Product Terms

REAL® Immersive System – Purchase and Fee Agreement

This Purchase and Fee Agreement (“Agreement”) is by and between [insert business entity name] located at [insert business address here] (“Facility”) and Penumbra, Inc. (“Supplier”), a Delaware corporation with a principal place of business at One Penumbra Place, Alameda, CA 94502.

  1. REAL Immersive System; Components. Supplier is the manufacturer of and, under the terms of this Agreement, shall provide to Facility one or more new or reconditioned virtual reality systems called the REAL® Immersive System (the “REAL Immersive System”). The REAL Immersive System includes the REAL Hardware, REAL Activities and REAL Professional Suite as further described below:
    • Hardware. The REAL Immersive System is comprised of a tablet, a head-mounted display, sensors for use on a patient’s body and a storage case that charges both the headset and tablet (together, the “REAL Hardware”). Sold separately from the REAL Hardware are the disposable straps used to attached the sensors to the patient’s body (the “REAL Sensor Bands”), which, together with the REAL Hardware shall herein be referred to as the “REAL Products”).
    • REAL Activities and Professional Suite. Supplier grants Facility access to a growing library of REAL System activities and therapeutic applications (the “REAL Activities”). Supplier shall provide Facility with (i) technology set-up and ongoing technical support; (ii) easy access to the experienced REAL Immersive System team of therapists for initial and ongoing Operator (as defined below) training and support; (iii) easy access to the REAL Customer Success team for any account questions; (iv) online resources, including therapist and patient education; and, (v) information regarding the security and privacy features of the REAL Immersive System (the “REAL Professional Suite”).  
  2. Software License Conditions. In purchasing the REAL Immersive System, Supplier grants Facility a non-exclusive, non-transferable, revocable license, without the right to grant sublicenses, to the software necessary to operate the connectivity and core functionality of the REAL Hardware, REAL Activities and REAL Professional Suite (the “REAL Software License”). Facility and Supplier agree to the following conditions in relation to the REAL Software License:
    • Supplier uses technical measures, including software updates, to prevent use of any hardware accessories not distributed by Supplier (“Unauthorized Hardware”), to prevent use of any software or firmware not distributed by Supplier (“Unauthorized Software”), and to protect the technical limitations, security, and anti-piracy systems in the REAL Immersive System.
    • The use of Unauthorized Software or Unauthorized Hardware or any violation of this Section 2: (i) shall be deemed a material breach of this Agreement; (ii) may cause the REAL Immersive System to malfunction or stop working; and (iii) shall void any warranty provided as part of this Agreement.
    • Supplier may update the software included in the REAL Software License from time to time without notice to Facility, for example, to add new therapies or update a security feature; provided, however, that Supplier will ensure such updates will not be launched on a day or at a time that would disrupt Facility’s use of the REAL Immersive System with its patients.
    • The REAL Immersive System shall only be used by one (1) or more of Facility’s properly licensed employees or agents of the age of majority in the state in which Facility is located (“Operator(s)”). Facility shall ensure that each Operator is: (i) a licensed healthcare provider, such as a physical therapist, or an authorized assistant, and in all cases legally permitted to use the REAL Immersive System in accordance with the instructions for use provided therewith; and (ii) located in the United States.
    • Facility shall not: (i) use or install any Unauthorized Software or Unauthorized Hardware with the REAL Immersive System; (ii) modify, reverse engineer, decompile, or otherwise attempt to derive the source code, structure, design, or method of operation of the software included in the REAL Software License; (iii) modify, disassemble, or otherwise tamper with the REAL Immersive System or the software included in the REAL Software License; (iv) modify or disable any hardware or software controls in the REAL Immersive System; (v) attempt to circumvent technological measures or gain unauthorized access through hacking, password mining or any other means; (vi) copy, modify, distribute, sell, or use for the benefit of any third party other than patients of the REAL Immersive System; or (vii) attempt to defeat or circumvent any technical limitation, security, or anti-piracy feature of the software included in the REAL Software License or REAL Immersive System.
    • Supplier will revoke the REAL Software License if Facility attempts to circumvent any security controls of the REAL Immersive System or REAL Software License or conducts any of the unauthorized actions related to the REAL Software License. Upon revocation, no refunds shall be issued by Supplier.
  3. REAL Immersive System Ownership. After completing the purchase transaction as described herein, Facility shall own the applicable REAL Immersive System. The software to which Supplier is providing the REAL Software License and all aggregated, anonymized and/or deidentified data resulting from use and operation of the REAL Immersive System shall belong solely to Supplier at all times, and no title or other indicia of ownership of any of these are hereby transferred to Facility.
  4. Purchase and Delivery of the REAL Products; Associated Fees.
