale of securities of the Company to the public without
registration, the Company agrees to use its best efforts to:

     8.1 Make and keep public information regarding the Company available as those terms are
understood and defined in Rule 144 under the Securities Act; and

     8.2 File with the Commission in a timely manner all reports and other documents required of
the Company under the Securities Act and the Exchange Act after the date hereof.

ARTICLE 9.

TRANSFER OF REGISTRATION RIGHTS

     The rights to cause the Company to register Registrable Securities under this Agreement may be
assigned by a Holder to Whitebox Advisors, LLC (“Whitebox Advisors”) or to a transferee or assignee
of Registrable Securities that (i) is a subsidiary, parent or affiliated entity, general partner or
limited partner, member or retired partner or member of a Holder or of Whitebox Advisors, (ii) is
an affiliated fund, a follow-on fund or predecessor fund of a Holder or a related fund or of
Whitebox Advisors, (iii) is a Holder’s family member or trust for the benefit of an individual
Holder or (iv) acquires at least 50,000 shares of Registrable Securities (as adjusted for stock
splits, stock dividends, stock combinations, reclassifications, recapitalizations, mergers,
consolidations or other similar events); provided, however, (A) the transferor shall, within ten
days before such transfer, furnish to the Company written notice of the name and address of such
transferee or assignee and the securities with respect to which such registration rights are being
assigned and (B) such transferee shall agree in writing to be subject to all restrictions set forth
in this Agreement. In each case, such rights may only be transferred together with the underlying
Registrable Securities in a transfer permitted by the Securities Act and applicable state
securities laws. Any such transferee or assignee shall be deemed a Holder hereunder.

ARTICLE 10.

LIMITATIONS ON REGISTRATION RIGHTS GRANTED TO OTHER SECURITIES

     From and after the date of this Agreement, the Company shall not without the prior written
consent of the holders of a majority of the Registrable Securities then outstanding, enter
into any agreement with any holder or prospective holder of any securities of the Company
providing for the grant to such holder of registration rights superior to those granted herein.

-11-

 

ARTICLE 11.

MARKET “STAND-OFF” AGREEMENT

     In connection with any underwritten offering, each Holder hereby agrees that it will not,
without the prior written consent of the managing underwriter, during the period commencing on the
date of the final prospectus relating to such offering and ending on the date specified by the
Company and the managing underwriter (such period not to exceed one hundred eighty (180) days) (a)
lend, offer, pledge, sell, contract to sell, sell any option or contract to purchase, purchase any
option or contract to sell, grant any option, right or warrant to purchase, or otherwise transfer
or dispose of, directly or indirectly, any shares of Common Stock or any securities convertible
into or exercisable or exchangeable for Common Stock held immediately prior to the effectiveness of
the registration statement for such offering, or (b) enter into any swap or other arrangement that
transfers to another, in whole or in part, any of the economic consequences of ownership of the
Common Stock, whether any such transaction described in clause (a) or (b) above is to be settled by
delivery of Common Stock or other securities, in cash or otherwise. The foregoing provisions of
this Article 11 shall only apply to the first registration statement of the Company filed under the
Securities Act involving an underwritten offering and if all officers, directors and greater than
five percent (5%) stockholders of the Company are subject to similar agreements. The underwriters
in connection with such public offering are intended third party beneficiaries of this Article 11
and shall have the right, power and authority to enforce the provisions hereof as though they were
a party hereto. Each Holder further agrees to execute such agreements as may be reasonably
requested by the underwriters of such public offering that are consistent with this Article 11 or
that are necessary to give further effect thereto. In order to enforce the foregoing covenant, the
Company may impose stop transfer instructions with respect to the Registrable Securities of each
Holder (and the shares or securities of every other person subject to the foregoing restriction)
until the end of such period.

     Notwithstanding the foregoing, the obligations described in this Article 11 shall not apply to
a registration relating solely to employee benefit plans on Form S-8 or similar forms which may be
promulgated in the future, or a registration relating solely to a Commission Rule 145 transaction
on Form S-4 or similar forms which may be promulgated in the future.

ARTICLE 12.

MISCELLANEOUS

     12.1 Governing Law. The internal laws of the state of Minnesota shall govern the
interpretation, validity and performance of the terms of this agreement, regardless of the law that
might be applied under principles of conflicts of law.

