CONMED CORP
S-4, 1998-04-15
ELECTROMEDICAL & ELECTROTHERAPEUTIC APPARATUS
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      AS FILED WITH THE SECURITIES AND EXCHANGE COMMISSION ON APRIL 8, 1998
                                                    REGISTRATION NO. 333-_______
================================================================================

                       SECURITIES AND EXCHANGE COMMISSION
                             WASHINGTON, D.C. 20549

                      ------------------------------------



                                    FORM S-4
                             REGISTRATION STATEMENT
                                      UNDER
                           THE SECURITIES ACT OF 1933

                      ------------------------------------


<TABLE>
<CAPTION>
                                                                                                                    IRS EMPLOYER
EXACT NAME OF REGISTRANT                 STATE OR OTHER JURISDICTION OF        PRIMARY STANDARD INDUSTRIAL         IDENTIFICATION
AS SPECIFIED IN ITS CHARTER               INCORPORATION OR ORGANIZATION         CLASSIFICATION CODE NUMBER             NUMBER
- ---------------------------               -----------------------------         --------------------------         --------------

<S>                                              <C>                                    <C>                         <C>
CONMED Corporation                               New York                               3845                        16-0977505

Aspen Laboratories, Inc.                         Colorado                               3845                        84-0692164

Consolidated Medical Equipment
   International, Inc.                           New York                               3845                        16-1237634

CONMED Andover Medical, Inc.                     New York                               3845                        04-3195182

Birtcher Medical Systems, Inc.                   California                             3845                        95-0552628

Envision Medical Corporation                     California                             3841                        77-0273890

Linvatec Corporation                             Florida                                3841                        59-1086703

NDM, Inc.                                        New York                               3845                        16-1495367
</TABLE>

                                310 BROAD STREET
                              UTICA, NEW YORK 13501
                                 (315) 797-8375
                   (Address, including zip code, and telephone
                         number, including area code, of
                    registrant's principal executive offices)
                      ------------------------------------
                               JOSEPH J. CORASANTI
                VICE PRESIDENT--LEGAL AFFAIRS AND GENERAL COUNSEL
                                310 BROAD STREET
                              UTICA, NEW YORK 13501
                                 (315) 797-8375
            (Name, address, including zip code, and telephone number,
                   including area code, of agent for service)

                                 WITH COPIES TO:

                                Robert W. Downes
                               Sullivan & Cromwell
                                125 Broad Street
                            New York, New York 10004
                      ------------------------------------

        Approximate date of commencement of proposed sale to the public:
AS SOON AS PRACTICABLE AFTER THE EFFECTIVE DATE OF THIS REGISTRATION STATEMENT.

     If the Securities registered on this Form are to be offered in connection
with the formation of a holding company and there is compliance with General
Instruction G, check the following box. |_|

     If this Form is filed to register additional securities for an offering
pursuant to Rule 462(b) under the Securities Act, check the following box and
list the Securities Act registration statement number of the earlier effective
registration statement for the same offering. |_| ________________

     If this Form is a post-effective amendment filed pursuant to Rule 462(d)
under the Securities Act, check the following box and list the Securities Act
registration statement number of the earlier effective registration statement
for the same offering. |-| ________________

                      ------------------------------------

<TABLE>
<CAPTION>
                                              CALCULATION OF REGISTRATION FEE
====================================================================================================================================
                                                                      PROPOSED          PROPOSED MAXIMUM
      TITLE OF EACH CLASS OF                     AMOUNT TO        MAXIMUM OFFERING          AGGREGATE             AMOUNT OF
    SECURITIES TO BE REGISTERED                BE REGISTERED      PRICE PER UNIT(1)     OFFERING PRICE(1)     REGISTRATION FEE
- ------------------------------------------------------------------------------------------------------------------------------------
<S>                                            <C>                    <C>                <C>                     <C>
 9% Senior Subordinated Notes due 2008
   of CONMED Corporation..................     $130,000,000            100%              $130,000,000             $38,350
- ------------------------------------------------------------------------------------------------------------------------------------
Subsidiary Guarantees of 9% Senior 
   Subordinated Notes.....................     $130,000,000            100%              $130,000,000               --(2)
====================================================================================================================================
<FN>
(1)  Estimated for the sole purpose of computing the registration fee in
     accordance with Rule 457(o).

(2)  In accordance with Rule 457(n), no separate fee is required for the
     guarantees of the 9% Senior Subordinated Notes due 2008 of CONMED
     Corporation, which are being registered concurrently.
</FN>
</TABLE>

                      ------------------------------------

     THE REGISTRANT HEREBY AMENDS THIS REGISTRATION STATEMENT ON SUCH DATE OR
DATES AS MAY BE NECESSARY TO DELAY ITS EFFECTIVE DATE UNTIL THE REGISTRANT SHALL
FILE A FURTHER AMENDMENT WHICH SPECIFICALLY STATES THAT THIS REGISTRATION
STATEMENT SHALL THEREAFTER BECOME EFFECTIVE IN ACCORDANCE WITH SECTION 8(A) OF
THE SECURITIES ACT OF 1933 OR UNTIL THIS REGISTRATION STATEMENT SHALL BECOME
EFFECTIVE ON SUCH DATE AS THE SECURITIES AND EXCHANGE COMMISSION, ACTING
PURSUANT TO SAID SECTION 8(A), MAY DETERMINE.

================================================================================






<PAGE>

RED HERRING TEXT BELOW

INFORMATION   CONTAINED  HEREIN  IS  SUBJECT  TO  COMPLETION  OR  AMENDMENT.   A
REGISTRATION  STATEMENT  RELATING  TO THESE  SECURITIES  HAS BEEN FILED WITH THE
SECURITIES  AND EXCHANGE  COMMISSION.  THESE  SECURITIES MAY NOT BE SOLD NOR MAY
OFFERS TO BUY BE ACCEPTED PRIOR TO THE TIME THE REGISTRATION  STATEMENT  BECOMES
EFFECTIVE.  THIS  PROSPECTUS  SHALL  NOT  CONSTITUTE  AN  OFFER  TO  SELL OR THE
SOLICITATION OF AN OFFER TO BUY NOR SHALL THERE BE ANY SALE OF THESE  SECURITIES
IN ANY STATE IN WHICH SUCH OFFER,  SOLICITATION  OR SALE WOULD BE UNLAWFUL PRIOR
TO REGISTRATION OR QUALIFICATION UNDER THE SECURITIES LAWS OF ANY SUCH STATE.


<PAGE>

                   SUBJECT TO COMPLETION; DATED APRIL 8, 1998
                                OFFER TO EXCHANGE
                          9% Senior Subordinated Notes
                                    due 2008
                                       for
                                 all outstanding
                          9% Senior Subordinated Notes
                                    due 2008
                   ($130,000,000 principal amount outstanding)
                                       of
                               CONMED CORPORATION
                        (in each case, guaranteed by the
                       subsidiaries of CONMED Corporation)
                               ------------------
                               THE EXCHANGE OFFER
                  WILL EXPIRE AT 5:00 P.M., NEW YORK CITY TIME,
                     ON ____________, 1998, UNLESS EXTENDED
                               ------------------

         CONMED  Corporation,  a New York  corporation  (the  "Company")  hereby
offers,  upon  the  terms  and  subject  to the  conditions  set  forth  in this
Prospectus  and  the   accompanying   letter  of  transmittal  (the  "Letter  of
Transmittal,"  and together  with this  Prospectus,  the "Exchange  Offer"),  to
exchange $1,000  principal amount of its 9% Senior  Subordinated  Notes due 2008
(the "New Notes"),  which have been registered under the Securities Act of 1933,
as amended (the  "Securities  Act"),  pursuant to a  Registration  Statement (as
defined  herein) of which this  Prospectus  constitutes a part,  for each $1,000
principal amount of the outstanding 9% Senior  Subordinated  Notes due 2008 (the
"Old  Notes")  of  the  Company,  of  which  $130,000,000  principal  amount  is
outstanding. The New Notes and the Old Notes are collectively referred to herein
as the "Notes." The Old Notes are,  and the New Notes will be,  guaranteed  (the
"Guarantees"),  jointly and severally, on an unsecured senior subordinated basis
by the Company's subsidiaries as "Guarantors" (as defined herein).

         The  Company  will accept for  exchange  any and all Old Notes that are
validly  tendered on or prior to 5:00 p.m.,  New York City time, on the date the
Exchange  Offer  expires,  which will be ________ __, 1998,  unless the Exchange
Offer is extended (the "Expiration Date"). Tenders of Old Notes may be withdrawn
at any time prior to 5:00 p.m., New York City time, on the business day prior to
the Expiration Date, unless previously accepted for payment.  The Exchange Offer
is not conditioned upon any minimum principal amount of Old Notes being tendered
for exchange. However, the Exchange Offer is subject to certain conditions which
may be waived by the Company and to the terms and provisions of the Registration
Rights Agreement (as defined herein). See "The Exchange Offer." Old Notes may be
tendered only in denominations of $1,000 and integral multiples thereof.

         The New  Notes  will be  obligations  of the  Company  entitled  to the
benefits of the  Indenture  (as defined  herein).  The form and terms of the New
Notes  are the same in all  material  respects  as the form and terms of the Old
Notes,  except that the New Notes have been registered  under the Securities Act
and will not contain  terms  restricting  the transfer  thereof.  Following  the
completion of the Exchange Offer,  except as provided herein,  none of the Notes
(including  any Old  Notes not  tendered  in  exchange  for New  Notes)  will be
entitled to the benefits of the Registration  Rights  Agreement  relating to the
payment of Liquidated Damages (as defined herein). See "The Exchange Offer."

       INVESTMENT IN THE NOTES INVOLVES SIGNIFICANT RISKS DISCUSSED UNDER
         "RISK FACTORS" BEGINNING ON PAGE 15 WHICH SHOULD BE CONSIDERED
                                  BY INVESTORS.

         The New Notes will bear  interest  from  March 5, 1998.  Holders of Old
Notes whose Old Notes are accepted  for  exchange  will be deemed to have waived
the right to receive any payment in respect of interest on the Old Notes accrued
from March 5, 1998,  to the date of the  issuance of the New Notes.  Interest on
the New Notes is payable  semi-annually  on March 15, 1998 and  September  15 of
each year,  commencing September 15, 1998, accruing from March 5, 1998 at a rate
of 9% per annum. 
                                                        (Continued on next page)
                              --------------------
  THESE SECURITIES HAVE NOT BEEN APPROVED OR DISAPPROVED BY THE SECURITIES AND
   EXCHANGE  COMMISSION  OR  ANY  STATE  SECURITIES  COMMISSION  NOR  HAS THE
     SECURITIES AND EXCHANGE COMMISSION OR ANY STATE SECURITIES COMMISSION
        PASSED UPON  THE ACCURACY  OR ADEQUACY OF THIS PROSPECTUS. ANY
              REPRESENTATION TO THE CONTRARY IS A CRIMINAL OFFENSE.
                              --------------------
           The date of this Prospectus is ______ __, 1998.
<PAGE>


(Cover page continued)

         The Old Notes are,  and the New Notes will be,  redeemable  for cash at
any time on or after March 15, 2003,  at the option of the Company,  in whole or
in part,  at the  redemption  prices set forth  herein,  plus accrued and unpaid
interest to the date of  redemption.  In addition,  on or before March 15, 2001,
the  Company  may, at its option,  redeem up to 35% of the  aggregate  principal
amount of the  Notes  originally  issued  with the net  proceeds  of one or more
offerings of common stock of the Company for cash at a redemption  price of 109%
of the principal  amount thereof plus accrued and unpaid interest to the date of
redemption;  provided that at least 65% of the aggregate principal amount of the
Notes remain  outstanding  after giving  effect to any such  redemption.  Upon a
Change of Control  (as defined  herein),  the holders of the Notes will have the
right to require the Company to repurchase  their Notes, in whole or in part, at
a purchase price equal to 101% of the principal amount thereof, plus accrued and
unpaid interest to the repurchase date. See "Description of New Notes."

         The Old  Notes  are,  and the New  Notes  will  be,  general  unsecured
obligations  of the  Company,  subordinated  in right of  payment  to the  prior
payment in full of all  existing and future  Senior Debt (as defined  herein) of
the Company,  including the obligations of the Company under the Credit Facility
(as defined herein).  The Guarantees are subordinated in right of payment to the
prior payment in full of all existing and future Senior Debt of the  Guarantors,
including the  obligations of the Guarantors  under the Credit  Facility.  As of
December 31, 1997,  on a pro forma basis after giving  effect to the offering of
the Old Notes (the "Offering") and the application of the estimated net proceeds
therefrom,  the Company would have had $239.5 million of Senior Debt outstanding
and the  Guarantors  would  have  had no  Senior  Debt  outstanding  other  than
guarantees  by the  Guarantors  of the  Company's  obligations  under the Credit
Facility.  See "Risk  Factors--Ranking  of the Notes" and  "Capitalization"  for
additional   information   concerning   indebtedness  of  the  Company  and  its
subsidiaries.

         Old Notes were  represented by global Note  certificates  in definitive
fully  registered form without  coupons,  registered in the name of a nominee of
The Depository Trust Company ("DTC"), as depositary. The New Notes exchanged for
Old Notes  represented  by the global Note  certificates  will be represented by
global Note  certificates in definitive  fully  registered form without coupons,
registered  in the  name  of the  nominee  of DTC,  as  depositary,  unless  the
beneficial holders thereof request otherwise.  The global Note certificates will
be exchangeable, upon ten days prior written notice, for New Notes in definitive
fully registered form without  coupons,  in denominations of $1,000 and integral
multiples thereof. See "Description of New Notes--Book-Entry Delivery and Form."

         The Old Notes were sold by the  Company on March 5, 1998 to the Initial
Purchasers  (as  defined  below)  in a  transaction  not  registered  under  the
Securities  Act in reliance upon the  exemption  provided in Section 4(2) of the
Securities  Act.  The Initial  Purchasers  subsequently  resold the Old Notes to
qualified  institutional  buyers in reliance upon Rule 144A under the Securities
Act.  Accordingly,  the Old Notes  may not be  otherwise  transferred  unless so
registered or unless an applicable exemption from the registration  requirements
of the Securities Act is available. The New Notes are being offered hereunder in
order to satisfy the  obligations of the Company under the  Registration  Rights
Agreement (as defined below). See "The Exchange Offer."

         Based on no-action  letters  issued by the staff of the  Securities and
Exchange  Commission (the  "Commission") to third parties,  the Company believes
the New Notes issued  pursuant to the Exchange  Offer may be offered for resale,
resold and otherwise  transferred by holders thereof (other than any such holder
that is an  "affiliate"  of the Company within the meaning of Rule 405 under the
Securities Act) without compliance with the registration and prospectus delivery
provisions  of the  Securities  Act provided that such New Notes are acquired in
the  ordinary  course  of  such  holders'  business  and  such  holders  have no
arrangements  with any person to  participate  in the  distribution  (within the
meaning of the Securities  Act) of such New Notes.  Persons  wishing to exchange
Old  Notes in the  Exchange  Offer  must  represent  to the  Company  that  such
conditions have been met.

         Each broker-dealer that receives New Notes for its own account pursuant
to the Exchange  Offer must  acknowledge  that it will  deliver a prospectus  in
connection with any resale of such New Notes.  The Letter of Transmittal  states
that by so acknowledging  and by delivering a prospectus,  a broker-dealer  will
not be deemed to admit that it is an  "underwriter"  within  the  meaning of the
Securities Act. This Prospectus,  as it may be amended or supplemented from time
to time, may be used by a broker-dealer  in connection with resales of New Notes
received  in exchange  for Old Notes where such Old Notes were  acquired by such
broker-dealer  as  a  result  of  market-making   activities  or  other  trading
activities.  The  Company  has  agreed  that,  for a period of 90 days after the
consummation of the Exchange  Offer, it will use its reasonable  efforts to make
this Prospectus and any amendment or supplement to this Prospectus  available to
any  broker-dealer  for use in  connection  with any such  resale.  See "Plan of
Distribution."


                                       -2-



<PAGE>


         Any Old Notes not  tendered  and  accepted in the  Exchange  Offer will
remain  outstanding.  To the extent that any Old Notes are tendered and accepted
in the Exchange Offer, a holder's  ability to sell untendered Old Notes could be
adversely affected. Following consummation of the Exchange Offer, the holders of
Old Notes will continue to be subject to the existing restrictions upon transfer
thereof  and,  except as  provided  herein,  the  Company  will have no  further
obligation to such holders to provide for the registration  under the Securities
Act of the Old Notes  held by them.  See "Risk  Factors --  Consequences  of the
Exchange Offer on Non-Tendering Holders of the Old Notes."

         The Company will not receive any proceeds  from this  offering,  and no
underwriter is being utilized in connection with the Exchange Offer.

         The Company has not retained any  dealer-manager in connection with the
Exchange  Offer and will not make any  payments to brokers or others  soliciting
acceptances  of the  Exchange  Offer.  Holders  of Old Notes  who  tender in the
Exchange  Offer will not be required to pay  brokerage  commissions  or fees or,
subject to the  instructions in the Letter of  Transmittal,  transfer taxes with
respect to the exchange of Old Notes pursuant to the Exchange Offer. The Company
will pay all charges and  expenses,  other than  certain  applicable  taxes,  in
connection with the Exchange Offer. See "Fees and Expenses."

         THE  EXCHANGE  OFFER IS NOT BEING MADE TO, NOR WILL THE COMPANY  ACCEPT
SURRENDERS FOR EXCHANGE FROM,  HOLDERS OF OLD NOTES IN ANY JURISDICTION IN WHICH
THE EXCHANGE OFFER OR THE ACCEPTANCE THEREOF WOULD NOT BE IN COMPLIANCE WITH THE
SECURITIES OR BLUE SKY LAWS OF SUCH JURISDICTION.

         WE ARE NOT ASKING YOU FOR A PROXY AND YOU ARE  REQUESTED NOT TO SEND US
A PROXY.

         The New  Notes  are a new  issue  of  securities  for  which  there  is
currently no trading  market.  If the New Notes are traded  after their  initial
issuance,  they may trade at a discount from their principal  amount,  depending
upon  prevailing  interest  rates,  the market for similar  securities and other
factors,  including general economic  conditions and the financial condition and
performance of, and prospects for, the Company.  Salomon  Brothers Inc and Chase
Securities,  Inc. (the "Initial  Purchasers") have advised the Company that they
currently  intend to make a market in the Old Notes and the New Notes.  However,
they are not obligated to do so, and any market making  activity with respect to
the Old Notes and the New Notes may be  discontinued at any time without notice.
Accordingly, there can be no assurance as to the development or liquidity of any
market for the Old Notes and the New Notes.  In connection  with the issuance of
the Old Notes,  the  Company  arranged  for the Old Notes to be  designated  for
trading in the Nasdaq Stock  Market's  Portal  Market(sm).  The Company does not
intend to apply for listing of the New Notes on any  securities  exchange or for
quotation  through the National  Association  of  Securities  Dealers  Automated
Quotation System.


                                TABLE OF CONTENTS

                                                                           PAGE
                                                                           ----

Available Information....................................................    4
Incorporation of Certain Documents by Reference..........................    4
Summary..................................................................    6
The Company..............................................................    6
Summary of the Terms of the Exchange Offer...............................    8
Summary Description of New Notes.........................................   11
Selected Financial Data..................................................   13
Risk Factors.............................................................   15
Use of Proceeds..........................................................   21
The Exchange Offer.......................................................   22
Description of the Credit Facility.......................................   29
Description of New Notes.................................................   30
Certain Federal Income Tax Consequences..................................   61
Plan of Distribution.....................................................   62
Validity of New Notes and Guarantees.....................................   62
Experts..................................................................   62


                                       -3-



<PAGE>


                              AVAILABLE INFORMATION

         The  Company  is  subject  to  the  informational  requirements  of the
Securities  Exchange  Act of 1934,  as  amended  (the  "Exchange  Act"),  and in
accordance therewith files reports,  proxy statements and other information with
the Commission.  Such reports,  proxy statements and other  information filed by
the Company may be inspected  and copied at the public  reference  facilities of
the  Commission  at  Room  1024,   Judiciary  Plaza,  450  Fifth  Street,  N.W.,
Washington, D.C. 20549, and at the following regional offices: Seven World Trade
Center,  Suite 1300, New York,  New York 10048;  and Citicorp  Center,  500 West
Madison Street, Suite 1400, Chicago, Illinois 60661; and copies of such material
can be obtained from the Public Reference Section of the Commission at Judiciary
Plaza, 450 Fifth Street,  N.W.,  Washington,  D.C. 20549 at prescribed rates. In
addition,  the  Commission  maintains  a website at  www.sec.gov  that  contains
periodic reports and other information filed by the Company.

         This  Prospectus  constitutes a part of a  registration  statement (the
"Registration  Statement")  filed by the Company with the  Commission  under the
Securities  Act. As permitted by the rules and  regulations  of the  Commission,
this  Prospectus  does  not  contain  all of the  information  contained  in the
Registration  Statement and the exhibits and schedules  thereto and reference is
hereby made to the Registration Statement and the exhibits and schedules thereto
for further  information with respect to the Company and the securities  offered
hereby.  Statements  contained herein concerning the provisions of any documents
filed as an exhibit to the  Registration  Statement or otherwise  filed with the
Commission are not necessarily complete,  and in each instance reference is made
to the copy of such document so filed.  Each such  statement is qualified in its
entirety by such reference.


                 INCORPORATION OF CERTAIN DOCUMENTS BY REFERENCE

         The Company hereby  incorporates  by reference into this Prospectus the
following documents or information filed with the Commission:

              (a) the  Company's  Annual Report on Form 10-K for the fiscal year
         ended December 31, 1997 (the "Form 10-K");

              (b) the  Company's  Current  Reports on Form 8-K filed  January 8,
         1998, February 17, 1998 and March 10, 1998 (the "Form 8-Ks");

              (c) all documents filed by the Company  pursuant to Section 13(a),
         13(c),  14 or 15(d) of the  Exchange  Act on or after  the date of this
         Prospectus and prior to the termination of the offering made hereby.

         Any  statement  contained  herein or in any  document  incorporated  or
deemed to be incorporated by reference  herein shall be deemed to be modified or
superseded  for the purpose of this  Prospectus  to the extent that a subsequent
statement  contained herein or in any subsequently  filed document which also is
or is deemed to be incorporated by reference  herein modifies or supersedes such
statement.  Any such  statement so modified or  superseded  shall not be deemed,
except as so modified or superseded, to constitute a part of this Prospectus.

         THIS  PROSPECTUS  INCORPORATES  DOCUMENTS  BY  REFERENCE  WHICH ARE NOT
PRESENTED HEREIN OR DELIVERED HEREWITH.  THE COMPANY WILL PROVIDE WITHOUT CHARGE
TO EACH PERSON,  INCLUDING  ANY  BENEFICIAL  OWNER,  TO WHOM THIS  PROSPECTUS IS
DELIVERED, UPON THE WRITTEN OR ORAL REQUEST OF ANY SUCH PERSON, A COPY OF ANY OR
ALL OF THE INFORMATION  INCORPORATED  HEREIN BY REFERENCE OTHER THAN EXHIBITS TO
SUCH  INFORMATION  (UNLESS  SUCH  EXHIBITS  ARE  SPECIFICALLY   INCORPORATED  BY
REFERENCE INTO SUCH INFORMATION).  THE COMPANY'S PRINCIPAL EXECUTIVE OFFICES ARE
LOCATED AT 310 BROAD STREET,  UTICA, NEW YORK 13501, AND ITS TELEPHONE NUMBER IS
(315) 797-8375.  REQUESTS FOR SUCH COPIES SHOULD BE DIRECTED TO THE SECRETARY OF
THE COMPANY AT ITS EXECUTIVE OFFICES. IN ORDER TO ENSURE TIMELY DELIVERY OF SUCH
DOCUMENTS, ANY REQUEST SHOULD BE MADE BY _______ __, 1998.


                                       -4-

<PAGE>


                           ---------------------------


         NO  PERSON  HAS BEEN  AUTHORIZED  TO GIVE ANY  INFORMATION  OR MAKE ANY
REPRESENTATIONS  OTHER THAN THOSE CONTAINED OR INCORPORATED BY REFERENCE IN THIS
PROSPECTUS AND THE  ACCOMPANYING  LETTER OF  TRANSMITTAL  AND, IF GIVEN OR MADE,
SUCH  INFORMATION  OR  REPRESENTATIONS  MUST NOT BE RELIED  UPON AS HAVING  BEEN
AUTHORIZED  BY THE COMPANY OR THE EXCHANGE  AGENT.  NEITHER THE DELIVERY OF THIS
PROSPECTUS OR THE ACCOMPANYING LETTER OF TRANSMITTAL,  OR BOTH TOGETHER, NOR ANY
SALE MADE HEREUNDER  SHALL UNDER ANY  CIRCUMSTANCES  CREATE AN IMPLICATION  THAT
THERE HAS BEEN NO CHANGE IN THE  AFFAIRS OF THE COMPANY  SINCE THE DATE  HEREOF.
NEITHER THIS  PROSPECTUS NOR THE  ACCOMPANYING  LETTER OF  TRANSMITTAL,  OR BOTH
TOGETHER,  CONSTITUTE AN OFFER TO SELL OR A SOLICITATION  OF AN OFFER TO BUY ANY
OF THE  SECURITIES  OFFERED HEREBY BY ANYONE IN ANY  JURISDICTION  IN WHICH SUCH
OFFER OR SOLICITATION IS NOT AUTHORIZED OR IN WHICH THE PERSON MAKING SUCH OFFER
OR  SOLICITATION  IS NOT  QUALIFIED  TO DO SO OR TO ANY  PERSON  TO  WHOM  IT IS
UNLAWFUL TO MAKE SUCH OFFER OR SOLICITATION.

                           ---------------------------


         PRIVATE SECURITIES LITIGATION REFORM ACT SAFE HARBOR STATEMENT

         This  Prospectus  (including  the documents  incorporated  by reference
herein) contains certain forward-looking  statements (as such term is defined in
the Private Securities  Litigation Reform Act of 1995) and information  relating
to the Company that is based on the beliefs of the management of the Company, as
well  as  assumptions  made  by  and  information  currently  available  to  the
management of the Company. When used in this Prospectus (including the documents
incorporated by reference herein), the words "estimate,"  "project,"  "believe,"
"anticipate,"  "intend,"  "expect"  and  similar  expressions  are  intended  to
identify forward-looking  statements.  Such statements involve known and unknown
risks,  uncertainties  and other factors,  including those  identified under the
caption "Risk Factors" and elsewhere in this Prospectus (including the documents
incorporated by reference herein) that may cause the actual results, performance
or achievements of the Company, or industry results, to be materially  different
from any future  results,  performance or  achievements  expressed or implied by
such  forward-looking  statements.  Such  factors  include,  among  others,  the
following:  general  economic  and  business  conditions;  changes  in  customer
preferences;   competition;  changes  in  technology;  the  integration  of  any
acquisitions, including the Linvatec Acquisition (as defined herein); changes in
business  strategy;  the  indebtedness  of the Company;  quality of  management,
business  abilities and judgment of the Company's  personnel;  the availability,
terms and  deployment of capital;  and various other factors  referenced in this
Prospectus  (including  the documents  incorporated  by reference  herein).  See
"Summary" herein,  "Management's  Discussion and Analysis of Financial Condition
and Results of Operations"  and  "Business" in the Company's Form 10-K.  Readers
are cautioned not to place undue reliance on these  forward-looking  statements,
which speak only as of the date  hereof.  The  Company  does not  undertake  any
obligation to publicly release any revisions to these forward-looking statements
to reflect  events or  circumstances  after the date  hereof or to  reflect  the
occurrence of unanticipated events.



















                                       -5-



<PAGE>



                                     SUMMARY

         The  following  summary is  qualified in its entirety by, and should be
read in conjunction with, the more detailed  information,  financial  statements
and pro forma financial  information  appearing  elsewhere in this Prospectus or
incorporated by reference  herein.  As used in this  Prospectus,  "CONMED" means
CONMED  Corporation,  a New York  corporation,  and its subsidiaries  other than
Linvatec;  "Linvatec" means Linvatec Corporation,  a Florida corporation,  which
became a wholly-owned  subsidiary of CONMED on December 31, 1997,  together with
its  wholly-owned   subsidiary  Envision  Medical   Corporation,   a  California
corporation;  and the "Company,"  unless the context otherwise  requires,  means
CONMED and Linvatec together.  Unless otherwise indicated,  pro forma results of
operations  data  presented  herein  gives  pro  forma  effect  to the  Linvatec
Acquisition as if it had occurred on January 1, 1997. An investment in the Notes
involves  significant  risks.  See "Risk Factors." See also "Private  Securities
Litigation Reform Act Safe Harbor Statement" relating to certain forward-looking
statements in this Prospectus.

                                   THE COMPANY

         The  Company is a leading  developer,  manufacturer  and  supplier of a
broad  range of medical  instruments  and  systems  used in  surgical  and other
medical  procedures.  The Company's product  offerings  include  electrosurgical
systems,  electrocardiogram ("ECG") electrodes and accessories, surgical suction
instruments,  intravenous ("IV") therapy accessories and wound care products. In
addition,  through its recent acquisition of Linvatec, the Company has broadened
its product  offerings to include  arthroscopic  surgery  devices and  products,
powered  surgical  instruments  and  imaging  products  for   minimally-invasive
surgery. The Company's products are used in a variety of clinical settings, such
as operating rooms, surgery centers, physicians' offices and critical care areas
of hospitals. On a pro forma basis,  approximately 75% of the Company's revenues
in 1997  were  derived  from the sale of  single-use,  disposable  products.  In
addition,  on a pro forma basis,  approximately 22% of the Company's revenues in
1997 were derived from sales outside of the United States.

         The Company has used  strategic  business  acquisitions  to broaden its
product  offerings,  increase  its  market  share in certain  product  lines and
realize  economies  of  scale.  During  the last five  years,  the  Company  has
completed  seven  business  acquisitions,  including the recent  acquisition  of
Linvatec.  The  completed  acquisitions,  together with  internal  growth,  have
resulted  in a compound  annual  growth rate in net sales and EBITDA (as defined
below)  of 27% and  47%,  respectively,  between  1993  and  1997  (57% and 81%,
respectively, on a pro forma basis).

         On December 31, 1997, the Company acquired Linvatec and certain related
assets from  Bristol-Myers  Squibb  Company  ("BMS").  The  Company  expects the
Linvatec  Acquisition  (as  defined  below)  to  provide  significant  strategic
benefits,  including providing the Company with expanded product lines, enhanced
technological  capabilities and increased access to  international  markets.  In
addition,  the Company has identified  opportunities to generate efficiencies in
manufacturing and overhead  functions  resulting from the Linvatec  Acquisition,
which it believes could generate  annual cost savings beyond those  reflected in
the Company's pro forma financial  statements.  See "Selected Financial Data and
Summary Unaudited Pro Forma Adjusted Consolidated  Financial Information" herein
and "Unaudited Pro Forma  Consolidated  Financial  Information" in the Company's
Form 8-K filed February 17, 1998. On a pro forma basis,  the Company's net sales
and EBITDA for 1997 were $327.4 million and $75.8 million, respectively.

         See   "Business--Industry,"   "Business--Competitive   Strengths"   and
"Business--Business  Strategy" in the Company's  Form 10-K for a description  of
the  industry  in which  the  Company  operates  and the  Company's  competitive
strengths and business strategies.

THE LINVATEC ACQUISITION

         On December 31, 1997, the Company acquired  Linvatec and certain assets
related to  Linvatec's  business  and the Hall  Surgical  business  from BMS for
approximately  $370  million  in cash  (subject  to certain  adjustments)  and a
ten-year  warrant  (the "BMS  Warrant")  to purchase  1.0 million  shares of the
Company's  common stock at a price of $34.23 per share  (collectively,  with the
financing discussed in the following sentence, the "Linvatec Acquisition").  The
cash  purchase  price was financed  through  borrowings  under a senior  secured
credit  facility  (the  "Credit  Facility").  The  Company  incurred a one-time,
non-cash  acquisition  charge of $34.0  million at the  closing of the  Linvatec
Acquisition,

                                       -6-



<PAGE>



which has been  accounted for using the purchase  method of  accounting  for the
write-off of in-process research and development costs.

HISTORY

         The Company was founded in 1970 by Eugene R.  Corasanti,  the Company's
Chairman of the Board,  Chief  Executive  Officer and  President.  In 1987,  the
Company  completed its initial  public  offering and in 1991 and 1996  completed
additional  common stock offerings.  Since 1993, the Company has completed seven
acquisitions.  See "Management's  Discussion and Analysis of Financial Condition
and Results of Operations" in the Form 10-K. The Company's principal offices are
located at 310 Broad Street,  Utica, New York 13501, and the Company's telephone
number is (315) 797-8375.

RISK FACTORS AND FORWARD LOOKING STATEMENTS

         See "Risk  Factors"  beginning on page 15 for a  discussion  of certain
factors that could hinder or prevent the Company from utilizing its  competitive
strengths or carrying out its business strategies.  See also "Private Securities
Litigation  Reform  Act Safe  Harbor  Statement"  relating  to  forward  looking
statements in this Prospectus.






























                                       -7-



<PAGE>


                   SUMMARY OF THE TERMS OF THE EXCHANGE OFFER

         The  Exchange  Offer  relates  to the  exchange  of up to  $130,000,000
aggregate  principal amount of New Notes for up to an equal aggregate  principal
amount of Old Notes.  The Old Notes are, and the New Notes will be,  obligations
of the Company entitled to the benefits of the Indenture.  The form and terms of
the New Notes are the same in all material respects as the form and terms of the
Old Notes,  except that the New Notes have been registered  under the Securities
Act and will not contain  terms  restricting  the  transfer  thereof (and hence,
except as set forth herein, are not entitled to the benefits of the Registration
Rights Agreement relating to the payment of Liquidated  Damages).  The Old Notes
and the New  Notes are  herein  collectively  referred  to as the  "Notes."  See
"Description of New Notes."

THE EXCHANGE OFFER...............   $1,000 principal amount of New Notes will be
                                    issued in exchange for each $1,000 principal
                                    amount of Old  Notes  validly  tendered  and
                                    accepted  pursuant to the Exchange Offer. As
                                    of  the   date   hereof,   $130,000,000   in
                                    aggregate principal amount of Old Notes were
                                    outstanding.  The Company will issue the New
                                    Notes  to  tendering  holders  of Old  Notes
                                    promptly after the Expiration Date.

RESALE...........................   The  Company  believes  that  the New  Notes
                                    issued   pursuant  to  the  Exchange   Offer
                                    generally will be freely transferable by the
                                    holders thereof without  registration or any
                                    prospectus  delivery  requirement  under the
                                    Securities  Act,  except  that a "dealer" or
                                    any  "affiliate"  of the  Company,  as  such
                                    terms are defined under the Securities  Act,
                                    that  exchanges  Old Notes  held for its own
                                    account  (a  "Restricted   Holder")  may  be
                                    required   to   deliver   copies   of   this
                                    Prospectus  or an amended  and  supplemented
                                    prospectus in connection  with any resale of
                                    the New Notes  issued in  exchange  for such
                                    Old Notes. See "The Exchange Offer--General"
                                    and "Plan of Distribution."

                                    Any holder who tenders in the Exchange Offer
                                    with the  intention to  participate,  or for
                                    the   purpose   of   participating,   in   a
                                    distribution of the New Notes cannot rely on
                                    the position of the staff of the  Commission
                                    set   forth   in  Exxon   Capital   Holdings
                                    Corporation (available May 13, 1988), Morgan
                                    Stanley & Co.  Incorporated  (available June
                                    5, 1991) or similar  no-action  letters and,
                                    in the  absence of an  exemption  therefrom,
                                    must  comply  with  the   registration   and
                                    prospectus  delivery   requirements  of  the
                                    Securities Act in connection with the resale
                                    transaction.  Failure  to  comply  with such
                                    requirements  in such instance may result in
                                    such holder  incurring  liability  under the
                                    Securities  Act for which the  holder is not
                                    indemnified by the Company.

EXPIRATION DATE..................   5:00   p.m.,   New  York   City   time,   on
                                    ____________,   1998,  unless  the  Exchange
                                    Offer is  extended,  in which  case the term
                                    "Expiration  Date" means the latest date and
                                    time  to  which   the   Exchange   Offer  is
                                    extended.       See      "The       Exchange
                                    Offer--Expiration      Date;     Extensions;
                                    Amendments."

ACCRUED INTEREST ON THE
  NEW NOTES AND THE
  OLD NOTES......................   The New Notes will bear  interest from March
                                    5,  1998.  Holders  of Old  Notes  whose Old
                                    Notes  are  accepted  for  exchange  will be
                                    deemed to have  waived  the right to receive
                                    any  payment in respect of  interest on such
                                    Old Notes  accrued from March 5, 1998 to the
                                    date  of  the  issuance  of the  New  Notes.
                                    Consequently, holders who exchange their Old
                                    Notes for New Notes  will  receive  the same
                                    interest  payment on September 15, 1998 (the
                                    first interest  payment date with respect to
                                    the Old Notes and the New  Notes)  that they
                                    would have  received  had they not  accepted
                                    the  Exchange   Offer.   See  "The  Exchange
                                    Offer--Interest on the New Notes."

                                       -8-
<PAGE>

TERMINATION OF THE EXCHANGE
  OFFER..........................   The Company may terminate the Exchange Offer
                                    if it determines that its ability to proceed
                                    with the Exchange  Offer could be materially
                                    impaired  due to any  legal or  governmental
                                    action,  any  new  law,  statute,   rule  or
                                    regulation  or  any  interpretation  of  the
                                    staff of the Commission of any existing law,
                                    statute,   rule   or   regulation,   if  the
                                    consummation  of the  Exchange  Offer  would
                                    violate   the   Indenture   or  the   Credit
                                    Agreement   or  if  the  Company   deems  it
                                    advisable to terminate  the Exchange  Offer.
                                    Holders  of  Old  Notes  will  have  certain
                                    rights   against  the   Company   under  the
                                    Registration  Rights  Agreement  should  the
                                    Company  fail  to  consummate  the  Exchange
                                    Offer.        See       "The        Exchange
                                    Offer--Termination."  The Exchange  Offer is
                                    not conditioned  upon any minimum  principal
                                    amount of Old Notes being tendered.

