Amendment No. 4 to Licensing Agreement between Monogram Orthopaedics, Inc. as Licensee and Icahn School of Medicine at Mount Sinai as Licensor, effective May 17, 2023

EX-10.16 2 tmb-20230331xex10d16.htm EX-10.16

Exhibit 10.16

Amendment No. 4 to

EXCLUSIVE LICENSE AGREEMENT

between

Icahn School of Medicine at Mount Sinai And

Monogram Orthopedics Inc.

This Amendment No.4 (the “Amendment”), effective as of May 17, 2023, is entered into by and between Icahn School of Medicine at Mount Sinai, a New York not-for-profit education corporation, having a principal place of business at One Gustave L. Levy Place, New York, NY 10029 (“Mount Sinai”) and Monogram Orthopedics Inc., a Delaware corporation with a principal place of business at 3913 Todd Lane, Suite 307, Austin, TX 78744 (“Monogram”).

WHEREAS, Mount Sinai and Monogram entered into an exclusive license agreement with an effective date of October 3, 2017(the “Agreement”);

WHEREAS, the parties intend to amend the Agreement for the purpose of extending development milestones and amending Exhibit A to introduce additional Licensed Patents and to provide compensation to Mount Sinai for the addition of such Licensed Patents;

NOW THEREFORE, in consideration of the mutual obligations in this Amendment and for other good consideration, the receipt and sufficiency of which are hereby acknowledged, Mount Sinai and Monogram hereby agree as follows:

1.

All capitalized terms used but not defined herein shall have the respective meanings ascribed to such terms in the Agreement.

2.

Section 3.3(b) shall be deleted and hereby replaced in its entirety with the following:

(b) Within eight (8) years from the Effective Date, Licensee will have a First Commercial Sale. Up to thirty (30) days prior to this First Commercial Sale milestone date, and upon written request for an additional amendment to the Agreement, Monogram may extend this milestone date for one (1) year with payment of an extension fee of $50,000 (“Extension Fee”). Monogram may extend this milestone date by one (1) additional year for up to two (2) additional times for a total of 3 extensions maximum, each with written request, an additional amendment to the Agreement, and payment of the Extension Fee.

3.

Exhibit A shall be deleted and hereby replaced in its entirety with the Exhibit A attached to this Amendment.


4.

As consideration for the Licensed Patents added by Section 3 of this Amendment, as well as extension of the First Commercial Sale milestone added by Section 2 of this Amendment, Monogram agrees to pay Mount Sinai $50,000 within 30 days of the effective date of this Amendment.

5.

All other terms and conditions to the Agreement remain unchanged and in full force and effect except to the extent modified by the terms and conditions of this Amendment. The Agreement, as modified by this Amendment, contains the entire understanding of the parties with respect to the subject matter contemplated herein.

IN WITNESS WHEREOF, the parties have caused their duly authorized representatives to execute this Amendment.

ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI

By:

/s/ Eric Lium

Name:

Erik Lium

Title:

President

Date:

5/17/2023 | 4:10 PM EDT

MONOGRAM ORTHOPEDICS INC.

By:

/s/ Benjamin Sexson

Name:

Benjamin Sexson

Title:

CEO

Date:

5/31/2023


Exhibit A

Licensed Patents

Country

App Type

Serial No.

Status

File Date

Title

Publication Date

Publication No.

Patent No.