     12.2 Successors and Assigns. Except as otherwise expressly provided herein, the provisions
hereof shall inure to the benefit of, and be binding upon, the successors, assigns, heirs,
executors and administrators of the parties hereto.

-12-

 

     12.3 Entire Agreement. This Agreement constitutes the full and entire understanding and
agreement between the parties with regard to the subject matter hereof.

     12.4 Termination. The obligations of the Company to register Registrable Securities under
this Agreement shall terminate on the tenth anniversary of the date of this Agreement. In
addition, the right of any Holder to request inclusion in any registration under Article 2 or 4
shall terminate on the date hereafter when (i) such Holder (together with its affiliates, partners,
members and former partners and members) holds less than 1% of the Company’s outstanding Common
Stock and (ii) all Registrable Securities held by or issuable to such Holder (and its affiliates,
partners, members and former partners and members) upon conversion of the Note or upon exercise of
the Warrant may be sold under Rule 144 during any 90 day period.

     12.5 Notices. All notices, requests, consents, and other communications hereunder shall be in
writing and shall be deemed effectively given and received when delivered in person or by national
overnight courier service or by certified or registered mail, return receipt requested, or by
telecopier, addressed as follows:

	 	(a)	 	if to the Company, at

Sutura, Inc.

17080 New Hope Street

Fountain Valley, California 92708

Attention: Anthony A. Nobles, President and Chief Executive Officer

Facsimile: (714) 427-6354
	 
	 	 	 	with a copy to:
	 
	 	 	 	Babcock & Associates

600 Anton Boulevard, 11th Floor

Costa Mesa, California 92626

Attention: Richard J. Babcock, Esq.

Facsimile: (714) 371-4492
	 
	 	(b)	 	if to the Investors, in care of:
	 
	 	 	 	Whitebox Advisors, LLC

3033 Excelsior Boulevard, Suite 300

Minneapolis, Minnesota 55416

Attention: Jonathan Wood, Chief Financial Officer

Facsimile: (612) 253-6151
	 
	 	 	 	with a copy to:
	 
	 	 	 	Messerli & Kramer P.A.

150 South Fifth Street, Suite 1800

Minneapolis, Minnesota 55402

Attention: Jeffrey C. Robbins, Esq.

Facsimile: (612) 672-3777

-13-

 

     (c) if to any other Holder, to the address reflected on the records of the Company, or
such other address or addresses as shall have been furnished in writing by such party to the
Company and to the other parties to this Agreement.

     12.6 Severability. The invalidity, illegality or unenforceability of one or more of the
provisions of this Agreement in any jurisdiction shall not affect the validity, legality or
enforceability of the remainder of this Agreement in such jurisdiction or the validity, legality or
enforceability of this Agreement, including any such provision, in any other jurisdiction, it being
intended that all rights and obligations of the parties hereunder shall be enforceable to the
fullest extent permitted by law.

     12.7 Titles and Subtitles. The titles of the sections and subsections of this Agreement are
for convenience of reference only and are not to be considered in construing this Agreement.

     12.8 Counterparts. This Agreement may be executed in any number of counterparts, each of
which shall be an original, but all of which together constitute one instrument.

[signature page follows]

-14-

 

     IN WITNESS WHEREOF, the parties hereto have caused this Third Amended Registration
Rights Agreement to be executed and delivered as of the date first written above.

	 	 	 	 	 	 	 	 	 
	 	 	SUTURA, INC.	 	 
	 
	 	 	 	 	 	 	 	 
	 

	 	By	 	 	 	 	 	 
	 	 	 	 	 	 	 
	 	 	 	 	Anthony A. Nobles

President and Chief Executive Officer	 	 
	 
	 	 	 	 	 	 	 	 
	 	 	PANDORA SELECT PARTNERS L.P.	 	 
	 
	 	 	 	 	 	 	 	 
	 

	 	By	 	 	 	 	 	 
	 	 	 	 	 	 	 
	 

	 	 	 	Name	 	 	 	 
	 

	 	 	 	Its
	 	 

	 	 
	 

	 	 	 	 	 	 

	 	 
	 
	 	 	 	 	 	 	 	 
	 	 	WHITEBOX HEDGED HIGH YIELD 

PARTNERS L.P.	 	 
	 
