X0407 4 2023-07-01 0 0000876378 ASENSUS SURGICAL, INC. ASXC 0001721810 Shameze Rampertab C/O ASENSUS SURGICAL, INC. 1 TW ALEXANDER DRIVE, SUITE 160 DURHAM NC 27703 0 1 0 0 EVP, Chief Financial Officer 0 Common Stock 2023-07-01 4 M 0 16666 0.00 A 254838 D Common Stock 2023-07-01 4 F 0 6975 0.51 D 247863 D Restricted Stock Units 0.00 2023-07-01 4 M 0 10000 0.00 D Common Stock 10000 0 D Restricted Stock Units 0.00 2023-07-01 4 M 0 6666 0.00 D Common Stock 6666 0 D Lapse of forfeiture restrictions on one third of the grant of the time-based restricted stock units ("RSUs") and on one third of the performance-based RSUs awarded on August 24, 2020. Each RSU represents the right to receive one share of the Registrant's common stock. Lapse of forfeiture restrictions on the 10,000 time-based RSUs from this grant made on August 24, 2020. Lapse of forfeiture restrictions on the 6,666 performance-based RSUs from this grant made on August 24, 2020. /s/ Joshua Weingard, as attorney-in-fact for Shameze Rampertab 2023-07-05