                                    No federal or state regulatory  requirements
                                    must be complied with or approvals  obtained
                                    in connection with the Exchange Offer, other
                                    than applicable  requirements  under federal
                                    and state securities laws.

PROCEDURES FOR TENDERING
  OLD NOTES......................   Each  holder of Old Notes  wishing to accept
                                    the Exchange Offer must  complete,  sign and
                                    date the accompanying Letter of Transmittal,
                                    or a facsimile  thereof,  in accordance with
                                    the   instructions   contained   herein  and
                                    therein,  and mail or otherwise deliver such
                                    Letter of  Transmittal,  or such  facsimile,
                                    together  with the Old Notes to be exchanged
                                    and  any  other  required  documentation  to
                                    First  Union   National  Bank,  as  Exchange
                                    Agent,  at the address set forth  herein and
                                    therein,  or  effect a tender  of Old  Notes
                                    pursuant to the  procedures  for  book-entry
                                    transfer  as provided  for herein.  See "The
                                    Exchange  Offer--Procedures  for Tendering."
                                    By executing the Letter of Transmittal, each
                                    holder will  represent to the Company  that,
                                    among other things, the holder or the person
                                    receiving  such New  Notes,  whether  or not
                                    such person is the holder,  is acquiring the
                                    New Notes in the ordinary course of business
                                    and that  neither  the  holder  nor any such
                                    other   person   has  any   arrangement   or
                                    understanding with any person to participate
                                    in the  distribution  of such New  Notes and
                                    that  neither  the holder nor any such other
                                    person  is an  "affiliate"  of  the  Company
                                    within  the  meaning  of Rule 405  under the
                                    Securities Act.

SPECIAL PROCEDURES FOR
  BENEFICIAL HOLDERS.............   Any  beneficial  holder  whose Old Notes are
                                    registered in the name of a broker,  dealer,
                                    commercial  bank,  trust  company  or  other
                                    nominee  and who  wishes  to  tender  in the
                                    Exchange    Offer   should    contact   such
                                    registered holder promptly and instruct such
                                    registered  holder to tender on his  behalf.
                                    If such  beneficial  holder wishes to tender
                                    on his own behalf,  such  beneficial  holder
                                    must,  prior to completing and executing the
                                    Letter of Transmittal and delivering his Old
                                    Notes, either make appropriate  arrangements
                                    to  register  ownership  of the Old Notes in
                                    such  holder's  name or  obtain  a  properly
                                    completed  bond  power  from the  registered
                                    holder. The transfer of record ownership may
                                    take  considerable  time.  See "The Exchange
                                    Offer--Procedures for Tendering."

GUARANTEED DELIVERY
  PROCEDURES.....................   Holders  of Old  Notes  who  wish to  tender
                                    their  Old Notes and whose Old Notes are not
                                    immediately  available or who cannot deliver
                                    their Old Notes (or who cannot  complete the
                                    procedure  for  book-entry   transfer  on  a
                                    timely  basis)  and  a  properly   completed
                                    Letter of Transmittal or any other documents
                                    required by the Letter of

                                       -9-
<PAGE>

                                    Transmittal  to the Exchange  Agent prior to
                                    the  Expiration  Date may  tender  their Old
                                    Notes  according to the guaranteed  delivery
                                    procedures   set  forth  in  "The   Exchange
                                    Offer--Guaranteed Delivery Procedures."

WITHDRAWAL RIGHTS................   Tenders of Old Notes may be withdrawn at any
                                    time prior to 5:00 p.m., New York City time,
                                    on the business day prior to the  Expiration
                                    Date,   unless   previously   accepted   for
                                    exchange.    See   "The   Exchange   Offer--
                                    Withdrawal of Tenders."

ACCEPTANCE OF OLD NOTES
  AND DELIVERY OF NEW
  NOTES..........................   Subject to certain conditions (as summarized
                                    above in "Termination of the Exchange Offer"
                                    and  described  more fully in "The  Exchange
                                    Offer--  Termination"),   the  Company  will
                                    accept  for  exchange  any and all Old Notes
                                    which are properly  tendered in the Exchange
                                    Offer  prior to 5:00  p.m.,  New  York  City
                                    time, on the Expiration  Date. The New Notes
                                    issued  pursuant to the Exchange  Offer will
                                    be   delivered    promptly   following   the
                                    Expiration    Date.    See   "The   Exchange
                                    Offer--General."

EFFECT ON HOLDERS OF OLD
  NOTES..........................   As a result of the  making of this  Exchange
                                    Offer,  the Company will have  fulfilled one
                                    of its  obligations  under the  Registration
                                    Rights  Agreement  and,  except as otherwise
                                    provided herein, holders of Old Notes who do
                                    not tender their Old Notes will not have any
                                    further   registration   rights   under  the
                                    Registration  Rights Agreement or otherwise.
                                    Such  holders  will  continue  to  hold  the
                                    untendered Old Notes and will be entitled to
                                    all  the  rights  and  subject  to  all  the
                                    limitations  applicable  thereto  under  the
                                    Indenture,  except to the extent such rights
                                    or limitations, by their terms, terminate or
                                    cease  to have  further  effectiveness  as a
                                    result of the Exchange Offer. All untendered
                                    Old Notes  will  continue  to be  subject to
                                    certain     restrictions     on    transfer.
                                    Accordingly,  if any Old Notes are  tendered
                                    and  accepted  in the  Exchange  Offer,  the
                                    trading  market for the untendered Old Notes
                                    could  be  adversely  affected.   See  "Risk
                                    Factors-- Consequences of the Exchange Offer
                                    on Non-Tendering Holders of the Old Notes."

CERTAIN FEDERAL INCOME TAX
  CONSEQUENCES...................   The exchange  pursuant to the Exchange Offer
                                    will  generally  not be a taxable  event for
                                    federal  income tax  purposes.  See "Certain
                                    Federal Income Tax Consequences."

EXCHANGE AGENT...................   The First Union  National  Bank, the Trustee
                                    under the Indenture,  is serving as exchange
                                    agent (the  "Exchange  Agent") in connection
                                    with the Exchange  Offer.  See "The Exchange
                                    Offer -- Exchange Agent."

                                    The   Company   has   not    retained    any
                                    dealer-manager   in   connection   with  the
                                    Exchange   Offer   and  will  not  make  any
                                    payments  to  brokers  or others  soliciting
                                    acceptances of the Exchange  Offer.  Holders
                                    of Old  Notes  who  tender  in the  Exchange
                                    Offer will not be required to pay  brokerage
                                    commissions  or  fees  or,  subject  to  the
                                    instructions  in the Letter of  Transmittal,
                                    transfer  taxes with respect to the exchange
                                    of Old Notes pursuant to the Exchange Offer.
                                    The   Company   will  pay  all  charges  and
                                    expenses,   other  than  certain  applicable
                                    taxes,   in  connection  with  the  Exchange
                                    Offer. See "Fees and Expenses."

USE OF PROCEEDS..................   There  will be no cash  proceeds  payable to
                                    the  Company  from the  issuance  of the New
                                    Notes  pursuant to the Exchange  Offer.  Net
                                    proceeds received by the

                                      -10-
<PAGE>

                                    Company  from the sale of the Old Notes were
                                    used to reduce  outstanding term loans under
                                    the Credit Facility.


                        SUMMARY DESCRIPTION OF NEW NOTES


SECURITIES OFFERED...............  $130,000,000  PRINCIPAL  AMOUNT  OF 9% SENIOR
                                   SUBORDINATED   NOTES   DUE  2008   (THE  "NEW
                                   NOTES").

MATURITY DATE....................  MARCH 15, 2008.

INTEREST PAYMENT DATES...........  MARCH  15  AND  SEPTEMBER  15 OF  EACH  YEAR,
                                   COMMENCING SEPTEMBER 15, 1998.

SUBORDINATION; SUBSIDIARY
  GUARANTEES.....................  THE OLD NOTES ARE, AND THE NEW NOTES WILL BE,
                                   GENERAL UNSECURED OBLIGATIONS OF THE COMPANY,
                                   SUBORDINATED IN RIGHT OF PAYMENT TO THE PRIOR
                                   PAYMENT  IN FULL OF ALL  EXISTING  AND FUTURE
                                   SENIOR  DEBT OF THE  COMPANY,  INCLUDING  THE
                                   SECURED  OBLIGATIONS  OF THE  COMPANY AND ITS
                                   SUBSIDIARIES  UNDER THE CREDIT FACILITY.  THE
                                   OLD NOTES  ARE,  AND THE NEW  NOTES  WILL BE,
                                   GUARANTEED,  JOINTLY  AND  SEVERALLY,  ON  AN
                                   UNSECURED  SENIOR  SUBORDINATED  BASIS BY THE
                                   GUARANTORS.  THE GUARANTEES ARE  SUBORDINATED
                                   IN RIGHT OF PAYMENT  TO THE PRIOR  PAYMENT IN
                                   FULL OF ALL EXISTING  AND FUTURE  SENIOR DEBT
                                   OF  THE  GUARANTORS   INCLUDING  THE  SECURED
                                   OBLIGATIONS  OF  THE  GUARANTORS   UNDER  THE
                                   CREDIT FACILITY.  AS OF DECEMBER 31, 1997, ON
                                   A PRO FORMA BASIS AFTER GIVING  EFFECT TO THE
                                   ISSUANCE OF THE OLD NOTES IN THE OFFERING AND
                                   THE APPLICATION OF THE ESTIMATED NET PROCEEDS
                                   THEREFROM,  THE COMPANY WOULD HAVE HAD $239.5
                                   MILLION OF SENIOR  DEBT  OUTSTANDING  AND THE
                                   GUARANTORS  WOULD  HAVE  HAD NO  SENIOR  DEBT
                                   OUTSTANDING  OTHER  THAN  GUARANTEES  BY  THE
                                   GUARANTORS OF THE COMPANY'S OBLIGATIONS UNDER
                                   THE CREDIT FACILITY.  SEE "DESCRIPTION OF THE
                                   CREDIT FACILITY."


OPTIONAL REDEMPTION..............  EXCEPT AS PROVIDED  BELOW,  THE OLD NOTES ARE
                                   NOT,   AND  THE  NEW   NOTES   WILL  NOT  BE,
                                   REDEEMABLE AT THE  COMPANY'S  OPTION PRIOR TO
                                   MARCH  15,  2003.  THEREAFTER,  THE OLD NOTES
                                   ARE,  AND THE NEW NOTES WILL BE,  REDEEMABLE,
                                   IN  WHOLE OR IN PART,  AT THE  OPTION  OF THE
                                   COMPANY,  AT THE REDEMPTION  PRICES SET FORTH
                                   HEREIN,  PLUS ACCRUED AND UNPAID  INTEREST TO
                                   THE DATE OF  REDEMPTION.  IN ADDITION,  ON OR
                                   BEFORE  MARCH 15,  2001,  THE COMPANY MAY, AT
                                   ITS OPTION, REDEEM UP TO 35% OF THE AGGREGATE
                                   PRINCIPAL  AMOUNT  OF  THE  NOTES  ORIGINALLY
                                   ISSUED  WITH THE NET  PROCEEDS OF ONE OR MORE
                                   OFFERINGS  OF COMMON STOCK OF THE COMPANY FOR
                                   CASH  AT A  REDEMPTION  PRICE  OF 109% OF THE
                                   PRINCIPAL  AMOUNT  THEREOF  PLUS  ACCRUED AND
                                   UNPAID  INTEREST  TO THE DATE OF  REDEMPTION;
                                   PROVIDED  THAT AT LEAST 65% OF THE  AGGREGATE
                                   PRINCIPAL   AMOUNT   OF  THE   NOTES   REMAIN
                                   OUTSTANDING  AFTER GIVING  EFFECT TO ANY SUCH
                                   REDEMPTION.    SEE    "DESCRIPTION   OF   NEW
                                   NOTES--OPTIONAL REDEMPTION."

CHANGE OF CONTROL................  UPON A CHANGE OF CONTROL  (AS  DEFINED),  THE
                                   HOLDERS  OF  THE  NOTES  HAVE  THE  RIGHT  TO
                                   REQUIRE  THE  COMPANY  TO  REPURCHASE   THEIR
                                   NOTES,  IN WHOLE OR IN  PART,  AT A  PURCHASE
                                   PRICE  OF  101%  OF  THE   PRINCIPAL   AMOUNT
                                   THEREOF,  PLUS ACCRUED AND UNPAID INTEREST TO
                                   THE REPURCHASE DATE. IN THE EVENT A CHANGE OF
                                   CONTROL  WERE  TO  OCCUR,  THERE  CAN  BE  NO
                                   ASSURANCE   THAT  THE   COMPANY   WILL   HAVE
                                   AVAILABLE FUNDS  SUFFICIENT TO REPURCHASE ALL
                                   OF THE NOTES THAT HOLDERS ELECT TO TENDER.


                                      -11-

<PAGE>


                                   IN ADDITION,  THE CREDIT  FACILITY  PROHIBITS
                                   THE  COMPANY  FROM   REPURCHASING  THE  NOTES
                                   WITHOUT  THE  CONSENT OF THE  LENDERS,  AND A
                                   CHANGE OF  CONTROL  AS  DEFINED IN THE CREDIT
                                   FACILITY (WHICH DEFINITION  INCLUDES A CHANGE
                                   OF CONTROL UNDER THE  INDENTURE)  CONSTITUTES
                                   AN  EVENT  OF   DEFAULT   UNDER  THE   CREDIT
                                   FACILITY.   SEE   "DESCRIPTION   OF   NOTES--
                                   REPURCHASE  AT THE OPTION OF  HOLDERS--CHANGE
                                   OF CONTROL."

OFFER TO PURCHASE................  THE    COMPANY   IS   REQUIRED   IN   CERTAIN
                                   CIRCUMSTANCES  TO MAKE AN OFFER  TO  PURCHASE
                                   NOTES AND CERTAIN  OTHER  INDEBTEDNESS,  AT A
                                   PURCHASE PRICE EQUAL TO 100% OF THE PRINCIPAL
                                   AMOUNT  THEREOF,   PLUS  ACCRUED  AND  UNPAID
                                   INTEREST  TO THE DATE OF  PURCHASE,  WITH THE
                                   NET CASH PROCEEDS OF CERTAIN ASSET SALES. THE
                                   CREDIT  FACILITY,   HOWEVER,   PROHIBITS  THE
                                   COMPANY  FROM  REPURCHASING  THE NOTES  UNDER
                                   SUCH CIRCUMSTANCES WITHOUT THE CONSENT OF THE
                                   LENDERS.  SEE  "DESCRIPTION  OF  NEW  NOTES--
                                   REPURCHASE  AT THE OPTION  OF  HOLDERS--ASSET
                                   SALES."

RESTRICTIVE COVENANTS............  THE INDENTURE GOVERNING THE OLD NOTES AND THE
                                   NEW   NOTES   (THE   "INDENTURE")    CONTAINS
                                   COVENANTS  INCLUDING,  BUT  NOT  LIMITED  TO,
                                   COVENANTS  WITH RESPECT TO LIMITATIONS ON THE
                                   FOLLOWING  MATTERS:  (I)  THE  INCURRENCE  OF
                                   ADDITIONAL   INDEBTEDNESS,   (II)  RESTRICTED
                                   PAYMENTS, (III) SALES OF ASSETS, (IV) MERGERS
                                   AND CONSOLIDATIONS,  (V) PAYMENT RESTRICTIONS
                                   AFFECTING SUBSIDIARIES,  (VI) THE CREATION OF
                                   LIENS AND (VII) TRANSACTIONS WITH AFFILIATES.
                                   HOWEVER,   THESE  COVENANTS  ARE  SUBJECT  TO
                                   CERTAIN    IMPORTANT    QUALIFICATIONS    AND
                                   EXCEPTIONS.  SEE  "DESCRIPTION OF NEW NOTES--
                                   CERTAIN COVENANTS."

EXCHANGE OFFER;
  REGISTRATION RIGHTS............  UNDER THE REGISTRATION  RIGHTS AGREEMENT (THE
                                   "REGISTRATION  RIGHTS  AGREEMENT"),  WITH THE
                                   INITIAL  PURCHASERS  OF THE  OLD  NOTES,  THE
                                   COMPANY  IS   OBLIGATED   TO  FILE  WITH  THE
                                   COMMISSION THIS  REGISTRATION  STATEMENT (THE
                                   "EXCHANGE OFFER REGISTRATION  STATEMENT") AND
                                   TO OFFER TO THE  HOLDERS OF THE OLD NOTES THE
                                   OPPORTUNITY  TO EXCHANGE  THEIR OLD NOTES FOR
                                   NEW NOTES (THE "EXCHANGE OFFER").  IF CERTAIN
                                   HOLDERS OF THE OLD NOTES ARE NOT PERMITTED TO
                                   PARTICIPATE  IN, OR WOULD NOT RECEIVE  FREELY
                                   TRADEABLE NEW NOTES PURSUANT TO, THE EXCHANGE
                                   OFFER, THE COMPANY HAS AGREED TO FILE A SHELF
                                   REGISTRATION     STATEMENT     (THE    "SHELF
                                   REGISTRATION   STATEMENT")  WITH  RESPECT  TO
                                   RESALES  OF THE  OLD  NOTES.  THE  NEW  NOTES
                                   REGISTERED    PURSUANT   TO   AN    EFFECTIVE
                                   REGISTRATION   STATEMENT  GENERALLY  WILL  BE
                                   FREELY  TRADEABLE  (OTHER  THAN BY ANY HOLDER
                                   WHO IS AN  "AFFILIATE"  OF THE COMPANY WITHIN
                                   THE   MEANING  OF   SECTION   405  UNDER  THE
                                   SECURITIES  ACT),  PROVIDED THAT ANY SUCH NEW
                                   NOTES ACQUIRED BY A BROKER-DEALER FOR ITS OWN
                                   ACCOUNT CANNOT BE SOLD OR TRANSFERRED WITHOUT
                                   THE  DELIVERY  OF  A  PROSPECTUS.   SEE  "THE
                                   EXCHANGE  OFFER--GENERAL." HOLDERS WHO DO NOT
                                   PARTICIPATE   IN  THE   EXCHANGE   OFFER  MAY
                                   THEREAFTER HOLD A LESS LIQUID  SECURITY.  THE
                                   OLD  NOTES  ARE  SUBJECT  TO THE  PAYMENT  OF
                                   LIQUIDATED  DAMAGES (AS DEFINED HEREIN) UNDER
                                   CERTAIN  CIRCUMSTANCES  IF THE COMPANY IS NOT
                                   IN COMPLIANCE WITH ITS OBLIGATIONS  UNDER THE
                                   REGISTRATION     RIGHTS    AGREEMENT.     SEE
                                   "DESCRIPTION   OF   NEW   NOTES--REGISTRATION
                                   RIGHTS; LIQUIDATED DAMAGES."

                                  RISK FACTORS

         INVESTORS  SHOULD CONSIDER  CAREFULLY  CERTAIN  MATTERS  RELATING TO AN
INVESTMENT IN THE NOTES. SEE "RISK FACTORS."


                                      -12-

<PAGE>


                             SELECTED FINANCIAL DATA

         The  information  below  sets  forth  selected   historical   financial
information  for the  Company  for each of the five  years in the  period  ended
December  31,  1997.  Such  information  for the years ended  December 29, 1995,
December 31, 1996 and December 31, 1997 and as of December 31, 1996 and December
31,  1997 have been  derived  from and  should be read in  conjunction  with the
consolidated  financial statements of the Company,  including the notes thereto,
and "Management's  Discussion and Analysis of Financial Condition and Results of
Operations,"  incorporated  by reference in this  Prospectus  from the Company's
Form 10-K.  Such  information for the years ended December 31, 1993 and December
30, 1994 and as of December  31,  1993,  December 30, 1994 and December 29, 1995
have been derived from the audited  financial  statements  not  incorporated  by
reference or included  herein.  The Balance  Sheet Data for 1997 set forth below
includes the effects of the Linvatec  Acquisition.  The Company has not declared
any cash  dividends in the past five years.  The  unaudited  pro forma  adjusted
consolidated financial information for the year ended December 31, 1997 has been
prepared  to  reflect  adjustments  to  the  Company's   historical  results  of
operations to give pro forma effect to (i) the Linvatec Acquisition and (ii) the
Offering  and the  application  of the net  proceeds  therefrom,  as if each had
occurred as of January 1, 1997. See "Unaudited Pro Forma Consolidated  Financial
Information" in the Company's Form 8-K filed on February 17, 1998.

<TABLE>
<CAPTION>
                                                              YEARS ENDED DECEMBER
                                            -----------------------------------------------------------------------
                                                                                                    1997
                                                                                          -------------------------
                                                                                                      PRO FORMA AS
                                              1993        1994       1995        1996       ACTUAL    ADJUSTED (2)
                                              ----        ----       ----        ----       ------    ------------
                                                    (IN THOUSANDS, EXCEPT PER SHARE AMOUNTS)
<S>                                           <C>         <C>        <C>        <C>         <C>         <C>
STATEMENTS OF OPERATIONS DATA(1):
    Net sales...............................  $53,641     $71,064    $99,558    $125,630    $138,270    $ 327,434
    Cost of sales...........................   30,218      38,799     52,402      63,393      74,220      164,272
    Selling and administrative expenses.....   17,402      20,797     25,570      31,620      35,299      100,781
    Research and development expense........    2,222       2,352      2,832       2,953       2,037       11,298
    Unusual items(3)........................    5,700         --         --          --       37,242       37,242
                                              -------     -------    -------    --------    --------     --------
    Income (loss) from operations...........   (1,901)      8,934     18,754      25,664    (11,528)       13,841
    Interest income (expense), net..........     (214)       (628)    (1,991)       (217)       823        30,266
                                              -------     -------    -------    --------    --------     --------
    Income (loss) before income taxes.......   (2,115)      8,306     16,763      25,447    (10,705)      (16,425)
    Provision (benefit) for income taxes....     (719)      2,890      5,900       9,161     (3,640)       (5,699)
                                              -------     -------    -------    --------    --------     --------
    Net income (loss).......................  $(1,396)    $ 5,416    $10,863    $ 16,286    $(7,065)     $(10,726)
                                              =======     =======    =======    ========    ========     ========
EARNINGS (LOSS) PER SHARE (4):
    Basic...................................  $ (0.16)     $ 0.60     $1.03     $ 1.16       $(0.47)      $(0.73)
                                              =======     =======    =======    ========    ========     ========
    Diluted.................................  $ (0.16)     $ 0.56     $0.94     $ 1.12       $(0.47)      $(0.73)
                                              =======     =======    =======    ========    ========     ========
WEIGHTED AVERAGE NUMBER OF COMMON SHARES USED
IN CALCULATING(4):
    Basic earnings (loss) per share.........    8,987       9,032     10,517      14,045      14,997       14,997
    Diluted earnings (loss) per share.......    8,987       9,624     11,613      14,496      14,997       14,997
OTHER FINANCIAL DATA:
    Depreciation and amortization...........   $3,262      $3,878     $5,015      $6,410      $6,954      $21,285
    EBITDA(5)...............................    7,061      12,812     23,769      32,074      32,668       75,768
    Capital expenditures....................    1,506       2,190      5,195       4,946       8,178       10,510
    Ratio of earnings to fixed charges(6)...    --(6)      11.73x      8.84x      79.41x       --(6)        --(6)

                                                                           DECEMBER
                                            -----------------------------------------------------------------------
                                                                                                    1997
                                                                                        ---------------------------
                                                                                                      PRO FORMA AS
                                              1993        1994       1995        1996       ACTUAL    ADJUSTED (2)
                                              ----        ----       ----        ----       ------    ------------
                                                                 (IN THOUSANDS)
BALANCE SHEET DATA(7):
    Cash and cash equivalents............... $  1,978     $ 3,615   $  1,539    $ 20,173    $ 13,452        $13,452
    Total assets............................   57,338      62,104    119,403     170,083     561,637        566,137
    Long-term debt (including
      current portion)......................   11,905       9,375     32,340          --     365,000        369,500
    Total shareholders' equity..............   37,490      43,061     75,002     158,635     162,736        162,736


                                      (footnotes on following page)

                                                  -13-

<PAGE>


<FN>

(1)  Includes,  based on the purchase  method of accounting,  the results of (i)
     CONMED Andover Medical,  Inc.  ("CONMED Andover  Medical"),  the subsidiary
     formed as a result of the acquisition of the business and certain assets of
     Medtronic  Andover Medical,  Inc., from July 1993; (ii) an ECG product line
     from Becton  Dickinson  Vascular  Access,  Inc. from November  1994;  (iii)
     Birtcher Medical Systems,  Inc.  ("Birtcher")  from March 1995; (iv) the IV
     controller  product  line  acquired  from The  Master  Medical  Corporation
     ("Master  Medical")  from May 1995; (v) NDM, Inc.  ("NDM"),  the subsidiary
     formed as a result of the product  lines  acquired  from New  Dimensions in
     Medicine,  Inc., from February 1996; and (vi) the surgical  suction product
     line acquired from the Davol  subsidiary  ("Davol") of C.R. Bard, Inc. from
     July 1997, in each such case from the date of acquisition.

(2)  Pro Forma, As Adjusted reflects the adjustments to the Company's historical
     results of  operations to give effect to (i) the Linvatec  Acquisition  and
     (ii) the Offering and the application of the net proceeds therefrom,  as if
     each had  occurred as of January 1, 1997,  as described in the Notes to the
     Company's  Unaudited  Pro  Forma  Consolidated  Statement  of Income in the
     Company's Form 8-K filed on February 17, 1998.

(3)  Includes for 1993 a litigation  charge of $5.0 million relating to a patent
     infringement  case involving the Company's  line of coated  electrosurgical
     accessory blades and a product  restructure  charge of $0.7 million for the
     write-off  of  obsolete  inventory.  Includes  for  1997  a  $34.0  million
     one-time,  non-cash  acquisition  charge  for the  writedown  of all of the
     in-process research and development  products (comprised of products in the
     development  stage) acquired in the Linvatec  Acquisition,  $0.9 million of
     deferred  financing  fees  resulting  from  refinancing  the Company's loan
     agreements in connection  with the Linvatec  Acquisition,  and $2.3 million
     for the closing of the Company's Dayton, Ohio manufacturing facility.

(4)  All share and per share  amounts  have been  adjusted to give effect to the
     Company's three-for-two stock splits in the form of stock dividends paid on
     December 27, 1994 and November 30, 1995.

(5)  EBITDA  represents   earnings  before  interest   expense,   income  taxes,
     depreciation  and  amortization,  unusual items and  inventory  adjustments
     pursuant to purchase  accounting,  as provided in the Indenture.  EBITDA is
     included  herein  because  certain  investors  consider  it to be a  useful
     measure of a company's  ability to service its debt;  however,  EBITDA does
     not represent cash flow from operations,  as defined in generally  accepted
     accounting  principles,  and should not be  considered in isolation or as a
     substitute  for net income or cash flow from  operations or as a measure of
     profitability or liquidity.

(6)  The ratio of  earnings to fixed  charges is  calculated  by dividing  fixed
     charges into income from operations  before income taxes and  extraordinary
     items  plus  fixed  charges.   Fixed  charges  include  interest   expense,
     amortization of debt issuance cost and the estimated  interest component of
     rent expense. In 1993 and 1997, the Company had a deficiency of earnings to
     cover fixed charges of $1,755,000 and $11,381,000,  respectively. For 1997,
     on a pro forma, as adjusted basis, the Company had a deficiency of earnings
     to cover fixed charges of $17,248,000.

(7)  Linvatec is included in the  Historical  Balance  Sheet Data as of December
     31, 1997, its date of acquisition,  after a one-time,  non-cash acquisition
     charge for the write-off of in-process  research and  development  costs of
     $34.0 million.  As required by purchase  accounting in connection  with the
     Linvatec  Acquisition,  the Company increased inventory by approximately $3
     million over the cost to produce to value such  inventory at its fair value
     at  the  acquisition  date.  As  a  result,   subsequent  to  the  Linvatec
     Acquisition  and as such inventory is sold, cost of sales will be increased
     by an  aggregate  of  approximately  $3 million.  As Adjusted  reflects the
     adjustments  to the Balance  Sheet Data to give effect to the  Offering and
     the  application of the net proceeds  therefrom.  As Adjusted does not give
     effect to an  extraordinary  charge of $1.6  million for the  write-off  of
     certain  debt  financing  costs,  which the  Company  incurred in the first
     quarter of 1998 in connection with the prepayment of certain debt under the
     Credit Facility with the net proceeds of the Offering.
</FN>
</TABLE>








                                      -14-



<PAGE>



                                  RISK FACTORS

         Investment in the Notes involves various risks, including the following
principal  factors,  which,  together with the other matters set forth herein or
incorporated by reference herein,  should be carefully considered by prospective
investors.  See "Private Securities Litigation Reform Act Safe Harbor Statement"
relating to certain forward-looking statements in this Prospectus.

SIGNIFICANT LEVERAGE AND DEBT SERVICE

         After consummation of this Exchange Offer, the Company will continue to
have indebtedness which is substantial in relation to its shareholders'  equity,
as well as interest and debt service  requirements that are significant compared
to its cash flow from operations.  As of December 31, 1997, on a pro forma basis
after  giving  effect to the Offering  and the  application  of the net proceeds
therefrom,  the  Company  would have had  approximately  $369.5  million of debt
outstanding,  which  represented  69.4% of total  pro forma  capitalization.  In
addition,  on December 31, 1997, on a pro forma basis after giving effect to the
Offering and the  application of the net proceeds  therefrom,  the Company would
have had approximately $85.0 million available for borrowing under the revolving
portion of the Credit Facility. See "Capitalization."

         The degree to which the  Company  is  leveraged  could  have  important
consequences  to  holders  of  the  Notes,  including  but  not  limited  to the
following:  (i) a substantial portion of the Company's cash flow from operations
must be  dedicated to debt  service and will not be  available  for  operations,
capital  expenditures,  acquisitions  and  other  purposes;  (ii) the  Company's
ability  to obtain  additional  financing  in the future  for  working  capital,
capital  expenditures,   acquisitions  or  general  corporate  purposes  may  be
impaired;  and  (iii)  certain  of  the  Company's  borrowings,   including  its
borrowings  under the Credit  Facility,  are and will continue to be at variable
rates of interest,  which exposes the Company to the risk of increased  interest
rates.

         The Company's ability to pay principal and interest on the Notes and to
satisfy its other  obligations  will depend upon the Company's  future operating
performance,  which will be affected  by the  Company's  ability to  effectively
integrate acquired businesses, including Linvatec, with the Company's operations
and by prevailing economic conditions and financial, business and other factors,
many of which are beyond the  Company's  control.  See "-- Ability to  Integrate
Linvatec" below. There can be no assurance that the Company's  operating results
will be sufficient  for the Company to meet its  obligations.  If the Company is
unable to service its  indebtedness,  it will be forced to adopt an  alternative
strategy  that may include  actions such as forgoing  acquisitions,  reducing or
delaying capital expenditures,  selling assets, restructuring or refinancing its
indebtedness or seeking  additional  equity  capital.  There can be no assurance
that any of these  strategies  could be implemented  on terms  acceptable to the
Company,  if at all.  See  "Management's  Discussion  and  Analysis of Financial
Condition  and Results of  Operations--Liquidity  and Capital  Resources" in the
Company's Form 10-K.

ABILITY TO INTEGRATE LINVATEC

         The  Company's  success  is  dependent  in part  upon  its  ability  to
effectively  integrate Linvatec with the Company's  operations.  In the Linvatec
Acquisition,  which  represents the Company's  largest  acquisition to date, the
Company acquired products not previously manufactured or sold by the Company and
substantially increased its international presence. The Company has entered into
arrangements with Zimmer, Inc. ("Zimmer"), a subsidiary of BMS, for distribution
of the Company's small bone, large bone and specialty powered instruments in the
United States.  The integration and  consolidation  of the Linvatec  Acquisition
will require substantial  management time and other resources and may pose risks
with respect to production,  sales, customer service and market share. While the
Company  believes  that it has  sufficient  management  and other  resources  to
accomplish  the  integration  of  the  Linvatec  Acquisition,  there  can  be no
assurance  in this regard or that the Company will not  experience  difficulties
with customers,  suppliers,  personnel or others.  In addition,  there can be no
assurance  that the Company  will be able to achieve any cost  savings  from the
Linvatec   Acquisition.   Although  the  Company   believes  that  the  Linvatec
Acquisition will enhance the competitive  position and business prospects of the
Company, there can be no assurance that such benefits will be

                                      -15-



<PAGE>



realized, that the distribution  arrangements with Zimmer will be sufficient and
not be  terminated or that the  combination  of CONMED and Linvatec will be more
successful  than  both  such  companies  would  have  been if they had  remained
independent.  See "Management's  Discussion and Analysis of Financial  Condition
and Results of  Operations--General"  and  "Business--Strategy" in the Company's
Form 10-K.

         As a result of the Linvatec  Acquisition,  the Company's  international
sales increased from 14% of total 1997 sales to 22% of total 1997 sales on a pro
forma  basis.  The  Company  has  entered  into  distribution  and  transitional
agreements with respect to Linvatec's  international business with affiliates of
BMS, the former parent of Linvatec. See  "Business--Marketing"  in the Company's
Form 10-K. The Company  intends to replace such  transitional  services with its
own operations and other distribution arrangements and in some cases has already
begun to do so. There can be no assurance that the transitional services will be
sufficient  to maintain the  Company's  international  business  acquired in the
Linvatec Acquisition,  that the Company will be able to successfully replace the
transitional  services and distribution  arrangements provided by BMS affiliates
with its own  services  and  arrangements  or that the  Company  will be able to
expand its international business during or following the transition.

EFFECTS OF ACQUISITIONS GENERALLY

         An important  element of the  Company's  business  strategy has been to
expand through  acquisitions and the Company may seek to pursue  acquisitions in
the future. Most recently, in July 1997, the Company acquired a surgical suction
instrument and tubing product line from Davol (the "Davol  Acquisition") and, in
December  1997,  acquired  Linvatec.  The success of the Company is dependent in
part upon its ability to  effectively  integrate  acquired  operations  with the
Company's  operations.  While  the  Company  believes  that  it  has  sufficient
management  and other  resources to accomplish  the  integration of its past and
future  acquisitions,  there  can be no  assurance  in this  regard  or that the
Company will not experience difficulties with customers, suppliers, personnel or
others. In addition,  there can be no assurance that the Company will be able to
identify and make  acquisitions on acceptable  terms or that the Company will be
able to obtain financing for such acquisitions on acceptable terms. In addition,
the financial  performance of the Company is now and will continue to be subject
to various risks  associated with the  acquisition of businesses,  including the
financial effects associated with the integration of such businesses.

         The  Indenture  and the Credit  Facility  contain  certain  restrictive
covenants  which  will  affect,  and in many  respects  significantly  limit  or
prohibit,  among other  things,  the ability of the Company to engage in mergers
and  acquisitions.  These  covenants  may  prevent  the  Company  from  pursuing
acquisitions,  which would  result in lower  levels of growth for the Company in
the future.  See  "Description of the Credit  Facility" and  "Description of New
Notes."

LIMITATIONS IMPOSED BY CERTAIN INDEBTEDNESS

         The Indenture contains certain restrictive covenants which will affect,
and in many respects  significantly  limit or prohibit,  among other things, the
ability  of  CONMED  and its  Restricted  Subsidiaries  (as  defined)  to  incur
indebtedness, make prepayments of certain indebtedness, make investments, engage
in transactions with affiliates, sell assets, engage in mergers and acquisitions
and realize  important  elements of its business  strategy.  The Credit Facility
contains similar and more restrictive covenants,  including a restriction on the
repayment  and  prepayment of principal on the Notes,  and, like the  Indenture,
requires the Company to meet certain financial ratios and tests. These covenants
may prevent the Company  from  integrating  its  acquired  businesses,  pursuing
acquisitions, significantly limit the operating and financial flexibility of the
Company  and  limit its  ability  to  respond  to  changes  in its  business  or
competitive  activities.  The  ability  of  the  Company  to  comply  with  such
provisions  may be affected by events  beyond its  control.  In the event of any
default under the Credit Facility or the Indenture,  the Credit Facility lenders
could elect to declare all amounts borrowed under the Credit Facility,  together
with  accrued  interest,  to be due and  payable.  If the Company were unable to
repay  such  borrowings,  the  lenders  thereunder  could  proceed  against  the
collateral securing the Credit Facility,  which consists of substantially all of
the  property  and assets of CONMED and its  subsidiaries.  If the  indebtedness
under the Credit Facility were to be accelerated, there can be no assurance that
the  assets of CONMED and its  subsidiaries  would be  sufficient  to repay such
indebtedness  and the Notes (which are  subordinated in right of payment to such
indebtedness) in full. See "Description of the Credit Facility" and "Description
of New Notes."

                                      -16-



<PAGE>



SIGNIFICANT COMPETITION AND OTHER MARKET CONSIDERATIONS

         The market for the Company's  products is highly  competitive.  Many of
these  competitors  offer a range of products in areas other than those in which
the Company  competes,  which may make such competitors more attractive to GPOs,
hospitals and others. In addition,  many of the Company's competitors are larger
and have  greater  financial  resources  than the  Company  and offer a range of
products  broader  than the  Company's.  Competitive  pricing  pressures  or the
introduction of new products by the Company's  competitors could have an adverse
effect on the Company's revenues and  profitability.  Some of the companies with
which the  Company  now  competes  or may compete in the future have or may have
more  extensive   research,   marketing  and   manufacturing   capabilities  and
significantly  greater technical and personnel  resources than the Company,  and
may be better  positioned  to continue to improve  their  technology in order to
compete in an evolving industry.  See  "Business--Competition"  in the Company's
Form 10-K.