	 	 	 	 	 	 	 	 
	 

	 	By	 	 	 	 	 	 
	 	 	 	 	 	 	 
	 

	 	 	 	Name	 	 	 	 
	 

	 	 	 	Its
	 	 

	 	 
	 

	 	 	 	 	 	 

	 	 
	 
	 	 	 	 	 	 	 	 
	 	 	WHITEBOX CONVERTIBLE ARBITRAGE PARTNERS L.P.	 	 
	 
	 	 	 	 	 	 	 	 
	 

	 	By	 	 	 	 	 	 
	 	 	 	 	 	 	 
	 

	 	 	 	Name	 	 	 	 
	 

	 	 	 	Its
	 	 

	 	 
	 

	 	 	 	 	 	 

	 	 
	 
	 	 	 	 	 	 	 	 
	 	 	WHITEBOX INTERMARKET PARTNERS L.P.	 	 
	 
	 	 	 	 	 	 	 	 
	 

	 	By	 	 	 	 	 	 
	 	 	 	 	 	 	 
	 

	 	 	 	Name	 	 	 	 
	 

	 	 	 	Its
	 	 

	 	 
	 

	 	 	 	 	 	 

	 	 
	 
	 	 	 	 	 	 	 	 
	 	 	 	 	 
	 	 	GARY S. KOHLER	 	 
	 
	 	 	 	 	 	 	 	 
	 	 	 	 	 
	 	 	SCOT W. MALLOY	 	 

15exv10w3

 

Exhibit 10.3

WHITEBOX ADVISORS, LLC

3033 Excelsior Blvd., Suite 300

Minneapolis, MN 55416

Sutura, Inc.

Attention: Anthony Nobles, President

17080 Newhope Street

Fountain Valley, CA 92708

	 	Re: 	 	Agreements relating to certain Secured Convertible Promissory Notes and
Warrants between Sutura, Inc. (the “Company”) and Whitebox Convertible Arbitrage
Partners, L.P. (“WCAP”), Whitebox Hedged High Yield Partners, L.P. (“WHHY”), Whitebox
Intermarket Partners, L.P. (“WIP”), Pandora Select Partners, L.P. (“Pandora”), Gary S.
Kohler (“Kohler”) and Scot W. Malloy (“Malloy”). WCAP, WHHY, WIP, Pandora, Kohler and
Malloy are collectively referred to in this Agreement as the “Whitebox Parties”.

Dear Anthony:

     The purpose of this letter is to set forth our understandings regarding certain amendments to
the Original Notes, the Original Warrants, the March 2005 Notes, the March 2005 Warrants, the
September 2005 Notes and the September 2005 Warrants, all as defined in that certain Third Amended
Registration Rights Agreement between the Company and the Whitebox Parties of even date herewith
(the “Registration Rights Agreement”). In furtherance of this, the parties agree as follows:

     1. Definitions. The Original Notes, March 2005 Notes and September 2005 Notes are collectively
referred to in this Agreement as the “Notes”. The Original Warrants, March 2005 Warrants and
September 2005 Warrants are collectively referred to in this Agreement as the “Warrants”.
“Collateral” shall have the meaning set forth in the Fourth Amended Security Agreement between the
parties dated June 28, 2006 (the “Security Agreement”). “Intellectual Property Collateral” shall
have the meaning set forth in the Fourth Amended Patent and Trademark Security Agreement between
the parties dated June 28, 2006 (the “Patent Security Agreement” and, together with the Security
Agreement, the “Security Agreements”). Capitalized terms used, but not otherwise defined in this
Agreement, shall have the meanings set forth in the Registration Rights Agreement.

     2. Amendment of the Original Notes.

	 	a.	 	Section 3 to each of the Original Notes is amended and restated
to read in its entirety as follows:

“3. Conversion.

(a) At any time while any portion of the principal or the interest of
this Note is outstanding, the Payee may give the Maker written notice (the
“Payee Notice”) of its intention to convert all or any portion of the
outstanding principal and/or accrued but unpaid interest on this Note
into shares of the Maker’s Common Stock based on the conversion rate as
described below (the “Conversion Rate”). Upon receipt of the Payee’s
Notice, the Maker shall immediately cause certificates dated the Payee
Notice date and representing these shares to be
delivered to Payee within 20 days of, and payment shall be deemed to have
been made on, the date of the Payee Notice.

