NOVAMETRIX MEDICAL SYSTEMS INC
SC 13D/A, 1998-07-28
ELECTROMEDICAL & ELECTROTHERAPEUTIC APPARATUS
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                       SECURITIES AND EXCHANGE COMMISSION
                             Washington, D.C. 20549


                                  SCHEDULE 13D
                                 (Rule 13d-101)

                    UNDER THE SECURITIES EXCHANGE ACT OF 1934
                               (AMENDMENT NO. 2)*


                         NOVAMETRIX MEDICAL SYSTEMS INC.
                                (Name of Issuer)

                     COMMON STOCK, $.01 PAR VALUE PER SHARE
                         (Title of Class of Securities)

                                   669870 10 7
                                 (CUSIP Number)

                                Paul Jacobs, Esq.
                           Fulbright & Jaworski L.L.P.
                                666 Fifth Avenue
                            New York, New York 10103
                                 (212) 318-3000
                  (Name, Address and Telephone Number of Person
                Authorized to Receive Notices and Communications)

                                  JULY 27, 1998
             (Date of Event which Requires Filing of This Statement)

      If the filing person has previously filed a statement on Schedule 13G
   to report the acquisition that is the subject of this Schedule 13D, and is
 filing this schedule because of Rule 13d-1(e), 13d-1(f) or 13d-1(g), check the
                               following box |_|.

          NOTE: Schedules filed in paper format shall include a signed
      original and five copies of the schedule, including all exhibits. SEE
         Rule 13d-7(b) for other parties to whom copies are to be sent.

                         (Continued on following pages)

                              (Page 1 of 10 Pages)


         * The  remainder of this cover page shall be filled out for a reporting
person's  initial  filing on this  form with  respect  to the  subject  class of
securities,  and for any subsequent amendment containing information which would
alter disclosures provided in a prior cover page.

         The information  required on the remainder of this cover page shall not
be deemed to be "filed" for the purpose of Section 18 of the Securities Exchange
Act of 1934 or otherwise  subject to the  liabilities of that section of the Act
but  shall be  subject  to all other  provisions  of the Act  (however,  SEE the
NOTES).



509416.04

<PAGE>




                                  SCHEDULE 13D

CUSIP NO. 669870 10 7                                PAGE   2   OF  10   PAGES

   1      I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY)

          Elliott Associates, L.P., a Delaware limited partnership


   2      CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*
                                                    (a) |_|
                                                    (b) |X|

   3      SEC USE ONLY



   4      SOURCE OF FUNDS*

          OO

   5      CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT
          TO ITEM 2(d) or 2(e)                          |_|


   6      CITIZENSHIP OR PLACE OF ORGANIZATION

          Delaware

                                  7      SOLE VOTING POWER
         NUMBER OF                       128,475
          SHARES
       BENEFICIALLY               8      SHARED VOTING POWER
                                         0
         OWNED BY
           EACH                   9      SOLE DISPOSITIVE POWER
                                         128,475
         REPORTING
          PERSON                  10      SHARED DISPOSITIVE POWER
                                         0
           WITH
 
 
  11      AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON

          128,475

  12      CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES
          CERTAIN SHARES*                                    |X|


  13      PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)

          1.5%

  14      TYPE OF REPORTING PERSON*

          PN

                     * SEE INSTRUCTIONS BEFORE FILLING OUT!

                                       -2-

<PAGE>




                                  SCHEDULE 13D

CUSIP NO. 669870 10 7                                PAGE   3   OF  10   PAGES

   1      NAME OF REPORTING PERSONS
          I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY)

          Westgate International, L.P., a Cayman Islands limited partnership

   2      CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*
                                                    (a) |_|
                                                    (b) |X|

   3      SEC USE ONLY



   4      SOURCE OF FUNDS*

          OO

   5      CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT
          TO ITEM 2(d) or 2(e)                          |_|


   6      CITIZENSHIP OR PLACE OF ORGANIZATION

          Cayman Islands, British West Indies

                                  7      SOLE VOTING POWER
         NUMBER OF                       0
          SHARES
       BENEFICIALLY               8      SHARED VOTING POWER
                                         128,525
         OWNED BY
           EACH
         REPORTING                9      SOLE DISPOSITIVE POWER
                                         0
          PERSON
           WITH                  10      SHARED DISPOSITIVE POWER
                                         128,525

 

  11      AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON

          128,525

  12      CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES
          CERTAIN SHARES*                                     |X|



  13      PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
          1.5%

  14      TYPE OF REPORTING PERSON*

          PN

                     * SEE INSTRUCTIONS BEFORE FILLING OUT!