         Demand for and use of the Company's  products may fluctuate as a result
of changes in surgeon  preferences,  the  introduction  of new  products  or new
features  to  existing  products,   the  introduction  of  alternative  surgical
technology and advances in surgical  procedures and  discoveries or developments
in the health care  industry.  In recent  years,  the health care  industry  has
undergone  significant  change  driven  by  various  efforts  to  reduce  costs,
including  efforts at national  health care reform,  trends toward managed care,
cuts in  Medicare,  consolidation  of health  care  distribution  companies  and
collective  purchasing  arrangements by office-based  health care practitioners.
There can be no assurance  that demand for the  Company's  products  will not be
adversely affected by such fluctuations and trends.

PATENTS AND PROPRIETARY TECHNOLOGY

         Much of the  technology  used  in the  markets  in  which  the  Company
competes  is covered by  patents.  The Company  has  numerous  U.S.  patents and
corresponding  foreign  patents on products  expiring at various dates from 1998
through   2015   and   has   additional   patent   applications   pending.   See
"Business--Research  and  Development  Activities"  in the Company's  Form 10-K.
Although  the  Company  does not rely  solely on its  patents  to  maintain  its
competitive  position,  the loss of the Company's patents could reduce the value
of the related products and any related competitive  advantage.  Competitors may
also be able to design around the Company's patents and effectively compete with
the Company's products. In addition, the cost to prosecute  infringements of the
Company's patents or the cost to defend the Company against patent  infringement
actions by others could be  substantial.  There can be no assurance that pending
patent  applications  will result in issued  patents,  that patents issued to or
licensed by the  Company  will not be  challenged  by  competitors  or that such
patents will be found to be valid or sufficiently broad to protect the Company's
technology or provide the Company with a competitive advantage.

GOVERNMENT REGULATION OF PRODUCTS

         All of the Company's products are classified as medical devices subject
to regulation by the Food and Drug Administration (the "FDA"). As a manufacturer
of medical  devices,  the Company's  manufacturing  processes and facilities are
subject  to  on-site  inspection  and  continuing  review  by the FDA to  insure
compliance with "Good  Manufacturing  Practices," as defined by the FDA. Failure
to comply with applicable requirements can result in fines, recall or seizure of
products,  total or partial  suspension  of  production,  withdrawal of existing
product approvals or clearances, refusal to approve or clear new applications or
notices  and  criminal  prosecution.  Many of the  Company's  products  are also
subject to industry-set standards.

         Foreign sales are also subject to  substantial  government  regulation.
For example,  the Company's  European  Community sales are subject to government
regulations  known as the "CE" mark  certification.  Although a majority  of the
Company's  products  have  received  "CE"  mark  certification  and the  Company
believes  its  products  meet  all   applicable   requirements   for  "CE"  mark
certification, there can be no assurance that all of the Company's products will
receive a "CE" mark  certification  prior to the date that such certification is
required to continue to market such products.

         The Company is subject to product recall.  The Company's  product lines
have experienced a number of product recalls.  The Company has completed actions
to close all these recalls except one which the Company is currently

                                      -17-



<PAGE>



addressing.  See  "Business--Government  Regulation" in the Company's Form 10-K.
Although no recall or production matter has had a material adverse effect on the
Company's financial  condition,  there can be no assurance to this effect in the
future.

RISKS RELATING TO INTERNATIONAL OPERATIONS

         A portion of the Company's  operations are conducted outside the United
States, with 22% of the Company's pro forma 1997 net sales constituting  foreign
sales. As a result of its  international  operations,  the Company is subject to
risks associated with operating in foreign countries, including devaluations and
fluctuations  in  currency   exchange   rates,   imposition  of  limitations  on
conversions  of foreign  currencies  into dollars or remittance of dividends and
other  payments by foreign  subsidiaries,  imposition or increase of withholding
and other taxes on remittances and other payments by foreign subsidiaries, trade
barriers,  political risks, including political  instability,  hyperinflation in
certain  foreign  countries and  imposition or increase of investment  and other
restrictions by foreign  governments.  There can be no assurance that such risks
will not have a material adverse effect on the Company's business and results of
operations.

RISK OF PRODUCT LIABILITY ACTIONS

         The nature of the  Company's  products  as medical  devices and today's
litigious environment in the United States should be regarded as potential risks
that could  significantly and adversely affect the Company's financial condition
and results of operations.  The Company  maintains  insurance to protect against
claims  associated  with the use of its products,  but there can be no assurance
that its insurance  coverage would  adequately cover the amount or nature of any
claim asserted  against the Company.  See  "Business--Legal  Proceedings" in the
Company's Form 10-K.

ENVIRONMENTAL MATTERS

         The Company's  operations are subject to a number of environmental laws
and  regulations  governing,  among  other  things,  air  emissions,  wastewater
discharges,  hazardous substances and waste disposal. Certain environmental laws
can impose  liability  for the entire  cost of  environmental  remediation  upon
current or former property owners and operators  without regard to fault.  While
the Company does not believe that the present costs of environmental  compliance
and remediation are material,  there can be no assurance that future  compliance
or  remedial  obligations  could  not  have a  material  adverse  effect  on the
Company's    financial    condition    or    results    of    operations.    See
"Business--Environmental Matters" in the Company's Form 10-K.

SUBORDINATION

         The payment of principal,  premium, if any, and interest and Liquidated
Damages,  if any, on the Notes will be subordinated to the prior payment in full
of all  existing  and  future  Senior  Debt of the  Company,  including  secured
indebtedness  under the Credit  Facility,  and,  therefore,  in the event of the
bankruptcy,  liquidation  or  reorganization  of the Company,  the assets of the
Company will not be available to pay obligations  under the Notes until all such
Senior Debt has been paid in full.  Furthermore,  any payment  with respect to a
Guarantee also is  subordinated to the payment of Senior Debt of that Guarantor,
including  the  Guarantor's  guarantee of the  Company's  obligations  under the
Credit Facility. As a result, there may not be sufficient assets remaining after
such bankruptcy,  liquidation or reorganization to pay amounts due on the Notes.
As of  December  31,  1997,  on a pro forma  basis  after  giving  effect to the
Offering  and the  application  of the  estimated  net proceeds  therefrom,  the
Company  would  have had  $239.5  million  of Senior  Debt  outstanding  and the
Guarantors  would have had no Senior Debt  outstanding  other than guarantees by
the  Guarantors  of the  Company's  obligations  under the Credit  Facility.  In
addition,  as of December 31, 1997,  on a pro forma basis after giving effect to
the Offering and the  application of the estimated net proceeds  therefrom,  the
Company  would have had  approximately  $85.0 million  available for  borrowings
under the Credit Facility. The Indenture permits the Company to incur additional
Indebtedness,  including  Senior  Debt,  from time to time,  subject  to certain
limitations.

         The  subordination  provisions of the Indenture provide that no payment
may be made by the Company  with respect to the Notes or by any  Guarantor  with
respect to its Guarantee upon the occurrence of a default in the payment

                                      -18-



<PAGE>



of principal, premium, if any, or interest on certain Designated Senior Debt (as
defined  herein)  or a default  of any other  type if as a result  thereof  such
Designated Senior Debt is accelerated in accordance with its terms. In addition,
upon the occurrence of any other event  entitling the holders of such Designated
Senior Debt to  accelerate  the maturity  thereof and receipt by the Trustee (as
defined  herein)  of  written  notice of such  occurrence,  the  holders of such
Designated  Senior Debt will be able to block payment on the Notes for specified
periods  of  time.  All  indebtedness  outstanding  under  the  Credit  Facility
constitutes  Designated Senior Debt. If the Company fails to make any payment on
the Notes  when due or within any  applicable  grace  period,  whether or not on
account of the payment blockage provisions referred to above, such failure would
nonetheless constitute an event of default under the Indenture and would entitle
the holders of the Notes to accelerate the maturity thereof. See "Description of
New Notes--Subordination."

POTENTIAL INABILITY TO EFFECT A CHANGE OF CONTROL OFFER OR AN ASSET SALE OFFER

         Upon a Change of Control (as defined), the holders of the Notes will be
entitled to require the Company to  repurchase  their Notes at a purchase  price
equal to 101% of the principal amount thereof,  plus accrued and unpaid interest
and Liquidated  Damages,  if any, to the repurchase  date. In addition,  certain
asset  sales  by the  Company  may  require  the  Company  to make an  offer  to
repurchase Notes with the proceeds of such asset sales at a purchase price equal
to 100% of the  principal  amount  thereof plus accrued and unpaid  interest and
Liquidated Damages, if any, to the repurchase date. However, the Credit Facility
prohibits  the  purchase  of the  Notes by the  Company  unless  and  until  the
indebtedness under the Credit Facility is repaid in full and the Credit Facility
has been  terminated.  Furthermore,  a Change of Control would also constitute a
change of control as defined in the  Credit  Facility  and would  constitute  an
event of default under the Credit  Facility.  The Company's  failure to purchase
the Notes would result in a default under the Indenture.  The inability to repay
the  indebtedness  under  the  Credit  Facility,  if  accelerated,   would  also
constitute  an event of default  under the  Indenture,  which could have adverse
consequences to the Company and the holders of the Notes.  In such event,  there
can be no assurance that the Company would have sufficient assets to satisfy all
of its obligations  under the Credit Facility and the Notes. See "Description of
New Notes--Repurchase at the Option of Holders."

FRAUDULENT CONVEYANCE; PREFERENTIAL TRANSFER

         Various fraudulent conveyance laws have been enacted for the protection
of creditors and may be utilized by a court to subordinate or avoid the Notes or
any Guarantee in favor of other  existing or future  creditors of the Company or
of a Guarantor.

         If  the  court  in  a  lawsuit   brought  by  an  unpaid   creditor  or
representative  of creditors,  such as a trustee in bankruptcy of the Company or
of a  Guarantor,  as the case may be,  as a  debtor-in-possession,  were to find
under relevant federal or state fraudulent  conveyance statutes that the Company
or such Guarantor,  as the case may be, (x) intended to hinder, delay or defraud
any  existing or future  creditor or  contemplated  insolvency  with a design to
prefer one or more  creditors to the  exclusion in whole or in part of others or
(y) did not  receive  fair  consideration  or  reasonably  equivalent  value for
incurring the  indebtedness  represented  by the Old Notes or the Guarantees and
that,  at the time of such  incurrence,  the Company or such  Guarantor  (i) was
insolvent,  (ii) was rendered insolvent by reason of such incurrence,  (iii) was
engaged or was about to engage in a business or transaction for which the assets
remaining  with the Company or such  Guarantor  constituted  unreasonably  small
capital to carry on its business or (iv) intended to incur,  or believed that it
would incur,  debts beyond its ability to pay such debts as they  matured,  such
court,  subject to applicable statutes of limitation,  could avoid the Company's
obligations under the Notes or such Guarantor's obligations under its Guarantee,
subordinate the Notes or such Guarantee to other  indebtedness of the Company or
such Guarantor or take other action detrimental to the holders of the Notes.

         The  majority  of  the  Company's   operations  are  conducted  through
subsidiaries,  and the  Company  therefore  relies  on  distributions  from  its
subsidiaries  for the funds to service its  indebtedness,  including  payment of
principal of and interest on the Notes.  To the extent that any Guarantees  were
voided as a fraudulent  conveyance or held  unenforceable  for any other reason,
Holders of the Notes would cease to have any claim in respect of such  Guarantor
and would be creditors  solely of the Company and any Guarantor  whose Guarantee
was not voided or held

                                      -19-



<PAGE>



unenforceable. In such event, the claims of the Holders of the Notes against the
issuer of an invalid  Guarantee  would be  subject  to the prior  payment of all
liabilities and preferred equity interests, if any, of such Guarantor. There can
be no assurance that,  after providing for all prior claims and preferred equity
interests, if any, there would be sufficient assets to satisfy the claims of the
Holders of the Notes relating to any voided portions of any of the Guarantees.

         The measure of insolvency  for these  purposes will vary depending upon
the law of the jurisdiction being applied. Generally, however, a company will be
considered  insolvent for these purposes if the sum of that  company's  debts is
greater than all that company's property at a fair valuation,  or if the present
fair salable value of that  company's  assets is less than the amount that would
be required to pay its probable  liability on its existing  debts as they become
absolute and matured.  Moreover,  regardless of solvency, a court could avoid an
incurrence of indebtedness, including the Notes or a Guarantee, if it determined
that  such  transaction  was made  with  intent  to  hinder,  delay  or  defraud
creditors, or a court could subordinate the indebtedness, including the Notes or
a  Guarantee,  to the claims of all  existing  and future  creditors  on similar
grounds.  Based upon financial and other information  currently available to it,
management  of the Company  believes the Company and each  Guarantor is solvent.
However,  there can be no assurance  as to what  standard a court would apply in
order to  determine  whether  the Company or a Guarantor  was  "insolvent"  upon
consummation of the sale of the Old Notes and the granting of the Guarantees.

         Additionally,  under federal  bankruptcy or applicable state insolvency
law, if certain  bankruptcy  or  insolvency  proceedings  were  initiated  by or
against  the  Company or a  Guarantor  within 90 days  after any  payment by the
Company with respect to the Notes or any payment by a Guarantor  with respect to
its Guarantee or if the Company or a Guarantor anticipated becoming insolvent at
the time of such payment, all or a portion of such payment could be avoided as a
preferential  transfer and the  recipient  of such payment  could be required to
return such payment.

ABSENCE OF PUBLIC MARKET FOR THE NOTES

         The New  Notes  are new  securities  for which  there is  currently  no
market.  Although  the Initial  Purchasers  have  informed the Company that they
currently  intend to make a market in the New Notes and the Old Notes,  they are
not  obligated to do so and any such market  making may be  discontinued  at any
time  without  notice.  Accordingly,  there  can  be  no  assurance  as  to  the
development or liquidity of any market for the Notes,  the ability of holders to
sell the Notes or the price at which  holders  would be able to sell the  Notes.
Future trading prices of the Notes will depend on many factors, including, among
other things,  prevailing interest rates, the Company's  operating results,  the
market  for  similar  securities  and,  in  the  case  of  the  Old  Notes,  the
restrictions  on transfer  with respect  thereto.  Historically,  the market for
securities similar to the New Notes,  including  non-investment  grade debt, has
been  subject to  disruptions  that have caused  substantial  volatility  in the
prices of such securities. There can be no assurance that any market for the New
Notes, if such market develops,  will not be subject to similar disruptions.  In
connection with the issuance of the Old Notes,  the Company arranged for the Old
Notes  to be  designated  for  trading  in  the  Nasdaq  Stock  Market's  Portal
Market(sm).  The Company  does not intend to apply for listing of either the Old
Notes or the New Notes on any securities  exchange or for quotation  through the
National Association of Securities Dealers, Inc.'s Automated Quotation System.

         Notwithstanding  the  registration  of the New  Notes  in the  Exchange
Offer,  each holder that may be deemed an "affiliate" (as defined under Rule 405
under the Securities Act) of the Company will represent to the Company that such
holder  understands and  acknowledges  that the New Notes may not be offered for
resale,  resold or otherwise  transferred  by that holder  without  registration
under the Securities Act or exemption therefrom.

         Each  broker-dealer or other dealer that receives New Notes for its own
account in exchange  for Old Notes,  where such Old Notes were  acquired by such
broker-dealer or other dealer as a result of  market-making  activities or other
trading  activities,  must  acknowledge  that it will  deliver a  prospectus  in
connection with any resale of such New Notes. See "Plan of Distribution."


                                      -20-



<PAGE>



EXCHANGE OFFER PROCEDURES

         Issuance  of the New Notes in  exchange  for Old Notes  pursuant to the
Exchange  Offer will be made only after a timely  receipt by the Company of such
Old Notes, a properly  completed and duly executed Letter of Transmittal and all
other required documents. Therefore, holders of the Old Notes desiring to tender
such Old Notes in exchange for New Notes should allow  sufficient time to ensure
timely delivery. The Company is under no duty to give notification of defects or
irregularities with respect to the tenders of Old Notes for exchange.  Old Notes
that are not  tendered or are  tendered but not  accepted  will,  following  the
consummation  of the  Exchange  Offer,  continue  to be subject to the  existing
restrictions upon transfer thereof and, upon consummation of the Exchange Offer,
the registration  rights under the Registration Rights Agreement will terminate.
In addition,  any holder of Old Notes who tenders in the Exchange  Offer for the
purpose of  participating  in a  distribution  of the New Notes may be deemed to
have received restricted  securities and, if so, will be required to comply with
the registration and prospectus  delivery  requirements of the Securities Act in
connection with any resale  transaction.  Each  broker-dealer  that receives New
Notes for its own account in exchange  for Old Notes,  where such Old Notes were
acquired by such broker-dealer as a result of market-making  activities or other
trading  activities,  must  acknowledge  that it will  deliver a  prospectus  in
connection with any resale of such New Notes. See "Plan of Distribution." To the
extent that Old Notes are  tendered  and  accepted in the  Exchange  Offer,  the
trading  market for  untendered  and tendered but  unaccepted Old Notes could be
adversely affected. See "The Exchange Offer."

CONSEQUENCES OF THE EXCHANGE OFFER ON NON-TENDERING HOLDERS OF THE OLD NOTES
AND BROKER-DEALERS RECEIVING NEW NOTES

         The Company intends for the Exchange Offer to satisfy its  registration
obligations under the Registration  Rights  Agreement.  If the Exchange Offer is
consummated, the Company does not intend to file further registration statements
for  the  sale  or  other  disposition  of Old  Notes.  Consequently,  following
completion  of the Exchange  Offer,  holders of Old Notes  seeking  liquidity in
their  investment  would  have  to  rely  on an  exemption  to the  registration
requirements  under applicable  securities  laws,  including the Securities Act,
with  respect to any sale or other  disposition  of the Old Notes.  In addition,
broker-dealers  that  receive  New Notes in exchange  for Old Notes  acquired in
market-making  activities or other trading  activities must deliver a prospectus
in connection  with any resale of such New Notes.  The Company has agreed to use
its best efforts to maintain this registration  statement  effective for 90 days
from the  consummation  of the  Exchange  Offer  and  amend or  supplement  this
Prospectus  for such  purpose.  Thereafter,  the  Company has no  obligation  to
furnish  broker-dealers  holding  New Notes  with a  prospectus  to  deliver  in
connection  with  any  such  resale.  See  "The  Exchange  Offer"  and  "Plan of
Distribution."


                                 USE OF PROCEEDS

         The Company will not receive any cash proceeds from the issuance of the
New  Notes  offered  hereby.  In  consideration  for  issuing  the New  Notes as
contemplated in this Prospectus,  the Company will receive in exchange Old Notes
in like  principal  amount,  the  terms  of which  are the same in all  material
respects  as the form and terms of to the New Notes,  except  that the New Notes
have  been  registered  under  the  Securities  Act and will not  contain  terms
restricting the transfer thereof.  The Old Notes surrendered in exchange for the
New Notes will be retired  and  canceled  and cannot be  reissued.  Accordingly,
issuance of the New Notes will not result in any increase in the indebtedness of
the Company.

         The net  proceeds  received by the Company from the offering of the Old
Notes were approximately  $125.5 million. The Company used the net proceeds from
the Offering to reduce  outstanding  term loans under the Credit  Facility.  The
term loans are  repayable in quarterly  installments  over a five- or seven-year
period  commencing March 31, 1998. At December 31, 1997, the amount  outstanding
under the Credit Facility was $365 million and the blended interest rate for the
Credit  Facility  was  8.06%.  The  applicable  margin  for  all  variable  rate
borrowings under the Credit Facility declined by 0.25% by reason of consummation
of the Offering and the application of the net proceeds therefrom

                                      -21-



<PAGE>



to repay term loans under the Credit Facility. The indebtedness repaid under the
Credit Facility was incurred in the financing of the Linvatec Acquisition.


                               THE EXCHANGE OFFER

GENERAL

         In connection  with the sale of the Old Notes,  the purchasers  thereof
became   entitled  to  the   benefits  of  certain   registration   rights  (the
"Registration  Rights").  Pursuant to the  Registration  Rights  Agreement,  the
Company  agreed to use its  reasonable  best  efforts,  at its cost, to file and
cause to become effective the Exchange Offer Registration Statement with respect
to the  Exchange  Offer to exchange  the New Notes for the Old Notes.  Upon such
registration statement being declared effective, the Company has agreed to offer
the New  Notes in  return  for  surrender  of the Old  Notes.  For each Old Note
surrendered to the Company under the Exchange  Offer,  the Holder will receive a
New Note of equal principal  amount.  The Indenture  provides that the New Notes
and the Old Notes will constitute one class of securities for all purposes, will
vote and  consent  together  on all  matters  as one class and will not have the
right to vote or consent as a separate class on any matter.

         If (i) the Company is not  permitted to consummate  the Exchange  Offer
because the Exchange  Offer is not  permitted by  applicable  law or  Commission
policy or (ii) any Holder of Transfer  Restricted  Securities  holding more than
$5.0 million in aggregate  principal  amount of Transfer  Restricted  Securities
notifies the Company (A) that it is prohibited by law or Commission  policy from
participating  in the Exchange  Offer,  (B) that it may not resell the New Notes
acquired  by it in  the  Exchange  Offer  to the  public  without  delivering  a
prospectus  and the  prospectus  (as amended or  supplemented)  contained in the
Exchange Offer  Registration  Statement is not appropriate or available for such
resales or (C) that it is a broker-dealer  and owns Old Notes acquired  directly
from the Company or an affiliate of the Company,  the Company will file with the
Commission the Shelf Registration Statement to cover resales of the Old Notes by
the Holders thereof who satisfy certain conditions  relating to the provision of
information in connection with the Shelf Registration Statement. For purposes of
the foregoing,  "Transfer  Restricted  Securities" means each Old Note until the
earlier  of (i) the date on which such Old Note has been  exchanged  by a person
other than a broker-dealer  for a New Note in the Exchange Offer, (ii) following
the exchange by a  broker-dealer  in the Exchange Offer of an Old Note for a New
Note,  the date on which such New Note is sold to a purchaser  who receives from
such broker-dealer on or prior to the date of such sale a copy of the prospectus
contained in the Exchange Offer Registration Statement,  (iii) the date on which
such Old Note has been  effectively  registered  under  the  Securities  Act and
disposed of in accordance with the Shelf Registration  Statement,  (iv) the date
on which such Old Note is available for  distribution  to the public pursuant to
Rule 144(k) under the  Securities Act (or any successor  provision),  or (v) the
date on which such Note is no longer outstanding.

         The  Company  has not  requested,  and does not intend to  request,  an
interpretation  by the staff of the  Commission  with respect to whether the New
Notes issued pursuant to the Exchange Offer in exchange for the Old Notes may be
offered  for  sale,  resold  or  otherwise  transferred  by any  Holder  without
compliance  with the  registration  and  prospectus  delivery  provisions of the
Securities Act. Based on no-action letters issued by the staff of the Commission
to third parties, the Company believes that the New Notes issued pursuant to the
Exchange  Offer in exchange for Old Notes may be offered for resale,  resold and
otherwise  transferred by holders thereof (other than any such holder that is an
"affiliate"  of the Company  within the meaning of Rule 405 under the Securities
Act)  without   compliance  with  the  registration   and  prospectus   delivery
requirements  of the Securities Act provided that such New Notes are acquired in
the  ordinary  course  of  such  holders'  business  and  such  holders  have no
arrangement  with any person to  participate  in the  distribution  (within  the
meaning of the Securities  Act) of such New Notes.  Since the Commission has not
considered the Exchange Offer in the context of a no-action letter, there can be
no assurance that the staff of the Commission would make a similar determination
with respect to the Exchange  Offer.  Any holder of Old Notes who tenders in the
Exchange Offer for the purpose of  participating  in a  distribution  of the New
Notes will not be permitted to rely on such  interpretation  by the staff of the
Commission  and  must  comply  with the  registration  and  prospectus  delivery
requirements of the Securities Act in connection with any resale transaction.

                                      -22-



<PAGE>



         Each  broker-dealer  that receives New Notes for its own account in the
Exchange Offer must  acknowledge that it will deliver a prospectus in connection
with any resale of such New Notes.  The Letter of Transmittal  states that by so
acknowledging and by delivering a prospectus, a broker-dealer will not be deemed
to admit that it is an  "underwriter"  within the meaning of the Securities Act.
This Prospectus,  as it may be amended or supplemented from time to time, may be
used by a  broker-dealer  in  connection  with resales of New Notes  received in
exchange for Old Notes where such Old Notes were acquired by such  broker-dealer
as a result of market-making activities or other trading activities. The Company
has agreed that, for a period of 90 days after the Expiration Date, with certain
exceptions, it will make this Prospectus and any amendment or supplement to this
Prospectus  available to any  broker-dealer  for use in connection with any such
resale. See "Plan of Distribution."

         Following the  consummation of the Exchange  Offer,  Holders of the Old
Notes who did not tender their Old Notes will not have any further  registration
rights under the Registration Rights Agreement, and such Old Notes will continue
to be subject to certain restrictions on transfer. Accordingly, the liquidity of
the market for such Old Notes could be adversely affected.  See "Risk Factors --
Exchange  Offer  Procedures"  and "--  Consequences  of the  Exchange  Offer  on
Non-Tendering Holders of the Old Notes."

TERMS OF THE EXCHANGE OFFER

         Upon  the  terms  and  subject  to the  conditions  set  forth  in this
Prospectus and in the Letter of Transmittal, the Company will accept any and all
Old Notes validly  tendered and not withdrawn  prior to 5:00 p.m., New York City
time, on the Expiration  Date. The Company will issue $1,000 principal amount of
New Notes in  exchange  for $1,000  principal  amount of  outstanding  Old Notes
accepted  in the  Exchange  Offer.  Holders  may tender some or all of their Old
Notes pursuant to the Exchange  Offer.  Holders of Old Notes are not required to
tender their Old Notes in the Exchange Offer. However, Old Notes may be tendered
only in integral multiples of $1,000.

         The form and  terms of the New  Notes  will be the same as the form and
terms of the Old Notes  except  that (i) the New Notes  bear a  different  CUSIP
number  from the Old Notes,  (ii) the New Notes have been  registered  under the
Securities  Act and  therefore  will not bear legends  restricting  the transfer
thereof  and (iii) the  holders of the New Notes will not be entitled to certain
rights  under  the  Registration  Rights  Agreement,  including  the  provisions
providing for Liquidated Damages in certain circumstances relating to the timing
of the Exchange Offer,  all of which rights will terminate upon  consummation of
the Exchange  Offer.  The New Notes will evidence the same debt as the Old Notes
and will be entitled to the benefits of the Indenture.

         As of the date of this  Prospectus,  $130,000,000  aggregate  principal
amount of the Old Notes was outstanding.

         The Company  intends to conduct the Exchange  Offer in accordance  with
the applicable requirements of the Exchange Act and the rules and regulations of
the Commission thereunder, including Rule 14e-1 thereunder.

         This Prospectus,  together with the accompanying  letter of transmittal
(the "Letter of  Transmittal"),  is being sent to all  registered  holders as of
_____ __, 1998 (the "Record Date").

         The Company shall be deemed to have accepted validly tendered Old Notes
when,  as and if it has given oral or  written  notice  thereof  to First  Union
National Bank (the "Exchange  Agent").  See "Exchange Agent." The Exchange Agent
will act as agent for the  tendering  holders  of Old Notes for the  purpose  of
receiving New Notes from the Company and delivering New Notes to such holders.

         If any tendered  Old Notes are not accepted for exchange  because of an
invalid  tender or the  occurrence  of certain  other  events set forth  herein,
certificates  for any  such  unaccepted  Old  Notes  will be  returned,  without
expense,  to the tendering  holder thereof as promptly as practicable  after the
Expiration Date.

         The Company has not retained any  dealer-manager in connection with the
Exchange  Offer and will not make any  payments to brokers or others  soliciting
acceptances of the Exchange Offer. Holders of Old Notes who tender in

                                      -23-



<PAGE>



the Exchange Offer will not be required to pay brokerage commissions or fees or,
subject to the  instructions in the Letter of  Transmittal,  transfer taxes with
respect to the exchange of Old Notes pursuant to the Exchange Offer. The Company
will pay all charges and  expenses,  other than  certain  applicable  taxes,  in
connection with the Exchange Offer. See "Fees and Expenses."

EXPIRATION DATE; EXTENSIONS; AMENDMENTS

         The term  "Expiration  Date" shall mean  ________ __, 1998,  unless the
Company,  in its sole discretion,  extends the Exchange Offer, in which case the
term "Expiration Date" shall mean the latest date to which the Exchange Offer is
extended.

         In order to extend the  Expiration  Date,  the Company  will notify the
Exchange  Agent of any extension by oral or written  notice and will mail to the
record  holders of Old Notes an  announcement  thereof,  prior to 9:00 a.m., New
York  City  time,  on the next  business  day  after  the  previously  scheduled
Expiration  Date. Such  announcement may state that the Company is extending the
Exchange Offer for a specified period of time.

         The  Company  reserves  the  right (i) to delay  acceptance  of any Old
Notes,  to extend the Exchange  Offer or to terminate the Exchange  Offer and to
refuse to accept Old Notes not previously accepted, if any of the conditions set
forth herein  under  "Termination"  shall have  occurred and shall not have been
waived by the Company (if permitted to be waived by the Company), by giving oral
or written notice of such delay, extension or termination to the Exchange Agent,
and (ii) to amend the terms of the Exchange  Offer in any manner deemed by it to
be advantageous  to the holders of the Old Notes.  Any such delay in acceptance,
extension,  termination or amendment will be followed as promptly as practicable
by oral or written notice thereof.  If the Exchange Offer is amended in a manner
determined  by the Company to  constitute  a material  change,  the Company will
promptly disclose such amendment in a manner reasonably calculated to inform the
holders of the Old Notes of such amendment.

         Without  limiting  the manner in which the  Company  may choose to make
public  announcements  of any delay in  acceptance,  extension,  termination  or
amendment  of the  Exchange  Offer,  the  Company  shall have no  obligation  to
publish, advertise, or otherwise communicate any such public announcement, other
than by making a timely release to the Dow Jones News Service.

INTEREST ON THE NEW NOTES

         The  New  Notes  will  bear  interest  from  March  5,  1998,   payable
semiannually on March 15 and September 15 of each year,  commencing on September
15, 1998, at the rate of 9% per annum.  Holders of Old Notes whose Old Notes are
accepted  for  exchange  will be deemed to have  waived the right to receive any
payment in respect of interest on the Old Notes accrued from March 5, 1998 until
the date of the  issuance of the New Notes.  Consequently,  holders who exchange
their  Old Notes  for New  Notes  will  receive  the same  interest  payment  on
September  15, 1998 (the first  interest  payment  date with  respect to the Old
Notes and the New Notes) that they would have received had they not accepted the
Exchange Offer.

PROCEDURES FOR TENDERING

         To tender in the Exchange Offer, a holder must complete,  sign and date
the Letter of Transmittal,  or a facsimile thereof,  have the signatures thereon
guaranteed  if  required  by the Letter of  Transmittal,  and mail or  otherwise
deliver such Letter of  Transmittal  or such  facsimile,  together  with the Old
Notes  (unless  such  tender is being  effected  pursuant to the  procedure  for
book-entry  transfer described below) and any other required  documents,  to the
Exchange Agent prior to 5:00 p.m., New York City time, on the Expiration Date.

         Any  financial  institution  that is a  participant  in the  Book-Entry
Transfer  Facility  system of the  Depository  Trust  Company  ("DTC")  may make
book-entry  delivery of the Old Notes by causing DTC to transfer  such Old Notes
into the Exchange  Agent's  account in accordance  with DTC's procedure for such
transfer. Although delivery of Old Notes

                                      -24-



<PAGE>



may be effected through book-entry transfer into the Exchange Agent's account at
DTC,  the  Letter of  Transmittal  (or  facsimile  thereof),  with any  required
signature  guarantees  and any other required  documents,  must, in any case, be
transmitted  to and received or  confirmed by the Exchange  Agent at its address
set forth herein under "Exchange  Agent" prior to 5:00 p.m., New York City time,
on the  Expiration  Date.  DELIVERY OF DOCUMENTS TO DTC IN  ACCORDANCE  WITH ITS
PROCEDURES DOES NOT CONSTITUTE DELIVERY TO THE EXCHANGE AGENT.

         The  tender by a holder  of Old  Notes  will  constitute  an  agreement
between such holder and the Company in accordance  with the terms and subject to
the conditions set forth herein and in the Letter of Transmittal.

         Delivery of all  documents  must be made to the  Exchange  Agent at its
address  set forth  herein.  Holders  may also  request  that  their  respective
brokers,  dealers,  commercial  banks,  trust  companies or nominees effect such
tender for such holders.

         The method of delivery of Old Notes and the Letter of  Transmittal  and
all other  required  documents to the Exchange Agent is at the election and risk
of the holders.  Instead of delivery by mail, it is recommended that holders use
an overnight or hand delivery service.  In all cases,  sufficient time should be
allowed to assure timely delivery.  No Letter of Transmittal or Old Notes should
be sent to the Company.

         Only a holder of Old Notes may  tender  such Old Notes in the  Exchange
Offer.  The term "holder" with respect to the Exchange Offer means any person in
whose  name Old Notes are  registered  on the books of the  Company or any other
person  who has  obtained a properly  completed  bond power from the  registered
holder,  or any person  whose Old Notes are held of record by DTC who desires to
deliver such Old Notes by book-entry transfer at DTC.

         Any beneficial holder whose Old Notes are registered in the name of his
broker,  dealer,  commercial bank, trust company or other nominee and who wishes
to tender  should  contact such  registered  holder  promptly and instruct  such
registered  holder to tender on his behalf.  If such beneficial holder wishes to
tender on his own behalf,  such beneficial  holder must, prior to completing and
executing the Letter of Transmittal  and  delivering his Old Notes,  either make
appropriate arrangements to register ownership of the Old Notes in such holder's
name or obtain a properly  completed bond power from the registered  holder. The
transfer of record ownership may take considerable time.

         Signatures on a Letter of Transmittal or a notice of withdrawal, as the
case may be,  must be  guaranteed  by a  member  firm of a  registered  national
securities exchange or of the National Association of Securities Dealers,  Inc.,
a commercial  bank or trust  company  having an office or  correspondent  in the
United States or an "eligible guarantor institution" within the meaning  of Rule
17Ad-15 under the Exchange Act (an "Eligible  Institution") unless the Old Notes
tendered  pursuant  thereto are tendered (i) by a registered  holder who has not
completed the box entitled "Special Issuance  Instructions" or "Special Delivery
Instructions"  on the  Letter  of  Transmittal  or (ii)  for the  account  of an
Eligible Institution.

         If the  Letter of  Transmittal  is signed  by a person  other  than the
registered  holder  of any Old Notes  listed  therein,  such Old  Notes  must be
endorsed or accompanied by appropriate  bond powers which  authorize such person
to  tender  the Old Notes on behalf of the  registered  holder,  in either  case
signed as the name of the registered holder or holders appears on the Old Notes.

         If the Letter of Transmittal or any Old Notes or bond powers are signed
by trustees, executors, administrators,  guardians, attorneys-in-fact,  officers
of corporations or others acting in a fiduciary or representative capacity, such
persons  should so indicate  when  signing,  and unless  waived by the  Company,
evidence  satisfactory  to the  Company  of  their  authority  to so act must be
submitted with the Letter of Transmittal.

         By tendering in the Exchange  Offer,  each holder will represent to the
Company that,  among other things,  (i) the New Notes  acquired  pursuant to the
Exchange  Offer are being  obtained  in the  ordinary  course of business of the
person  receiving such New Notes,  whether or not such person is a holder,  (ii)
neither the holder nor any such other person has

                                      -25-



<PAGE>



an  arrangement  or  understanding   with  any  person  to  participate  in  the
distribution  of such New  Notes  and (iii) the  holder  and such  other  person
acknowledge  that if they  participate  in the Exchange Offer for the purpose of
distributing  the New  Notes  (a) they  must,  in the  absence  of an  exemption
therefrom,  comply with the registration and prospectus delivery requirements of
the  Securities  Act in  connection  with any resale of the New Notes and cannot
rely on the no-action  letters  referenced  above and (b) failure to comply with
such  requirements  in such  instance  could  result  in such  holder  incurring
liability  under the Securities Act for which such holder is not  indemnified by
the Company.  Further,  by tendering in the Exchange Offer, each holder that may
be deemed an "affiliate" (as defined under Rule 405 under the Securities Act) of
the Company  will  represent  to the Company  that such holder  understands  and
acknowledges  that the New  Notes  may not be  offered  for  resale,  resold  or
otherwise  transferred by that holder without  registration under the Securities
Act or exemption therefrom.

         All questions as to the validity,  form, eligibility (including time of
receipt), acceptance and withdrawal of the tendered Old Notes will be determined
by the Company in its sole  discretion,  which  determination  will be final and
binding. The Company reserves the absolute right to reject any and all Old Notes
not properly tendered or any Old Notes the Company's  acceptance of which would,
in the  opinion of counsel  for the  Company,  be  unlawful.  The  Company  also
reserves the absolute right to waive any  irregularities or conditions of tender
as to  particular  Old  Notes.  The  Company's  interpretation  of the terms and
conditions of the Exchange Offer  (including the  instructions  in the Letter of
Transmittal)  will be final and  binding  on all  parties.  Unless  waived,  any
defects or  irregularities in connection with tenders of Old Notes must be cured
within such time as the  Company  shall  determine.  Neither  the  Company,  the
Exchange Agent nor any other person shall be under any duty to give notification
of defects or irregularities  with respect to tenders of Old Notes nor shall any
of them incur any  liability for failure to give such  notification.  Tenders of
Old Notes will not be deemed to have been made until  such  irregularities  have
been cured or waived.  Any Old Notes received by the Exchange Agent that are not
properly  tendered and as to which the defects or  irregularities  have not been
cured or waived  will be  returned  without  cost by the  Exchange  Agent to the
tendering  holder of such Old Notes unless  otherwise  provided in the Letter of
Transmittal, as soon as practicable following the Expiration Date.