United States

Provisional

62/319,710

Expired

2016-04-07

APPARATUS, METHOD AND SYSTEM FOR PROVIDING CUSTOMIZABLE BONE IMPLANTS

United States

PCT

PCT/US2017/26681

Published

2017-04-07

APPARATUS, METHOD AND SYSTEM FOR PROVIDING CUSTOMIZABLE BONE IMPLANTS

2017-10-12

WO 2017/177182

United States

Nat’l Phase

16/153,334

Issued

2018-10-05

APPARATUS, METHOD AND SYSTEM FOR PROVIDING CUSTOMIZABLE BONE IMPLANTS

10,945,848

Europe

Nat’l Phase

17779938.4

Published

2017-04-07

APPARATUS, METHOD AND SYSTEM FOR PROVIDING CUSTOMIZABLE BONE IMPLANTS

2019-02-13

EP 3439584A

Australia

Nat’l Phase

2017248357

Pending

2018-11-05

APPARATUS, METHOD AND SYSTEM FOR PROVIDING CUSTOMIZABLE BONE IMPLANTS

Canada

Nat’l Phase

3,020,362

Pending

2018-10-18

APPARATUS, METHOD AND SYSTEM FOR PROVIDING CUSTOMIZABLE BONE IMPLANTS

United States

Nat’l Phase

17/176,653

Issued

2021-02-16

APPARATUS, METHOD AND SYSTEM FOR PROVIDING CUSTOMIZABLE BONE IMPLANTS

11,517,440

United States

Nat’l Phase

18/061,814

Pending

2022-12-05

APPARATUS, METHOD AND SYSTEM FOR PROVIDING CUSTOMIZABLE BONE IMPLANTS

United States

Provisional

62/811,855

Expired

2019-02-28

CUSTOMIZED TIBIAL TRAYS CONTACTABLE WITH AN UNDERLYING CORTICAL BONE, METHODS, AND SYSTEMS FOR KNEE REPLACEMENT

United States

Provisional

62/879,800

Expired

2019-07-29

CUSTOMIZED TIBIAL TRAYS CONTACTABLE WITH AN UNDERLYING CORTICAL BONE, METHODS, AND SYSTEMS FOR KNEE REPLACEMENT


United States

PCT

PCT/US2020/020279

Published

2020-02-28

CUSTOMIZED TIBIAL TRAYS CONTACTABLE WITH AN UNDERLYING CORTICAL BONE, METHODS, AND SYSTEMS FOR KNEE REPLACEMENT

2020-09-03

WO 2020/176824

United States

Nat’l Phase

17/460,943

Pending

2021-08-30

CUSTOMIZED TIBIAL TRAYS CONTACTABLE WITH AN UNDERLYING CORTICAL BONE, METHODS, AND SYSTEMS FOR KNEE REPLACEMENT

Australia

Nat’l Phase

2020229371

Pending

2021-09-16

CUSTOMIZED TIBIAL TRAYS CONTACTABLE WITH AN UNDERLYING CORTICAL BONE, METHODS, AND SYSTEMS FOR KNEE REPLACEMENT

Canada

Nat’l Phase

3,131,343

Pending

2021-08-24

CUSTOMIZED TIBIAL TRAYS CONTACTABLE WITH AN UNDERLYING CORTICAL BONE, METHODS, AND SYSTEMS FOR KNEE REPLACEMENT

Europe

Nat’l Phase

20763146.6

Pending

2020-02-28

CUSTOMIZED TIBIAL TRAYS CONTACTABLE WITH AN UNDERLYING CORTICAL BONE, METHODS, AND SYSTEMS FOR KNEE REPLACEMENT

United States

Nat’l Phase

18/057,404

Pending

2021-08-30

CUSTOMIZED TIBIAL TRAYS CONTACTABLE WITH AN UNDERLYING CORTICAL BONE, METHODS, AND SYSTEMS FOR KNEE REPLACEMENT

United States

Provisional

63/027,098

Expired

2020-05-19

CUSTOMIZED TIBIAL TRAYS, METHODS,AND SYSTEMS FOR KNEE REPLACEMENT (with screws)

United States

PCT

PCT/US2021/033102

Pending

2021-05-19

CUSTOMIZED TIBIAL TRAYS, METHODS,AND SYSTEMS FOR KNEE REPLACEMENT (with screws)

United States

Nat’l Phase

18/057,404

Pending

2022-11-21

CUSTOMIZED TIBIAL TRAYS, METHODS,AND SYSTEMS FOR KNEE REPLACEMENT (with screws)

2023-03-23

US2023/0088873


Australia

Nat’l Phase

2021276381

Pending

2022-12-16

CUSTOMIZED TIBIAL TRAYS, METHODS,AND SYSTEMS FOR KNEE REPLACEMENT (with screws)

Canada

Nat’l Phase

3,182,020

Pending

2022-11-01

CUSTOMIZED TIBIAL TRAYS, METHODS,AND SYSTEMS FOR KNEE REPLACEMENT (with screws)

Japan

Nat’l Phase

2022-571351

Pending

2022-11-19

CUSTOMIZED TIBIAL TRAYS, METHODS,AND SYSTEMS FOR KNEE REPLACEMENT (with screws)

Europe

Nat’l Phase

21808537.1

Pending

2021-05-19

CUSTOMIZED TIBIAL TRAYS, METHODS,AND SYSTEMS FOR KNEE REPLACEMENT (with screws)

Korea

Nat’l Phase

1020227044310

Pending

2022-11-19

CUSTOMIZED TIBIAL TRAYS, METHODS,AND SYSTEMS FOR KNEE REPLACEMENT (with screws)