                                       -3-

<PAGE>




                                  SCHEDULE 13D

CUSIP NO. 669870 10 7                               PAGE   4   OF   10   PAGES


   1      NAME OF REPORTING PERSONS
          I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY)

          Martley International, Inc., a Delaware corporation

   2      CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*
                                                    (a) |_|
                                                    (b) |X|

   3      SEC USE ONLY



   4      SOURCE OF FUNDS*

          OO

   5      CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT
          TO ITEM 2(d) or 2(e)                          |_|

   6      CITIZENSHIP OR PLACE OF ORGANIZATION

          Delaware

                                  7      SOLE VOTING POWER
         NUMBER OF                       0
          SHARES
       BENEFICIALLY               8      SHARED VOTING POWER
                                         128,525
         OWNED BY
           EACH
         REPORTING                9      SOLE DISPOSITIVE POWER
                                         0
          PERSON
           WITH                  10      SHARED DISPOSITIVE POWER
                                         128,525
 
 
 
  11      AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON

          128,525

  12      CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES
          CERTAIN SHARES*                                    |X|



  13      PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)

          1.5%
  14      TYPE OF REPORTING PERSON*

          CO

                     * SEE INSTRUCTIONS BEFORE FILLING OUT!

                                       -4-

<PAGE>




                                  SCHEDULE 13D

CUSIP NO. 669870 10 7                                PAGE   5   OF   10   PAGES

   1      NAME OF REPORTING PERSONS
          I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY)

          Thomas J. Abbenante

   2      CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*
                                                   (a) |_|
                                                   (b) |X|

   3      SEC USE ONLY



   4      SOURCE OF FUNDS*

          OO

   5      CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT
          TO ITEM 2(d) or 2(e)                         |_|


   6      CITIZENSHIP OR PLACE OF ORGANIZATION

          United States

                                  7      SOLE VOTING POWER
         NUMBER OF                       98,625 (including shares held
                                         by Insurance Trust)
          SHARES
       BENEFICIALLY               8      SHARED VOTING POWER
                                         180,121
         OWNED BY
           EACH
         REPORTING                9      SOLE DISPOSITIVE POWER
                                         98,625 (including shares
                                         held by Insurance Trust)

          PERSON
           WITH                  10      SHARED DISPOSITIVE POWER
                                         180,121
 

 
 
  11      AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON

          278,746 (including shares held by Insurance Trust)

  12      CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES
          CERTAIN SHARES*                                    |X|



  13      PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
          3.1%

  14      TYPE OF REPORTING PERSON*

          IN

                     * SEE INSTRUCTIONS BEFORE FILLING OUT!

                                       -5-

<PAGE>




                                  SCHEDULE 13D

CUSIP NO. 669870 10 7                              PAGE   6   OF   10   PAGES


   1      NAME OF REPORTING PERSONS
          I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY)

          Pellegrino Irrevocable Insurance Trust

   2      CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*
                                                    (a) |_|
                                                    (b) |X|

   3      SEC USE ONLY



   4      SOURCE OF FUNDS*

          OO

   5      CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT
          TO ITEM 2(d) or 2(e)                          |_|


   6      CITIZENSHIP OR PLACE OF ORGANIZATION

          Connecticut

                                  7      SOLE VOTING POWER
         NUMBER OF                       47,000
          SHARES
       BENEFICIALLY               8      SHARED VOTING POWER
                                         0
         OWNED BY
           EACH                   9      SOLE DISPOSITIVE POWER
                                         47,000
         REPORTING
          PERSON
           WITH                  10      SHARED DISPOSITIVE POWER
                                         0
 
 
 
  11      AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON

          47,000

  12      CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES
          CERTAIN SHARES*                                    |X|



  13      PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)

          0.5%

  14      TYPE OF REPORTING PERSON*

          OO

                     * SEE INSTRUCTIONS BEFORE FILLING OUT!