         In addition,  the Company  reserves the right in its sole discretion to
(a) purchase or make offers for any Old Notes that remain outstanding subsequent
to the Expiration Date, or, as set forth under  "Termination,"  to terminate the
Exchange Offer and (b) to the extent  permitted by applicable law,  purchase Old
Notes in the open market, in privately negotiated transactions or otherwise. The
terms of any such  purchases or offers may differ from the terms of the Exchange
Offer.

GUARANTEED DELIVERY PROCEDURES

         Holders who wish to tender  their Old Notes and (i) whose Old Notes are
not  immediately  available,  or (ii) who cannot  deliver  their Old Notes,  the
Letter of  Transmittal  or any other  required  documents to the Exchange  Agent
prior to the  Expiration  Date, or if such Holder cannot  complete the procedure
for book-entry transfer on a timely basis, may effect a tender if:

         (a) The tender is made through an Eligible Institution;

         (b) Prior to the Expiration Date, the Exchange Agent receives from such
Eligible Institution a properly completed and duly executed Notice of Guaranteed
Delivery (by facsimile  transmission,  mail or hand delivery)  setting forth the
name and  address  of the  holder of the Old Notes,  the  certificate  number or
numbers  of such Old Notes  and the  principal  amount  of Old  Notes  tendered,
stating that the tender is being made thereby,  and  guaranteeing  that,  within
five business days after the  Expiration  Date,  the Letter of  Transmittal  (or
facsimile thereof),  together with the certificate(s) representing the Old Notes
to be tendered in prior form for  transfer and any other  documents  required by
the Letter of Transmittal,  will be deposited by the Eligible  Institution  with
the Exchange Agent; and

         (c) Such properly  completed  and executed  Letter of  Transmittal  (or
facsimile thereof),  together with the certificate(s)  representing all tendered
Old Notes in proper form for transfer (or confirmation of a book-entry transfer

                                      -26-



<PAGE>



into the Exchange Agent's account at DTC of Old Notes delivered  electronically)
and all other  documents  required by the Letter of Transmittal  are received by
the Exchange Agent within five business days after the Expiration Date.

WITHDRAWAL OF TENDERS

         Except  as  otherwise  provided  herein,  tenders  of Old  Notes may be
withdrawn  at any time prior to 5:00 p.m.,  New York City time,  on the business
day prior to the Expiration Date, unless previously accepted for exchange.

         To withdraw a tender of Old Notes in the Exchange  Offer,  a written or
facsimile  transmission  notice of  withdrawal  must be received by the Exchange
Agent at its address set forth herein prior to 5:00 p.m., New York City time, on
the  business  day  prior to the  Expiration  Date and prior to  acceptance  for
exchange thereof by the Company.  Any such notice of withdrawal must (i) specify
the name of the  person  having  deposited  the Old Notes to be  withdrawn  (the
"Depositor"),  (ii)  identify  the Old  Notes  to be  withdrawn  (including  the
certificate number or numbers and principal amount of such Old Notes),  (iii) be
signed by the  Depositor  in the same manner as the  original  signature  on the
Letter of  Transmittal  by which such Old Notes  were  tendered  (including  any
required  signature  guarantees)  or be  accompanied  by  documents  of transfer
sufficient  to permit the Trustee  with respect to the Old Notes to register the
transfer of such Old Notes into the name of the Depositor withdrawing the tender
and (iv) specify the name in which any such Old Notes are to be  registered,  if
different from that of the Depositor. All questions as to the validity, form and
eligibility  (including  time of receipt)  of such  withdrawal  notices  will be
determined by the Company,  whose determination will be final and binding on all
parties.  Any Old Notes so  withdrawn  will be deemed  not to have been  validly
tendered for purposes of the Exchange Offer and no New Notes will be issued with
respect thereto unless the Old Notes so withdrawn are validly  re-tendered.  Any
Old Notes which have been  tendered but which are not accepted for exchange will
be  returned  to the  holder  thereof  without  cost to such  holder  as soon as
practicable after withdrawal, rejection of tender or termination of the Exchange
Offer.  Properly  withdrawn  Old Notes may be retendered by following one of the
procedures described above under "Procedures for Tendering" at any time prior to
the Expiration Date.

CONSEQUENCES OF FAILURE TO EXCHANGE

         As a result of the making of this Exchange Offer, the Company will have
fulfilled one of its obligations  under the  Registration  Rights Agreement and,
except as set forth  herein,  holders of Old Notes who do not  tender  their Old
Notes  will not have any  further  registration  rights  under the  Registration
Rights  Agreement or otherwise.  Accordingly,  any holder of Old Notes that does
not exchange  that  holder's  Old Notes for New Notes will  continue to hold the
untendered  Old Notes and will be  entitled  to all the rights  and  limitations
applicable  thereto  under the  Indenture,  except to the extent  such rights or
limitations, by their terms, terminate or cease to have further effectiveness as
a result of the Exchange Offer.

         The Old Notes  that are not  exchanged  for New Notes  pursuant  to the
Exchange  Offer  will  remain  restricted   securities.   Accordingly,   without
registration  under the Securities Act, such Old Notes may be resold only (i) to
the  Company  (upon  redemption  thereof  or  otherwise),  (ii)  pursuant  to an
effective  registration statement under the Securities Act, (iii) so long as the
Old  Notes are  eligible  for  resale  pursuant  to Rule  144A,  to a  qualified
institutional  buyer within the meaning of Rule 144A under the Securities Act in
a transaction  meeting the  requirements  of Rule 144A,  (iv) outside the United
States to a foreign  person  pursuant  to the  exemption  from the  registration
requirements  of the Securities Act provided by Regulation S thereunder,  or (v)
pursuant to another  available  exemption from the registration  requirements of
the Securities  Act, in each case in accordance  with any applicable  securities
laws of any state of the United States.

         Accordingly, if any Old Notes are tendered and accepted in the Exchange
Offer,  the  trading  market for the  untendered  Old Notes  could be  adversely
affected.   See  "Risk  Factors  --   Consequences  of  the  Exchange  Offer  on
Non-Tendering Holders of the Old Notes" and "-- Termination of Certain Rights."

         Participation  in the Exchange  Offer is voluntary  and holders  should
carefully  consider  whether  to  accept.  Holders of the Old Notes are urged to
consult  their  financial  and tax advisors in making their own decision on what
action to take.

                                      -27-



<PAGE>



TERMINATION

         Notwithstanding  any other term of the Exchange Offer, the Company will
not be required to accept for exchange, or exchange New Notes for, any Old Notes
not theretofore  accepted for exchange,  and may terminate or amend the Exchange
Offer as provided  herein  before the  acceptance  of such Old Notes if: (i) any
action or  proceeding  is  instituted or threatened in any court or by or before
any  governmental  agency with  respect to the  Exchange  Offer,  which,  in the
Company's  judgment,  might materially  impair the Company's  ability to proceed
with the Exchange Offer, (ii) any law, statute,  rule or regulation is proposed,
adopted  or  enacted,  or any  existing  law,  statute  rule  or  regulation  is
interpreted by the staff of the Commission in a manner,  which, in the Company's
judgment,  might  materially  impair the  Company's  ability to proceed with the
Exchange Offer, (iii) the consummation of the Exchange Offer would constitute an
event of default or otherwise violate the Indenture or the Credit Agreement,  or
(iv) the Company reasonably deems it advisable to terminate the Exchange Offer.

         If the Company  determines that it may terminate the Exchange Offer, as
set forth  above,  the Company may (i) refuse to accept any Old Notes and return
any Old Notes that have been  tendered to the holders  thereof,  (ii) extend the
Exchange  Offer and retain all Old Notes tendered prior to the Expiration of the
Exchange  Offer,  subject to the rights of such holders of tendered Old Notes to
withdraw their tendered Old Notes,  or (iii) waive such  termination  event with
respect to the Exchange  Offer and accept all  properly  tendered Old Notes that
have not been  withdrawn.  If such waiver  constitutes a material  change in the
Exchange  Offer,  the Company will disclose such change by means of a supplement
to this  Prospectus  that will be distributed to each  registered  holder of Old
Notes,  and the Company will extend the  Exchange  Offer for a period of five to
ten business days,  depending upon the significance of the waiver and the manner
of disclosure to the registered  holders of the Old Notes, if the Exchange Offer
would   otherwise   expire  during  such  period.   See   "Description   of  New
Notes--Registration Rights; Liquidated Damages."

EXCHANGE AGENT

         First Union National  Bank,  the Trustee under the Indenture,  has been
appointed as Exchange Agent for the Exchange  Offer.  Questions and requests for
assistance  and  requests for  additional  copies of this  Prospectus  or of the
Letter of  Transmittal  should be directed to the  Exchange  Agent  addressed as
follows:

                   First Union National Bank
                   Corporate Trust Operations
                   1525 West W.T. Harris Boulevard
                   Charlotte, NC 28288-1153
                   Attention: W. Jeffrey Kramer
                   Facsimile Transmission:  (704) 247-1356
                   Confirm by by Telephone:  (704) 590-7408

FEES AND EXPENSES

         The expenses of soliciting  tenders pursuant to the Exchange Offer will
be borne by the Company. The principal  solicitation for tenders pursuant to the
Exchange Offer is being made by mail.  Additional  solicitations  may be made by
officers and employees of the Company and its affiliates in person, by telegraph
or telephone.

         The Company  will not make any  payments  to brokers,  dealers or other
persons soliciting acceptances of the Exchange Offer. The Company, however, will
pay the Exchange  Agent  reasonable and customary fees for its services and will
reimburse  the  Exchange  Agent for its  reasonable  out-of-pocket  expenses  in
connection  therewith.  The  Company  may also pay  brokerage  houses  and other
custodians,  nominees and  fiduciaries  the  reasonable  out-of-pocket  expenses
incurred by them in forwarding copies of this Prospectus, Letters of Transmittal
and related  documents to the beneficial owners of the Old Notes and in handling
or forwarding tenders for exchange.


                                      -28-



<PAGE>



         The  expenses to be incurred in  connection  with the  Exchange  Offer,
including fees and expenses of the Exchange Agent and Trustee and accounting and
legal fees, will be paid by the Company.

         The Company  will pay all transfer  taxes,  if any,  applicable  to the
exchange of Old Notes pursuant to the Exchange Offer. If, however,  certificates
representing  New Notes or Old Notes  for  principal  amounts  not  tendered  or
accepted for exchange are to be delivered  to, or are to be registered or issued
in the name of, any person  other  than the  registered  holder of the Old Notes
tendered,  or if  tendered  Old Notes are  registered  in the name of any person
other than the person signing the Letter of Transmittal, or if a transfer tax is
imposed  for any reason  other than the  exchange  of Old Notes  pursuant to the
Exchange Offer,  then the amount of any such transfer taxes (whether  imposed on
the  registered  holder or any other  persons)  will be payable by the tendering
holder. If satisfactory evidence of payment of such taxes or exemption therefrom
is not  submitted  with the Letter of  Transmittal,  the amount of such transfer
taxes will be billed directly to such tendering holder.

ACCOUNTING TREATMENT

         No gain or loss  for  accounting  purposes  will be  recognized  by the
Company  upon the  consummation  of the  Exchange  Offer.  The  expenses  of the
Exchange Offer and the expenses related to the issuance of the Old Notes will be
amortized  by the  Company  over the term of the New  Notes in  accordance  with
generally accepted accounting principles.


                       DESCRIPTION OF THE CREDIT FACILITY

         In connection with the Linvatec Acquisition, the Company entered into a
credit agreement dated December 29, 1997 with Chase Securities Inc., as arranger
and  as  syndication   agent,   Salomon  Brothers   Holding  Company,   Inc,  as
documentation agent, and The Chase Manhattan Bank, as administrative  agent, for
a senior  secured  credit  facility  (the  "Credit  Facility")  on the terms and
subject to the conditions set forth below.

         The Credit  Facility  consists of term loans in an aggregate  principal
amount of $350  million  (the "Term  Loans"),  letters of credit in a  principal
amount of $10 million (the "Letters of Credit") and a revolving  credit facility
(the  "Revolving  Credit  Loans") in a principal  amount of $100 million.  As of
March 31, 1998, Tranche A Term Loans in the aggregate amount of $___ million and
Tranche B Term Loans in the amount of $___ million  constituted  the Term Loans.
Borrowings  under the Credit Facility bear interest at variable rates.  Pursuant
to  the  guarantee  and  collateral  agreement  dated  December  31,  1997  (the
"Guarantee and Collateral  Agreement")  made by the Company and its subsidiaries
in favor of The Chase Manhattan Bank, as administrative  agent, the subsidiaries
of the Company have  guaranteed the  obligations of the Company under the Credit
Facility  and have  granted to The Chase  Manhattan  Bank,  in its  capacity  as
administrative agent, a security interest in certain defined collateral owned or
thereafter acquired by the Company and its subsidiaries. The collateral consists
of substantially  all of the personal property and assets of the Company and its
subsidiaries.

         The  Tranche A Term  Loans are  repayable  over a  five-year  period in
quarterly installments. The Tranche B Term Loans are repayable over a seven-year
period in quarterly installments. The Letters of Credit expire no later than the
earlier of (i) the first  anniversary  of its date of issuance and (ii) the date
which is five business days prior to the scheduled  revolving credit termination
date of December  30, 2002,  provided  that any Letter of Credit with a one-year
term may provide for the renewal thereof for additional  one-year periods (which
shall  in no event  extend  beyond  the date  referred  to in (ii)  above).  The
Revolving  Credit Loans are  scheduled to terminate and are repayable in full on
December  30,  2002.  The  Company  is  generally  required  to  make  mandatory
prepayments  from net cash proceeds from any issue of equity and asset sales and
also from any excess cash flow of the Company. The net proceeds from the sale of
the Old Notes were used to prepay Term  Loans.  Mandatory  prepayments  shall be
applied first to  prepayment of the Term Loans and second to reduce  permanently
the Revolving Credit Loans.


                                      -29-



<PAGE>



         The Credit Facility contains customary  representations and warranties,
covenants and conditions to borrowing.  In addition,  the  availability of funds
under the  Credit  Facility  is subject to  significant  conditions,  including,
without limitation, the accuracy of all representations and warranties contained
in the Credit Facility and the absence of any default under the Credit Facility.

         The Credit Facility contains customary affirmative covenants including,
without  limitation,  those  that  require  the  Company  to  furnish  certified
financial  statements and other information to the administrative agent and each
lender,  to satisfy its  material  obligations,  and to give the  administrative
agent and each lender notice of any default of any of the Company's  obligations
or any litigation affecting the Company involving more than $1,000,000.

         The Credit Facility contains customary  negative  covenants  including,
without limitation, those that require the Company to maintain certain quarterly
financial  and  operating   ratios  and  which  restrict  the  Company  and  its
subsidiaries from, among other things,  incurring other  indebtedness,  entering
into merger,  consolidation  or acquisition  transactions,  disposing of assets,
making  investments,  loans or  advances,  making  certain  capital  expenditure
payments,  creating  any  liens  on the  Company's  assets,  creating  guarantee
obligations and material lease  obligations and entering into sale and leaseback
transactions and transactions  with affiliates.  The Credit Facility also limits
the  Company's  ability to pay dividends  and make  distributions  on its common
stock.

         The Credit Facility contains  customary events of defaults,  including,
without limitation, the nonpayment of principal, interest, fees or other amounts
of any of the Company's obligations, any representation or warranty given by the
Company shall prove to be inaccurate,  the  commencement  of any  liquidation or
similar proceeding  involving the Company,  the guarantee  obligations under the
Guarantee  and  Collateral  Agreement  ceasing  to  be  in  effect,  the  senior
subordinated notes ceasing to be validly  subordinated to the obligations of the
guarantors  under the Guarantee and  Collateral  Agreement,  the occurrence of a
change of control  and any  default  with  respect to other  obligations  of the
Company and its subsidiaries.


                            DESCRIPTION OF NEW NOTES

         The Old Notes were,  and the New Notes will be, issued  pursuant to the
Indenture (the  "Indenture")  among the Company,  the Guarantors and First Union
National Bank, as trustee (the "Trustee"),  a copy of which has been filed as an
exhibit to the Registration Statement of which this Prospectus forms a part. The
terms of the New Notes and the Old Notes will be substantially identical to each
other,  except  for  transferability.  Under  the  terms of the  Indenture,  the
covenants  and events of default will apply equally to the New Notes and the Old
Notes and the New Notes and the Old Notes  will be  treated as one class for all
actions to be taken by the holders thereof and for determining  their respective
rights under the  Indenture.  The terms of the New Notes include those set forth
in the  Indenture  and those made a part of the  Indenture  by  reference to the
Trust  Indenture  Act of 1939,  as  amended  and as in effect on the date of the
Indenture (the "Trust  Indenture Act"). The Notes are subject to all such terms,
and Holders of Notes are referred to the Indenture  and the Trust  Indenture Act
for a statement thereof. A copy of the Indenture has been filed as an exhibit to
the Registration Statement of which this Prospectus is a part. The Old Notes and
the New Notes are referred to herein, collectively, as the "Notes."

         The  following  summary of certain  provisions of the Indenture and the
Notes does not  purport to be  complete  and is  qualified  in its  entirety  by
reference to the Indenture and the Notes,  including the definitions  therein of
certain  terms  used  below and those  terms  made a part  thereof  by the Trust
Indenture Act.  Capitalized  terms that are used but not otherwise defined below
under the caption "Certain Definitions" have the meaning assigned to them in the
Indenture  and such  definitions  are  incorporated  herein  by  reference.  The
definitions  of certain terms used in the following  summary are set forth below
under "Certain Definitions."

         The Indenture  authorizes a maximum principal amount of $130,000,000 of
Notes at any one time  outstanding.  The New  Notes  will be  issued  solely  in
exchange  for an equal  principal  amount of Old Notes  pursuant to the Exchange
Offer. See "--Registration Rights Agreement." The terms of the New Notes will be
the same in all material respects

                                      -30-



<PAGE>



as the form and terms of the Old Notes  except that (i)  interest  thereon  will
accrue from the last date on which interest was paid on the Old Notes,  or if no
such  interest  has been paid,  from March 6, 1998,  (ii) the New Notes will not
contain  restrictions on transfer and (iii) except as provided  herein,  the New
Notes will not be eligible for Liquidated Damages.

GENERAL

         The Old  Notes  are,  and the New  Notes  will  be,  general  unsecured
obligations  of the  Company,  subordinated  in right of  payment  to the  prior
payment in full of all existing and future Senior Debt of the Company, including
the obligations of the Company under the Credit Facility.  See  "Subordination."
The New Notes will be guaranteed,  jointly and severally, on an unsecured senior
subordinated  basis by the  Guarantors.  The Guarantees  will be subordinated in
right of payment to the prior  payment in full of all existing and future Senior
Debt of the Guarantors,  including the  obligations of the Guarantors  under the
Credit  Facility.  See  "Subsidiary  Guarantees." At December 31, 1997, on a pro
forma  basis  after  giving  effect  to the  issuance  of the Old  Notes and the
application of the net proceeds therefrom to repay amounts outstanding under the
Credit  Facility,  the Company would have had  approximately  $239.5  million of
Senior  Debt  outstanding  and the  Guarantors  would  have had no  Senior  Debt
outstanding  other than $239.5  million of guarantees  by the  Guarantors of the
Company's obligations under the Credit Facility.

         The  Indenture  provides  that the Old  Notes  and the New  Notes  will
constitute  one class of  securities  for all  purposes,  will vote and  consent
together  on all  matters  as one  class  and will not have the right to vote or
consent as a separate class on any matter.

         Restrictions  in the  Indenture  on the  ability of the Company and its
Restricted  Subsidiaries to incur additional  Indebtedness,  to consummate Asset
Sales,  to enter into  transactions  with  Affiliates and to enter into mergers,
consolidations  or sales of all or substantially  all of their respective assets
may make more difficult or discourage a takeover of the Company, whether favored
or opposed by the management of the Company.  Although such restrictions cover a
wide variety of arrangements which traditionally have been used to effect highly
leveraged transactions, the Indenture may not afford holders of Notes protection
in all circumstances from the adverse aspects of a highly leveraged transaction,
reorganization, restructuring, merger or similar transaction.

         As of the date of the Indenture, all of the Company's Subsidiaries were
Guarantors and Restricted  Subsidiaries.  However,  under certain circumstances,
the  Company  will  be able to  designate  current  or  future  Subsidiaries  as
Unrestricted Subsidiaries. Unless otherwise indicated, Unrestricted Subsidiaries
will  not be  subject  to any of the  restrictive  covenants  set  forth  in the
Indenture.

PRINCIPAL, MATURITY AND INTEREST

         The Notes are limited in aggregate principal amount to $130 million and
will mature on March 15, 2008. Interest on the New Notes will accrue at the rate
of 9% per annum and will be  payable  semiannually  in  arrears  on March 15 and
September  15,  commencing  on September  15, 1998,  to Holders of record on the
immediately  preceding  March 1 and  September 1. Interest on the New Notes will
accrue  from the most  recent  date to which  interest  has been  paid or, if no
interest has been paid,  from the date of original  issuance.  Interest  will be
computed  on the basis of a 360-day  year  comprised  of twelve  30-day  months.
Principal,  premium,  if any, and interest  and  Liquidated  Damages (as defined
under the caption  "Registration Rights;  Liquidated  Damages"),  if any, on the
Notes will be payable at the office or agency of the Company maintained for such
purpose or, at the option of the  Company,  payment of  interest  may be made by
check mailed to the Holders of the Notes at their respective addresses set forth
in the register of Holders of Notes;  provided  that all payments of  principal,
premium,  if any, and interest and Liquidated  Damages,  if any, with respect to
Notes held by Holders  holding in excess of $1.0 million in aggregate  principal
amount of Notes that have given wire transfer  instructions  to the Company will
be required to be made by wire transfer of  immediately  available  funds to the
accounts  specified by the Holders  thereof.  Until otherwise  designated by the
Company,  the  Company's  office or  agency  will be the  office of the  Trustee
maintained for such purpose.  The New Notes will be issued in  denominations  of
$1,000 and integral multiples thereof.


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<PAGE>



SUBSIDIARY GUARANTEES

         The Company's payment obligations under the Old Notes is, and under the
New Notes will be,  jointly and  severally  guaranteed  on an  unsecured  senior
subordinated  basis by the Guarantors  (the  "Guarantees").  (Section 11.01) The
Guarantee  of each  Guarantor is  subordinated  in right of payment to the prior
payment in full of all  existing  and future  Senior Debt of such  Guarantor  on
substantially the same terms as the Notes are subordinated to the Senior Debt of
the Company.  (Article 12) The obligations of each Guarantor under its Guarantee
provides  that  they  will  be  limited  so as not to  constitute  a  fraudulent
conveyance under applicable law.  (Section 11.06) See "Risk  Factors--Fraudulent
Conveyance; Preferential Transfer."

         The Indenture  provides that no Guarantor may consolidate with or merge
with or into  (whether or not such  Guarantor is the surviving  Person)  another
Person,  whether or not affiliated with such Guarantor,  unless:  (i) the Person
formed by or  surviving  any such  consolidation  or merger  (if other than such
Guarantor) assumes all the obligations of such Guarantor under the Notes and the
Indenture pursuant to a supplemental  indenture in form and substance reasonably
satisfactory to the Trustee  (provided,  that this clause (i) shall not apply to
any merger or  consolidation  contemplated  by clause (a) of the next succeeding
paragraph); (ii) immediately after giving effect to such transaction, no Default
or  Event  of  Default  exists;  and  (iii)  the  Company  would  be  permitted,
immediately after giving effect to such transaction,  to incur at least $1.00 of
additional Indebtedness pursuant to the Fixed Charge Coverage Ratio set forth in
the covenant  entitled  "Incurrence of Indebtedness and Issuance of Disqualified
Stock and Preferred  Stock."  (Section  11.03) The foregoing will not prohibit a
merger between a Guarantor and another Guarantor or a merger between a Guarantor
and the Company or a Holding Company Restructuring.

         The  Indenture  provides  that  in the  event  of (a) a sale  or  other
disposition of all or substantially  all of the assets of any Guarantor,  by way
of merger,  consolidation or otherwise (provided that in the case of a merger or
consolidation,  the  provisions  of  clauses  (ii) and  (iii)  of the  preceding
paragraph  are complied  with),  (b) a sale or other  disposition  of all of the
Capital  Stock of any  Guarantor  or (c) a  Guarantor  being  designated  by the
Company as an Immaterial Subsidiary,  then such Guarantor will automatically and
unconditionally  be released,  discharged  and relieved of its Guarantee and any
obligations thereunder; provided that, in the case of any such transaction which
constitutes  an Asset Sale,  the Net Proceeds of such sale or other  disposition
are applied in accordance with the applicable  provisions of the Indenture.  See
"Repurchase at the Option of Holders--Asset Sales." (Section 11.04)

SUBORDINATION

         The payment of all  Obligations  on the Old Notes is, and under the New
Notes will be,  subordinated in right of payment, as set forth in the Indenture,
to the prior  payment in full of all  existing and future  Senior Debt,  whether
outstanding on the date of the Indenture or thereafter incurred. (Section 10.01)

         Upon any  payment or  distribution  to  creditors  of the  Company in a
liquidation or dissolution of the Company,  or in a bankruptcy,  reorganization,
insolvency,  receivership or any such proceeding  relating to the Company or its
property,  an assignment for the benefit of creditors or any  marshalling of the
Company's assets and liabilities, the holders of Senior Debt will be entitled to
receive  payment in full in cash or Cash  Equivalents of all  Obligations due in
respect of such Senior Debt  (including  interest after the  commencement of any
such proceeding at the rate specified in the applicable Senior Debt,  whether or
not allowed or allowable in such proceeding) before the Holders of Notes will be
entitled  to receive  any  payment  with  respect  to the  Notes,  and until all
Obligations  with  respect  to  Senior  Debt  are  paid  in full in cash or Cash
Equivalents,  any payment or distribution to which the Holders of Notes would be
entitled  shall be made to the holders of Senior Debt  (except  that  Holders of
Notes may receive and retain (i) Permitted  Junior  Securities and (ii) payments
made from the trust described under "Legal Defeasance and Covenant Defeasance").
The term "payment"  means,  with respect to the Notes,  any payment,  whether in
cash or other assets or property,  of interest,  principal (including redemption
price and purchase price),  premium,  Liquidated  Damages,  if any, or any other
amount on, of or in respect of the Notes, any other acquisition of Notes and any
deposit  into  the  trust  described   under  "Legal   Defeasance  and  Covenant
Defeasance," below. The verb "pay" has a correlative meaning. (Section 10.02)


                                      -32-



<PAGE>



         The Company  also may not make any payment or  distribution  upon or in
respect of the Notes  (except in Permitted  Junior  Securities or from the trust
described under "Legal Defeasance and Covenant  Defeasance") if (i) a default in
the payment of any Obligations with respect to Designated Senior Debt occurs and
is  continuing (a "payment  default") or any other default on Designated  Senior
Debt occurs and the maturity of such  Designated  Senior Debt is  accelerated in
accordance  with its terms or (ii) a  default,  other  than a  payment  default,
occurs and is  continuing  with respect to  Designated  Senior Debt that permits
holders of Designated Senior Debt as to which such default relates to accelerate
its  maturity  (a  "non-payment  default")  and, in the case of this clause (ii)
only,  the  Trustee  receives  a notice of such  default  (a  "Payment  Blockage
Notice") from the Company or the holders of any Designated Senior Debt. Payments
on the Notes may and shall be resumed (a) in the case of a payment default, upon
the date on which such default is cured or waived and, in the case of Designated
Senior Debt that has been accelerated, such acceleration has been rescinded, and
(b) in case of a  non-payment  default,  the  earlier  of the date on which such
non-payment  default  is cured or waived or 179 days after the date on which the
applicable  Payment  Blockage  Notice is  received  unless the  maturity  of any
Designated Senior Debt has been  accelerated.  No new period of payment blockage
may be commenced on account of any non-payment default unless and until 360 days
have elapsed since the initial  effectiveness  of the immediately  prior Payment
Blockage  Notice.  No non-payment  default that existed or was continuing on the
date of delivery of any Payment  Blockage  Notice to the Trustee shall be, or be
made,  the basis for a subsequent  Payment  Blockage  Notice unless such default
shall have been cured or waived for a period of not less than 90 days.  (Section
10.03)

         The Indenture further requires that the Company promptly notify holders
of Senior  Debt if  payment of the Notes is  accelerated  because of an Event of
Default.  The Company may not pay any such accelerated Notes until five Business
Days after such holders receive notice of such acceleration and, thereafter, may
make  such  payment  only  if  otherwise  permissible  under  the  subordination
provisions of the Indenture. (Section 10.06)

         As a result of the  subordination  provisions  described  above, in the
event of a  liquidation  or  insolvency,  Holders of the Notes may recover  less
ratably than  creditors of the Company who are holders of Senior Debt. See "Risk
Factors -- Subordination."

OPTIONAL REDEMPTION

         Except as provided in the next paragraph,  the Notes are not redeemable
at the  Company's  option  prior to March 15,  2003.  Thereafter,  the Notes are
subject to  redemption at the option of the Company,  in whole or in part,  upon
not  less  than 30 nor more  than 60  days'  notice,  at the  redemption  prices
(expressed as  percentages of principal  amount) set forth below,  together with
accrued and unpaid  interest  and  Liquidated  Damages,  if any,  thereon to the
applicable redemption date, if redeemed during the twelve month period beginning
on March 15 of the years indicated below (Section 3.07):


          YEAR                                            PERCENTAGE
          ----                                            ----------

          2003........................................     104.500%
          2004........................................     103.000
          2005........................................     101.500
          2006 and thereafter.........................     100.000

         Notwithstanding the foregoing, at any time prior to March 15, 2001, the
Company on one or more occasions may redeem up to 35% of the aggregate principal
amount of Notes originally issued with the net proceeds of one or more offerings
of common stock of the Company for cash at a redemption price of 109.000% of the
principal  amount  thereof,  plus  accrued and unpaid  interest  and  Liquidated
Damages, if any, thereon to the applicable date of redemption;  provided that at
least 65% of the aggregate  principal  amount of the Notes  remains  outstanding
immediately after the occurrence of each such redemption. (Section 3.07)


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<PAGE>



         If less than all of the Notes are to be redeemed at any time, selection
of Notes for  redemption  will be made by the  Trustee  in  compliance  with the
requirements of the principal national securities exchange, if any, on which the
Notes are listed or, if the Notes are not so listed, on a pro rata basis, by lot
or by such other method as the Trustee  deems fair and  appropriate  and without
regard as to  whether  the  Notes to be  redeemed  are Old  Notes or New  Notes;
provided  that no Notes  with a  principal  amount of  $1,000  or less  shall be
redeemed in part.  (Section 3.02) Notice of redemption  shall be mailed by first
class mail at least 30 but not more than 60 days before the  redemption  date to
each Holder of Notes to be redeemed at its registered address. (Section 3.03) If
any Note is to be redeemed in part only,  the notice of redemption  that relates
to such Note shall  state the  portion  of the  principal  amount  thereof to be
redeemed.  (Section 3.03) A new Note in principal amount equal to the unredeemed
portion  thereof  will  be  issued  in the  name  of  the  Holder  thereof  upon
cancellation  of the original  Note.  (Section 3.06) On and after the redemption
date,  interest  will cease to accrue on Notes or  portions  thereof  called for
redemption. (Section 3.05)

MANDATORY REDEMPTION

         Except as set forth below under  "Repurchase at the Option of Holders,"
the Company is not  required to make any  mandatory  redemption  or sinking fund
payments with respect to the Notes.

REPURCHASE AT THE OPTION OF HOLDERS

         Change of Control

         Upon the  occurrence of a Change of Control,  each Holder of Notes will
have the right to require  the Company to  repurchase  all or any part (equal to
$1,000 or an integral  multiple  thereof) of such Holder's Notes pursuant to the
offer  described below (the "Change of Control Offer") at an offer price in cash
equal to 101% of the aggregate principal amount thereof, plus accrued and unpaid
interest and Liquidated  Damages,  if any,  thereon to the date of purchase (the
"Change of Control  Payment").  Within 30 days  following any Change of Control,
the Company  will mail a notice to each Holder  describing  the  transaction  or
transactions  that  constitute  the Change of Control and offering to repurchase
Notes pursuant to the procedures required by the Indenture and described in such
notice.  The Company will comply with the  requirements  of Rule 14e-1 under the
Exchange Act and any other  securities  laws and  regulations  thereunder to the
extent  such  laws  and  regulations  are  applicable  in  connection  with  the
repurchase of the Notes as a result of a Change of Control. (Section 4.14)

         On the Change of Control  Payment Date, the Company will, to the extent
lawful,  (1) accept for payment all Notes or portions thereof properly  tendered
pursuant to the Change of Control  Offer,  (2) deposit  with the Paying Agent an
amount  equal to the  Change  of  Control  Payment  in  respect  of all Notes or
portions  thereof so tendered  and (3) deliver or cause to be  delivered  to the
Trustee the Notes or portions  thereof so accepted  together  with an  Officer's
Certificate  stating the aggregate principal amount of Notes or portions thereof
being  purchased by the Company.  The Paying  Agent will  promptly  mail to each
Holder of Notes so tendered  the Change of Control  Payment for such Notes,  and
the Trustee will promptly  authenticate  and mail (or cause to be transferred by
book  entry)  to each  Holder  a new  Note  equal  in  principal  amount  to any
unpurchased  portion of the Notes  surrendered,  if any; provided that each such
new Note  will be in a  principal  amount  of  $1,000  or an  integral  multiple
thereof. The Indenture will provide that, prior to being required to comply with
the  provisions of this  covenant,  but in any event within 90 days  following a
Change of Control,  the Company will either repay all outstanding Senior Debt or
obtain  the  requisite  consents,   if  any,  under  all  agreements   governing
outstanding  Senior  Debt to permit the  repurchase  of Notes  required  by this
covenant.  The  Company  will  publicly  announce  the  results of the Change of
Control Offer on or as soon as practicable  after the Change of Control  Payment
Date. (Section 4.14)

         The Change of Control  provisions  described  above will be  applicable
whether or not any other  provisions of the Indenture are applicable.  Except as
described  above with  respect to a Change of Control,  the  Indenture  does not
contain  provisions  that  permit the  Holders of the Notes to require  that the
Company   repurchase   or  redeem  the  Notes  in  the  event  of  a   takeover,
recapitalization or similar restructuring.


                                      -34-



<PAGE>



         The Credit  Facility  prohibits the Company from  purchasing  any Notes
upon a Change of  Control,  and also  provides  that  certain  change of control
events  (including a Change of Control under the Indenture)  with respect to the
Company constitute a default  thereunder.  Any future credit agreements or other
agreements  relating  to Senior  Debt to which the  Company  becomes a party may
contain similar  restrictions  and provisions.  In the event a Change of Control
occurs at a time when the  Company is  prohibited  from  purchasing  Notes,  the
Company  could seek the consent of its lenders to the purchase of Notes or could
attempt to  refinance  the  borrowings  that contain  such  prohibition.  If the
Company  does not obtain  such a consent or repay such  borrowings,  the Company
will remain  prohibited  from  purchasing  Notes.  In such case,  the  Company's
failure to purchase  tendered  Notes would  constitute an Event of Default under
the  Indenture  which  would,  in turn,  constitute  a default  under the Credit
Facility. In such circumstances,  the subordination  provisions in the Indenture
would   likely   restrict   payments  to  the   Holders  of  Notes.   See  "Risk
Factors--Potential  Inability  to Effect a Change of  Control  Offer or an Asset
Sale Offer" and "--Subordination."

         The Company will not be required to make a Change of Control Offer upon
a Change of Control if a third  party  makes the Change of Control  Offer in the
manner, at the times and otherwise in compliance with the requirements set forth
in the Indenture applicable to a Change of Control Offer made by the Company and
purchases  all Notes  validly  tendered and not  withdrawn  under such Change of
Control Offer. (Section 4.14)

         The definition of Change of Control  includes a phrase  relating to the
sale, lease, transfer,  conveyance or other disposition of "all or substantially
all" of the assets of the Company and its Subsidiaries taken as whole.  (Section
1.01) There is no precisely established  definition of the phrase "substantially
all" under applicable law. Accordingly, it may not be clear when an event occurs
giving  rise to the  ability  of a Holder of Notes to  require  the  Company  to
repurchase  such Notes as a result of a sale,  lease,  transfer,  conveyance  or
other  disposition  of  less  than  all of the  assets  of the  Company  and its
Subsidiaries.

