NOVAMETRIX MEDICAL SYSTEMS INC
SC 13D/A, 1998-06-16
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. 1)*


                         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)

                                  JUNE 12, 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 11 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).



<PAGE>




                                  SCHEDULE 13D

CUSIP NO. 669870 10 7                                  PAGE   2   OF  11   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                       129,475
          SHARES
       BENEFICIALLY               8      SHARED VOTING POWER
         OWNED BY                         0
           EACH
         REPORTING                9      SOLE DISPOSITIVE POWER
          PERSON                         129,475
           WITH
                                 10      SHARED DISPOSITIVE POWER
                                         0

  11      AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
          129,475

  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  11   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
         OWNED BY                        129,525
           EACH
         REPORTING                9      SOLE DISPOSITIVE POWER
          PERSON                         0
           WITH
                                 10      SHARED DISPOSITIVE POWER
                                         129,525

  11      AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
          129,525

  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   11   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
         OWNED BY                        129,525
           EACH
         REPORTING                9      SOLE DISPOSITIVE POWER
          PERSON                         0
           WITH
                                 10      SHARED DISPOSITIVE POWER
                                         129,525

  11      AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
          129,525

  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   11   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                       101,625 (including shares held by 
          SHARES                         Insurance Trust)
       BENEFICIALLY
         OWNED BY                 8      SHARED VOTING POWER
           EACH                          186,121
         REPORTING              
          PERSON                  9      SOLE DISPOSITIVE POWER
           WITH                          101,625 (including shares held by 
                                         Insurance Trust)
                                 
                                 10      SHARED DISPOSITIVE POWER
                                         186,121

  11      AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
          287,746 (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)
          3.2%

  14      TYPE OF REPORTING PERSON*
          IN

                     * SEE INSTRUCTIONS BEFORE FILLING OUT!

                                       -5-

<PAGE>




                                  SCHEDULE 13D

CUSIP NO. 669870 10 7                             PAGE   6   OF   11   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                       50,000
          SHARES
       BENEFICIALLY               8      SHARED VOTING POWER
         OWNED BY                         0
           EACH
         REPORTING                9      SOLE DISPOSITIVE POWER
          PERSON                         50,000
           WITH
                                 10      SHARED DISPOSITIVE POWER
                                         0
  
  11      AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
          50,000

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

  13      PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
          0.6%

  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.

                   Item 2 is hereby  amended  by  deleting  Louis P.  Pellegrino
              Family  Trust  (the  "Family  Trust")  as  a  person  filing  this
              statement on Schedule 13D, and all references to Reporting Persons
              shall not include the Family Trust.

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

                   The  source  and  amount of funds  used by  Elliott in making
              purchases of Common Stock  beneficially  owned by it are set forth
              below:

              SOURCE OF FUNDS                                  AMOUNT OF FUNDS
              Margin accounts maintained at
              Goldman Sachs, Merrill Lynch,
              Paine Webber, Prudential and
              Smith Barney                                       $1,010,965.89

                   The source and  amount of funds  used by  Westgate  in making
              purchases of Common Stock  beneficially  owned by it are set forth
              below:

              SOURCE OF FUNDS                                  AMOUNT OF FUNDS
              Margin accounts maintained at
              Goldman Sachs, Merrill Lynch,
              Paine Webber, Prudential and
              Smith Barney                                       $1,012,339.63

                   The source and  amount of funds used by  Abbenante  in making
              purchases of Common Stock  beneficially  owned by it are set forth
              below:

              SOURCE OF FUNDS                                  AMOUNT OF FUNDS
              Margin account maintained at
              Brean Murray & Co., Inc.                             $415,841.15

ITEM 4.       PURPOSE OF TRANSACTION.

                   Item 4 is amended by adding the following:

                   On June 10, 1998, at the invitation of the Board of Directors
              of the Issuer, certain representatives of Elliott Associates, L.P.
              (the  "Representatives")  met with the Board. During such meeting,
              various members of the Board of Directors of the Issuer  disagreed
              with the Representatives' characterization of the past and current
              performance of the Issuer.  The Board of Directors  did,  however,
              express  views  consistent  with  those of the  Reporting  Persons
              regarding  various  strategic  alternatives  to grow the Company's
              business and increase stockholder value.

                   On June 12,  1998,  counsel to  Elliott  received a copy of a
              letter dated June 11, 1998  addressed to Thomas J.  Abbenante from
              Peter J.  Pellegrino  (who is an  employee  of the  Issuer and the
              co-trustee   under  the  Family   Trust)  which  states  that  Mr.
              Pellegrino does not agree that the Family Trust should be a member
              of a group  consisting  of itself and the  Reporting  Persons.  In
              addition, contrary to the

                                       -7-

<PAGE>



              Reporting  Persons'  original  belief  regarding Mr.  Pellegrino's
              position,  Mr.  Pellegrino  states in such letter that he does not
              agree that the shares of Common  Stock  owned by the Family  Trust
              (the "Family Trust Shares") should be voted in favor of the agenda
              of the Reporting Persons.