                                       -6-


<PAGE>



                                  SCHEDULE 13D

CUSIP No. 669870 10 7

ITEM 2.       IDENTITY AND BACKGROUND.

              No change.

ITEM 3.       SOURCE AND AMOUNT OF FUNDS OR OTHER CONSIDERATION.

              No change.

ITEM 4.       PURPOSE OF TRANSACTION.

              Item 4 is amended by adding the following:

                   Upon further consideration in light of market conditions, the
              Issuer's  recent  announcement  regarding  its  filing of a 510(k)
              application  for its NICO  product  with  the  U.S.  Food and Drug
              Administration and the acceleration of the Issuer's annual meeting
              date,  each of the Reporting  Persons has determined that he or it
              does not currently  intend to continue to seek  representation  on
              the Issuer's  Board of Directors or to replace the current  senior
              management team, as previously described in Item 4 of the Schedule
              13D,  and  certain  of the  Reporting  Persons  may  sell all or a
              portion  of their  holdings  in the Issuer  from time to time.  In
              light of the foregoing, Abbenante, the Insurance Trust and Elliott
              (together   with  Westgate  and  Martley)  have   terminated   any
              agreement,  arrangement,  understanding  or relationship  they may
              have  had  with  one  another  with  respect  to the  acquisition,
              disposition or voting of securities of the Issuer.  However,  each
              Reporting  Person,  individually,  reserves  his  or  its  rights,
              depending upon changes in market conditions and other factors that
              may be deemed material,  to purchase  additional  shares of Common
              Stock in the open market, in private  transactions or by any other
              permissible means if deemed  advisable,  and may once again in the
              future pursue their previously stated objectives.

                   Other than as described in this Item 4, none of the Reporting
              Persons  has any present  plans or  proposals  which  relate to or
              would result in any of the actions set forth in subparagraphs  (a)
              through (j) of Item 4.

ITEM 5.       INTEREST IN SECURITIES OF THE ISSUER.

              Item 5 is amended by adding the following:

              (A) Elliott  beneficially  owns  128,475  shares of Common  Stock,
              constituting  approximately  1.5%  of the  outstanding  shares  of
              Common Stock.

                   Westgate  and  Martley  beneficially  own  128,525  shares of
              Common Stock,  constituting  approximately 1.5% of the outstanding
              shares of Common Stock.

                   Abbenante  beneficially  owns 278,746 shares of Common Stock,
              constituting  approximately  3.1%  of the  outstanding  shares  of
              Common Stock. The shares of Common Stock beneficially owned by Mr.
              Abbenante  are comprised of 51,625 shares of Common Stock owned by
              Mr. Abbenante,  180,121 shares of Common Stock  beneficially owned
              by the Family Trust (which are deemed to be beneficially  owned by
              Mr.  Abbenante  by reason  of his  shared  voting  power and which
              includes 135,121

                                       -7-


<PAGE>



              shares of Common  Stock  underlying  certain  warrants to purchase
              shares of Common  Stock at an  exercise  price of $0.89 per share)
              and 47,000 shares of Common Stock owned by the Insurance Trust.

                   The Insurance Trust beneficially owns 47,000 shares of Common
              Stock,  constituting  approximately 0.5% of the outstanding shares
              of Common Stock.

                   All percentage  calculations  are based upon 8,857,786 shares
              of Common  Stock  issued and  outstanding  as of July 1, 1998,  as
              reported  by the Issuer in its Annual  Report on Form 10-K for the
              fiscal year ended May 3, 1998.

              (B)  Elliott  has the power to vote or direct  the vote of, and to
              dispose  of or direct  the  disposition  of,  the shares of Common
              Stock beneficially owned by it.