         Asset Sales

         The  Indenture  provides that the Company will not, and will not permit
any of its Restricted  Subsidiaries to,  consummate an Asset Sale unless (i) the
Company or the Restricted Subsidiary, as the case may be, receives consideration
at least  equal to the fair  market  value (as  determined  in good faith by the
Board of Directors of the Company) of the assets or Equity  Interests  issued or
sold or  otherwise  disposed  of and  (ii)  at  least  75% of the  consideration
therefor is received by the Company or such Restricted Subsidiary at or prior to
consummation  of the Asset Sale and is in the form of cash or Cash  Equivalents;
provided  that the amount of (x) any  liabilities  (as shown on the Company's or
such  Restricted  Subsidiary's  most recent balance sheet) of the Company or any
Restricted   Subsidiary   (other  than  liabilities  that  are  by  their  terms
subordinated  to the  Notes  or,  in the  case of  liabilities  of a  Restricted
Subsidiary, the Guarantee of such Subsidiary) that are assumed by the transferee
of any such  assets,  and (y) any  securities,  notes,  promises to pay or other
obligations received by the Company or any such Restricted  Subsidiary from such
transferee that are converted by the Company or such Restricted  Subsidiary into
cash (to the extent of the cash received)  within 180 days after receipt,  shall
be deemed to be  consideration  received  (for purposes of clause (i) above) and
cash received at or prior to the consummation of the Asset Sale (for purposes of
clause (ii) above). (Section 4.10)

         Within 360 days after the  receipt  of any Net  Proceeds  from an Asset
Sale,  the Company  may apply such Net  Proceeds,  at its  option,  (a) to repay
Senior Debt or Pari Passu  Indebtedness  (provided  that if the Company shall so
reduce in excess of $15.0  million of Pari Passu  Indebtedness,  it will equally
and ratably  make an Asset Sale Offer (in  accordance  with the  procedures  set
forth below for an Asset Sale Offer) to all Holders) and/or (b) to an investment
in a Related  Business (or enter into a definitive  agreement  committing  to so
invest,  provided that the  transactions  contemplated by any such agreement are
later consummated), or to the making of a capital expenditure or the acquisition
of other tangible assets,  product distribution rights or intellectual  property
or rights  thereto,  in each case, in a Related  Business (as determined in good
faith by the Board of Directors of the Company).  Pending the final  application
of any such Net Proceeds,  the Company may temporarily  reduce  borrowings under
the Credit Facility or otherwise  invest such Net Proceeds in any manner that is
not prohibited by the Indenture.  Any Net Proceeds from Asset Sales that are not
applied or invested as provided in the first  sentence of this paragraph will be
deemed to constitute  "Excess  Proceeds."  When the  aggregate  amount of Excess
Proceeds exceeds $15.0 million, the Indenture provides that the Company will

                                      -35-



<PAGE>



(i) make an offer to all  Holders of Notes and (ii)  prepay,  purchase or redeem
(or make an offer to do so) any other Pari Passu  Indebtedness of the Company in
accordance with provisions  requiring the Company to prepay,  purchase or redeem
such  Indebtedness  with the proceeds  from any asset sales (or offer to do so),
pro rata in proportion to the respective  principal  amounts (or accreted value,
as applicable) of the Notes and such other Indebtedness  required to be prepaid,
purchased  or redeemed or  tendered  for  pursuant to such offer (an "Asset Sale
Offer"), to purchase the maximum principal amount of Notes that may be purchased
out of the Excess Proceeds, at an offer price in cash in an amount equal to 100%
of the principal  amount thereof plus accrued and unpaid interest and Liquidated
Damages  thereon,  if any,  to the  date of  purchase,  in  accordance  with the
procedures  set  forth  in the  Indenture.  To the  extent  that  the  aggregate
principal amount of Notes tendered  pursuant to an Asset Sale Offer is less than
the Excess  Proceeds,  the Company may use any remaining Excess Proceeds for any
general corporate  purpose not in contravention of the other covenants  provided
for in the  Indenture.  Upon  completion  of an Asset Sale Offer,  the amount of
Excess Proceeds shall be reset to zero. (Sections 4.10 and 3.09)

         The Credit Facility  prohibits the Company from purchasing any Notes in
connection  with an Asset Sale Offer and also  provides that certain asset sales
will  constitute a default  thereunder.  Any future  credit  agreements or other
agreements  relating  to Senior  Debt to which the  Company  becomes a party may
contain  similar  restrictions  and  provisions.  In the  event the  Company  is
required  to make an Asset Sale Offer at a time when the  Company is  prohibited
from purchasing  Notes, the Company could seek the consent of its lenders to the
purchase of Notes or could attempt to refinance the borrowings that contain such
prohibition.  If the  Company  does not  obtain  such a  consent  or repay  such
borrowings,  the Company will remain  prohibited from purchasing  Notes. In such
case, the Company's  failure to consummate an Asset Sale Offer would  constitute
an Event of Default  under the  Indenture  which  would,  in turn,  constitute a
default under the Credit  Facility.  In such  circumstances,  the  subordination
provisions in the Indenture would likely restrict payments to the Holders of the
Notes.  See "Risk  Factors--Potential  Inability  to Effect a Change of  Control
Offer or an Asset Sale Offer" and "--Subordination."

CERTAIN COVENANTS

  Restricted Payments

         The  Indenture  provides that the Company will not, and will not permit
any of its Restricted  Subsidiaries  to, directly or indirectly:  (i) declare or
pay any dividend or make any  distribution  (including  in  connection  with any
merger or  consolidation)  on account of any Equity  Interests of the Company or
any of its  Restricted  Subsidiaries  (other  than  dividends  or  distributions
payable in Equity  Interests (other than  Disqualified  Stock) of the Company or
dividends or distributions payable to the Company or any Wholly Owned Restricted
Subsidiary of the Company); (ii) purchase, redeem or otherwise acquire or retire
for  value  any  Equity  Interests  of  the  Company,   any  of  its  Restricted
Subsidiaries  or any other  Affiliate of the Company (other than any such Equity
Interests owned by the Company or any Wholly Owned Restricted  Subsidiary of the
Company);  (iii) make any  principal  or, with  respect to  Disqualified  Stock,
similar  payment on, or purchase,  redeem,  defeasance  or otherwise  acquire or
retire for value (x) any  Indebtedness  that is subordinated in right of payment
to the  Notes  or a  Guarantee  or (y) any  Disqualified  Stock,  except  at the
original final maturity  thereof or in accordance  with the scheduled  mandatory
redemption  or  repayment  provisions  set forth in the  original  documentation
governing  such  Indebtedness  or  Disqualified  Stock (but not  pursuant to any
mandatory  offer to repurchase  upon the occurrence of any event);  or (iv) make
any  Restricted  Investment  (all such  payments and other  actions set forth in
clauses (i) through  (iv) above being  collectively  referred to as  "Restricted
Payments"), unless, at the time of such Restricted Payment:

              (a) no  Default or Event of Default  shall  have  occurred  and be
         continuing or would occur as a consequence thereof;

              (b) the  Company  would be  permitted,  immediately  after  giving
         effect  to  such  Restricted  Payment,  to  incur  at  least  $1.00  of
         additional Indebtedness pursuant to the Fixed Charge Coverage Ratio set
         forth in the covenant entitled "Incurrence of Indebtedness and Issuance
         of Disqualified Stock and Preferred Stock"; and


                                      -36-



<PAGE>



                  (c) such Restricted Payment, together with the aggregate of
         all other Restricted Payments made by the Company and its Restricted
         Subsidiaries after the date of the Indenture (the amount so expended,
         if other than in cash, to be determined in good faith by the Board of
         Directors of the Company and excluding Restricted Payments permitted by
         clauses (ii), (iii), (iv), (vi), (vii), (x) and (xiii) of the next
         succeeding paragraph), is less than the sum of (1) 50% of the
         Consolidated Net Income of the Company for the period (taken as one
         accounting period) from January 1, 1998 to the end of the Company's
         most recently ended fiscal quarter for which financial statements are
         available at the time of such Restricted Payment (or, if such
         Consolidated Net Income for such period is a deficit, minus 100% of
         such deficit), plus (2) 100% of the aggregate net proceeds (including
         the fair market value of non-cash proceeds as determined in good faith
         by the Board of Directors of the Company) received by the Company from
         contributions of capital or the issue or sale since the date of the
         Indenture of Equity Interests of the Company or of debt securities of
         the Company that have been converted into such Equity Interests (other
         than Equity Interests (or convertible debt securities) sold to a
         Restricted Subsidiary of the Company and other than Disqualified Stock
         or debt securities that have been converted into Disqualified Stock),
         provided that no proceeds received by the Company from the issue or
         sale of any Equity Interests issued by the Company will be counted in
         determining the amount available for Restricted Payments under this
         clause (c) to the extent such proceeds were used to redeem, repurchase,
         retire or acquire any Equity Interests of the Company pursuant to
         clause (ii) of the next succeeding paragraph, to defeasance, redeem or
         repurchase any subordinated Indebtedness pursuant to clause (iii) of
         the next succeeding paragraph or to redeem, repurchase, retire or
         acquire any Equity Interests of the Company pursuant to clause (iv) of
         the next succeeding paragraph, plus (3) to the extent that any
         Restricted Investment that was made after the date of the Indenture is
         sold for cash or otherwise liquidated or repaid for cash, the cash
         return of capital with respect to such Restricted Investment (less the
         cost of disposition, if any).

         The foregoing  provisions will not prohibit any or all of the following
Restricted  Payments  (each and all of which:  (1)  constitutes  an  independent
exception  to the  foregoing  provisions  and (2) may occur in  addition  to any
action  permitted  to occur under any other  exception):  (i) the payment of any
dividend within 60 days after the date of declaration  thereof,  if at such date
of  declaration  such payment  would have  complied  with the  provisions of the
Indenture; (ii) the redemption,  repurchase,  retirement or other acquisition of
any Equity  Interests of the Company in exchange for, or out of the net proceeds
of, the substantially  concurrent sale (other than to a Restricted Subsidiary of
the Company) of other Equity  Interests of the Company (other than  Disqualified
Stock);   (iii)  the  defeasance,   redemption  or  repurchase  of  subordinated
Indebtedness  with the net proceeds from an incurrence of Permitted  Refinancing
Indebtedness  or the  substantially  concurrent sale (other than to a Restricted
Subsidiary  of the  Company)  of Equity  Interests  of the  Company  (other than
Disqualified  Stock);  (iv)  the  redemption,  repurchase,  retirement  or other
acquisition  of any  Disqualified  Stock  in  exchange  for,  or out of the  net
proceeds  of, the  substantially  concurrent  sale (other  than to a  Restricted
Subsidiary)  of  Disqualified  Stock;  provided that any  Disqualified  Stock so
issued has a stated,  liquidation,  redemption  or similar value no greater than
the  Disqualified  Stock  being  redeemed,  repurchased,  retired  or  otherwise
acquired and matures, is mandatorily redeemable and/or is redeemable at the sole
option of the holder  thereof on a date later than the date of the  Disqualified
Stock  being  redeemed,  repurchased,  retired or  otherwise  acquired;  (v) the
funding of loans (but not  including the  forgiveness  of any such loan) to, and
payment of  directors'  and  officers'  insurance  premiums  for the benefit of,
executive officers,  directors,  employees or shareholders for relocation loans,
bonus  advances  and  other  purposes  consistent  with  past  practices  or the
purchase,  redemption or other  acquisition for value of shares of Capital Stock
of the Company (other than Disqualified Stock) or options on such shares held by
the Company's or the Restricted Subsidiaries'  directors,  officers or employees
or former  directors,  officers  or  employees  (or their  estates  or trusts or
beneficiaries   under   their   estates  or  trusts  for  the  benefit  of  such
beneficiaries)  upon  the  death,  disability,   retirement  or  termination  of
employment of such current or former directors,  officers or employees  pursuant
to the terms of an  employee  benefit  plan or any other  agreement  pursuant to
which such  shares of Capital  Stock or options  were  issued or  pursuant  to a
severance,  buy-sell or right of first  refusal  agreement  with such current or
former directors,  officers or employees,  provided that the aggregate amount of
any such loans  funded  and cash  consideration  paid,  or  distributions  made,
pursuant to this clause (v) does not in any one fiscal year exceed $5.0 million;
(vi) the payment of dividends by a Restricted  Subsidiary on any class of common
stock of such  Restricted  Subsidiary  if such  dividend is paid pro rata to all
holders  of such class of common  stock;  (vii) the  repurchase  of any class of
common stock of a Restricted Subsidiary if such repurchase is made pro rata with
respect to such class of common stock;

                                      -37-



<PAGE>



(viii)  payments of cash,  not to exceed $5.0 million in the  aggregate,  (A) in
lieu of the issuance of fractional shares in connection with stock dividends and
other  distributions  on account of, and otherwise  payable in, Equity Interests
and (B) to redeem Equity  Interests in connection  with a rights plan adopted by
the Board of Directors of the Company;  (ix)  payments in respect of the warrant
originally  issued  to  Bristol-Myers  Squibb  Company  in  connection  with the
Linvatec  Acquisition to acquire 1,000,000 shares (subject to adjustment) of the
Company's common stock; (x) any other Restricted Payment if the amounts thereof,
together  with all other  Restricted  Payments  made pursuant to this clause (x)
since  the date of the  Indenture,  shall not  exceed  $10.0  million;  (xi) the
payment of dividends by a Foreign  Subsidiary to a foreign national on any class
of common stock of such Foreign  Subsidiary  that,  pursuant to  requirements of
local law in a jurisdiction  outside the United States,  is held by such foreign
national;  (xii)  payments  pursuant to or in  connection  with  consolidations,
mergers or transfers of assets that comply with the  provisions of the Indenture
applicable  to  mergers,  consolidations  or sales of  assets  (including  share
exchanges  pursuant to state law), not to exceed $15.0 million in the aggregate;
and (xiii) the  redemption,  repurchase or other  acquisition  of Notes.  In the
event that a Restricted Payment meets the criteria of more than one of the types
of  Restricted  Payments  described  in  clauses  (i)  through  (xiii)  of  this
paragraph,  the Company, in its sole discretion,  shall classify such Restricted
Payment and only be  required to include the amount and type of such  Restricted
Payment in one of such clauses. (Section 4.07)

         The Board of Directors may designate any Restricted Subsidiary to be an
Unrestricted  Subsidiary;  provided,  however,  that (i) no  Default or Event of
Default shall have occurred and be  continuing  or would arise  therefrom,  (ii)
such  designation,  when  considered  as an  Investment as described in the next
sentence, is at that time permitted under the "Restricted Payments" covenant and
(iii) immediately after giving effect to such designation,  the Company would be
able to incur at least $1.00 of additional  Indebtedness  under the Fixed Charge
Coverage Ratio set forth in the covenant  entitled  "Incurrence of  Indebtedness
and Issuance of Disqualified  Stock and Preferred  Stock." All such  outstanding
Investments  will be deemed to constitute  Restricted  Investments  in an amount
equal to the fair market value (as  determined  by the Board of Directors of the
Company in good faith) of such Investments at the time of such designation. Such
designation  will only be  permitted  if under the terms of the  Indenture  such
Restricted  Investment  would be permitted  at such time and if such  Restricted
Subsidiary otherwise meets the definition of an Unrestricted Subsidiary.

         Not later than the date of making  any  Restricted  Payment  (excluding
Restricted  Payments permitted by (ii), (iii), (iv), (vi), (vii), (x) and (xiii)
of the second preceding paragraph),  the Company shall deliver to the Trustee an
Officers'  Certificate  stating that such  Restricted  Payment is permitted  and
setting forth the basis upon which the calculations  required by the "Restricted
Payments"  covenant were computed,  which  calculations  shall be based upon the
Company's latest available financial statements.

  Incurrence of Indebtedness and Issuance of Disqualified Stock and 
  Preferred Stock

         The  Indenture  provides  that (i) the Company  will not,  and will not
permit any of its Restricted  Subsidiaries  to,  directly or indirectly,  incur,
contingently  or  otherwise,  any  Indebtedness  (including  Acquired  Debt  and
Disqualified  Stock), and (ii) the Company will not permit any of its Restricted
Subsidiaries  that is not a Guarantor  to issue any shares of  preferred  stock;
provided,  however,  that the Company and the Guarantors may incur  Indebtedness
(including  Acquired Debt and  Disqualified  Stock) if the Fixed Charge Coverage
Ratio for the Company's most recently ended four full fiscal  quarters for which
financial statements are available  immediately preceding the date on which such
additional  Indebtedness  is  incurred  would  have  been  at  least  2.00 to 1,
determined on a pro forma basis  (including a pro forma  application  of the net
proceeds therefrom),  as if the additional Indebtedness had been incurred at the
beginning of such four-quarter period. (Section 4.09)

         The foregoing  provisions  will not apply to any of the following (each
and all of which: (1) may be issued or incurred,  (2) constitutes an independent
exception to the foregoing provisions and (3) may be incurred in addition to any
other Indebtedness permitted to be incurred under the foregoing paragraph or any
other  exception):  (i)  the  incurrence  by the  Company  or any  Guarantor  of
Indebtedness  constituting  term loans pursuant to one or more Credit Agreements
in an  aggregate  principal  amount  outstanding  at any one time not to  exceed
$250.0  million (A) less the  aggregate  amount of all  mandatory  repayments (a
"Mandatory  Repayment")  of the  principal of any term  Indebtedness  under such
Credit

                                      -38-



<PAGE>



Agreements  that have been made since the date of the  Indenture (or which would
otherwise  have  been  required  to have been made but for the fact that a prior
optional repayment has been made of the principal of any term Indebtedness under
such  Credit  Agreements)  pursuant to the  amortization  schedule of any Credit
Agreement  (other  than  any  Mandatory  Repayment  made  concurrently  with any
refinancing  or refunding of such Credit  Agreements or required to be made with
the net proceeds  from the offering of the Notes being made hereby) and (B) less
the aggregate  amount of all Net Proceeds of Asset Sales applied pursuant to the
first sentence of the second paragraph under the covenant entitled "Asset Sales"
to permanently reduce term Indebtedness  under such Credit Agreements;  (ii) the
incurrence  by the  Company  or any  Guarantor  pursuant  to one or more  Credit
Agreements of Indebtedness  incurred under  revolving  credit  arrangements  and
letters of credit in an aggregate principal amount at any time outstanding (with
letters of credit being  deemed to have a principal  amount equal to the maximum
potential liability of the Company or the relevant Guarantor  thereunder) not to
exceed the greater of (A) $100.0  million in the aggregate or (B) the sum of (x)
85% of the Company's accounts receivable and (y) 50% of the Company's inventory;
(iii)  the  incurrence  by  the  Company  and  any  Guarantor  of   Indebtedness
represented by the Notes and any Guarantee  thereof;  (iv) the incurrence by the
Company or any of its Restricted Subsidiaries of Indebtedness represented by (X)
Capital Lease Obligations,  mortgage  financings,  purchase money obligations or
sale and  leaseback  transactions,  in each case  incurred  for the  purpose  of
financing  all or any  part of the  purchase  price or cost of  construction  or
improvement  of property used in the business of the Company or such  Restricted
Subsidiary and (Y) industrial  revenue bonds,  pollution  control bonds or other
tax exempt  financing,  provided the aggregate  principal amount of Indebtedness
incurred pursuant to this clause (iv) shall not exceed $12.5 million at any time
outstanding;  (v) Existing  Indebtedness;  (vi) the incurrence by the Company or
any of its Restricted  Subsidiaries  of Permitted  Refinancing  Indebtedness  in
exchange for, or the net proceeds of which are used to extend, refinance, renew,
replace,  defeasance  or refund,  Indebtedness  (or any  successive  refinancing
thereof)  that was  permitted  by the  Indenture;  (vii) the  incurrence  by the
Company  or any of its  Restricted  Subsidiaries  of  intercompany  Indebtedness
between or among the Company and any of its Restricted  Subsidiaries,  provided,
however,  that (a) any subsequent  issuance or transfer (other than for security
purposes) of Equity  Interests  and (b) any  subsequent  sale or other  transfer
(including for security purposes other than to secure Indebtedness  permitted to
be  incurred  pursuant  to  clause  (i) or  (ii)  of  this  paragraph)  of  such
Indebtedness,  in each case, that results in any such Indebtedness being held by
a Person other than the Company or any of its Restricted  Subsidiaries  shall be
deemed to constitute an incurrence of such  Indebtedness  by the Company or such
Restricted Subsidiary,  as the case may be; (viii) the incurrence by the Company
or any of its Restricted  Subsidiaries of Hedging  Obligations that are incurred
for the purpose of fixing or hedging (a) interest  rate risk with respect to any
floating  rate  Indebtedness  of such  Person  so long  as  such  floating  rate
Indebtedness is permitted by the terms of the Indenture to be outstanding or (b)
exchange  rate risk with respect to agreements  or  Indebtedness  of such Person
payable  or  denominated  in a  currency  other  than  U.S.  dollars;  (ix)  the
incurrence by the Company's  Unrestricted  Subsidiaries  of  Non-Recourse  Debt;
provided,  however, that if any such Indebtedness ceases to be Non-Recourse Debt
of an  Unrestricted  Subsidiary,  such event  shall be deemed to  constitute  an
incurrence of  Indebtedness by a Restricted  Subsidiary of the Company;  (x) the
incurrence by any Foreign Subsidiary of Indebtedness and letters of credit (with
letters  of credit  being  deemed to have a  principal  amount  equal to maximum
potential  liability  of such  Foreign  Subsidiary  thereunder)  in an aggregate
maximum  principal  amount  outstanding  at any one  time  not to  exceed  $10.0
million; (xi) Obligations in respect of performance and surety bonds provided by
the Company or any Guarantor in the ordinary  course of business;  (xii) letters
of credit and  bankers'  acceptances  in an  aggregate  face  amount at any time
outstanding not to exceed $5.0 million;  (xiii) Indebtedness of a Securitization
Subsidiary  incurred  in  connection  with a  Permitted  Receivables  Financing,
provided that after giving effect to the incurrence  thereof,  the Company would
be able to incur at least $1.00 of  Indebtedness  under the first  paragraph  or
clause (i) or (ii) of this second  paragraph of this "Incurrence of Indebtedness
and Issuance of Disqualified Stock and Preferred Stock" covenant; (xiv) Acquired
Debt not to exceed $25.0 million at any time  outstanding;  (xv) Indebtedness in
an  aggregate  amount  not to  exceed  $1.0  million  owed to the  Empire  State
Development  Corporation;  (xvi)  guarantees  made  in the  ordinary  course  of
business  by the  Company  and  any  of its  Restricted  Subsidiaries  of  lease
obligations  of their  customers in respect of equipment  sold by the Company or
any of its  Restricted  Subsidiaries  to a third  party and then  leased to such
customer in an  aggregate  amount  outstanding  at any time not to exceed  $10.0
million;  (xvii) the incurrence by the Company and any Guarantor of Indebtedness
in an aggregate  principal  amount at any time  outstanding  not to exceed $25.0
million;  and (xviii)  guarantees by any Restricted  Subsidiary of  Indebtedness
incurred by the Company or any other  Restricted  Subsidiary in compliance  with
the  provisions  set forth under the first  paragraph or this  paragraph of this
"Incurrence

                                      -39-



<PAGE>



of Indebtedness and Issuance of Disqualified Stock and Preferred Stock" covenant
may be guaranteed pursuant to this clause (xviii). (Section 4.09)

         For  purposes  of  determining   compliance  with  the  "Incurrence  of
Indebtedness  and Issuance of Disqualified  Stock and Preferred  Stock" covenant
described  in the two  preceding  paragraphs,  (i) in the event  that an item of
Indebtedness  meets the  criteria of more than one of the types of  Indebtedness
described  in the  clauses  of the  preceding  paragraph  or is  entitled  to be
incurred pursuant to the first paragraph of this covenant,  the Company,  in its
sole  discretion,  shall classify such item of  Indebtedness  in any manner that
complies with this covenant,  provided that an item of  Indebtedness  satisfying
the criteria of the first paragraph or more than one of the clauses described in
the preceding  paragraph  may be divided and  classified in more than one of the
types of Indebtedness described above and (ii) the amount of Indebtedness issued
at a price that is less than the principal  amount thereof shall be equal to the
amount of the liability in respect  thereof  determined in conformity with GAAP.
For the avoidance of doubt and as an example of the application of the foregoing
provisions,   the  Company  or  any  Guarantor   shall  be  permitted  to  incur
Indebtedness  constituting  term loans pursuant to one or more Credit Agreements
in an aggregate  principal  amount  outstanding not to exceed the sum of (a) the
amount  permitted by clause (i) of the  foregoing  paragraph  and (b) the amount
that the  Company and its  Restricted  Subsidiaries  are then  entitled to incur
pursuant to the first  paragraph of this Section,  and the  Guarantors  shall be
permitted  to  guarantee  the  Obligations  of the  Company  under  such  Credit
Agreements. (Section 4.09)

  Sale and Leaseback Transactions

         The  Indenture  provides that the Company will not, and will not permit
any of its  Restricted  Subsidiaries  to,  enter  into any  sale  and  leaseback
transaction;  provided that the Company and any Restricted  Subsidiary may enter
into a sale and  leaseback  transaction  if (i) the  Company or such  Restricted
Subsidiary  could  have  incurred   Indebtedness  in  an  amount  equal  to  the
Attributable  Debt relating to such sale and leaseback  transaction  pursuant to
(a) the first paragraph of the covenant "Incurrence of Indebtedness and Issuance
of Disqualified  Stock and Preferred Stock" and/or (b) clause (iv) of the second
paragraph  of  the  covenant   "Incurrence  of  Indebtedness   and  Issuance  of
Disqualified  Stock and  Preferred  Stock" (as  limited  by the  proviso to such
clause),  (ii) the Lien to secure such  Indebtedness does not extend to or cover
any assets of the Company or such  Restricted  Subsidiary  other than the assets
which are the subject of the sale  leaseback  transaction,  (iii) the gross cash
proceeds of such sale and leaseback  transaction  are at least equal to the fair
market  value (as  determined  in good  faith by the Board of  Directors  of the
Company and set forth in an Officers'  Certificate  delivered to the Trustee) of
the property that is the subject of such sale and leaseback transaction and (iv)
the transfer of assets in such sale and leaseback  transaction  is permitted by,
and the proceeds of such  transaction are applied in compliance with, the "Asset
Sales" covenant.  Notwithstanding the foregoing,  the Company and its Restricted
Subsidiaries  may  enter  into  sale and  leaseback  transactions  resulting  in
Attributable  Debt at any time outstanding  relating to such transactions not in
excess of $10.0 million in the aggregate  without complying with clause (iii) of
the preceding sentence. (Section 4.13)

  Liens

         The  Indenture  provides that the Company will not, and will not permit
any of its Restricted  Subsidiaries to, directly or indirectly,  create,  incur,
assume or suffer to exist any Lien (other than  Permitted  Liens)  securing  any
Obligations on any property or asset now owned or hereafter acquired,  or on any
income or profits  therefrom  or assign or convey  any right to  receive  income
therefrom,  unless the Notes, and the Guarantees, as applicable,  are either (i)
secured by a Lien on such property,  assets, income or profits that is senior in
priority to the Lien securing such other Obligations,  if such other Obligations
are  subordinated in right of payment to the Notes and/or the Guarantees or (ii)
equally  and  ratably  secured  by a Lien on such  property,  assets,  income or
profits with the Lien securing such other Obligations, if such other Obligations
are pari passu in right of payment to the Notes and/or the Guarantees.  (Section
4.12)


                                      -40-



<PAGE>



  Dividend and Other Payment Restrictions Affecting Restricted Subsidiaries

         The  Indenture  provides that the Company will not, and will not permit
any of its  Restricted  Subsidiaries  to,  directly  or  indirectly,  create  or
otherwise  cause or suffer  to exist or  become  effective  any  encumbrance  or
consensual  restriction on the ability of any  Restricted  Subsidiary to: (i)(a)
pay  dividends  or make any other  distributions  to the  Company  or any of its
Restricted Subsidiaries on its Capital Stock or (b) pay any Indebtedness owed to
the Company or any of its Restricted  Subsidiaries;  (ii) make loans or advances
to the Company or any of its Restricted  Subsidiaries;  or (iii) transfer any of
its properties or assets to the Company or any of its  Restricted  Subsidiaries,
except for such encumbrances or restrictions  existing under or by reason of (a)
Existing  Indebtedness,  as in  effect  on the  date of the  Indenture,  and any
amendments,  modifications,   restatements,  renewals,  increases,  supplements,
refundings,  replacements or refinancings thereof permitted under the Indenture;
provided that such amendments, modifications, restatements, renewals, increases,
supplements, refundings, replacements or refinancings are no more restrictive in
the aggregate than those contained in the Existing Indebtedness, as in effect on
the  date  of the  Indenture;  (b)  the  Credit  Facility  and  any  amendments,
modifications,   restatements,  renewals,  increases,  supplements,  refundings,
replacements or  refinancings  thereof  permitted under the Indenture;  provided
that  such  amendments,   modifications,   restatements,   renewals,  increases,
supplements, refundings, replacements or refinancings are no more restrictive in
the aggregate than those contained in the Credit  Facility,  as in effect on the
date of the Indenture;  (c) the  Indenture,  the Notes and the  Guarantees;  (d)
applicable law; (e) any instrument governing  Indebtedness or Capital Stock of a
Person  acquired by the  Company or any of its  Restricted  Subsidiaries,  as in
effect at the time of acquisition  (except to the extent such  Indebtedness  was
incurred in connection with, or in contemplation  of, such  acquisition),  which
encumbrance or restriction is not applicable to any Person, or the properties or
assets of any Person,  other than the Person,  or the  property or assets of the
Person,  so  acquired   (provided  that  in  the  case  of  Indebtedness,   such
Indebtedness  was permitted by the terms of the  Indenture to be incurred),  and
any amendments,  modifications,  restatements, renewals, increases, supplements,
refundings,  replacements or refinancings thereof permitted under the Indenture;
provided that such amendments, modifications, restatements, renewals, increases,
supplements, refundings, replacements or refinancings are no more restrictive in
the  aggregate  than those  relating to such  Indebtedness  or Capital  Stock in
effect at the time of the acquisition;  (f) customary non-assignment  provisions
in leases, licenses, contracts and other agreements entered into in the ordinary
course of business  and  consistent  with past  practices;  (g)  purchase  money
obligations for property acquired in the ordinary course of business that impose
restrictions  of the nature  described  in clause (iii) above on the property so
acquired; (h) Permitted Refinancing Indebtedness; provided that the restrictions
contained in the agreements  governing such Permitted  Refinancing  Indebtedness
are no more  restrictive in the aggregate than those contained in the agreements
governing the  Indebtedness  being  refinanced;  (i) an agreement  that has been
entered  into for the sale or  disposition  of all or  substantially  all of the
Equity Interests or property or assets of a Restricted Subsidiary; provided that
such  restrictions are limited to the Restricted  Subsidiary that is the subject
of such  agreement;  (j)  restrictions  created in connection with any Permitted
Receivables Financing;  or (k) restrictions applicable to any Foreign Subsidiary
pursuant to Indebtedness  permitted to be incurred pursuant to clause (x) of the
second  paragraph of the  covenant  entitled  "Incurrence  of  Indebtedness  and
Issuance  of  Disqualified  Stock  and  Preferred  Stock;"  provided  that  such
restrictions  shall be limited to customary net worth,  leverage,  cash flow and
other  financial  ratios  applicable  to  such  Foreign  Subsidiary,   customary
restrictions on mergers and  consolidations  involving such Foreign  Subsidiary,
customary   restrictions  on  transactions   with  affiliates  of  such  Foreign
Subsidiary and customary  provisions  subordinating  the payment of intercompany
Indebtedness  owed by  such  Foreign  Subsidiary  to the  Company  or any of its
Restricted  Subsidiaries  upon  the  occurrence  of  a  default  in  respect  of
Indebtedness  of such Foreign  Subsidiary or its  Subsidiaries  and/or events of
insolvency  with respect to such Foreign  Subsidiary  or its  Subsidiaries;  and
provided,  further, that in no event shall any Indebtedness (other than a Credit
Agreement)  incurred by a Foreign  Subsidiary  prohibit such Foreign  Subsidiary
from making any dividend or other  distribution to the Company or its Restricted
Subsidiaries or from otherwise  making any loan to the Company or its Restricted
Subsidiaries  in the  absence  of a breach  by such  Foreign  Subsidiary  of the
covenants  contained  in  such  Indebtedness  unless  to  do  so  would  violate
applicable law. (Section 4.08)

         Nothing contained in the preceding  paragraph shall prevent the Company
or any Restricted  Subsidiary from restricting the sale or other  disposition of
property or assets of the  Company or any of its  Restricted  Subsidiaries  that
secure Indebtedness of the Company or any of its Restricted Subsidiaries.


                                      -41-



<PAGE>



  Merger, Consolidation or Sale of Assets

         The Indenture  provides that the Company may not  consolidate  or merge
with or into  (whether or not the  Company is the  surviving  entity),  or sell,
assign, transfer, lease, convey or otherwise dispose of all or substantially all
of its  properties  or assets in one or more related  transactions  to,  another
Person unless (i) the Company is the surviving  corporation or the Person formed
by or surviving any such  consolidation or merger (if other than the Company) or
to which such sale, assignment, transfer, lease, conveyance or other disposition
shall have been made is a  corporation  organized or existing  under the laws of
the United  States,  any state  thereof or the  District of  Columbia;  (ii) the
Person  formed by or surviving any such  consolidation  or merger (if other than
the  Company)  or the Person to which such sale,  assignment,  transfer,  lease,
conveyance or other  disposition will have been made assumes all the obligations
of the Company  under the Notes and the  Indenture  pursuant  to a  supplemental
indenture in form  reasonably  satisfactory  to the Trustee;  (iii)  immediately
after such  transaction,  no Default  or Event of Default  exists;  and (iv) the
Company or the Person formed by or surviving any such  consolidation  or merger,
or to  which  such  sale,  assignment,  transfer,  lease,  conveyance  or  other
disposition  will have been made  will,  at the time of such  transaction  after
giving pro forma  effect  thereto as if such  transaction  had  occurred  at the
beginning of the applicable  four-quarter period, be permitted to incur at least
$1.00 of additional Indebtedness pursuant to the first paragraph of the covenant
entitled  "Incurrence of  Indebtedness  and Issuance of  Disqualified  Stock and
Preferred  Stock." The  foregoing  will not prohibit a  consolidation  or merger
between the Company and a Guarantor, the transfer of all or substantially all of
the  properties  or assets of the  Company to a Guarantor  or a Holding  Company
Restructuring;  provided that if the Company is not the surviving entity of such
transaction or the Person to which such transfer is made,  the surviving  entity
or the Person to which such  transfer  is made shall  comply with clause (ii) of
this paragraph. (Section 5.01)

  Transactions with Affiliates

         The  Indenture  provides that the Company will not, and will not permit
any of its  Restricted  Subsidiaries  to,  sell,  lease,  transfer or  otherwise
dispose of any of its  properties  or assets to, or  purchase  any  property  or
assets from, or enter into any contract, agreement, understanding, loan, advance
or guarantee  with, or for the benefit of, any Person known by the Company to be
an Affiliate or which the Company should have known is an Affiliate (each of the
foregoing, an "Affiliate Transaction"), unless (i) such Affiliate Transaction is
on terms that are no less favorable to the Company or such Restricted Subsidiary
than those that could have been  obtained  in a  comparable  transaction  by the
Company or such  Restricted  Subsidiary with an unrelated  Person,  (ii) if such
Affiliate  Transaction  involves  aggregate  consideration  in  excess  of  $2.0
million,  the  Company  delivers  to the  Trustee a  resolution  of the Board of
Directors of the Company set forth in an Officers'  Certificate  certifying that
such  Affiliate  Transaction  complies with clause (i) above and such  Affiliate
Transaction is approved by a majority of the disinterested  members of the Board
of Directors  of the Company and (iii) if such  Affiliate  Transaction  involves
aggregate  consideration in excess of $10.0 million, the Company delivers to the
Trustee an opinion  as to the  fairness  of such  Affiliate  Transaction  from a
financial  point of view  issued by an  investment  bank or  accounting  firm of
national standing,  provided,  however,  that (a) any employment,  consulting or
similar agreement  (including any loan, but not any forgiveness thereof) entered
into by the Company or any of its Restricted Subsidiaries in the ordinary course
of  business  of the  Company or such  Restricted  Subsidiary  or any payment of
directors' and officers' insurance premiums,  (b) transactions  between or among
the  Company  and/or  its  Restricted   Subsidiaries,   (c)  a  Holding  Company
Restructuring,  (d)  payment of  employee  benefits,  including  wages,  salary,
bonuses,  retirement plans and stock options,  and director fees in the ordinary
course of business,  (e) transactions in connection with a Permitted Receivables
Financing or an  industrial  revenue bond  financing and (f)  transactions  that
constitute  Restricted  Payments  permitted by the  provisions  of the Indenture
described above under the covenant entitled "Restricted Payments," in each case,
shall not be deemed Affiliate Transactions. (Section 4.11)

  Anti-Layering

         The  Indenture  provides  that (i) the Company will not incur,  create,
issue, assume,  guarantee,  or otherwise become liable for any Indebtedness that
is both (a) subordinate or junior in right of payment to any Senior Debt and (b)
senior in any  respect in right of  payment  to the Notes and (ii) no  Guarantor
will incur, create, issue, assume,

                                      -42-



<PAGE>



guarantee  or  otherwise  become  liable for any  Indebtedness  that is both (a)
subordinate  or junior in right of payment to its Senior  Debt and (b) senior in
any respect in right of payment to its Guarantee. (Section 4.16)

  Reports

         The Indenture  provides that,  whether or not required by the rules and
regulations of the Securities and Exchange  Commission  (the  "Commission"),  so
long as any Notes are  outstanding,  the Company  will furnish to the Holders of
Notes (i) all quarterly and annual financial  information that would be required
to be  contained in a filing with the  Commission  on Forms 10-Q and 10-K if the
Company were required to file such forms,  including a "Management's  Discussion
and Analysis of Financial  Condition and Results of  Operations"  that describes
the  financial  condition  and  results of  operations  of the  Company  and its
consolidated  subsidiaries  and, with respect to the annual  information only, a
report thereon by the Company's certified  independent  accountants and (ii) all
current  reports that would be required to be filed with the  Commission on Form
8-K if the Company were required to file such reports. In addition,  for so long
as any Notes  constitute  "restricted  securities"  within  the  meaning of Rule
144(a)(3)  under the Securities  Act, the Company will furnish to Holders and to
securities analysts and prospective  investors,  upon their request,  such other
information as may be required to be delivered pursuant to Rule 144A(d)(4) under
the Securities Act. (Section 4.03)