 

 

(b) The Conversion Rate shall initially be equal to $0.15 per share.

(c) If Maker or its controlling stockholders enter into a definitive
agreement relating to the sale, license or other disposition of all or
substantially all of the Maker’s assets, the sale or exchange of a
majority of the voting stock of Maker or the merger or consolidation of
Maker into or with another entity (a “Sale Transaction”), then, from and
after the Sale Transaction, the Conversion Rate shall be the lesser of the
Conversion Rate set forth in Section 3(b) or the per-share price as
computed pursuant to the terms of the definitive agreement; provided,
however, that if the Sale Transaction is ultimately not consummated
(whether upon termination or abandonment of the definitive agreement or
otherwise), then from and after the date the Maker gives Payee notice
thereof, the provisions of this subsection (c) shall be come inapplicable
(unless and until Maker or its controlling stockholders enter into a
different definitive agreement relating to a Sale Transaction, whereupon,
each time, this subsection will again become applicable.

(d) The Conversion Rate (and, as applicable, the factors above used to
compute it) shall be adjusted proportionally for any subsequent stock
dividend or split, stock combination or other similar recapitalization,
reclassification or reorganization of or affecting Maker’s Common Stock.
In case of any consolidation or merger to which the Maker is a party other
than a merger or consolidation in which the Maker is the continuing
corporation, or in case of any sale or conveyance to another corporation
of the property of the Maker as an entirety or substantially as an
entirety, or in the case of any statutory exchange of securities with
another corporation (including any exchange effected in connection with a
merger of a third corporation into the Maker), then instead of receiving
shares of Maker’s Common Stock, Payee shall have the right thereafter to
receive the kind and amount of shares of stock and other securities and
property which the Payee would have owned or have been entitled to receive
immediately after such consolidation, merger, statutory exchange, sale or
conveyance had the same portion of this Note been paid or converted
immediately prior to the effective date of such consolidation, merger,
statutory exchange, sale or conveyance and, in any such case, if
necessary, appropriate adjustment shall be made in the application of the
provisions set forth in this Section with respect to the rights and
interests thereafter of the Payee, to the end that the provisions set
forth in this Section shall thereafter correspondingly be made applicable,
as nearly as may reasonably be, in relation to any shares of stock and
other securities and property thereafter deliverable in connection with
this Note. The provisions of this subsection shall similarly apply to
successive consolidations, mergers, statutory exchanges, sales or
conveyances.”

	 	b.	 	Section 3(g) to each of the Original Notes is hereby
deleted in its entirety.
	 
	 	c.	 	The following new subsection (f) is added to Section
6 of each of the Original Notes:

 

 

“The Maker uses any of the net proceeds from the sale of Maker’s
securities under the Fourth Purchase Agreement to pay all or any part of
the unpaid wages, bonuses or other cash compensation due for services
rendered to Maker prior to calendar year 2006 to any current or former
employee of the Company, or Maker otherwise fails to materially comply
with any covenants or agreements of Maker contained in the Fourth Purchase
Agreement.”

     3. Amendment of the March 2005 Notes.

	 	a.	 	Section 3 to each of the March 2005 Notes is amended and
restated to read in its entirety as follows:

“3. Conversion.

(a) At any time while any portion of the principal or the interest of
this Note is outstanding, the Payee may give the Maker written notice (the
“Payee Notice”) of its intention to convert all or any portion of the
outstanding principal and/or accrued but unpaid interest on this Note
into shares of the Maker’s Common Stock based on the conversion rate as
described below (the “Conversion Rate”). Upon receipt of the Payee’s
Notice, the Maker shall immediately cause certificates dated the Payee
Notice date and representing these shares to be delivered to Payee within
20 days of, and payment shall be deemed to have been made on, the date of
the Payee Notice.

(b) The Conversion Rate shall initially be equal to $0.15 per share.