                   Although   the   Family   Trust   Shares  are  deemed  to  be
              beneficially  owned by Mr. Abbenante  because he has shared voting
              power  with  respect  to such  shares,  since Mr.  Pellegrino  has
              indicated  that he does not agree that such shares should be voted
              in favor of the agenda of the  Reporting  Persons,  as long as Mr.
              Pellegrino  retains such view, the Family Trust Shares will not be
              voted in favor of the Reporting  Persons'  agenda and,  therefore,
              the Family Trust has been deleted as a Reporting Person.

                   In light of these  developments,  the  Reporting  Persons are
              re-evaluating   their  intentions  with  respect  to  the  matters
              previously  described  in Item 4 of the  Schedule  13D  and  their
              investment in the Issuer, but reserve their rights to pursue their
              previously stated objectives and, depending upon 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,  or may  dispose  of all or a portion  of the shares of
              Common Stock that are presently owned or hereafter acquired.

                   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.

              (A) Elliott  beneficially  owns  129,475  shares of Common  Stock,
              constituting  approximately  1.5%  of the  outstanding  shares  of
              Common Stock.

                   Westgate  and  Martley  beneficially  own  129,525  shares of
              Common Stock,  constituting  approximately 1.5% of the outstanding
              shares of Common Stock.

                   Abbenante  beneficially  owns 287,746 shares of Common Stock,
              constituting  approximately  3.2%  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,  186,121 shares of Common Stock  beneficially owned
              by the Family Trust (which includes 135,121 shares of Common Stock
              underlying  certain warrants to purchase shares of Common Stock at
              an exercise  price of $0.89 per share) and 50,000 shares of Common
              Stock owned by the  Insurance  Trust.  Although  the Family  Trust
              Shares are deemed to be  beneficially  owned by Mr.  Abbenante  by
              reason of his shared  voting  power, as  long  as  Mr.  Pellegrino
              retains the view  described  in  Item 4  above,  the  Family Trust
              Shares will not be  voted  in  favor  of  the  Reporting  Persons'
              agenda  and, therefore,  the  Family  Trust  has been  deleted  as
              a  Reporting Person. See Item 4 above.

                   The Insurance Trust beneficially owns 50,000 shares of Common
              Stock,  constituting  approximately 0.6% of the outstanding shares
              of Common Stock.

                   The  Reporting  Persons  together  beneficially  own  546,746
              shares of Common Stock  (including  the Family Trust Shares,  over
              which  Mr.  Abbenante  has  shared  voting  power - (See Item 4)),
              constituting  approximately  6.1%  of the  outstanding  shares  of
              Common  Stock.  Each of Elliott,  Westgate  and Martley  disclaims
              beneficial  ownership  of any  and  all  shares  of  Common  Stock
              beneficially owned by any of the

                                       -8-

<PAGE>



              other Reporting Persons.  Abbenante disclaims beneficial ownership
              of any and all shares of Common Stock beneficially owned by any of
              Elliott,  Westgate  and Martley.  The  Insurance  Trust  disclaims
              beneficial  ownership  of any  and  all  shares  of  Common  Stock
              beneficially owned by any of the other Reporting Persons. However,
              the Reporting  Persons may  nevertheless be deemed to constitute a
              group by reason of their  acting  together  for the  purposes  set
              forth in Item 4 above.

                   All percentage  calculations  are based upon 8,812,993 shares
              of Common Stock issued and outstanding as of February 28, 1998, as
              reported  by the Issuer in its  Quarterly  Report on Form 10-Q for
              the quarterly period ended February 1, 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 shared power with Mr. Pellegrino to vote or
              direct the vote of,  and to  dispose of or direct the  disposition
              of, the Family Trust Shares.  Although the Family Trust Shares are
              deemed to be beneficially  owned by Mr. Abbenante by reason of his
              shared  voting  power, as  long  as  Mr.  Pellegrino  retains  the
              view  described  in  Item 4  above,  the  Family Trust Shares will
              not be  voted  in  favor  of  the  Reporting  Persons' agenda and,
              therefore,  the  Family  Trust  has been  deleted  as a  Reporting
              Person. 

                   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 since May 15, 1998 (the date of the last filing
              of the  statement  on  Schedule  13D) 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 since May 15, 1998.

ITEM 7.       MATERIAL TO BE FILED AS EXHIBITS.

              Exhibit A-Item 5(c): Transactions Effected During the Past 60 Days
                                   Not Previously Reported



                                       -9-

<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.


                                                       JUNE 15, 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

                                      -10-

<PAGE>


                                    EXHIBIT A

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

                                            Amount of      Approximate Price per
Reporting     Date of                    Shares Acquired    Share (exclusive of
PERSON      TRANSACTION      SECURITY      (DISPOSED)          COMMISSIONS)

Elliott      5/20/98      Common Stock       1,625                $8.37
             5/28/98      Common Stock         700                $7.25
              6/1/98      Common Stock         800                $7.31

Westgate     5/20/98      Common Stock       1,625                $8.37
             5/29/98      Common Stock         500                $7.31
              6/1/98      Common Stock         800                $7.31

Abbenante    5/11/98      Common Stock(1)    5,000                $0.89
             5/20/98      Common Stock       3,250                $8.37

(1) Acquired upon the exercise of warrants.

                                       -1-


<PAGE>


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