EVENTS OF DEFAULT AND REMEDIES

         The Indenture provides that each of the following  constitutes an Event
of Default:

              (i) default  for 30  consecutive  days in the payment  when due of
         interest  or  Liquidated  Damages,  if any,  with  respect to the Notes
         (whether  or not  prohibited  by the  subordination  provisions  of the
         Indenture);

              (ii) default in payment when due of principal or premium,  if any,
         on the Notes at maturity,  upon redemption or otherwise (whether or not
         prohibited by the subordination provisions of the Indenture);

              (iii) failure by the Company or any  Guarantor for 30  consecutive
         days after  receipt of notice  from the  Trustee or Holders of at least
         25% in principal  amount of the Notes then  outstanding  to comply with
         the  provisions  described  under the  covenants  entitled  "Change  of
         Control,"  "Asset  Sales,"   "Restricted   Payments,"   "Incurrence  of
         Indebtedness and Issuance of Disqualified Stock and Preferred Stock" or
         "Merger, Consolidation or Sale of Assets";

              (iv) failure by the Company or any  Guarantor  for 60  consecutive
         days after  notice  from the  Trustee or the Holders of at least 25% in
         principal amount of the Notes then outstanding to comply with its other
         agreements in the Indenture or the Notes;

              (v) default  under any  mortgage,  indenture or  instrument  under
         which there may be issued or by which there may be secured or evidenced
         any  Indebtedness  for  money  borrowed  by the  Company  or any of its
         Restricted  Subsidiaries  (or the payment of which is guaranteed by the
         Company  or  any  of  its   Restricted   Subsidiaries),   whether  such
         Indebtedness  or guarantee now exists,  or is created after the date of
         the Indenture,  which default (A)(i) is caused by a failure to pay when
         due at final stated maturity (giving effect to any grace period related
         thereto)  principal of such Indebtedness (a "Payment  Default") or (ii)
         results in the  acceleration  of such  Indebtedness  prior to its final
         stated  maturity  and (B) in each case,  the  principal  amount of such
         Indebtedness,  together  with the  principal  amount of any other  such
         Indebtedness  under  which  there  has been a  Payment  Default  or the
         maturity  of which  has been  accelerated  as a  result  of any  matter
         contemplated  in  clause  (v)(A)(i)  or  (v)(A)(ii),  aggregates  $10.0
         million or more;

              (vi) failure by the Company or any of its Restricted  Subsidiaries
         to pay final  non-appealable  judgments  (to the extent not  covered by
         insurance or as to which the insurer has not  acknowledged  coverage in
         writing)  aggregating in excess of $10.0 million,  which  judgments are
         not paid, fully bonded, discharged or stayed within 60 days after their
         entry;

                                      -43-



<PAGE>



              (vii) certain  events of bankruptcy or insolvency  with respect to
         the  Company or any  Restricted  Subsidiary  of the  Company  that is a
         Significant  Subsidiary  or group  of  Restricted  Subsidiaries  of the
         Company that, together, would constitute a Significant Subsidiary; and

              (viii) the  termination of the  Guarantee(s) of either a Guarantor
         that is a Significant  Subsidiary or group of Guarantors  that together
         constitute a Significant Subsidiary for any reason not permitted by the
         Indenture,  or the  disaffirmance  in writing  of any Person  acting on
         behalf of any such  Guarantor  or group of  Guarantors  of its or their
         Obligations under any such Guarantee(s). (Section 6.01)

         If any Event of Default  occurs and is  continuing,  the Trustee or the
Holders of at least 25% in principal  amount of the then  outstanding  Notes may
declare  all the Notes to be due and payable by notice in writing to the Company
and the  Trustee  specifying  the  respective  Event of Default and that it is a
"notice of acceleration"  (the  "Acceleration  Notice"),  and the same (i) shall
become immediately due and payable or (ii) if there are any amounts  outstanding
under the Credit  Facility,  shall become  immediately  due and payable upon the
first to occur of an  acceleration  under the Credit  Facility or five  Business
Days  after  receipt  by the  Company  and the  Representative  under the Credit
Facility of such Acceleration  Notice, but only if such Event of Default is then
continuing.  (Section 6.02)  Notwithstanding  the  foregoing,  in the case of an
Event of Default  arising from certain  events of bankruptcy or insolvency  with
respect  to the  Company,  all  outstanding  Notes will  become due and  payable
without  further  action or notice.  (Section 6.02) Holders of the Notes may not
enforce the Indenture or the Notes except as provided in the Indenture.  Subject
to certain  limitations,  Holders of a majority in principal  amount of the then
outstanding  Notes may direct the Trustee in its exercise of any trust or power.
(Section 6.05)

         The Holders of a majority in  aggregate  principal  amount of the Notes
then outstanding,  by notice to the Trustee, may on behalf of the Holders of all
of the Notes waive any existing Default or Event of Default and its consequences
under the  Indenture,  except a  continuing  Default  or Event of Default in the
payment of interest or premium on, or principal  of, the Notes.  (Section  6.04)
The Trustee may  withhold  from  Holders of the Notes  notice of any  continuing
Default or Event of Default  (except a Default or Event of Default  relating  to
the payment of principal or interest) if it determines that  withholding  notice
is in such Holders' interest. (Section 7.05)

         The Company is required to deliver to the Trustee  annually a statement
regarding  compliance  with the  Indenture,  and the  Company is  required  upon
becoming  aware of any  Default or Event of Default to deliver to the  Trustee a
statement specifying such Default or Event of Default. (Section 4.04)

NO PERSONAL LIABILITY OF DIRECTORS, OFFICERS, EMPLOYEES AND STOCKHOLDERS

         No director,  officer,  employee,  incorporator  or  stockholder of the
Company or any Guarantor,  as such, shall have any liability for any obligations
of the Company under the Notes,  any Guarantee or the Indenture or for any claim
based on, in respect of, or by reason of, such  obligations  or their  creation.
Each Holder of Notes by accepting a Note waives and releases all such liability.
The waiver and release are part of the  consideration  for issuance of the Notes
and the Guarantees.  Such waiver may not be effective to waive liabilities under
the federal  securities  laws and it is the view of the  Commission  that such a
waiver is against public policy. (Section 14.07)

LEGAL DEFEASANCE AND COVENANT DEFEASANCE

         The  Company  may,  at its  option  and at any time,  elect to have all
obligations  of the Company and the  Guarantors  discharged  with respect to the
outstanding Notes and the Guarantees ("legal defeasance"). Such legal defeasance
means that the  Company  will be deemed to have paid and  discharged  the entire
indebtedness  represented by the outstanding Notes, except for (a) the rights of
Holders of outstanding Notes to receive payments in respect of the principal of,
premium,  if any, and interest and Liquidated Damages, if any, on the Notes when
such  payments are due, or on the  redemption  date, as the case may be, (b) the
Company's  obligations  with respect to the Notes concerning  issuing  temporary
Notes, registration of Notes, mutilated, destroyed, lost or stolen Notes and the
maintenance  of an office or agency for payment and money for security  payments
held in trust, (c) the rights, powers, trust, duties and

                                      -44-



<PAGE>



immunities of the Trustee, and the Company's obligations in connection therewith
and (d) the legal  defeasance  provisions  of the  Indenture.  In addition,  the
Company may, at its option and at any time, elect to have the obligations of the
Company and the Guarantors  released with respect to certain  covenants that are
described in the Indenture  ("covenant  defeasance") and thereafter any omission
to comply  with such  obligations  shall not  constitute  a Default  or Event of
Default  with respect to the Notes.  In the event  covenant  defeasance  occurs,
certain   events   (not   including   nonpayment,   bankruptcy,    receivership,
rehabilitation  and insolvency  events)  described  under "Events of Default and
Remedies"  will no longer  constitute  an Event of Default  with  respect to the
Notes.

         In order to exercise  either legal  defeasance or covenant  defeasance,
(i) the Company must  irrevocably  deposit with the Trustee,  in trust,  for the
benefit  of the  Holders  of the  Notes,  cash  in  U.S.  dollars,  non-callable
Government  Securities,  or a  combination  thereof,  in such amounts as will be
sufficient, in the opinion of a nationally recognized firm of independent public
accountants,  to pay the  principal  of,  premium,  if  any,  and  interest  and
Liquidated  Damages,  if any, on the outstanding Notes on the stated maturity or
on the  applicable  redemption  date,  as the case may be, and the Company  must
specify  whether the Notes are being  defeased  to  maturity or to a  particular
redemption  date, (ii) in the case of legal  defeasance,  the Company shall have
delivered to the Trustee an opinion of counsel in the United  States  reasonably
acceptable  to the Trustee  confirming  that (A) the Company  received  from, or
there has been published by, the Internal  Revenue Service a ruling or (B) since
the date of the  Indenture,  there has been a change in the  applicable  federal
income  tax law,  in either  case to the effect  that,  and based  thereon  such
opinion of counsel shall confirm that, the Holders of the outstanding Notes will
not recognize  income,  gain or loss for federal income tax purposes as a result
of such legal  defeasance  and will be subject to federal income tax on the same
amounts, in the same manner and at the same times as would have been the case if
such  legal  defeasance  had  not  occurred,  (iii)  in  the  case  of  covenant
defeasance,  the  Company  shall  have  delivered  to the  Trustee an opinion of
counsel in the United States  reasonably  acceptable  to the Trustee  confirming
that the Holders of the  outstanding  Notes will not recognize  income,  gain or
loss for federal income tax purposes as a result of such covenant defeasance and
will be subject to federal  income tax on the same  amounts,  in the same manner
and at the same  times as would have been the case if such  covenant  defeasance
had not occurred, (iv) no Default or Event of Default shall have occurred and be
continuing on the date of such deposit (other than a Default or Event of Default
resulting  from the borrowing of funds to be applied to such deposit) or insofar
as Events of Defaults from bankruptcy or insolvency events are concerned, at any
time in the period  ending on the 91st day after the date of  deposit,  (v) such
legal defeasance or covenant defeasance will not result in a breach or violation
of, or constitute a default under, any material agreement or instrument to which
the Company or any of its Subsidiaries is a party or by which the Company or any
of  its  Subsidiaries  is  bound,  including,  without  limitation,  the  Credit
Agreement,  (vi) the Company  must have  delivered  to the Trustee an opinion of
counsel to the effect that after the 91st day following  the deposit,  the trust
funds  will  not  be  subject  to  the  effect  of  any  applicable  bankruptcy,
insolvency,   reorganization   or  similar  laws  affecting   creditors'  rights
generally,   (vii)  the  Company  must  deliver  to  the  Trustee  an  Officers'
Certificate stating that the deposit was not made by the Company, as applicable,
with the intent of preferring  the Holders of Notes over the other  creditors of
the Company,  with the intent of  defeating,  hindering,  delaying or defrauding
creditors  of the Company or others,  and (viii) the Company must deliver to the
Trustee an Officers'  Certificate  and an opinion of counsel,  each stating that
all conditions  precedent  provided for relating to the legal  defeasance or the
covenant defeasance have been complied with. (Article 8)

TRANSFER AND EXCHANGE

         A  Holder  may  transfer  or  exchange  Notes  in  accordance  with the
Indenture.  The  Registrar  and the Trustee  may  require a Holder,  among other
things,  to furnish  appropriate  endorsements  and transfer  documents  and the
Company  may  require  a Holder to pay any  taxes  and fees  required  by law or
permitted by the Indenture.  The Company is not required to transfer or exchange
any Note selected for redemption.  Also, the Company is not required to transfer
or exchange  any Note for a period of 15 days before a selection  of Notes to be
redeemed. (Section 2.05)

         The registered  Holder of a Note will be treated as the owner of it for
all purposes.


                                      -45-



<PAGE>



AMENDMENT, SUPPLEMENT AND WAIVER

         Except  as  provided  in  the  next  two  succeeding  paragraphs,   the
Indenture,  the Notes or the Guarantees may be amended or supplemented  with the
consent of the Holders of at least a majority in  principal  amount of the Notes
then outstanding  (including consents obtained in connection with a tender offer
or exchange offer for Notes),  and any existing  default or compliance  with any
provision of the  Indenture,  the Notes or the Guarantees may be waived with the
consent  of the  Holders  of a majority  in  principal  amount of the Notes then
outstanding  (including  consents  obtained in connection with a tender offer or
exchange offer for Notes).

         Without the consent of each Holder affected,  however,  an amendment or
waiver may not (with respect to any Note held by a  nonconsenting  Holder):  (i)
reduce the principal amount of Notes; (ii) reduce the principal of or change the
fixed  maturity  of any  Note  or  alter  the  provisions  with  respect  to the
redemption of the Notes or any Change of Control Offer; (iii) reduce the rate of
or change the time for payment of interest or  Liquidated  Damages on any Notes;
(iv)  waive a Default or Event of Default  in the  payment  of  principal  of or
premium, if any, or interest or Liquidated Damages, if any, on the Notes (except
a rescission of  acceleration of the Notes by the Holders of at least a majority
in aggregate  principal  amount of the Notes and a waiver of the payment default
that resulted from such acceleration);  (v) make any Note payable in money other
than that stated in the Notes;  (vi) waive a redemption  or  repurchase  payment
with respect to any Note;  or (vii) make any change in the  foregoing  amendment
and waiver  provisions.  Without the consent of the lenders  named in the Credit
Facility,  the Company may not amend or supplement the subordination  provisions
with respect to the Notes.

         Notwithstanding  the  foregoing,  without  the consent of any Holder of
Notes,  the Company,  the Guarantors and the Trustee may amend or supplement the
Indenture,  the  Guarantees  or the  Notes  to cure  any  ambiguity,  defect  or
inconsistency  or to correct or  supplement  any  provision  herein  that may be
inconsistent  with any other  provision  herein,  to provide for  uncertificated
Notes in  addition  to or in place of  certificated  Notes,  to provide  for the
assumption of the Company's or a Guarantor's obligations to Holders of the Notes
in the case of a merger or  consolidation,  to make any change or any  provision
(i) that would provide any  additional  rights or benefits to the Holders of the
Notes, that is required to make a Guarantee a binding obligation under state law
or (ii) that does not  adversely  affect the legal rights under the Indenture of
any such  Holder,  to comply with  requirements  of the  Commission  in order to
effect or maintain the  qualification of the Indenture under the Trust Indenture
Act or to allow any Guarantor to guarantee the Notes. (Article 9)

GOVERNING LAW

         The  Indenture  and the Old  Notes  are,  and the New  Notes  will  be,
governed by, and  construed  in  accordance  with,  the laws of the State of New
York.

CONCERNING THE TRUSTEE

         The  Indenture  contains  certain  limitations  on  the  rights  of the
Trustee,  should the Trustee become a creditor of the Company, to obtain payment
of claims in  certain  cases,  or to realize on  certain  property  received  in
respect  of any  such  claim as  security  or  otherwise.  The  Trustee  will be
permitted  to engage in other  transactions  with the Company;  however,  if the
Trustee  acquires any  conflicting  interest,  it must  eliminate  such conflict
within 90 days, apply to the Commission for permission to continue as Trustee or
resign. (Section 7.03)

         The Holders of a majority in principal  amount of the then  outstanding
Notes will have the right to direct the time, method and place of conducting any
proceeding  for  exercising  any remedy  available  to the  Trustee,  subject to
certain exceptions.  (Section 6.05) The Indenture provides that in case an Event
of Default shall occur (which shall not be cured), the Trustee will be required,
in the exercise of its power,  to use the degree of care of a prudent man in the
conduct of his own  affairs.  (Section  7.01)  Subject to such  provisions,  the
Trustee  will be under no  obligation  to  exercise  any of its rights or powers
under the  Indenture  at the request of any Holder of Notes,  unless such Holder
shall have offered to the Trustee  security  and  indemnity  satisfactory  to it
against any loss, liability or expense. (Section 7.01)

                                      -46-



<PAGE>



BOOK-ENTRY DELIVERY AND FORM

         The Old Notes were represented by a single global Note (the "Global Old
Note") in definitive fully  registered form without  coupons,  registered in the
name of a nominee of DTC,  as  depositary.  The  Global Old Note,  to the extent
directed  by the  holders  thereof  in their  Letters  of  Transmittal,  will be
exchanged  through  book-entry  electronic  transfer for a new single global New
Note in definitive fully registered form without coupons, registered in the name
of a nominee of DTC, as depositary (the "Global New Note" and collectively  with
the Global Old Note,  the "Global Notes" and each a "Global  Note").  The Global
New Note will, upon request,  be exchangeable  for other New Notes in definitive
fully registered form without  coupons,  in denominations of $1,000 and integral
multiples  thereof,  but only upon ten days' prior written notice to the Trustee
given in accordance  with DTC's customary  procedures.  The Global New Note will
also be exchangeable in certain other limited circumstances discussed below. The
Company,  the  Trustee  and any agent  thereof  will be  entitled to treat DTC's
nominee as the sole owner and  holder of the  unexchanged  portion of the Global
Notes for all purposes.

         In connection with the issuance of the Global New Note, DTC will credit
on its book-entry  registration  and transfer system the principal amount of the
Global New Note  represented  by New Notes  deposited with it to the accounts of
institutions  that  have  accounts  with  DTC or its  nominee  ("participants").
Ownership  of  beneficial  interests  in the  Global New Note will be limited to
participants or persons that may hold beneficial interests through participants.
Ownership of  beneficial  interests in the Global New Note will be shown on, and
the transfer of those ownership interests will be effected only through, records
maintained by DTC (with respect to participants' interests) or such participants
(with respect to the owners of beneficial interests in the Global New Note).

         So long as DTC or its nominee is the  registered  holder and owner of a
New Note representing the Global New Note, DTC or such nominee,  as the case may
be, will be considered  the sole owner and holder of the Global New Note for all
purposes of such New Notes and for all purposes under the Indenture.  Unless DTC
notifies the Company  that it is  unwilling or unable to continue as  depositary
for such Global New Note, DTC ceases to be a clearing  agency  registered  under
the Exchange Act, the Company  delivers to the Trustee a written notice that the
Global New Note shall be  exchangeable  or an Event of Default (as deemed in the
Indenture) or event that after notice or lapse of time, or both, would become an
Event of Default,  has occurred and is continuing with respect to the New Notes,
owners of  beneficial  interests  in the Global New Note will not be entitled to
have the New Notes represented by the Global New Note registered in their names,
will not receive or be entitled to receive physical delivery of certificated New
Notes in definitive  form and will not be considered to be the owners or holders
of any New  Notes  under  the  Indenture  or such  Global  New  Note,  except as
otherwise described herein.

         Payments of the principal of, premium,  if any, and interest (including
Liquidated  Damages) on the Global Note will be made to DTC or its  nominee,  as
the case may be, as the registered  owner thereof.  All payments of principal of
(and  premium,  if any) and  interest on the Global New Note held by DTC will be
made by the Company to DTC in immediately available funds, and in turn by DTC to
participants  in  clearing-house  or next day funds.  None of the  Company,  the
Trustee or any Paying Agent will have any  responsibility  or liability  for any
aspect of the  records  relating to or  payments  made on account of  beneficial
ownership  interests  in the  Global  Note or for  maintaining,  supervising  or
reviewing any records relating to such beneficial ownership interest.

         The  Company  expects  that DTC or its  nominee,  upon  receipt  of any
payment of principal of,  premium,  if any, and interest  (including  Liquidated
Damages) on the Global Note, will credit participants' accounts with payments in
amounts  proportionate to their respective beneficial interests in the principal
amount of the Global  Note as shown on the  records of DTC or its  nominee.  The
Company also  expects  that  payments by  participants  to owners of  beneficial
interests in the Global Note held through such  participants will be governed by
standing instructions and customary practice, as is now the case with securities
held for the accounts of customers  registered in the names of nominees for such
customers. Such payments will be the responsibility of such participants.


                                      -47-



<PAGE>



         Transfers between  participants in DTC will be effected in the ordinary
way through DTC's  settlement  system in  accordance  with DTC rules and will be
settled  in  same  day  funds.  If a  holder  requires  physical  delivery  of a
Certificated Security for any reason,  including to sell New Notes to persons in
states  which  require  physical  delivery  of  the  Notes,  or to  pledge  such
securities,  such holder must  transfer  its  interest  in the Global  Note,  in
accordance  with the normal  procedures of DTC and with the procedures set forth
in the Indenture.

         DTC has advised the Company  that it will take any action  permitted to
be taken by a holder of New Notes  (including the  presentation of New Notes for
exchange as described  below) only at the direction of one or more  participants
to whose  account the DTC  interests in the Global Note are credited and only in
respect of such portion of the aggregate  principal  amount of Notes as to which
such participant or participants has or have given such direction.  However,  if
there is an Event of Default under the  Indenture,  DTC will exchange the Global
Note for Certificated  Securities,  which it will distribute to its participants
and which will be legended as set forth under the heading "Notice to Investors."

         DTC has advised the Company as follows:  DTC is a limited purpose trust
company  organized  under  the laws of the  State of New  York,  a member of the
Federal  Reserve  System,  a  "clearing  corporation"  within the meaning of the
Uniform  Commercial  Code and a  "Clearing  Agency"  registered  pursuant to the
provisions  of Section 17A of the  Securities  Exchange Act of 1934,  as amended
(the "Exchange  Act").  DTC was created to hold securities for its  participants
and facilitate the clearance and settlement of securities  transactions  between
participants   through   electronic   book-entry  changes  in  accounts  of  its
participants,   thereby   eliminating   the  need  for   physical   movement  of
certificates.  Participants include securities brokers and dealers, banks, trust
companies and clearing  corporations and certain other  organizations.  Indirect
access to the DTC system is available to others such as banks, brokers,  dealers
and trust companies that clear through or maintain a custodial relationship with
a participant, either directly or indirectly ("indirect participants").

         Although  DTC has  agreed  to the  foregoing  procedures  in  order  to
facilitate  transfers of interests in the Global Note among participants of DTC,
it is under no obligation to perform such procedures, and such procedures may be
discontinued  at any time.  Neither the  Company  nor the Trustee  will have any
responsibility  for  the  performance  by DTC or its  participants  or  indirect
participants  of their  respective  obligations  under the rules and  procedures
governing their operations.

REGISTRATION RIGHTS; LIQUIDATED DAMAGES

         The Company is party to the Registration  Rights Agreement with Salomon
Brothers Inc and Chase  Securities  Inc.,  as the initial  purchasers of the Old
Notes,  pursuant to which the Company has agreed, for the benefit of the holders
of the Old Notes, to use its reasonable  best efforts,  at its cost, to file and
cause to become effective this Exchange Offer Registration  Statement.  Upon the
effectiveness  of the Exchange Offer  Registration  Statement,  the Company will
offer to the Holders of Transfer  Restricted  Securities  (as defined below) who
are able to make  certain  representations  the  opportunity  to exchange  their
Transfer  Restricted  Securities for New Notes in the Exchange Offer. If (i) the
Company is not permitted to consummate  the Exchange  Offer because the Exchange
Offer is not permitted by applicable law or Commission policy or (ii) any Holder
of Transfer  Restricted  Securities  holding more than $5.0 million in aggregate
principal amount of Transfer  Restricted  Securities notifies the Company within
the specified time period (A) that it is prohibited by law or Commission  policy
from  participating  in the Exchange  Offer,  (B) that it may not resell the New
Notes acquired by it in the Exchange  Offer to the public  without  delivering a
prospectus  and the  prospectus  (as amended or  supplemented)  contained in the
Exchange Offer  Registration  Statement is not appropriate or available for such
resales or (C) that it is a broker-dealer  and owns Old Notes acquired  directly
from the Company or an affiliate of the Company,  the Company will file with the
Commission the Shelf Registration Statement to cover resales of the Old Notes by
the Holders thereof who satisfy certain conditions  relating to the provision of
information in connection  with the Shelf  Registration  Statement.  The Company
will use its  reasonable  best  efforts  to cause  the  applicable  registration
statement to be declared effective as promptly as practicable by the Commission.


                                      -48-



<PAGE>



         The  Indenture  provides  that the New  Notes  and the Old  Notes  will
constitute  one class of  securities  for all  purposes,  will vote and  consent
together  on all  matters  as one  class  and will not have the right to vote or
consent as a separate class on any matter.

         The Registration  Rights  Agreement  provides that (i) the Company will
use its reasonable best efforts to file an Exchange Offer Registration Statement
with the  Commission  on or  prior to May 4,  1998,  (ii)  Company  will use its
reasonable  best  efforts  to have the  Exchange  Offer  Registration  Statement
declared  effective by the  Commission  on or prior to September 1, 1998,  (iii)
unless the Exchange Offer would not be permitted by applicable law or Commission
policy, the Company will commence the Exchange Offer and use its reasonable best
efforts  to issue on or prior to 30  business  days  after the date on which the
Exchange Offer Registration  Statement was declared effective by the Commission,
New Notes in  exchange  for all Notes  tendered  prior  thereto in the  Exchange
Offer, (iv) if obligated to file the Shelf Registration  Statement,  the Company
will use its reasonable  best efforts to file the Shelf  Registration  Statement
with the Commission on or prior to 60 days after such filing  obligation  arises
and use its  reasonable  best  efforts  to cause  the Shelf  Registration  to be
declared  effective  by the  Commission  on or  prior  to 180  days  after  such
obligation  arises  and  (v)  (A) in  certain  circumstances  and  with  certain
exceptions,  cause the Exchange Offer Registration Statement to remain effective
and usable for a period of 90 days  following the  consummation  of the Exchange
Offer and (B) with certain exceptions, cause the Shelf Registration Statement to
remain  effective  and usable for a period of two years  following  the  initial
effectiveness thereof or such shorter period ending when all the Notes available
for sale  thereunder  have been sold or are eligible  for sale  pursuant to Rule
144(k) under the Securities Act (or any successor provision). If (a) the Company
fails to file any of the  Registration  Statements  required by the Registration
Rights  Agreement on or before the date  specified  for such filing,  (b) any of
such Registration  Statements is not declared  effective by the Commission on or
prior to the date  specified  for such  effectiveness,  (c) the Company fails to
consummate  the Exchange  Offer within 30 business  days after the date on which
the Exchange  Offer  Registration  Statement is declared  effective,  or (d) the
Shelf  Registration  Statement or the Exchange Offer  Registration  Statement is
declared effective but thereafter ceases to be effective or usable in connection
with resales of Transfer  Restricted  Securities during the periods specified in
the  Registration  Rights  Agreement (each such event referred to in clauses (a)
through (d) above as a  "Registration  Default"),  then the Company  will pay to
each Holder of Notes affected  thereby,  with respect to the first 90-day period
immediately  following the occurrence of such Registration  Default in an amount
equal to $.05 per week per $1,000  principal amount of Notes held by such Holder
("Liquidated Damages"). The amount of the Liquidated Damages will increase by an
additional $.05 per week per $1,000  principal  amount of Notes affected thereby
with respect to each subsequent  90-day period until all  Registration  Defaults
have been cured,  up to a maximum amount of Liquidated  Damages of $.20 per week
per $1,000 principal amount of Notes affected  thereby.  All accrued  Liquidated
Damages will be paid by the Company on each Damages  Payment  Date,  in the same
manner that  payments of interest on the Notes are made.  Following  the cure of
all Registration Defaults, the accrual of Liquidated Damages will cease.

         See "The Exchange Offer."

         The summary  herein of certain  provisions of the  Registration  Rights
Agreement does not purport to be complete and is subject to, and is qualified in
its entirety by reference  to, all the  provisions  of the  Registration  Rights
Agreement filed as an exhibit hereto.

CERTAIN DEFINITIONS

         Set forth  below  are  certain  defined  terms  used in the  Indenture.
Reference is made to the Indenture for a full  disclosure of all such terms,  as
well as any other  capitalized  terms  used  herein for which no  definition  is
provided.  For  purposes  of making any  determination  of any amount  under any
single  definition  set forth below,  such  determination  shall be made without
double  counting of any item;  provided that,  with respect to the definition of
"Fixed Charge Coverage Ratio" it shall not be deemed to be double counting if an
item is included in the calculation of each of "Consolidated  EBITDA" and "Fixed
Charges."


                                      -49-



<PAGE>



         "Acquired  Debt"  means,  with  respect to any  specified  Person,  (i)
Indebtedness  of any other Person  existing at the time such other Person merges
with or into or  becomes  a  Subsidiary  of  such  specified  Person,  including
Indebtedness  incurred in connection  with, or in  contemplation  of, such other
Person merging with or into or becoming a Subsidiary of such  specified  Person,
and (ii)  Indebtedness  secured by a Lien encumbering any asset acquired by such
specified Person.

         "Affiliate" of any specified  Person means any other Person directly or
indirectly  controlling  or  controlled  by or under  direct or indirect  common
control with such specified Person.  For purposes of this definition,  "control"
(including,  with correlative meanings, the terms "controlling," "controlled by"
and "under common control with"), as used with respect to any Person, shall mean
the  possession,  directly  or  indirectly,  of the power to direct or cause the
direction  of the  management  or policies of such Person,  whether  through the
ownership of voting securities, by agreement or otherwise.

         "Asset Sale" means (i) the sale, lease, conveyance or other disposition
by the Company or any of its Restricted  Subsidiaries of any assets  (including,
without  limitation,  by way of a sale and leaseback) other than in the ordinary
course  of  business  (provided,  that  the  sale,  lease,  conveyance  or other
disposition  of all or  substantially  all of the assets of the  Company and its
Restricted  Subsidiaries  taken as a whole will be governed by the  provision of
the  Indenture  described  above under the caption  "Certain  Covenants--Merger,
Consolidation  or Sale of Assets" and not by the provisions of the "Asset Sales"
covenant),  and (ii) the issue or sale by the  Company or any of its  Restricted
Subsidiaries of Equity Interests of any of the Company's Restricted Subsidiaries
(other than directors'  qualifying shares), in the case of clauses (i) and (ii),
whether in a single  transaction or a series of related  transactions,  (a) that
have a fair market  value in excess of $5.0  million or (b) for Net  Proceeds in
excess of $5.0 million.  Notwithstanding the foregoing: (i) a transfer of assets
by the Company to a Restricted  Subsidiary,  by a Restricted  Subsidiary  to the
Company or to another Restricted Subsidiary or a Holding Company  Restructuring;
(ii) an issuance of Equity  Interests by a Restricted  Subsidiary to the Company
or to  another  Restricted  Subsidiary;  (iii)  a  Restricted  Payment  that  is
permitted  by  the  covenant   described  above  under  the  covenant   entitled
"Restricted Payments";  (iv) the sale and leaseback of any assets within 90 days
of the acquisition of such assets;  (v) a sale of Receivables and Related Assets
to or by a Securitization  Subsidiary in connection with a Permitted Receivables
Financing;  (vi) any  disposition of property in the ordinary course of business
by the Company or any of its  Restricted  Subsidiaries  that,  in the good faith
judgment of management of the Company,  has become  obsolete or worn out;  (vii)
any  disposition  of inventory in the  ordinary  course of business;  (viii) any
exchange by the  Company or any  Restricted  Subsidiary  of assets for assets of
another  Person  (provided,  that (A) all or  substantially  all of the property
received by the Company or any  Restricted  Subsidiary  in such exchange is of a
type  used in a  Related  Business  (or  constitutes  Capital  Stock of a Person
engaged in a Related Business or cash), (B) no Default or Event of Default shall
have occurred and be continuing as a result of such exchange,  (C) a majority of
the Board of Directors of the Company shall have  determined in their good faith
judgment that such exchange is fair to the Company or the applicable  Restricted
Subsidiary,  as the case may be, (D) in the event the  Company  or a  Restricted
Subsidiary,  as the case may be, receives any Capital Stock of a Person pursuant
to such exchange,  if such Person does not become a Restricted Subsidiary of the
Company by virtue of such  exchange,  then such exchange shall be deemed to be a
Restricted Payment by the Company reducing the Restricted  Payments basket under
clause  (c) of the first  paragraph  under the  "Restricted  Payments"  covenant
above, and (E) in the event the Company or a Restricted Subsidiary,  as the case
may be,  receives cash pursuant to such  exchange,  such cash received  shall be
applied in the manner  applicable to Net Proceeds  from Asset Sales  pursuant to
the "Asset Sales" covenant);  and (ix) any loans or other transfers of equipment
to  customers  of the  Company  for use with the  Company's  disposable  medical
products,  provided,  that the fair market value of any such equipment loaned or
otherwise  transferred to any one customer in any one year shall not exceed $5.0
million in the aggregate;  and (xii) the sale or issuance of a minimal number of
any Foreign  Subsidiary's  Equity  Interests to a foreign national to the extent
required by local law or in a jurisdiction  outside of the United  States,  will
not be deemed to be Asset Sales.

         "Attributable  Debt" in  respect  of a sale and  leaseback  transaction
means, at the time of  determination,  the present value (discounted at the rate
of interest implicit in such transaction, determined in accordance with GAAP) of
the obligation of the lessee for net rental  payments  during the remaining term
of the lease included in such sale and

                                      -50-



<PAGE>



leaseback  transaction  (including  any  period  for which  such  lease has been
extended or may, at the option of the lessor, be extended).

         "Capital Lease Obligation" means, at the time any determination thereof
is to be made,  the amount of the  liability in respect of a capital  lease that
would at such time be so required  to be  capitalized  on the  balance  sheet in
accordance with GAAP.

         "Capital  Stock"  means,  (i) in the case of a  corporation,  corporate
stock,  (ii) in the  case of an  association  or  business  entity,  any and all
shares,  interests,   participations,   rights  or  other  equivalents  (however
designated) of corporate stock, (iii) in the case of a partnership,  partnership
interests  (whether  general or limited) and (iv) any similar  participation  in
profits and losses or equity of a Person.

         "Cash  Equivalents"  means (i) United States  dollars,  (ii) securities
issued  or  directly  and fully  guaranteed  or  insured  by the  United  States
government or any agency or  instrumentality  thereof  having  maturities of not
more than one year from the date of acquisition,  (iii)  certificates of deposit
and eurodollar  time deposits with  maturities of one year or less from the date
of acquisition,  bankers' acceptances with maturities not exceeding one year and
overnight bank deposits,  in each case with any commercial bank or trust company
having  capital  and  surplus  in  excess  of  $300  million,   (iv)  repurchase
obligations with a term of not more than seven days for underlying securities of
the types  described  in  clauses  (ii) and (iii)  above  entered  into with any
financial  institution  meeting the  qualifications  specified  in clause  (iii)
above,  (v) commercial  paper having the highest rating  obtainable from Moody's
Investors  Service,  Inc.  ("Moody's") or Standard & Poor's Ratings Services,  a
division of the McGraw-Hill  Companies,  Inc. ("S&P"), and in each case maturing
within one year after the date of acquisition,  (vi) investment  funds investing
95% of their assets in securities of the types  described in clauses (i) through
(v) above,  (vii) readily  marketable direct  obligations issued by any state of
the United States of America or any political  subdivision thereof having one of
the two highest  rating  categories  obtainable  from either  Moody's or S&P and
(vii)  Indebtedness  with a rating of "A" or  higher  from S&P or "A2" or higher
from Moody's.

         "Change of Control" means the  occurrence of any of the following:  (i)
any sale, lease, transfer, conveyance or other disposition (other than by way of
merger or consolidation) in one or a series of related  transactions,  of all or
substantially  all of the assets of the Company and its Subsidiaries  taken as a
whole to any  "person"  (as  defined in Section  13(d) of the  Exchange  Act) or
"group" (as defined in Sections 13(d)(3) and 14(d)(2) of the Exchange Act); (ii)
the adoption of a plan for the liquidation or dissolution of the Company;  (iii)
the Company  consolidates  with,  or merges with or into,  another  "person" (as
defined  above) or "group" (as defined  above),  in a  transaction  or series of
related  transactions in which the Voting Stock of the Company is converted into
or  exchanged  for cash,  securities  or other  property,  other  than a Holding
Company  Restructuring or any transaction where (A) the outstanding Voting Stock
of the Company is  converted  into or  exchanged  for Voting  Stock  (other than
Disqualified  Stock) of the surviving or transferee  corporation  and (B) either
(1) the  "beneficial  owners"  (as  defined in Rules  13d-3 and 13d-5  under the
Exchange Act) of the outstanding  Voting Stock of the Company  immediately prior
to such transaction own beneficially, directly or indirectly through one or more
Subsidiaries,  not less than a majority of the total outstanding Voting Stock of
the surviving or transferee  corporation  immediately  after such transaction or
(2) if,  immediately  prior to such  transaction  the  Company  is a  direct  or
indirect  Subsidiary of any other Person (each such other  Person,  the "Holding
Company"),  the "beneficial owners" (as defined above) of the outstanding Voting
Stock  of  such  Holding  Company  immediately  prior  to such  transaction  own
beneficially,  directly or indirectly through one or more Subsidiaries, not less
than a majority of the  outstanding  Voting Stock of the surviving or transferee
corporation  immediately  after such  transaction;  (iv) the consummation of any
transaction  or  series  of  any  related   transactions   (including,   without
limitation,  by way of merger or consolidation)  the result of which is that any
"person"  (as  defined  above)  or  "group"  (as  defined  above),  becomes  the
"beneficial  owner" (as defined  above) of more than 50% of the voting  power of
the Voting Stock of the Company; or (v) during any consecutive  two-year period,
the first day on which a majority  of the members of the Board of  Directors  of
the Company who were members of the Board of Directors at the  beginning of such
period are not Continuing Directors.