(c) If Maker or its controlling stockholders enter into a definitive
agreement relating to the sale, license or other disposition of all or
substantially all of the Maker’s assets, the sale or exchange of a
majority of the voting stock of Maker or the merger or consolidation of
Maker into or with another entity (a “Sale Transaction”), then, from and
after the Sale Transaction, the Conversion Rate shall be the lesser of the
Conversion Rate set forth in Section 3(b) or the per-share price as
computed pursuant to the terms of the definitive agreement; provided,
however, that if the Sale Transaction is ultimately not consummated
(whether upon termination or abandonment of the definitive agreement or
otherwise), then from and after the date the Maker gives Payee notice
thereof, the provisions of this subsection (c) shall be come inapplicable
(unless and until Maker or its controlling stockholders enter into a
different definitive agreement relating to a Sale Transaction, whereupon,
each time, this subsection will again become applicable.

(d) The Conversion Rate (and, as applicable, the factors above used to
compute it) shall be adjusted proportionally for any subsequent stock
dividend or split, stock combination or other similar recapitalization,
reclassification or reorganization of or affecting Maker’s Common Stock.
In case of any consolidation or merger to which the Maker is a party other
than a merger or consolidation in which the Maker is the continuing
corporation, or in case of any sale or conveyance to another corporation
of the property of the Maker as an entirety or substantially as an
entirety, or in the case of any statutory exchange of securities with
another corporation (including any exchange

 

 

effected in connection with a merger of a third corporation into the
Maker), then instead of receiving shares of Maker’s Common Stock, Payee
shall have the right thereafter to receive the kind and amount of shares
of stock and other securities and property which the Payee would have
owned or have been entitled to receive immediately after such
consolidation, merger, statutory exchange, sale or conveyance had the same
portion of this Note been paid or converted immediately prior to the
effective date of such consolidation, merger, statutory exchange, sale or
conveyance and, in any such case, if necessary, appropriate adjustment
shall be made in the application of the provisions set forth in this
Section with respect to the rights and interests thereafter of the Payee,
to the end that the provisions set forth in this Section shall thereafter
correspondingly be made applicable, as nearly as may reasonably be, in
relation to any shares of stock and other securities and property
thereafter deliverable in connection with this Note. The provisions of
this subsection shall similarly apply to successive consolidations,
mergers, statutory exchanges, sales or conveyances.”

	 	b.	 	Section 3(f) to each of the March 2005 Notes is hereby deleted
in its entirety.
	 
	 	c.	 	The following new subsection (g) is added to Section 6 of each
of the March 2005 Notes:

“The Maker uses any of the net proceeds from the sale of Maker’s
securities under the Fourth Purchase Agreement to pay all or any part of
the unpaid wages, bonuses or other cash compensation due for services
rendered to Maker prior to calendar year 2006 to any current or former
employee of the Company, or Maker otherwise fails to materially comply
with any covenants or agreements of Maker contained in the Fourth Purchase
Agreement.”

     4. Amendment of the September 2005 Notes.

	 	a.	 	Section 4 to each of the September 2005 Notes is amended and
restated to read in its entirety as follows:

“4. Conversion.

(a) At any time while any portion of the principal or the interest of
this Note is outstanding, the Payee may give the Maker written notice (the
“Payee Notice”) of its intention to convert all or any portion of the
outstanding principal and/or accrued but unpaid interest on this Note
into shares of the Maker’s Common Stock based on the conversion rate as
described below (the “Conversion Rate”). Upon receipt of the Payee’s
Notice, the Maker shall immediately cause certificates dated the Payee
Notice date and representing these shares to be delivered to Payee within
20 days of, and payment shall be deemed to have been made on, the date of
the Payee Notice.

(b) The Conversion Rate shall initially be equal to $0.15 per share.

(c) If Maker or its controlling stockholders enter into a definitive
agreement relating to the sale, license or other disposition of all or
substantially all of the Maker’s assets, the sale or exchange of a
majority of the voting stock of Maker

 

 

or the merger or consolidation of Maker into or with another entity (a
“Sale Transaction”), then, from and after the Sale Transaction, the
Conversion Rate shall be the lesser of the Conversion Rate set forth in
Section 3(b) or the per-share price as computed pursuant to the terms of
the definitive agreement; provided, however, that if the Sale Transaction
is ultimately not consummated (whether upon termination or abandonment of
the definitive agreement or otherwise), then from and after the date the
Maker gives Payee notice thereof, the provisions of this subsection (c)
shall be come inapplicable (unless and until Maker or its controlling
stockholders enter into a different definitive agreement relating to a
Sale Transaction, whereupon, each time, this subsection will again become
applicable.