United States

Provisional

62/834,692

Expired

2019-04-16

CUSTOM HIP DESIGN AND INSERTABILITY ANALYSIS

United States

PCT

PCT/US2020/028499

Published

2020-04-15

CUSTOM HIP DESIGN AND INSERTABILITY ANALYSIS

United States

Nat’l Phase

17/503,536

Pending

2021-10-18

CUSTOM HIP DESIGN AND INSERTABILITY ANALYSIS

Australia

Nat’l Phase

2020257391

Pending

2021-11-04

CUSTOM HIP DESIGN AND INSERTABILITY ANALYSIS


Canada

Nat’l Phase

3,137,029

Pending

2021-10-14

CUSTOM HIP DESIGN AND INSERTABILITY ANALYSIS

Europe

Nat’l Phase

20791627.1

Pending

2021-11-04

CUSTOM HIP DESIGN AND INSERTABILITY ANALYSIS

United States

Provisional

62/854,648

Expired

2019-05-30

ROBOT MOUNTED CAMERA REGISTRATION AND TRACKING SYSTEM FOR ORTHOPEDIC AND NEUROLOGICAL SURGERY

United States

PCT

PCT/US2020/035408

Pending

2020-05-29

ROBOT MOUNTED CAMERA REGISTRATION AND TRACKING SYSTEM FOR ORTHOPEDIC AND NEUROLOGICAL SURGERY

United States

Nat’l Phase

17/456,989

Pending

2021-11-30

ROBOT MOUNTED CAMERA REGISTRATION AND TRACKING SYSTEM FOR ORTHOPEDIC AND NEUROLOGICAL SURGERY

Australia

Nat’l Phase

2020282347

Issued

2021-11-29

ROBOT MOUNTED CAMERA REGISTRATION AND TRACKING SYSTEM FOR ORTHOPEDIC AND NEUROLOGICAL SURGERY

2020282347

Canada

Nat’l Phase

3,141,828

Pending

2021-11-22

ROBOT MOUNTED CAMERA REGISTRATION AND TRACKING SYSTEM FOR ORTHOPEDIC AND NEUROLOGICAL SURGERY

Europe

Nat’l Phase

20813577.2

Pending

2020-05-29

ROBOT MOUNTED CAMERA REGISTRATION AND TRACKING SYSTEM FOR ORTHOPEDIC AND NEUROLOGICAL SURGERY

United States

Provisional

62/850,050

Expired

2019-05-20

A SYSTEM AND METHOD FOR INTERACTION AND DEFINITION OF TOOL PATHWAYS FOR A ROBOTIC CUTTING TOOL


United States

PCT

PCT/US2020/033810

Pending

2020-05-20

A SYSTEM AND METHOD FOR INTERACTION AND DEFINITION OF TOOL PATHWAYS FOR A ROBOTIC CUTTING TOOL

United States

Nat’l Phase

17/455,822

Pending

2021-11-20

A SYSTEM AND METHOD FOR INTERACTION AND DEFINITION OF TOOL PATHWAYS FOR A ROBOTIC CUTTING TOOL

Australia

Nat’l Phase

2020280022

Pending

2021-12-10

A SYSTEM AND METHOD FOR INTERACTION AND DEFINITION OF TOOL PATHWAYS FOR A ROBOTIC CUTTING TOOL

Canada

Nat’l Phase

3,141,156

Pending

2021-11-17

A SYSTEM AND METHOD FOR INTERACTION AND DEFINITION OF TOOL PATHWAYS FOR A ROBOTIC CUTTING TOOL

Europe

Nat’l Phase

20809508.3

Pending

2021-11-20

A SYSTEM AND METHOD FOR INTERACTION AND DEFINITION OF TOOL PATHWAYS FOR A ROBOTIC CUTTING TOOL

United States

Provisional

62/990,827

Expired

2020-03-17

REGISTRATION AND/OR TRACKING OF A PATIENT'S BONE EMPLOYING A PATIENT SPECIFIC BONE JIG

United States

PCT

PCT/US2021/022524

Pending

2021-03-16

REGISTRATION AND/OR TRACKING OF A PATIENT'S BONE EMPLOYING A PATIENT SPECIFIC BONE JIG

United States

Nat’l Phase

17/932,839

Pending

2022-09-16

REGISTRATION AND/OR TRACKING OF A PATIENT'S BONE EMPLOYING A PATIENT SPECIFIC BONE JIG

2023-01-19

US2023/0020760

Europe

Nat’l Phase

217722880.0

Pending

2022-10-01

REGISTRATION AND/OR TRACKING OF A PATIENT'S BONE EMPLOYING A PATIENT SPECIFIC BONE JIG


Japan

Nat’l Phase

2022-556656

Pending

2022-09-16

REGISTRATION AND/OR TRACKING OF A PATIENT'S BONE EMPLOYING A PATIENT SPECIFIC BONE JIG

Australia

Nat’l Phase

2021239854

Expired

2022-10-14

REGISTRATION AND/OR TRACKING OF A PATIENT'S BONE EMPLOYING A PATIENT SPECIFIC BONE JIG

Canada

Nat’l Phase

3,176,080

Expired

2022-09-16

REGISTRATION AND/OR TRACKING OF A PATIENT'S BONE EMPLOYING A PATIENT SPECIFIC BONE JIG

United States

Provisional

63/268,070

Expired

2022-02-16

Implant Placement Guides and Methods

United States

PCT

PCT/US2023/062713

Pending

2023-02-16

Implant Placement Guides and Methods