                                      -51-



<PAGE>



         "Consolidated EBITDA" means, with respect to any Person for any period,
the Consolidated  Net Income of such Person and its Restricted  Subsidiaries for
such period, plus, to the extent deducted in computing  Consolidated Net Income,
(i) the  provision  for taxes  based on income or profits of such Person and its
Restricted  Subsidiaries for such period, (ii) Consolidated  Interest Expense of
such Person for such period,  (iii)  depreciation  and  amortization  (including
amortization of goodwill, organization costs, covenants not to compete and other
intangibles) and all other non-cash charges  (excluding any such non-cash charge
to the extent that it  represents  an accrual of or reserve for cash  charges in
any future period or  amortization  of a prepaid cash expense that was paid in a
prior period) of such Person and its  Restricted  Subsidiaries  for such period,
and (iv) the effect of any write-up of inventory balances of such Person and its
Restricted  Subsidiaries  in connection  with an acquisition  accounted for as a
purchase  transaction,  in each case,  on a  consolidated  basis  determined  in
accordance  with GAAP.  Notwithstanding  the foregoing,  the provision for taxes
based on the  income or  profits,  the  Consolidated  Interest  Expense  and the
depreciation  and  amortization  and other  non-cash  charges  of, a  Restricted
Subsidiary  of a Person  shall be added to  Consolidated  Net  Income to compute
Consolidated EBITDA only to the extent (and in the same proportion) that the Net
Income  of  such   Restricted   Subsidiary  was  included  in  calculating   the
Consolidated Net Income of such Person.

         "Consolidated  Interest  Expense" means, with respect to any Person for
any period, the interest expense of such Person and its Restricted  Subsidiaries
for such period,  on a consolidated  basis,  determined in accordance  with GAAP
(including amortization of original issue discount,  non-cash interest payments,
the  interest   component  of  all  payments   associated   with  Capital  Lease
Obligations,  net payments,  if any, pursuant to Hedging Obligations and imputed
interest  with  respect  to  Attributable  Debt and  excluding  amortization  of
deferred financing costs).

         "Consolidated  Net Income"  means,  with  respect to any Person for any
period,  the  aggregate  of the Net  Income of such  Person  and its  Restricted
Subsidiaries for such period, on a consolidated basis,  determined in accordance
with GAAP;  provided,  however,  that (i) the Net  Income  (but not loss) of any
Person  that is not a  Restricted  Subsidiary  or that is  accounted  for by the
equity method of  accounting  shall be included only to the extent of the amount
of  dividends  or  distributions  paid to the  referent  Person or a  Restricted
Subsidiary  thereof in cash,  (ii) the Net Income of any  Person  acquired  in a
pooling  of  interests  transaction  for any  period  prior  to the date of such
acquisition  shall be  included,  (iii)  the  cumulative  effect  of a change in
accounting  principles shall be excluded,  (iv) the portion of net income of the
Company  and  its   Consolidated   Subsidiaries   allocable  to  investments  in
unconsolidated  Persons to the extent that cash dividends or distributions  have
not  actually  been  received  by  the  Company  or  one  of  its   Consolidated
Subsidiaries  shall be  excluded  until  such cash is  received  and (v) the Net
Income of any  Restricted  Subsidiary  shall be  excluded to the extent that the
declaration or payment of dividends or similar  distributions by that Restricted
Subsidiary of Net Income is not, at the date of determination, permitted without
any prior  governmental  approval  (which has not been obtained) or, directly or
indirectly,  by  operation of the terms of its charter or any  agreement  (other
than any Credit Agreement),  instrument,  judgment, decree, order, statute, rule
or governmental regulation applicable to that Restricted Subsidiary.

         "Continuing  Directors"  means,  as of any date of  determination,  any
member of the Board of Directors of the relevant  Person who (i) was a member of
such Board of Directors on the date of the  Indenture or (ii) was  nominated for
election or elected to such Board of  Directors  with the approval of a majority
of the  Continuing  Directors who were members of such Board of Directors at the
time of such nomination or election.

         "Credit  Agreement" means the Credit Facility and one or more borrowing
arrangements to be entered into by and between the Company and/or one or more of
its Subsidiaries and a commercial bank or other institutional lender,  including
any  related  notes,  security  documentation,  guarantees,  letters  of credit,
collateral   documents,   instruments  and  agreements  executed  in  connection
therewith,  including  any  appendices,  exhibits  or  schedules  to  any of the
foregoing,  and in each  case  as  such  agreements  may be  amended,  modified,
supplemented   or  restated  from  time  to  time,   or  refunded,   refinanced,
restructured,  replaced,  renewed, repaid or extended from time to time (whether
with the original  agents and lenders or other  agents or lenders or  otherwise,
and whether  provided under the original credit  agreement or credit  agreements
and  whether  for the same or a different  amount or  otherwise)  on one or more
occasions.

         "Credit Facility" means that certain credit agreement, providing for up
to $450 million aggregate  principal amount of borrowings,  dated as of December
29, 1997 and as amended through the date of the Indenture, by and among

                                      -52-



<PAGE>



the Company,  certain  Subsidiaries,  the several  lenders party thereto,  Chase
Securities  Inc., as arranger and syndication  agent,  Salomon  Brothers Holding
Company,  Inc,  as  documentation  agent,  and  The  Chase  Manhattan  Bank,  as
administrative agent, and any related notes, security documentation, guarantees,
letters of credit, collateral documents,  instruments and agreements executed in
connection therewith, including any appendices,  exhibits or schedules to any of
the foregoing,  and in each case as such  agreements  may be amended,  modified,
supplemented   or  restated  from  time  to  time,   or  refunded,   refinanced,
restructured,  replaced,  renewed, repaid or extended from time to time (whether
with the original  agents and lenders or other  agents or lenders or  otherwise,
and whether  provided under the original credit  agreement or credit  agreements
and  whether  for the same or  different  amount  or  otherwise)  on one or more
occasions.

         "Default"  means any event  that is or with the  passage of time or the
giving of notice or both would be an Event of Default.

         "Designated  Senior  Debt"  means  (i) so long as any  Indebtedness  is
outstanding  under the Credit  Facility,  such  Indebtedness  and (ii) any other
Senior Debt permitted under the Indenture the principal amount of which is $25.0
million  or more and that has been  designated  by the  Company  as  "Designated
Senior Debt."

         "Disqualified  Stock" means that portion of any Capital Stock which, by
its terms (or by the terms of any security into which it is  convertible  or for
which it is  exchangeable),  or upon the  happening  of any event (other than an
event  which would  constitute  a Change of  Control),  matures  (excluding  any
maturity as the result of an optional  redemption  by the issuer  thereof) or is
mandatorily  redeemable,  pursuant to a sinking fund obligation or otherwise, or
is redeemable at the sole option of the holder  thereof  (except,  in each case,
upon the  occurrence  of a Change of Control) on or prior to the final  maturity
date of the Notes.

         "Equity  Interests"  means Capital  Stock and all warrants,  options or
other  rights  (including  rights  under a  shareholder  rights plan) to acquire
Capital Stock (but  excluding any debt  security  that is  convertible  into, or
exchangeable for, Capital Stock).

         "Existing  Indebtedness"  means  Indebtedness  of the  Company  and its
Restricted  Subsidiaries  (other than Indebtedness under the Credit Facility) in
existence on the date of the Indenture until such amounts are repaid.

         "Fixed Charges" means,  with respect to any Person for any period,  the
sum of (i) the Consolidated  Interest Expense of such Person for such period and
(ii)  any  interest  expense  on  Indebtedness  of  another  Person  that is (A)
guaranteed by the referent Person or one of its Restricted Subsidiaries (whether
or not such  guarantee is called upon) (other than  guarantees  permitted  under
clause (xvi) of the second  paragraph under the "Incurrence of Indebtedness  and
Issuance of Disqualified  Stock and Preferred Stock" covenant) or (B) secured by
a Lien on assets of such Person or one of its Restricted  Subsidiaries  (whether
or not such Lien is called upon);  provided that with respect to clause (ii)(B),
the amount of Indebtedness (and attributable interest expense) shall be equal to
the lesser of (I) the principal amount of the Indebtedness secured by the assets
of such Person or one of its  Restricted  Subsidiaries  and (II) the fair market
value (as  determined  by the Board of Directors of such Person and set forth in
an Officer's  Certificate  delivered to the Trustee) of the assets securing such
Indebtedness  and (iii)  the  product  of (a) all cash  dividend  payments  (and
non-cash  dividend  payments  in the  case  of a  Person  that  is a  Restricted
Subsidiary)  on any  series  of  preferred  stock of such  Person,  times  (b) a
fraction,  the  numerator  of which is one and the  denominator  of which is one
minus the then current combined  federal,  state and local statutory tax rate of
such Person,  expressed as a decimal,  in each case, on a consolidated basis and
in accordance with GAAP.

         "Fixed Charge  Coverage Ratio" means with respect to any Person for any
period,  the ratio of the Consolidated  EBITDA of such Person and its Restricted
Subsidiaries  for such  period  to the  Fixed  Charges  of such  Person  and its
Restricted Subsidiaries for such period. In the event that the Company or any of
its  Restricted  Subsidiaries  incurs,   assumes,   guarantees  or  redeems  any
Indebtedness  (other  than  revolving  credit  borrowings)  or issues or redeems
preferred stock subsequent to the commencement of the period for which the Fixed
Charge Coverage Ratio is being calculated,  but on or prior to the date on which
the event for which the  calculation of the Fixed Charge  Coverage Ratio is made
(the  "Calculation  Date"),  then  the  Fixed  Charge  Coverage  Ratio  shall be
calculated giving pro forma effect to

                                      -53-



<PAGE>



such incurrence,  assumption,  guarantee or redemption of Indebtedness,  or such
issuance or  redemption of preferred  stock,  as if the same had occurred at the
beginning  of the  applicable  four-quarter  reference  period.  For purposes of
making the computation  referred to above, (i) acquisitions  that have been made
by the Company or any of its Restricted Subsidiaries,  including through mergers
or consolidations and including any related financing  transactions,  during the
four-quarter  reference  period or subsequent to such reference period and on or
prior to the Calculation  Date shall be deemed to have occurred on the first day
of the  four-quarter  reference  period and shall  give pro forma  effect to the
Indebtedness and the  Consolidated  EBITDA of the Person which is the subject of
any such acquisition,  (ii) the Consolidated EBITDA attributable to discontinued
operations,  as determined in accordance with GAAP, and operations or businesses
disposed of prior to the Calculation Date, shall be excluded, (iii) Consolidated
Interest Expense attributable to interest on any Indebtedness  (whether existing
or being incurred) computed on a pro forma basis and bearing a floating interest
rate shall be computed as if the rate in effect on the Calculation Date had been
the applicable rate for the entire period,  (iv) pro forma effect shall be given
to Asset Sales and asset acquisitions  (including giving pro forma effect to the
application  of the proceeds of any Asset Sale) that occur during such period or
thereafter and on or prior to the  Calculation  Date as if they had occurred and
such  proceeds  had been  applied on the first day of such  period,  and (v) pro
forma  effect  shall be given to Asset Sales and asset  acquisitions  (including
giving pro forma effect to the application of proceeds of any Asset Sale and any
related financing in connection with any asset  acquisition) that have been made
by any Person that has become a Restricted Subsidiary or has been merged with or
into the Company or any Restricted Subsidiary during such four-quarter reference
period or subsequent to such period and prior to the  Calculation  Date and that
would  have  constituted  Asset  Sales or  acquisitions  had  such  transactions
occurred when such Person was a Restricted  Subsidiary as if such Asset Sales or
asset  acquisitions were Asset Sales or asset  acquisitions that occurred on the
first  day of such  period  as if they had  occurred  on the  first  day of such
period.

         "Foreign  Subsidiary"  means any  Restricted  Subsidiary of the Company
organized and existing under the laws of any jurisdiction  outside of the United
States.

         "GAAP" means generally accepted accounting  principles set forth in the
opinions and  pronouncements  of the  Committee on Auditing  Procedures  and the
Accounting  Principles  Board of the  American  Institute  of  Certified  Public
Accountants  and  statements  and  pronouncements  of the  Financial  Accounting
Standards  Board,  the  Securities  and  Exchange  Commission  or in such  other
opinions,  pronouncements  or  statements  by  such  other  entities,  including
practice within the profession,  as may be approved or followed by a significant
segment of the accounting  profession of the United States,  which are in effect
or followed  from time to time.  All  determinations  (including  all ratios and
computations)  based on GAAP  contained  in the  Indenture  shall be computed in
conformity with GAAP as in effect on December 31, 1997.

         "Government  Securities"  means direct  obligations  of, or obligations
guaranteed  by, the United States of America for the payment of which  guarantee
or obligations the full faith and credit of the United States is pledged.

         "guarantee"  means a guarantee (other than by endorsement of negotiable
instruments  for  collection  in the  ordinary  course of  business),  direct or
indirect,  in any manner (including,  without limitation,  letters of credit and
reimbursement agreements in respect thereof, but excluding contractual indemnity
obligations, of all or any part of any Indebtedness), in accordance with GAAP.

         "Guarantor"  means each of (i) the  Subsidiaries  of the Company (other
than  Foreign   Subsidiaries,   Immaterial   Subsidiaries   and   Securitization
Subsidiaries)  in  existence  on the date of the  Indenture  and (ii) any future
Restricted Subsidiary (other than Foreign Subsidiaries,  Immaterial Subsidiaries
and Securitization  Subsidiaries),  and their respective successors and assigns.
The  Guarantors at the date of this  Prospectus  are Aspen  Laboratories,  Inc.,
Consolidated Medical Equipment International, Inc., CONMED Andover Medical Inc.,
Envision Medical Corporation, Linvatec Corporation and NDM, Inc.

         "Hedging   Obligations"   means,  with  respect  to  any  Person,   the
obligations  of such Person under (i) interest  rate swap  agreements,  interest
rate cap agreements and interest rate collar  agreements,  (ii) other agreements
or arrangements designed to protect such Person against fluctuations in interest
rates or foreign exchange rates and

                                      -54-



<PAGE>



(iii) indemnity  agreements and arrangements entered into in connection with the
agreements and arrangements described in clauses (i) and (ii).

         "Holding  Company  Restructuring"  means any merger,  consolidation  or
similar  transaction  (including a share  exchange under state law) or series of
mergers,  consolidations  or similar  transactions  (including  share  exchanges
pursuant to state law) involving the Company, its Restricted Subsidiaries and/or
any other "person" (as defined in Section 13(d) of the Exchange Act) consummated
principally for the purpose of  reorganizing  the Company's  operations  under a
holding company structure where (a) the outstanding  Voting Stock of the Company
is converted into or exchanged for Voting Stock (other than Disqualified  Stock)
of  the  surviving  or  transferee  corporation  (the  "New  Holding  Company");
provided,  that the  "beneficial  owners"  (as  defined in Rules 13d-3 and 13d-5
under  the  Exchange  Act)  of the  outstanding  Voting  Stock  of  the  Company
immediately  prior  to  such   transaction(s)  own  beneficially,   directly  or
indirectly  through one or more "persons" (as defined  above),  all of the total
outstanding  Voting  Stock of the New  Holding  Company  immediately  after such
transaction and (b) the Guarantee of each Subsidiary of the Company that becomes
a Subsidiary of the New Holding  Company as a result of such  transaction  shall
not be terminated in connection with such transaction.

         "Immaterial  Subsidiary" means any Restricted  Subsidiary designated by
the Company as an Immaterial  Subsidiary  and which would not be a  "significant
subsidiary" under Rule 1-02(w) of Regulation S-X, substituting all references in
such Rule to 10% with 5%,  provided,  that the  Company  may not  designate  any
Restricted  Subsidiary  as an  Immaterial  Subsidiary  if, giving effect to such
designation,  the combined total assets  (determined in accordance with GAAP) of
the Company and the  Guarantors  would  represent  less than 80% of the combined
total  assets  (determined  in  accordance  with  GAAP) of the  Company  and the
Restricted  Subsidiaries   (excluding  Foreign  Subsidiaries).   Any  Immaterial
Subsidiary  which  subsequent  to its  designation  as such  ceases  to meet the
foregoing  criteria  shall  thereupon  cease to be an Immaterial  Subsidiary and
shall become a Guarantor.

         "Incur" or "incur" means,  with respect to any Indebtedness  (including
Acquired Debt or Disqualified Stock), to create, incur, issue, assume,  guaranty
or otherwise  become  directly or  indirectly  liable for or with respect to, or
become  responsible for, the payment of such  Indebtedness  (including  Acquired
Debt or Disqualified  Stock);  provided that (i) neither the accrual of interest
nor the accretion of original  issue  discount shall be considered an incurrence
of Indebtedness  and (ii) the assumption of Indebtedness by the surviving entity
of a transaction  permitted by the last sentence of the second  paragraph  under
"Subsidiary  Guarantees" or the last sentence of the covenant  entitled "Merger,
Consolidation  or Sale of Assets" in existence  at the time of such  transaction
shall not be deemed to be an incurrence of Indebtedness.  The term  "incurrence"
has a corresponding meaning.

         "Indebtedness"  means, with respect to any Person without  duplication,
(a) any  indebtedness  of such Person,  whether or not contingent (but excluding
contractual indemnity obligations), in respect of borrowed money or evidenced by
bonds,  notes,  debentures  or  similar  instruments  or  letters  of credit (or
reimbursement  agreements  in respect  thereof) or  representing  Capital  Lease
Obligations  or the  deferred and unpaid  balance of the  purchase  price of any
property,   except   Indebtedness  shall  not  include  any  such  balance  that
constitutes an accrued  expense or trade payable,  or  representing  any Hedging
Obligations if and to the extent any of the foregoing  indebtedness  (other than
letters of credit and Hedging  Obligations)  would appear as a liability  upon a
balance  sheet  of  such  Person  prepared  in  accordance  with  GAAP,  (b) all
indebtedness of others secured by a Lien on any asset of such Person (whether or
not such  indebtedness  is assumed by such  Person)  and (c) the  maximum  fixed
repurchase  price of Disqualified  Stock issued by such Person,  in each case if
held by any Person  other than the  Company or a  Restricted  Subsidiary  of the
Company, and, to the extent not otherwise included, the guarantee by such Person
of any such indebtedness of any other Person.

         "Investments"  means,  with respect to any Person,  all  investments by
such  Person  in  other  Persons  (including  Affiliates)  in the  form of loans
(including  Guarantees),  advances or capital contributions  (excluding loans to
directors,   officers  or  employees  (but  not  any  forgiveness  thereof)  and
commissions,  travel and similar  advances to directors,  officers and employees
made in the ordinary course of business),  purchases or other  acquisitions  for
consideration of Indebtedness,  Equity  Interests or other  securities,  and all
other items that are or would be  classified as  investments  on a balance sheet
prepared in accordance with GAAP; provided that an acquisition of assets, Equity
Interests or other

                                      -55-



<PAGE>



securities  by  the  Company  for  consideration  consisting  of  common  equity
securities  of the  Company  shall  not be deemed  to be an  Investment.  If the
Company or any Restricted  Subsidiary of the Company sells or otherwise disposes
of any Equity Interests of any direct or indirect  Restricted  Subsidiary of the
Company,  or any Restricted  Subsidiary of the Company issues Equity  Interests,
such that,  after giving effect to any such sale or disposition,  such Person is
no longer a Restricted Subsidiary of the Company, the Company shall be deemed to
have made an  investment on the date of any such sale,  disposition  or issuance
equal to the fair market  value of the Equity  Interests  of such Person held by
the Company or such Restricted  Subsidiary  immediately following any such sale,
disposition or issuance.

         "Lien" means,  with respect to any asset, any mortgage,  lien,  pledge,
charge,  security  interest or encumbrance of any kind in respect of such asset,
whether or not filed,  recorded or  otherwise  perfected  under  applicable  law
(including any conditional sale or other title retention agreement, any lease in
the nature  thereof,  any option or other  agreement  to sell or give a security
interest).

         "Net Income" means,  with respect to any Person,  the net income (loss)
of such Person, determined in accordance with GAAP, excluding,  however, (i) any
gain or loss,  together  with any  related  provision  for taxes on such gain or
loss,  realized  in  connection  with (a) any  Asset  Sale  (including,  without
limitation, dispositions pursuant to sale and leaseback transactions) or (b) the
extinguishment  of any  Indebtedness  of such  Person  or any of its  Restricted
Subsidiaries, and (ii) any extraordinary,  unusual or nonrecurring gain, charge,
expense  or  loss,  together  with  any  related  provision  for  taxes  on such
extraordinary, unusual or nonrecurring gain, charge, expense or loss.

         "Net  Proceeds"  means the  aggregate  cash  proceeds  received  by the
Company  or any of its  Restricted  Subsidiaries  in  respect  of any Asset Sale
(including,  without  limitation,  any  cash  received  upon  the  sale or other
disposition of any non-cash  consideration  received in any Asset Sale),  net of
the direct costs  relating to such Asset Sale  (including,  without  limitation,
legal,  accounting and investment  banking fees and sales  commissions)  and any
relocation  expenses  incurred as a result  thereof,  taxes paid or payable as a
result thereof,  amounts required to be applied to the repayment of Indebtedness
(other than long-term Indebtedness of a Restricted Subsidiary of such Person and
Indebtedness under the Credit Facility) secured by a Lien on the asset or assets
that are the  subject of such  Asset  Sale and any  reserve  for  adjustment  in
respect of the sale price of such asset or assets established in accordance with
GAAP.

         "Non-Recourse  Debt" means  Indebtedness (i) no default with respect to
which  (including  any  rights  that  the  holders  thereof  may  have  to  take
enforcement  action  against an  Unrestricted  Subsidiary)  would  permit  (upon
notice,  lapse of time or both)  any  holder of any  other  Indebtedness  of the
Company or any of its Restricted Subsidiaries to declare a default on such other
Indebtedness  or cause the payment thereof to be accelerated or payable prior to
its stated  maturity;  and (ii) as to which the  lenders  have been  notified in
writing  that  they  will not have any  recourse  to the  stock or assets of the
Company or any of its Restricted Subsidiaries.

         "Obligations"   means  any  principal,   interest,   penalties,   fees,
indemnifications,  reimbursements,  damages,  guarantees  and other  liabilities
payable under the documentation governing any Indebtedness, in each case whether
now or hereafter existing, renewed or restructured,  whether or not from time to
time decreased or extinguished and later increased, created or incurred, whether
or not arising on or after the commencement of a proceeding under Title 11, U.S.
Code or any  similar  federal or state law for the relief of debtors  (including
post-petition  interest)  and whether or not allowed or  allowable as a claim in
any such proceeding.

         "Pari Passu Indebtedness" means Indebtedness of the Company which ranks
pari passu in right of payment with the Notes.

         "Permitted  Investments"  means (i)  Investments in the Company or in a
Restricted Subsidiary of the Company (including, without limitation,  guarantees
of  the  Indebtedness  and/or  other  Obligations  of  the  Company  and/or  any
Restricted  Subsidiary of the Company, so long as such Indebtedness and/or other
Obligations  are  permitted  under  the  Indenture);  (ii)  Investments  in Cash
Equivalents;  (iii)  Investments by the Company or any Restricted  Subsidiary of
the Company in, or the purchase of the  securities  of, a Person if, as a result
of such  Investment,  (a) such Person  becomes a  Restricted  Subsidiary  of the
Company or (b) such Person is merged,  consolidated or amalgamated with or into,
or

                                      -56-



<PAGE>



transfers or conveys  substantially all of its assets to, or is liquidated into,
the Company or a Restricted  Subsidiary  of the  Company;  (iv)  Investments  in
accounts and notes receivable  acquired in the ordinary course of business;  (v)
any  non-cash  consideration  received  in  connection  with an Asset  Sale that
complies  with  the  covenant  entitled  "Asset  Sales";   (vi)  Investments  in
connection with Hedging Obligations  permitted to be incurred under the covenant
entitled  "Incurrence of  Indebtedness  and Issuance of  Disqualified  Stock and
Preferred Stock";  (vii)  Investments  outstanding on the date of the Indenture;
(viii)  Investments  not to exceed  $25.0  million at any one time;  (ix) in the
event the Company or any Restricted  Subsidiary  maintains any unfunded deferred
compensation  plan  (within  the meaning of Title I of the  Employee  Retirement
Income Security Act of 1974, as amended), to the extent benefits under such plan
are defined by reference to specific  investments,  whether at the participant's
or the beneficiaries'  election or otherwise,  any Investment in such a specific
investment;  (x) extensions of trade credit in the ordinary  course of business;
(xi)  investments  (including  debt  obligations  and Equity  Interests)  by the
Company or any Restricted  Subsidiary received in connection with the bankruptcy
or  reorganization  of suppliers  and  customers and in settlement of delinquent
obligations of, and other disputes with,  customers and suppliers arising in the
ordinary course of business;  and (xii) guarantees (other than those referred to
in clause (i) above)  permitted to be incurred by the Company or any  Restricted
Subsidiary  pursuant to the covenant  entitled  "Incurrence of Indebtedness  and
Issuance of Disqualified Stock and Preferred Stock."

         "Permitted  Junior  Securities" shall mean debt or equity securities of
the  Company  or  any  successor  corporation  issued  pursuant  to  a  plan  of
reorganization  or  readjustment  of the  Company  that are  subordinate  to the
payment of all then outstanding Senior Debt at least to the same extent that the
Notes are subordinated to the payment of all Senior Debt on the Closing Date, so
long as (i) the  effect  of the use of this  defined  term in the  subordination
provisions described under the caption "Subordination" is not to cause the Notes
to be treated as part of (a) the same class of claims as the Senior  Debt or (b)
any class of claims  pari passu  with,  or senior  to,  the Senior  Debt for any
payment or  distribution  in any case or proceeding or similar event relating to
the   liquidation,   insolvency,   bankruptcy,   dissolution,   winding   up  or
reorganization  of the  Company  and (ii) to the  extent  that any  Senior  Debt
outstanding on the date of  consummation of any such plan of  reorganization  or
readjustment is not paid in full in cash on such date, either (a) the holders of
any such Senior Debt not so paid in full in cash have  consented to the terms of
such  plan  of  reorganization  or  readjustment  or (b)  such  holders  receive
securities  which  constitute  Senior Debt and which have been determined by the
relevant court to constitute  satisfaction  in full in money or money's worth of
any Senior Debt not paid in full in cash.

         "Permitted  Liens"  means (i) Liens on  property of the Company and any
Restricted  Subsidiary  securing (a) Senior Debt and/or (b) Hedging  Obligations
permitted to be incurred  under the Indenture at the time  incurred  pursuant to
the  covenant  described  above  under  the  covenant  entitled  "Incurrence  of
Indebtedness and Issuance of Disqualified Stock and Preferred Stock"; (ii) Liens
in favor of the Company or any of its  Restricted  Subsidiaries;  (iii) Liens on
property of a Person  existing at the time such Person is merged with or into or
consolidated  with the  Company or any  Restricted  Subsidiary  of the  Company;
provided,  that  such  Liens  were  not  incurred  in  connection  with,  or  in
contemplation  of, such merger or consolidation  and do not extend to any assets
of the Company or any Restricted Subsidiary of the Company other than the assets
acquired  in such  merger or  consolidation;  (iv) Liens on property of a Person
existing at the time such Person becomes a Restricted Subsidiary of the Company;
provided  that  such  Liens  were  not  incurred  in  connection   with,  or  in
contemplation of, such Person becoming a Restricted Subsidiary and do not extend
to any assets of the Company or any other Restricted  Subsidiary of the Company;
(v) Liens on property existing at the time of acquisition thereof by the Company
or any Restricted  Subsidiary of the Company;  provided that such Liens were not
incurred in connection with, or in contemplation of, such acquisition and do not
extend to any assets of the Company or any of its Restricted  Subsidiaries other
than the property so acquired;  (vi) Liens  imposed by law,  including  Liens to
secure the  performance  of  statutory  obligations,  surety or appeal  bonds or
performance  bonds,  or  landlords',  carriers',   warehousemen's,   mechanics',
suppliers',  materialmen's,  or other like  Liens,  in any case  incurred in the
ordinary  course of business and with respect to amounts not yet  delinquent  or
being  contested  in good faith by  appropriate  process of law, if a reserve or
other appropriate provision, if any, as is required by GAAP shall have been made
therefor;  (vii) Liens existing on the date of the Indenture;  (viii) pledges or
deposits by such Person under worker's compensation laws, unemployment insurance
laws or similar  legislation,  or good faith  deposits in connection  with bids,
tenders,  contracts  (other than for the payment of  Indebtedness)  or leases to
which  such  Person  is a party,  or  deposits  to secure  public  or  statutory
obligations of such Person or deposits of cash or United States government bonds
to secure surety or appeal

                                      -57-



<PAGE>



bonds to which such Person is a party,  or deposits  as security  for  contested
taxes or import  duties or for the payment of rent, in each case incurred in the
ordinary  course of  business;  provided  that any reserve or other  appropriate
provision  as required in  conformity  with GAAP shall have been made  therefor;
(ix) Liens for property  taxes not yet subject to penalties for  non-payment  or
which are being contested in good faith and by appropriate proceedings; provided
that any reserve or other  appropriate  provision as required in conformity with
GAAP  shall  have been made  therefor;  (x) Liens in favor of  issuers of surety
bonds or commercial  letters of credit issued pursuant to the request of and for
the account of such Person in the ordinary course of its business which encumber
documents  and other  property or assets  relating to such letters of credit and
products  and  proceeds   therefor;   (xi)  minor   survey   exceptions,   minor
encumbrances,  easements or  reservations  of, or rights of others for licenses,
rights of way, sewers,  electric lines,  telegraph and telephone lines and other
similar purposes, or zoning or other restrictions as to the use of real property
or Liens  incidental  to the  conduct of the  business  of such Person or to the
ownership  of  its  properties  which  were  not  incurred  in  connection  with
Indebtedness  and which do not in the aggregate  materially  impair their use in
the operation of the business of such Person; (xii) Liens securing  Indebtedness
incurred  to  finance  the  construction,  purchase  or lease  of,  or  repairs,
improvements  or  additions  to,  inventory  or other  property of such  Person;
provided that the Lien may not extend to any other property owned by such Person
or any of its  Subsidiaries  at the time the Lien is  incurred;  (xiii) Liens on
Receivables  and  Related  Assets to reflect  sales of  Receivables  and Related
Assets to and by a Securitization Subsidiary pursuant to a Permitted Receivables
Financing or securing Indebtedness permitted by paragraph (xiii) of the covenant
entitled  "Incurrence of  Indebtedness  and Issuance of  Disqualified  Stock and
Preferred  Stock";  (xiv)  Liens  securing   Indebtedness   represented  by  any
industrial revenue bonds, pollution control bonds or other tax exempt financing;
provided,  that the  aggregate  amount of any  Indebtedness  to which such Liens
relate at any one time outstanding shall not exceed $10.0 million; (xv) Liens to
secure (A)  Indebtedness  (including  Capital  Lease  Obligations)  permitted by
clause (iv) of the second  paragraph of the  covenant  entitled  "Incurrence  of
Indebtedness  and Issuance of Disqualified  Stock and Preferred  Stock" covering
only the assets  acquired  with such  Indebtedness  or the assets  which are the
subject  of the  sale  leaseback  transaction,  as the  case  may  be,  and  (B)
Indebtedness of any Restricted  Subsidiary (other than a Guarantor) permitted to
be incurred by such  Restricted  Subsidiary  pursuant to the  covenant  entitled
"Incurrence of  Indebtedness  and Issuance of  Disqualified  Stock and Preferred
Stock"; (xvi) Liens incurred by the Company or any Restricted  Subsidiary of the
Company with respect to obligations not  constituting  Indebtedness for borrowed
money  that do not  exceed  $10.0  million  in the  aggregate  at any  one  time
outstanding;   (xvii)  Liens   securing   Indebtedness   incurred  to  refinance
Indebtedness  that has been  secured by a Lien  permitted  under the  Indenture;
provided  that (a) any such  Lien  shall not  extend  to or cover any  assets or
property not securing the  Indebtedness  so refinanced  and (b) the  refinancing
Indebtedness secured by such Lien shall have been permitted to be incurred under
the covenant  entitled  "Incurrence of Indebtedness and Issuance of Disqualified
Stock and Preferred Stock";  (xviii) Liens in favor of the lessee on instruments
which are the subject of leases entered into in the ordinary course of business;
provided  that any such Lien shall not extend to or cover any assets or property
of the Company and its  Restricted  Subsidiaries  that is not the subject of any
such lease; (xix) Liens to secure Attributable Debt and/or that are permitted to
be incurred pursuant to the covenant entitled "Sale and Leaseback Transactions";
provided  that any such  Lien  shall not  extend  to or cover any  assets of the
Company or any Guarantor other than the assets which are the subject of the sale
leaseback transaction in which the Attributable Debt is incurred; and (xx) Liens
to  secure  other  Indebtedness;  provided,  that the  aggregate  amount  of any
Indebtedness  to which such Liens relate at any one time  outstanding  shall not
exceed $15.0 million.

         "Permitted  Receivables  Financing"  means a  transaction  or series of
transactions   (including   amendments,   supplements,   extensions,   renewals,
replacements,  refinancings  or  modifications  thereof)  pursuant  to  which  a
Securitization  Subsidiary  purchases  Receivables  and Related  Assets from the
Company or any Restricted  Subsidiary and finances such  Receivables and Related
Assets or a fractional undivided interest in the Receivables and Related Assets;
provided  that (i) the Board of Directors  shall have  determined  in good faith
that such Permitted Receivables Financing is economically fair and reasonable to
the Company and the Securitization Subsidiary, (ii) all sales of Receivables and
Related  Assets to or by the  Securitization  Subsidiary are made at fair market
value  (as  determined  in good  faith by the  Board of  Directors),  (iii)  the
financing terms,  covenants,  termination  events and other  provisions  thereof
shall be market terms (as  determined in good faith by the Board of  Directors),
(iv) no portion of the Indebtedness of a Securitization Subsidiary is guaranteed
by or is  recourse  to the  Company or any  Restricted  Subsidiary  (other  than
recourse for customary representations,  warranties,  covenants and indemnities,
none of which shall relate to the

                                      -58-



<PAGE>



collectibility  of the  Receivables  and  Related  Assets)  and (v)  neither the
Company nor any  Subsidiary  has any  obligation  to  maintain  or preserve  the
Securitization Subsidiary's financial condition.

         "Permitted  Refinancing  Indebtedness"  means any  Indebtedness  of the
Company or any of its Restricted Subsidiaries issued in exchange for, or the net
proceeds of which are used to extend, refinance,  renew, replace,  defeasance or
refund other Indebtedness of the Company or any of its Restricted  Subsidiaries;
provided  that:  (i)  the  principal   amount  of  such  Permitted   Refinancing
Indebtedness  does not  exceed  the  principal  amount  of the  Indebtedness  so
extended,  refinanced,  renewed, replaced, defeased or refunded (plus the amount
of premiums,  accrued  interest  and  reasonable  fees and expenses  incurred in
connection  therewith);  (ii)  such  Permitted  Refinancing  Indebtedness  has a
Weighted  Average Life to Maturity equal to or greater than the Weighted Average
Life to  Maturity  of the  Indebtedness  being  extended,  refinanced,  renewed,
replaced,  defeased  or  refunded;  (iii) if the  Indebtedness  being  extended,
refinanced,  renewed, replaced, defeased or refunded is subordinated in right of
payment to the Notes and has a final  maturity date that is later than the final
maturity  of the Notes,  such  Permitted  Refinancing  Indebtedness  has a final
maturity  date later than the final  maturity  date of, and is  subordinated  in
right of payment to, the Notes on terms at least as favorable  in the  aggregate
to the Holders of Notes as those  contained in the  documentation  governing the
Indebtedness  being  extended,   refinanced,   renewed,  replaced,  defeased  or
refunded;  (iv)  if  the  Indebtedness  being  extended,  refinanced,   renewed,
replaced,  defeased  or refunded  ranks pari passu in right of payment  with the
Notes and has a final maturity date that is later than the final maturity of the
Notes, such Permitted  Refinancing  Indebtedness has a final maturity date later
than the final  maturity date of, and ranks pari passu with, or is  subordinated
in right of  payment  to,  the  Notes  on  terms  at least as  favorable  in the
aggregate  to the  Holders  of  Notes as those  contained  in the  documentation
governing  the  Indebtedness  being  extended,  refinanced,  renewed,  replaced,
defeased or refunded;  and (v) if such  Indebtedness is incurred by the Company,
the obligor on the Indebtedness being extended,  refinanced,  renewed, replaced,
defeased or refunded may not be a Restricted Subsidiary.

         "Person" means any individual,  corporation, limited liability company,
partnership, joint venture, association,  joint-stock company, trust, charitable
foundation,  unincorporated organization,  government or any agency or political
subdivision thereof or any other entity.

         "Receivables   and  Related  Assets"  means  accounts   receivable  and
instruments,  chattel paper, obligations,  general intangibles and other similar
assets,  in each case,  relating to such  receivables,  including  interests  in
merchandise or goods, the sale or lease of which gave rise to such  receivables,
related contractual rights, guarantees,  insurance proceeds,  collections, other
related assets and proceeds of all of the foregoing.

         "Related  Business"  means a business  the  majority of whose  revenues
result from the  manufacturing,  distribution  or sale of medical  products  and
equipment or any business reasonably related or incident thereto.

         "Restricted  Investment"  means an  Investment  other than a  Permitted
Investment.

         "Restricted Subsidiary" means (i) any Subsidiary of the referent Person
that is not an  Unrestricted  Subsidiary or (ii) any Subsidiary of a New Holding
Company so long as the Holding Company is a Guarantor.

         "Securitization  Subsidiary"  means  any  Subsidiary  created  for  the
limited  purpose of acquiring and financing  Receivables  and Related Assets and
engaging in activities ancillary thereto, so long as it: (a) has no Indebtedness
other than  Non-Recourse  Debt and (b) is a Person with respect to which neither
the  Company  nor any of its other  Subsidiaries  has any direct  obligation  to
maintain or preserve such Person's  financial  condition.  If, at any time, such
Securitization  Subsidiary  would fail to meet the foregoing  requirements  as a
Securitization  Subsidiary,  it shall  thereafter  cease to be a  Securitization
Subsidiary  for  purposes  of  the  Indenture  and  any   Indebtedness  of  such
Securitization  Subsidiary shall be deemed to be incurred by a Subsidiary of the
Company  as of such date  (and,  if such  Indebtedness  is not  permitted  to be
incurred  as of such date under the  covenant  described  under the  caption "--
Certain Covenants--Incurrence of Indebtedness and Issuance of Disqualified Stock
and Preferred Stock," the Company shall be in default of such covenant).