                   Westgate  has the shared power with Martley to vote or direct
              the vote of, and to dispose of or direct the  disposition  of, the
              shares of Common  Stock owned by Westgate.  Information  regarding
              each of Westgate and Martley for the purposes of this subparagraph
              (b) of this  Item 5 is set  forth  in Item 2 above  and  expressly
              incorporated by reference herein.

                   Abbenante has the power to vote or direct the vote of, and to
              dispose of or direct  the  disposition  of,  the 51,625  shares of
              Common Stock owned by him directly.

                   Abbenante has the power to vote or direct the vote of, and to
              dispose  of or direct  the  disposition  of,  the shares of Common
              Stock beneficially owned by the Insurance Trust.

              (C) A  summary  of  the  transactions  effected  by  each  of  the
              Reporting  Persons  during  the  past  60  days,  which  were  not
              previously  reported,  is set forth on Exhibit A attached  hereto.
              These  transactions  were effected by the Reporting Persons on the
              Nasdaq National Market. No other transactions were effected by any
              of the Reporting Persons during such period.

              (D) No change.

              (E) For the  reasons  described  in Item 4 above,  Abbenante,  the
              Insurance  Trust and Elliott  (together with Westgate and Martley)
              have  terminated  any  agreement,  arrangement,  understanding  or
              relationship  they may have had with one another  with  respect to
              the  acquisition,  disposition  or  voting  of  securities  of the
              Issuer.  As of the  date of  this  filing,  none of the  Reporting
              Persons  beneficially  owns 5% or more of the  outstanding  Common
              Stock of the Issuer.

ITEM 6.       CONTRACTS, ARRANGEMENTS, UNDERSTANDINGS OR RELATIONSHIPS
              WITH RESPECT TO SECURITIES OF THE ISSUER.

              No change.

ITEM 7.       MATERIAL TO BE FILED AS EXHIBITS.
              Exhibit A - Item 5(c):
              Transactions Effected During the Past 60 Days Not
              Previously Reported

                                       -8-

<PAGE>



                                    SIGNATURE

              After  reasonable  inquiry  and to the  best of my  knowledge  and
belief,  I certify  that the  information  set forth in this  statement is true,
complete and correct.


                                                   JULY 27, 1998
                                                        (Date)

                                                ELLIOTT ASSOCIATES, L.P.
                                               By:/S/ PAUL E. SINGER
                                               Name:  Paul E. Singer
                                           Title:    General Partner


                                                WESTGATE INTERNATIONAL, L.P.
                                              By: MARTLEY INTERNATIONAL, INC.,
                                                  as Investment Manager
                                                 By:/S/ PAUL E. SINGER
                                                 Name:  Paul E. Singer
                                                Title:  President


                                                MARTLEY INTERNATIONAL, INC.

                                                By:/S/ PAUL E. SINGER
                                                Name:  Paul E. Singer
                                             Title:    President


                                                 /S/ THOMAS J. ABBENANTE
                                                 Thomas J. Abbenante


                                         PELLEGRINO IRREVOCABLE INSURANCE TRUST
                                                By:/S/ THOMAS J. ABBENANTE
                                                Name:  Thomas J. Abbenante
                                             Title:    Trustee


                                       -9-


<PAGE>


                                    EXHIBIT A

                     ITEM 5(C): TRANSACTIONS EFFECTED DURING
                    THE PAST 60 DAYS NOT PREVIOUSLY REPORTED

                                                                    Approximate
                                                 Amount of       Price per Share
                        Date of                  Shares Acquired   (exclusive of
Reporting PERSON      TRANSACTION    SECURITY      (DISPOSED)       COMMISSIONS)
- -------------------------------------------------------------------------------
Elliott                 6/26/98     Common Stock    (1,000)               $8.00


Westgate                6/26/98     Common Stock    (1,000)               $8.00

Louis P. Pellegrino     6/19/98     Common Stock    (3,000)               $6.71
  Family Trust          7/21/98     Common Stock    (3,000)               $7.00

Pellegrino Irrevocable  6/30/98     Common Stock    (3,000)               $7.44
  Insurance Trust



                                       -1-

<PAGE>






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