    • Purchase. Supplier will provide Facility with a quote setting forth the pricing agreed upon between the parties and any related discounts for the REAL Products, as well as for the fees for the REAL Activities and REAL Professional Suite (the “Fees”), which will be identified as separate line items from the REAL Products and shall be paid either monthly or annually by Facility as agreed between the parties (the “Price Quote”). Using the pricing from the Price Quote, Facility shall place a purchase order for the quantity of REAL Products it requires using its standard purchase order form, which shall be subject to the terms and conditions herein (“Purchase Order”). Supplier shall issue an invoice in the name of Facility at the address listed on the Purchase Order upon shipment of the ordered REAL Products.
    • Delivery of REAL Products. Supplier will schedule the delivery of all REAL Products in accordance with its business demands and product availability. The REAL Products shall be (a) suitably packed or otherwise prepared by the Supplier for shipment to prevent damage and to meet the carrier’s requirements, and (b) shipped to the address on the Purchase Order. Facility shall purchase the REAL Products from Supplier, FCA (Incoterms® 2020) Supplier’s designated shipping point. Delivery of the REAL Products to the carrier at Supplier’s designated shipping point shall constitute delivery to Facility, and title to and risk of loss for the REAL Products shall pass to Facility when the REAL Products are delivered to the carrier at Supplier’s designated shipping point.
  5. Payments.
    • Facility may pay for the REAL Immersive System and the Fees either upon receipt of an invoice from Supplier or by credit card.
    • Invoiced Payments. Facility’s payments are due within thirty (30) calendar days from the invoice date. Each invoice shall give a detailed account of the REAL Products purchased, relevant Fees to be paid and shall reference the appropriate Purchase Order number. The billing cycle for the Fees shall begin on the date on which the REAL Products are shipped by Supplier to Facility (the “Billing Date”). The initial invoice for the Fees will be issued on the Billing Date, recurring monthly or annually thereafter.
    • Payment by Credit Card.
      • Should Facility desire to pay for the REAL Products and the Fees by credit, charge or debit card, Facility shall provide such relevant payment information to Supplier in such form or format as requested by Supplier.
      • Upon providing such payment information, Facility authorizes Supplier, its payment processors and any other billing agents to charge Facility for any applicable fees through such specified payment method on each Billing Date. Facility hereby authorizes the issuer of its selected payment method to pay any amounts due as described herein without requiring a signed receipt.  Facility authorizes Supplier to continue to attempt to charge and/or place holds with respect to all sums described herein, or any portion thereof, to Facility’s payment method until such amounts are paid in full.
      • Facility shall provide updated payment information upon request and any time the information previously provided is no longer valid. Facility represents and warrants that it has the legal right to use all payment method(s) provided hereby.  Supplier reserves the right to reject any payment method, for any reason, including without limitation any such method for which payment will not process after two (2) attempts by Supplier. Neither Supplier nor any agent of Supplier will have any liability whatsoever for any insufficient funds or other charges incurred by Facility as a result of attempts to charge, and/or place holds on, Facility’s specified payment method as contemplated herein.
      • Facility hereby authorizes Supplier to obtain a credit report from one or more consumer credit reporting agencies for any lawful purpose, including for authentication purposes or to make credit decisions. Facility authorizes Supplier to verify information in its credit report and agrees that Supplier may contact third parties to verify any such information.
      • Supplier may use a third-party payment processor (the “Payment Processor”) to bill Facility through the payment method provided by Facility.  The processing of payments will be subject to the terms, conditions and privacy policies of the Payment Processor in addition to this Agreement.  Supplier is not responsible for errors by the Payment Processor. Facility shall pay Supplier, through the Payment Processor, all charges at the prices then in effect for the REAL Products and the Fees in accordance with the applicable payment terms presented to Facility at the time of purchase. Supplier reserves the right to correct, or to instruct its Payment Processors to correct, any errors or mistakes, even if payment has already been requested or received.
    • Discounts. Supplier will clearly indicate any discounts on the Fees or the REAL Products on the Price Quote and invoice, as such discounts may apply. Facility is obligated to (a) fully and accurately disclose the cost of the REAL Products purchased and Fees – including all discounts or other price reductions – in cost reports or claims for reimbursement by Facility to Medicare, Medicaid, or other health care programs requiring such disclosure, and (b) provide such documentation to representatives of the Secretary of the Department of Health and Human Services and state agencies upon request. This notice is provided in order to comply with the discount safe harbor to the federal Anti-Kickback Statute, 42 C.F.R. 1001.952(h).
  6. Suspension and Termination.
    • REAL Activities and REAL Professional Suite Suspension. Supplier may immediately suspend Facility’s access to the REAL Activities or the REAL Professional Suite, without notice if: (a) Facility’s payment is overdue (provided that Supplier will use reasonable efforts to notify Facility of the overdue payment before Supplier suspends access to the REAL Activities and REAL Professional Suite); (b) Facility provides false or inaccurate information to Supplier; (c) Facility violates this Agreement; or (d) Facility engages in conduct that is a violation of any applicable law or regulations (including, without limitation, copyright and intellectual property laws). Upon suspension, Supplier will not provide any refunds, prorated or otherwise.  