(d) The Conversion Rate (and, as applicable, the factors above used to
compute it) shall be adjusted proportionally for any subsequent stock
dividend or split, stock combination or other similar recapitalization,
reclassification or reorganization of or affecting Maker’s Common Stock.
In case of any consolidation or merger to which the Maker is a party other
than a merger or consolidation in which the Maker is the continuing
corporation, or in case of any sale or conveyance to another corporation
of the property of the Maker as an entirety or substantially as an
entirety, or in the case of any statutory exchange of securities with
another corporation (including any exchange effected in connection with a
merger of a third corporation into the Maker), then instead of
receiving shares of Maker’s Common Stock, Payee shall have the right thereafter to
receive the kind and amount of shares of stock and other securities and
property which the Payee would have owned or have been entitled to receive
immediately after such consolidation, merger, statutory exchange, sale or
conveyance had the same portion of this Note been paid or converted
immediately prior to the effective date of such consolidation, merger,
statutory exchange, sale or conveyance and, in any such case, if
necessary, appropriate adjustment shall be made in the application of the
provisions set forth in this Section with respect to the rights and
interests thereafter of the Payee, to the end that the provisions set
forth in this Section shall thereafter correspondingly be made applicable,
as nearly as may reasonably be, in relation to any shares of stock and
other securities and property thereafter deliverable in connection with
this Note. The provisions of this subsection shall similarly apply to
successive consolidations, mergers, statutory exchanges, sales or
conveyances.”

	 	b.	 	Section 8 to each of the September 2005 Notes is hereby deleted
in its entirety.
	 
	 	c.	 	The following new subsection (g) is added to Section 7 of each
of the September 2005 Notes:

“The Maker uses any of the net proceeds from the sale of Maker’s
securities under the Fourth Purchase Agreement to pay all or any part of
the unpaid wages, bonuses or other cash compensation due for services
rendered to Maker prior to calendar year 2006 to any current or former
employee of the Company, or Maker otherwise fails to materially comply
with any covenants or agreements of Maker contained in the Fourth Purchase
Agreement.”

 

 

     5. Amendment of the Warrants. Section 12 of the Original Warrants, the March 2005
Warrants and the September 2005 Warrants is hereby deleted in its entirety.

     6. Remaining Interest Payments in 2006.

	 	a.	 	The Company is required to make quarterly interest payments to
the Whitebox Parties in September 2006 and December 2006 as set forth in the
Notes (each, a “2006 Interest Payment” and, together, the “2006 Interest
Payments”). The parties hereby agree that the Company may pay the 2006 Interest
Payments, or any portion thereof, by issuing to the Whitebox Parties fully paid
and nonassessable shares of its Common Stock in lieu of cash. The
number of shares of Common Stock issuable upon payment of any portion of the 2006
Interest Payments in stock shall be computed by dividing each such applicable
portion of the 2006 Interest Payment to be paid in shares of Common Stock by
the Conversion Rate in effect at such time.
	 
	 	b.	 	The Conversion Rate shall be equal to the greater of (i) $0.08
per share; or (ii) the average of the daily closing bid prices for the
Company’s Common Stock over a period of 30 consecutive Trading Days. The last
day of such 30 day period will be the Trading Day immediately prior to the day
in which a 2006 Interest Payment is due. A “Trading Day” is (x) a day on which
the Common Stock is traded on the New York Stock Exchange, the American Stock
Exchange, the NASDAQ National Market, the NASDAQ SmallCap Market or OTC
Bulletin Board (all “Trading Markets”), or (y) if the Common Stock is not
quoted on any Trading Market, a day on which the Common Stock is quoted in the
over-the-counter market as reported by the Pink Sheets, LLC (or any similar
organization or agency succeeding to its function of reporting prices).
	 
	 	c.	 	Any Common Stock issued in payment of any portion of the 2006
Interest Payments shall have those registration rights set forth in the
Registration Rights Agreement.

     7. Representations and Warranties of the Company relating to the Security Agreements. The
Company reaffirms its continuing obligations to the Whitebox Parties under the Security Agreements
and hereby represents, warrants and agrees that:

	 	a.	 	The Security Agreements are in full force and effect as of the
date of this Agreement.
	 
	 	b.	 	Each of the representations and warranties in Section 3 of the
Security Agreement and Section 5 of the Patent Security Agreement is true and
correct as of the date of this Agreement.
	 
	 	c.	 	The Company has not sold, contracted to sell, assigned,
transferred or disposed of any of the Collateral or Intellectual Property
Collateral except in accordance with the terms and conditions of the Security
Agreements.
	 
	 	d.	 	The Company has not directly or indirectly created, incurred,
assumed or suffered to exist any liens on or with respect to all or any part of
the Collateral or Intellectual Property Collateral and that, as of the date of
this Agreement, the Whitebox Parties have a first priority security interest in
the Collateral and the Intellectual Property Collateral, subordinate to no
other secured rights.

 

 

     8. Notices. All notices and demands under this Agreement shall be deemed to have been duly
given, if given in accordance with Section 12.5 of the Registration Rights Agreement.

     9. Entire Agreement. This Agreement constitutes the entire agreement and understanding of the
parties concerning the amendment of the Notes and Warrants and expressly supersedes all prior
agreements and commitments of the parties, whether oral or written. Unless amended by this
Agreement, all other terms and conditions of the Notes and Warrants remain in full force and
effect.

     10. Amendment. No modification, amendment or waiver of any provision of this Agreement shall
be binding unless in a subsequent writing signed by all parties, in the case of an amendment or
modification, or by the party to be charged thereby, in the case of a waiver. Any waiver shall be
limited to the circumstances or event specifically referred to in the waiver instrument and shall
not be deemed a waiver of any other term of this Agreement or of the same circumstances or event
upon any recurrence of such circumstance or event.

     11. Counterparts. This Agreement may be executed by facsimile and in counterparts and by
different parties on different counterparts, with the same effect as if the signatures were on the
same instrument.

     12. Further Assurances. Each party agrees to execute and deliver such additional documents
and perform such additional acts as may be reasonably necessary or appropriate to effectuate, carry
out, and consummate the terms and conditions of this Agreement and the transactions contemplated
thereby.

Kindly acknowledge your agreement to the foregoing terms by signing this letter agreement below,
where indicated, and returning the fully executed original to the Chief Financial Officer of
Whitebox Advisors, LLC.

	 	 	 	 	 	 	 	 	 	 	 
	Sincerely,	 	 	 	 	 	 	 	 
	 
	 	 	 	 	 	 	 	 	 	 
	WHITEBOX CONVERTIBLE ARBITRAGE
PARTNERS, L.P.	 	 	 	WHITEBOX HEDGED HIGH YIELD PARTNERS,
L.P.	 	 
	 
	 	 	 	 	 	 	 	 	 	 
	By:

	 	 	 	 	 	By:	 	 	 	 
	 

	 	 
	 	 	 	 	 	 	 	 
	Its:

	 	 	 	 	 	Its:	 	 	 	 
	 

	 	 
	 	 	 	 	 	 	 	 
	 
	 	 	 	 	 	 	 	 	 	 
	WHITEBOX INTERMARKET PARTNERS, L.P.	 	 	 	PANDORA SELECT PARTNERS, L.P.	 	 
	 
	 	 	 	 	 	 	 	 	 	 
	By:

	 	 	 	 	 	By:	 	 	 	 
	 

	 	 
	 	 	 	 	 	 	 	 
	Its:

	 	 	 	 	 	Its:	 	 	 	 
	 

	 	 
	 	 	 	 	 	 	 	 
	 
	 	 	 	 	 	 	 	 	 	 
	 
	 	 	 	 	 	 	 	 	 	 
	 	 	 	 	 	 	 
	GARY S. KOHLER	 	 	 	SCOT W. MALLOY	 	 
	 

	 	 	 	 	 	 	 	 	 	 

 

 

THE UNDERSIGNED HEREBY ACKNOWLEDGES AND AGREES TO THE FOREGOING TERMS AND CONDITIONS EFFECTIVE THIS
25th DAY OF AUGUST 2006.

	 	 	 
	SUTURA, INC.
	 	 
	 
	 	 
	 

By: Anthony Nobles, President and Chief Executive Officer

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