    • Term and Termination. This Agreement shall commence on the date on which the last signature is provided on this Agreement (the “Effective Date”) and will continue until terminated by either party with thirty (30) days’ written notice to the other party. Upon termination for cause, Supplier will not provide any refunds, prorated or otherwise, and any amounts previously agreed upon between the parties that have not yet been paid by Facility will become immediately due and payable. Such amounts outstanding shall be paid in full by Facility within thirty (30) days from the date of notice of termination of the Agreement.
    • PHI Deletion. Notwithstanding the foregoing, Facility shall have access to all PHI for at least ninety (90) days after any suspension or termination for the purpose of continued patient care and therapy. Facility must notify Supplier in accordance with Section 14 herein that it wishes to export PHI before the end of the ninety (90) day period or PHI will be permanently lost.
  7. Warranty.
    • Statement. Supplier hereby extends a (1) year warranty on the REAL Immersive System (the “Covered Products”), warranting that the Covered Products are free from defects in material and workmanship during the one (1) year period following the date on which the REAL Immersive System is shipped to Facility. In the event of breach of this warranty, Supplier’s sole and exclusive liability shall be to repair or replace the Covered Products; provided that: (1) the Covered Products are found by Supplier to have been defective; (2) the Covered Products have been installed and operated in accordance with Supplier’s instructions; (3) no repairs, alterations or replacements have been made to the Covered Products without Supplier’s written approval; and (4) Facility notifies Supplier in writing within thirty (30) days after the defect becomes apparent.  In no event shall Supplier’s aggregate liability in connection with breach of any warranty or warranties exceed the amount paid for the REAL Immersive System. Supplier requires the return of the Covered Products to establish any claim of defect.
    • Exclusions. The foregoing warranty does not cover and shall be void for: (i) defects or damages resulting from casualty, accident, misuse or abuse, neglect, alterations, service or repair by anyone other than Supplier, including without limitation by Facility; (ii) improper operation, maintenance or connections; (iii) normal wear and tear; or (iv) use of Unauthorized Hardware or Unauthorized Software. Facility shall be responsible for, and shall pay, all costs and fees for out-of-warranty Covered Products, including full replacement costs thereof, as determined by Supplier.
  8. Governing Law; No Special Damages. This Agreement shall be governed, construed and enforced in accordance with the laws of the State of California, without application of conflicts of law. Both parties hereby consent to the jurisdiction of the federal and state courts located in San Francisco, California. Neither party will be liable for any special, incidental, punitive, or consequential damages for any action based on this Agreement, including, without limitation, for lost profits (even if the party has notice of the possibility of such damages).
  9. Waiver; Severability. Failure of a party to insist upon the performance of the other party of any provision of the Agreement shall not be treated as a modification of the Agreement, nor shall such failure or election be treated as a waiver of the right of such party at any later time to insist upon strict performance of such provision.  If any provision of this Agreement is declared void or unenforceable, such provision shall be severed from the Agreement, which shall otherwise remain in full force and effect.
  10. Communications. Facility consents to accept and receive communications from Supplier, including e-mails and telephone calls related to the Agreement.  Such communications may include, but are not limited to, requests for secondary authentication, receipts, fee increases, reminders, notifications regarding updates or support, and marketing and promotional communications. 
  11. Ownership. Supplier reserves all rights not expressly granted to Facility in the Agreement. Supplier owns all rights, title, interest, copyright, patents, and other intellectual property rights in the REAL Products, REAL Professional Suite and REAL Activities.  This Agreement do not grant any rights to Facility in Penumbra’s trademarks, service marks or other intellectual property other than pursuant to the licenses expressly granted herein.
  12. Personal Data. Supplier shall collect and use personal data in order to provide the REAL Immersive System in accordance with this Agreement and as allowed under all applicable data privacy laws.
  13. Entire Agreement; Amendment. This Agreement, as to its subject matter, exclusively and completely states the rights, duties and obligations of the parties and supersedes all prior and contemporaneous representations, letters, proposals, discussions and understandings by or between the parties.  No modification of or amendment to this Agreement will be effective unless in writing and signed by all parties hereto.
  14. Notice. Any notice required or permitted under Agreement shall be deemed properly given (i) by Supplier, if e-mailed to the email address associated with the acceptance of this Agreement; (ii) by Facility, if emailed to; and (iii) if delivered by overnight carrier to either party at their business address included herein.

(Signatures Follow)

IN WITNESS WHEREOF, the parties hereto, intending to be legally bound hereby, have caused this Agreement to be executed and delivered by their proper and duly authorized officers effective as of the date of the last signature below.


Facility Penumbra, Inc.
By: _______________________________
DATE: ____________________________
 By: ___________________________
Name: Gita Barry
Title:  Executive Vice President and GM, Immersive Healthcare