                                      -59-



<PAGE>



         "Senior  Debt"  means,  (a)  with  respect  to  the  Company,  (i)  all
Obligations under or in respect of the Credit Facility  permitted to be incurred
under the  Indenture at the time  incurred  pursuant to the  covenant  described
above under the caption "-- Certain  Covenants--Incurrence  of Indebtedness  and
Issuance  of  Disqualified  Stock  and  Preferred  Stock"  and  (ii)  any  other
Indebtedness  permitted  to be incurred  by the  Company  under the terms of the
Indenture and any Hedging Obligation permitted to be incurred under the terms of
the  Indenture,  unless the  instrument  under which the  foregoing  is incurred
expressly  provides  that it is on a  parity  with or  subordinated  in right of
payment to the Notes, and (b) with respect to any Guarantor, (i) all Obligations
under or in respect of the Credit  Facility  permitted to be incurred  under the
Indenture at the time incurred  pursuant to the covenant  described  above under
the caption "-- Certain  Covenants--Incurrence  of Indebtedness  and Issuance of
Disqualified  Stock  and  Preferred  Stock"  and  (ii)  any  other  Indebtedness
permitted to be incurred by such Guarantor  under the terms of the Indenture and
any  Hedging  Obligation  permitted  to be  incurred  under  the  terms  of  the
Indenture, unless the instrument under which the foregoing is incurred expressly
provides that such  Indebtedness  is on parity with or  subordinated in right of
payment to the  Guarantee  of such  Guarantor.  Notwithstanding  anything to the
contrary in the  foregoing,  Senior Debt will not include (w) any  liability for
federal, state, local or other taxes, (x) any Indebtedness of the Company or any
Guarantor  to the  Company  or any  Subsidiary  of the  Company  or any of their
respective  Affiliates,  (y) any trade payables,  or (z) any Indebtedness of the
type  described in clauses (a) (ii) and (b) (ii) of the preceding  sentence that
is incurred in violation of the Indenture,  provided, that this clause (z) shall
not be read to negate  the  requirement  in  clauses  (a) (i) and (b) (i) of the
preceding  sentence that Obligations  under or in respect of the Credit Facility
be permitted at the time incurred  under the  "Incurrence  of  Indebtedness  and
Issuance of Disqualified Stock and Preferred Stock" covenant.

         "Significant  Subsidiary" means any Restricted Subsidiary that would be
a "significant subsidiary" as defined in Article 1, Rule 1-02 of Regulation S-X,
promulgated  pursuant to the Securities  Act, as such Regulation is in effect on
the date of the Indenture.

         "Stated  Maturity"  means,  when used with  respect  to any Note or any
installment  of interest  thereon,  the date specified in such Note as the fixed
date on which the principal of such Note or such  installment of interest is due
and  payable,  and when used with respect to any other  Indebtedness,  means the
date specified in the instrument  governing such  Indebtedness as the fixed date
on which the  principal of such  Indebtedness,  or any  installment  of interest
thereon, is due and payable.

         "Subsidiary"  means,  with respect to any Person,  (i) any corporation,
association or other business  entity of which more than 50% of the total voting
power  of  Voting  Stock  is at  the  time  owned  or  controlled,  directly  or
indirectly,  by such  Person  or one or more of the other  Subsidiaries  of that
Person (or a combination  thereof) and (ii) any partnership (a) the sole general
partner or the managing  general partner of which is such Person or a Subsidiary
of such Person or (b) the only general  partners of which are such Person or one
or more Subsidiaries of such Person (or any combination thereof).

         "Unrestricted  Subsidiary"  means any Subsidiary  that is designated by
the Board of Directors of the Company as an Unrestricted  Subsidiary pursuant to
a Board  Resolution,  but only to the extent  that such  Subsidiary:  (i) has no
Indebtedness  other than Non-Recourse  Debt; (ii) is not party to any agreement,
contract,  arrangement  or  understanding  with the  Company  or any  Restricted
Subsidiary  of the  Company  relating  to a  transaction  or series  of  related
transactions  having a transaction  value in excess of $2.0 million,  unless the
terms of any such agreement,  contract, arrangement or understanding are, in the
good faith judgment of the Board of Directors of the Company,  no less favorable
to the Company or such  Restricted  Subsidiary than those that might be obtained
at the time from  Persons  who are not  Affiliates  of the  Company;  (iii) is a
Person with  respect to which  neither  the  Company  nor any of its  Restricted
Subsidiaries  has  any  direct  or  indirect  obligation  (a) to  subscribe  for
additional  Equity  Interests  or (b) to  maintain  or  preserve  such  Person's
financial  condition or to cause such Person to achieve any specified  levels of
operating  results;  and  (iv)  has not  guaranteed  or  otherwise  directly  or
indirectly provided credit support for any Indebtedness of the Company or any of
its  Restricted  Subsidiaries.  Any such  designation  by the Board of Directors
shall be evidenced to the Trustee by filing with the Trustee a certified copy of
the  Board  Resolution  giving  effect  to  such  designation  and an  Officer's
Certificate  certifying  that  such  designation  complied  with  the  foregoing
conditions and was permitted by the covenant  described above under the covenant
entitled  "Restricted  Payments." If, at any time, any  Unrestricted  Subsidiary
would fail to meet

                                      -60-



<PAGE>



the foregoing  requirements as an Unrestricted  Subsidiary,  it shall thereafter
cease  to be an  Unrestricted  Subsidiary  for  purposes  of the  Indenture  and
Indebtedness of such  Subsidiary  shall be deemed to be incurred by a Restricted
Subsidiary  of the  Company as of such date (and,  if such  Indebtedness  is not
permitted to be incurred as of such date under the covenant entitled "Incurrence
of  Indebtedness  and Issuance of Disqualified  Stock and Preferred  Stock," the
Company shall be in default of such covenant from the date of such  incurrence).
The Board of Directors of the Company may at any time designate any Unrestricted
Subsidiary to be a Restricted  Subsidiary;  provided that such designation shall
be deemed to be an incurrence of Indebtedness by a Restricted  Subsidiary of the
Company of any outstanding Indebtedness of such Unrestricted Subsidiary and such
designation  shall only be permitted if (i) such Indebtedness is permitted under
the covenant  entitled  "Incurrence of Indebtedness and Issuance of Disqualified
Stock and  Preferred  Stock" and (ii) no Default or Event of Default would be in
existence following such designation.

         "Voting  Stock" means any class or classes of Capital Stock pursuant to
which  the  holders  thereof  have  the  general  voting  power  under  ordinary
circumstances  to elect at least a majority of the board of directors,  managers
or trustees of any Person (irrespective of whether or not, at the time, stock of
any other class or classes shall have, or might have,  voting power by reason of
the happening of any contingency).

         "Weighted  Average  Life  to  Maturity"  means,  when  applied  to  any
Indebtedness  at any date, the number of years obtained by dividing (i) the then
outstanding  principal  amount of such  Indebtedness  into (ii) the total of the
product   obtained  by  multiplying  (a)  the  amount  of  each  then  remaining
installment,  sinking  fund,  serial  maturity  or other  required  payments  of
principal,  including payment at final maturity,  in respect thereof, by (b) the
numbers  of years  (calculated  to the  nearest  one-twelfth)  that will  elapse
between such date and the making of such payment.

         "Wholly Owned  Restricted  Subsidiary" of any Person means a Restricted
Subsidiary  of  such  Person  all of the  outstanding  Capital  Stock  or  other
ownership interests of which (other than directors'  qualifying shares) shall at
the time be owned  by such  Person  or by one or more  Wholly  Owned  Restricted
Subsidiaries  of such  Person or by such  Person  and one or more  Wholly  Owned
Restricted Subsidiaries of such Person.


                     CERTAIN FEDERAL INCOME TAX CONSEQUENCES

         The following is a summary of certain  United States federal income tax
consequences  applicable to the exchange of Old Notes for New Notes  pursuant to
the Exchange  Offer (the  "Exchange")  and the ownership and  disposition of New
Notes.  This summary deals only with New Notes held as capital assets by holders
who purchased Old Notes at 100% of their principal amount,  and not with special
classes  of  holders,  such as  dealers  in  securities  or  currencies,  banks,
tax-exempt organizations,  life insurance companies, persons that hold New Notes
as a hedge (or hedged against)  currency or interest rate risks or that are part
of a straddle or conversion transaction, or persons whose functional currency is
not the U.S. dollar. Investors who purchased the Old Notes at a price other than
100% of their  principal  amount  should  consult  their tax  advisor  as to the
possible  applicability  to them  of the  amortizable  bond  premium  or  market
discount rules.  This summary is based on the Internal  Revenue Code of 1986, as
amended (the "Code"), its legislative history, existing and proposed regulations
thereunder,  published  rulings and court decisions,  all as currently in effect
and all subject to change at any time, perhaps with retroactive effect.

         HOLDERS OF NOTES SHOULD  CONSULT THEIR OWN TAX ADVISORS  CONCERNING THE
CONSEQUENCES, IN THEIR PARTICULAR CIRCUMSTANCES,  UNDER THE CODE AND THE LAWS OF
ANY OTHER TAXING JURISDICTION, OF THE EXCHANGE AND OWNERSHIP OF NEW NOTES.

         For United States  federal  income tax  purposes,  the Exchange will be
disregarded  and  each  New  Note  will  be  treated  as a  continuation  of the
corresponding  Old Note.  Accordingly,  holders will not recognize  gain or loss
upon the Exchange.  For purposes of determining gain or loss upon the subsequent
sale or exchange of the New Notes,  a holder's  basis in the New Notes should be
the same as such holder's  basis in the Old Notes  exchanged  therefor.  Holders
should be considered to have held the New Notes from the time of their  original
acquisition of the Old Notes.


                                      -61-



<PAGE>



                              PLAN OF DISTRIBUTION

         Each broker-dealer that receives New Notes for its own account pursuant
to the Exchange  Offer must  acknowledge  that it will  deliver a prospectus  in
connection  with any resale of such New  Notes.  This  Prospectus,  as it may be
amended or  supplemented  from time to time, may be used by a  broker-dealer  in
connection  with  resales of New Notes  received in exchange for Old Notes where
such Old Notes were  acquired as a result of  market-making  activities or other
trading activities. The Company has agreed that it will make this Prospectus, as
amended or supplemented,  available to any  broker-dealer  for use in connection
with any such  resale for a period of 90 days from the date of this  Prospectus,
or  shorter   period  as  will   terminate   when  all  Old  Notes  acquired  by
broker-dealers for their own accounts as a result of market-making activities or
other trading  activities  have been  exchanged for New Notes and resold by such
broker-dealers.

         The Company will not receive any proceeds from any sale of New Notes by
broker-dealers.  New Notes  received  by  broker-dealers  for their own  account
pursuant  to the  Exchange  Offer  may be sold  from time to time in one or more
transactions in the over-the-counter market, in negotiated transactions, through
the  writing  of options on the New Notes or a  combination  of such  methods of
resale,  at market prices prevailing at the time of resale, at prices related to
such prevailing market prices or negotiated  prices. Any such resale may be made
directly  to  purchasers  or to or through  brokers or dealers  who may  receive
compensation   in  the  form  of  commissions  or  concessions   from  any  such
broker-dealer  and/or the  purchasers of any such New Notes.  Any  broker-dealer
that resells New Notes that were received by it for its own account  pursuant to
the Exchange Offer and any broker or dealer that  participates in a distribution
of such New Notes may be deemed to be an "underwriter" within the meaning of the
Securities  Act  and  any  profit  on any  such  resale  of New  Notes  and  any
commissions  or  concessions  received  by any such  persons may be deemed to be
underwriting  compensation  under the Securities  Act. The Letter of Transmittal
states  that  by  acknowledging  that  it  will  deliver  and  by  delivering  a
prospectus,  a  broker-dealer  will  not  be  deemed  to  admit  that  it  is an
"underwriter" within the meaning of the Securities Act.

         For a  period  of 90 days  from the  date of this  Prospectus,  or such
shorter period as will  terminate when all Old Notes acquired by  broker-dealers
for their own accounts as a result of market-making  activities or other trading
activities have been exchanged for New Notes and resold by such  broker-dealers,
the Company will  promptly send  additional  copies of this  Prospectus  and any
amendment or supplement to this  Prospectus  to any  broker-dealer that requests
such documents in the Letter of Transmittal. The Company has agreed to indemnify
such broker-dealers against certain liabilities, including liabilities under the
Securities Act.

         By acceptance of this Exchange Offer, each  broker-dealer that receives
New Notes  pursuant to the Exchange  Offer  agrees that,  upon receipt of notice
from the Company of the happening of any event which makes any statement in this
Prospectus  untrue in any material  respect or which  requires the making of any
changes  in  this  Prospectus  in  order  to  make  the  statements  herein  not
misleading,  such  broker-dealer  will suspend use of this Prospectus  until the
Company has amended or supplemented this Prospectus to correct such misstatement
or omission and has furnished  copies of the amended or supplemented  Prospectus
to such broker-dealer.


                      VALIDITY OF NEW NOTES AND GUARANTEES

         The validity of the New Notes offered hereby and the related guarantees
will be passed upon for the Company by Joseph J. Corasanti,  General Counsel for
the Company.  Sullivan & Cromwell,  New York, New York,  special  counsel to the
Company, is representing the Company in connection with the Exchange Offer.

                                     EXPERTS

         The  consolidated  financial  statements  of CONMED  Corporation  as of
December  31,  1997 and  December  31,  1996  and for  each of the  years in the
three-year period ended December 31, 1997, incorporated by reference in this

                                      -62-



<PAGE>



Prospectus,  have been so  included  on the  reliance  on the  reports  of Price
Waterhouse LLP, independent accountants,  given on the authority of said firm as
experts in accounting and auditing.

         The  Statement of Net Assets  Acquired and  Liabilities  Assumed of the
Linvatec Business Unit (a division of Zimmer, Inc., a wholly-owned subsidiary of
Bristol-Myers  Squibb Company) as of December 31, 1997 and December 31, 1996 and
the  Statement  of Net Sales  and  Direct  Operating  Expenses  of the  Linvatec
Business Unit for each of the years in the three-year  period ended December 31,
1997, incorporated by reference in this Prospectus, have been so included on the
reliance on the reports of Price Waterhouse LLP, independent accountants,  given
on the authority of said firm as experts in accounting and auditing.




























                                      -63-



<PAGE>



                                     PART II

                   INFORMATION NOT REQUIRED IN THE PROSPECTUS


ITEM 20.  INDEMNIFICATION OF OFFICERS AND DIRECTORS

         Section  722 of the New York  Business  Corporation  Law (the "New York
Law") provides that a corporation  may indemnify an officer or director,  in the
case  of  third  party  actions,  against  judgments,  fines,  amounts  paid  in
settlement  and  reasonable  expenses  and, in the case of  derivative  actions,
against amounts paid in settlement and reasonable  expenses,  if the director or
officer "acted, in good faith, for a purpose which he reasonably  believed to be
in . . . the best  interests  of the  corporation"  and, in the case of criminal
actions,  "had no  reasonable  cause to believe that his conduct was  unlawful."
Statutory  indemnification  may not be provided in derivative actions in respect
of a  threatened  action,  or a pending  action  which is settled  or  otherwise
disposed  of, or any claim,  issue or matter as to which such person  shall have
been  adjudged  to be liable to the  corporation,  unless and only to the extent
that the court in which the action was  brought,  or, if no action was  brought,
any court of competent  jurisdiction,  determines upon application that, in view
of all of the  circumstances  of the case,  the person is fairly and  reasonably
entitled to  indemnity  for such portion of the  settlement  and expenses as the
court deems proper.

         As contemplated by New York Law Section 721, the Company's  Bylaws,  as
amended on December 26, 1990,  provide a broader  basis for  indemnification  in
accordance with and as permitted by New York Law Article 7.

         Section 6.6 of the Bylaws of the Company provides as follows:

                  Section 6.6  Indemnification.  The Corporation shall indemnify
         each  person  made or  threatened  to be made a party to any  action or
         proceeding,  whether civil or criminal, by reason of the fact that such
         person or such  person's  testator or intestate is or was a director or
         officer of the  Corporation,  or serves or served at the request of the
         Corporation, any other corporation,  partnership, joint venture, trust,
         employee  benefit plan or other  enterprise  in any  capacity,  against
         judgments, fines, penalties,  amounts paid in settlement and reasonable
         expenses,  including  attorneys' fees, incurred in connection with such
         action or  proceeding,  or any appeal  therein,  provided  that no such
         indemnification shall be made if a judgment or other final adjudication
         adverse to such person  establishes that his or her acts were committed
         in bad faith or were the result of active and deliberate dishonesty and
         were material to the cause of action so adjudicated,  or that he or she
         personally  gained in fact a  financial  profit or other  advantage  to
         which he or she was not legally entitled,  and provided further that no
         such  indemnification  shall be required with respect to any settlement
         or other nonadjudicated disposition of any threatened or pending action
         or  proceeding  unless the  Corporation  has given its prior consent to
         such settlement or other disposition.

                  The Corporation may advance or promptly reimburse upon request
         any person  entitled to  indemnification  hereunder  for all  expenses,
         including attorneys' fees,  reasonably incurred in defending any action
         or proceeding in advance of the final disposition  thereof upon receipt
         of an  undertaking  by or on behalf of such person to repay such amount
         if  such   person  is   ultimately   found  not  to  be   entitled   to
         indemnification or, where indemnification is granted, to the extent the
         expenses  so  advanced  or  reimbursed  exceed the amount to which such
         person is entitled, provided, however, that such person shall cooperate
         in good faith with any request by the  Corporation  that common counsel
         be utilized by the parties to an action or proceeding who are similarly
         situation  unless  to do so would be  inappropriate  due to  actual  or
         potential differing interests between or among such parties.

                  Anything in these bylaws to the contrary  notwithstanding,  no
         elimination  of this bylaw,  and no amendment  of this bylaw  adversely
         affecting the right of any person to  indemnification or advancement of
         expenses  hereunder  shall be  effective  until the 60th day  following
         notice to such person of such action, and


                                      II-1



<PAGE>



         no  elimination  of or amendment to this bylaw shall deprive any person
         of  his or her  rights  hereunder  arising  out of  alleged  or  actual
         occurrences,  acts or failures to act prior to such 60th day.

                  The Corporation  shall not, except by elimination or amendment
         of this bylaw in a manner consistent with the preceding paragraph, take
         any corporate  action or enter into any agreement which  prohibits,  or
         otherwise  limits  the  rights of any  person  to,  indemnification  in
         accordance with the provisions of this bylaw.  The  indemnification  of
         any person  provided by this bylaw shall continue after such person has
         ceased to be a director,  officer or employee  of the  Corporation  and
         shall  inure  to  the  benefit  of  such  person's  heirs,   executors,
         administrators and legal representatives.

                  The  Corporation is authorized to enter into  agreements  with
         any of  its  directors,  officers  of  employees  extending  rights  to
         indemnification  and  advancement  of  expenses  to such  person to the
         fullest extent permitted by applicable law as it currently exists,  but
         the failure to enter into any such agreement  shall not affect or limit
         the rights of such person  pursuant to this bylaw,  it being  expressly
         recognized  hereby that all  directors,  officers and  employees of the
         Corporation,  by serving as such after the adoption hereof,  are acting
         in  reliance  hereon and that the  Corporation  is  estoppel to contend
         otherwise.

                  In case any provision in this bylaw shall be determined at any
         time to be unenforceable in any respect, the other provisions shall not
         in any way be affected or impaired thereby,  and the affected provision
         shall be given the fullest possible  enforcement in the  circumstances,
         it being the intention of the Corporation to afford indemnification and
         advancement  of  expenses to its  directors,  officers  and  employees,
         acting in such capacities or in the other capacities  mentioned herein,
         to the fullest extent permitted by law.

                  For purposes of this bylaw, the Corporation shall be deemed to
         have  requested  a person to serve an employee  benefit  plan where the
         performance by such person of his or her duties to the Corporation also
         imposes  duties on, or otherwise  involves  services by, such person to
         the plan or participants or beneficiaries of the plan, and excise taxes
         assessed on a person with respect to an employee  benefit plan pursuant
         to  applicable  law shall be  considered  indemnifiable  expenses.  For
         purposes of this bylaw, the term "Corporation"  shall include any legal
         successor to the Corporation,  including any corporation which acquires
         all or  substantially  all of the assets of the  Corporation  in one or
         more transactions.

         The Company carries  directors' and officers'  liability  insurance for
the benefit of its directors and officers.

ITEM 21.  EXHIBITS AND FINANCIAL STATEMENT SCHEDULES

         (A)      LIST OF EXHIBITS.

         2.1      Plan and  Agreement  of Merger  dated as of  December  5, 1994
                  among the Company, CONMED Acquisition Corporation and Birtcher
                  Medical  Systems,  Inc.  (incorporated  herein by reference to
                  Appendix  A of the  Company's  Registration  Statement  on S-4
                  (File No. 33-87746)).

         2.2      Asset  Purchase  Agreement  by and between New  Dimensions  In
                  Medicine, Inc. and CONMED Corporation dated as of the 18th day
                  of  October  1995  (incorporated  herein by  reference  to New
                  Dimensions In Medicine,  Inc's.  (Commission File No. 1-09156)
                  Report on Form 8-K dated October 18, 1995).

         2.3      Purchase  Agreement,  dated as of May 28, 1997, by and between
                  Davol, Inc. and CONMED Corporation  (incorporated by reference
                  to Exhibit 2 in the Company's Current Report on Form 8-K filed
                  on July 11, 1997).



                                      II-2



<PAGE>



         2.4      Stock and Asset  Purchase  Agreement  dated as of November 26,
                  1997,   between   Bristol-Myers   Squibb  Company  and  CONMED
                  Corporation,  as amended by an amendment  dated as of December
                  31, 1997  (incorporated  herein by reference to Exhibit 2.1(a)
                  in the Company's  Current Report on Form 8-K, filed on January
                  8, 1998).

         2.5      Amendment dated as of December 31, 1997, between Bristol-Myers
                  Squibb Company and CONMED Corporation,  to the Stock and Asset
                  Purchase  Agreement,  dated as of November  26,  1997  between
                  Bristol-Myers    Squibb   Company   and   CONMED   Corporation
                  (incorporated  herein by  reference  to Exhibit  2.1(b) in the
                  Company's  Current  Report on Form 8-K,  filed on  January  8,
                  1998).

         4.1      Registration  Rights  Agreement  dated March 5, 1998 among the
                  Company, Salomon Brothers Inc and Chase Securities Inc.

         4.2      Indenture   dated  March  5,  1998  among  the  Company,   the
                  Subsidiary  Guarantors  named therein and First Union National
                  Bank,  Trustee  (incorporated by reference from Exhibit 4.6 to
                  the  Company's  Registration  Statement  on Form S-8 (File No.
                  333-48693)) filed on March 26, 1998.

         4.3      Form of 9%  Senior  Subordinated  Note Due 2008  (included  in
                  Exhibit 4.2).

         4.4      Credit  Agreement  dated as of  December  29,  1997  among the
                  Company,  the lenders  party  thereto and the Chase  Manhattan
                  Bank as administrative agent for such lenders (incorporated by
                  reference from Exhibit 10.1 to the Company's Current Report on
                  Form 8-K filed January 8, 1998).

         4.5      Guarantee and Collateral  Agreement,  dated as of December 31,
                  1997,   made  by  CONMED   Corporation   and  certain  of  its
                  subsidiaries   in   favor   of  The   Chase   Manhattan   Bank
                  (incorporated  herein  by  reference  to  Exhibit  10.2 in the
                  Company's  Current  Report  on Form 8-K  filed on  January  8,
                  1998).

         5        Opinion of Joseph J. Corasanti (to be filed by amendment).

         12       Computation   of  ratio   of   earnings   to   fixed   charges
                  (incorporated by reference from the Company's Annual Report on
                  Form 10-K for the year ended December 31, 1997).

         23.1     Consent of Price Waterhouse LLP.

         23.2     Consent of Joseph J. Corasanti (included in Exhibit 5).

         24       Powers of Attorney (included on signature pages II-6 to II-16)

         25       Statement  of   Eligibility  of  First  Union  National  Bank,
                  Trustee.

         99.1     Form of Letter of Transmittal.

         99.2     Form of Notice of Guaranteed Delivery.


         (B)      FINANCIAL STATEMENT SCHEDULES

         None.



                                      II-3



<PAGE>


ITEM 22. UNDERTAKINGS.


         The Undersigned registrant hereby undertakes to file, during any period
in which  offers or sales are being made,  a  post-effective  amendment  to this
registration statement:

                 (i)  To include any prospectus  required by Section 10(a)(3) of
                      the Securities Act of 1933;

                (ii)  To reflect in the  prospectus  any facts or events arising
                      after the effective date of the registration statement (or
                      the most recent  post-effective  amendment thereof) which,
                      individually or in the aggregate,  represent a fundamental
                      change in the  information  set forth in the  registration
                      statement; and

               (iii)  To include any  material  information  with respect to the
                      plan  of  distribution  not  previously  disclosed  in the
                      registration  statement  or any  material  change  to such
                      information in the registration statement.

         The undersigned registration hereby undertakes that, for the purpose of
determining   any  liability  under  the  Securities  Act  of  1933,  each  such
post-effective  amendment  shall be  deemed to be a new  registration  statement
relating to the securities offered therein,  and the offering of such securities
at that time shall be deemed to be the initial bona fide offering thereof.

         The   undersigned   registrant   hereby   undertakes   to  remove  from
registration by means of  post-effective  amendment any of the securities  being
registered which remain unsold at the termination of the offering.

         The undersigned  registrant  hereby undertakes that prior to any public
reoffering of the securities  registered  hereunder  through use of a prospectus
which is a part of this  registration  statement,  by any person or party who is
deemed to be an  underwriter  within  the  meaning  of Rule  145(c),  the issuer
undertakes that such reoffering  prospectus will contain the information  called
for by the applicable  registration  form with respect to reofferings by persons
who may be deemed underwriters, in addition to the information called for by the
other items of the applicable form.

         The undersigned registrant hereby undertakes that every prospectus: (i)
that is filed  pursuant to paragraph  (1)  immediately  preceding,  or (ii) that
purports to meet the  requirements of Section 10(a)(3) of the Act and is used in
connection with an offering of securities  subject to Rule 415, will be filed as
a part of an amendment to the registration  statement and will not be used until
such amendment is effective, and that, for purposes of determining any liability
under the Securities Act of 1933,  each such  post-effective  amendment shall be
deemed to be a new  registration  statement  relating to the securities  offered
therein,  and the offering of such securities at that time shall be deemed to be
the initial bona fide offering thereof.

         Insofar as indemnification for liabilities arising under the Securities
Act of 1933 may be permitted to directors,  officers and controlling  persons of
the registrant,  pursuant to the foregoing provisions  summarized in Item 20, or
otherwise, the registrant has been advised that in the opinion of the Securities
and  Exchange  Commission  such  indemnification  is  against  public  policy as
expressed in the Securities Act of 1933 and is, therefore, unenforceable. In the
event that a claim for indemnification  against such liabilities (other than the
payment by the registrant of expenses incurred or paid by a director, officer or
controlling  person of the registrant in the  successful  defense of any action,
suit or proceeding or by insurance) is asserted by any such director, officer or
controlling  person in connection  with the  securities  being  registered,  the
registrant  will,  unless in the  opinion  of its  counsel  the  matter has been
settled by controlling precedent,  submit to a court of appropriate jurisdiction
the question of whether or not such  indemnification is against public policy as
expressed  in the  Securities  Act of 1933 and  will be  governed  by the  final
adjudication of such issue.

         The undersigned registrant hereby undertakes to respond to requests for
information  that is incorporated  by reference into the prospectus  pursuant to
Item 4, 10(b),  11, or 13 of this form,  within one  business  day of receipt of
such  request,  and to send the  incorporated  documents  by first class mail or
other equally  prompt means.  This includes  information  contained in documents
filed subsequent to the effective date of the registration statement through the
date of responding to the request.


                                      II-4



<PAGE>



         The undersigned  registrant  hereby  undertakes to supply by means of a
post-effective  amendment  all  information  concerning a  transaction,  and the
company  being  acquired  involved  therein,  that  was not the  subject  of and
included in the registration statement when it became effective.
































                                      II-5



<PAGE>



                                   SIGNATURES

         Pursuant  to the  requirements  of the  Securities  Act  of  1933,  the
registrant certifies that it has reasonable grounds to believe that it meets all
of the requirements for filing on Form S-4 and has duly caused this Registration
Statement  to be  signed  on its  behalf  by  the  undersigned,  thereunto  duly
authorized,  in the City of Utica and the State of New York,  on the 7th  day of
April, 1998.

                                       CONMED CORPORATION



                                       By: /s/ Joseph J. Corasanti
                                          --------------------------------------
                                        Name:  Joseph J. Corasanti
                                        Title: Vice President - Legal Affairs 
                                                 and General Counsel



                                POWER OF ATTORNEY

         KNOW  ALL MEN BY THESE  PRESENTS,  that  each  person  whose  signature
appears  below  constitutes  and  appoints  Eugene R.  Corasanti  and  Joseph J.
Corasanti,  and each of them, his true and lawful  attorneys-in-fact and agents,
with full power of substitution and  resubstitution,  for him in his name, place
and stead, in any and all capacities,  to sign any and all amendments (including
post-effective  amendments) to the  Registration  Statement,  and file the same,
with all exhibits thereto and other documents in connection therewith,  with the
Securities and Exchange  Commission,  granting unto said  attorneys-in-fact  and
agents,  full power and authority to do and perform each and every act and thing
requisite  and  necessary  to be done as fully to all intents and purposes as he
might or could do in  person,  hereby  ratifying  and  confirming  all that said
attorneys-in-fact  and agents or any of them may lawfully do or cause to be done
by virtue hereof.

         Pursuant to the requirements of the Securities Act of 1933, as amended,
this  Registration  Statement has been signed below by the following  persons in
the capacities and on April 7, 1998.

<TABLE>
<CAPTION>
               SIGNATURE                                                    TITLE
               ---------                                                    -----
<S>                                     <C>


 /s/ Eugene R. Corasanti                President, Chief Executive Officer and Chairman of the Board of Directors
- -----------------------------------     (Principal Executive Officer)
         Eugene R. Corasanti            


 /s/ Robert D. Shallish, Jr.            Chief Financial Officer, Vice President - Finance and Assistant Secretary
- -----------------------------------     (Principal Financial Officer)
       Robert D. Shallish, Jr.          


 /s/ Luke A. Pomilio                    Controller (Principal Accounting Officer)
- -----------------------------------     
           Luke A. Pomilio

 /s/ Joseph J. Corasanti                Vice President - Legal Affairs, General Counsel and Director
- -----------------------------------     
         Joseph J. Corasanti


                                      II-6

<PAGE>



               SIGNATURE                         TITLE
               ---------                         -----


 /s/ Robert E. Remmell                  Director and Assistant Secretary
- -----------------------------------     
          Robert E. Remmell


 /s/ Harry Cone                         Director
- -----------------------------------     
             Harry Cone


 /s/ Bruce F. Daniels                   Director
- -----------------------------------     
          Bruce F. Daniels


 /s/ William D. Matthews                Director
- -----------------------------------     
         William D. Matthews
</TABLE>

























                                      II-7



<PAGE>



                                   SIGNATURES

         Pursuant  to the  requirements  of the  Securities  Act  of  1933,  the
registrant certifies that it has reasonable grounds to believe that it meets all
of the requirements for filing on Form S-4 and has duly caused this Registration
Statement  to be  signed  on its  behalf  by  the  undersigned,  thereunto  duly
authorized,  in the City of Utica and the State of New York,  on the 7th  day of
April, 1998.

                                       ASPEN LABORATORIES, INC.



                                       By: /s/ Joseph J. Corasanti
                                          --------------------------------------
                                        Name:  Joseph J. Corasanti
                                        Title: Vice President - Legal Affairs



                                POWER OF ATTORNEY

         KNOW  ALL MEN BY THESE  PRESENTS,  that  each  person  whose  signature
appears  below  constitutes  and  appoints  Eugene R.  Corasanti  and  Joseph J.
Corasanti,  and each of them, his true and lawful  attorneys-in-fact and agents,
with full power of substitution and  resubstitution,  for him in his name, place
and stead, in any and all capacities,  to sign any and all amendments (including
post-effective  amendments) to the  Registration  Statement,  and file the same,
with all exhibits thereto and other documents in connection therewith,  with the
Securities and Exchange  Commission,  granting unto said  attorneys-in-fact  and
agents,  full power and authority to do and perform each and every act and thing
requisite  and  necessary  to be done as fully to all intents and purposes as he
might or could do in  person,  hereby  ratifying  and  confirming  all that said
attorneys-in-fact  and agents or any of them may lawfully do or cause to be done
by virtue hereof.

         Pursuant to the requirements of the Securities Act of 1933, as amended,
this  Registration  Statement has been signed below by the following  persons in
the capacities and on April 7, 1998.

<TABLE>
<CAPTION>
               SIGNATURE                         TITLE
               ---------                         -----
<S>                                     <C>

 /s/ Eugene R. Corasanti                Chief Executive Officer and Director
- -----------------------------------     (Principal Executive Officer)
         Eugene R. Corasanti            


 /s/ Thomas M. Acey                     Treasurer (Principal Financial and Accounting Officer)
- -----------------------------------     
           Thomas M. Acey

 /s/ Joseph J. Corasanti                Vice President - Legal Affairs and Director
- -----------------------------------     
         Joseph J. Corasanti

</TABLE>








                                      II-8



<PAGE>



                                   SIGNATURES

         Pursuant  to the  requirements  of the  Securities  Act  of  1933,  the
registrant certifies that it has reasonable grounds to believe that it meets all
of the requirements for filing on Form S-4 and has duly caused this Registration
Statement  to be  signed  on its  behalf  by  the  undersigned,  thereunto  duly
authorized,  in the City of Utica and the State of New York,  on the 7th  day of
April, 1998.

                                       CONSOLIDATED MEDICAL EQUIPMENT
                                         INTERNATIONAL, INC.



                                       By: /s/ Joseph J. Corasanti
                                          --------------------------------------
                                        Name:  Joseph J. Corasanti
                                        Title: Vice President, General Counsel



                                POWER OF ATTORNEY

         KNOW  ALL MEN BY THESE  PRESENTS,  that  each  person  whose  signature
appears  below  constitutes  and  appoints  Eugene R.  Corasanti  and  Joseph J.
Corasanti,  and each of them, his true and lawful  attorneys-in-fact and agents,
with full power of substitution and  resubstitution,  for him in his name, place
and stead, in any and all capacities,  to sign any and all amendments (including
post-effective  amendments) to the  Registration  Statement,  and file the same,
with all exhibits thereto and other documents in connection therewith,  with the
Securities and Exchange  Commission,  granting unto said  attorneys-in-fact  and
agents,  full power and authority to do and perform each and every act and thing
requisite  and  necessary  to be done as fully to all intents and purposes as he
might or could do in  person,  hereby  ratifying  and  confirming  all that said
attorneys-in-fact  and agents or any of them may lawfully do or cause to be done
by virtue hereof.

         Pursuant to the requirements of the Securities Act of 1933, as amended,
this  Registration  Statement has been signed below by the following  persons in
the capacities and on April 7, 1998.

<TABLE>
<CAPTION>
               SIGNATURE                                                    TITLE
               ---------                                                    -----
<S>                                     <C>


 /s/ Eugene R. Corasanti                President, Treasurer and Director (Principal Executive Officer)
- -----------------------------------     
         Eugene R. Corasanti


 /s/ Thomas M. Acey                     Controller (Principal Financial and Accounting Officer)
- -----------------------------------     
           Thomas M. Acey


 /s/ Joseph J. Corasanti                Vice President, General Counsel and Director
- -----------------------------------     
         Joseph J. Corasanti
</TABLE>






                                      II-9



<PAGE>



                                   SIGNATURES

         Pursuant  to the  requirements  of the  Securities  Act  of  1933,  the
registrant certifies that it has reasonable grounds to believe that it meets all
of the requirements for filing on Form S-4 and has duly caused this Registration
Statement  to be  signed  on its  behalf  by  the  undersigned,  thereunto  duly
authorized,  in the City of Utica and the State of New York,  on the 7th  day of
April, 1998.

                                       CONMED ANDOVER MEDICAL, INC.



                                       By: /s/ Joseph J. Corasanti
                                          --------------------------------------
                                        Name:  Joseph J. Corasanti
                                        Title: Vice President - Legal Affairs



                                POWER OF ATTORNEY

         KNOW  ALL MEN BY THESE  PRESENTS,  that  each  person  whose  signature
appears  below  constitutes  and  appoints  Eugene R.  Corasanti  and  Joseph J.
Corasanti,  and each of them, his true and lawful  attorneys-in-fact and agents,
with full power of substitution and  resubstitution,  for him in his name, place
and stead, in any and all capacities,  to sign any and all amendments (including
post-effective  amendments) to the  Registration  Statement,  and file the same,
with all exhibits thereto and other documents in connection therewith,  with the
Securities and Exchange  Commission,  granting unto said  attorneys-in-fact  and
agents,  full power and authority to do and perform each and every act and thing
requisite  and  necessary  to be done as fully to all intents and purposes as he
might or could do in  person,  hereby  ratifying  and  confirming  all that said
attorneys-in-fact  and agents or any of them may lawfully do or cause to be done
by virtue hereof.

         Pursuant to the requirements of the Securities Act of 1933, as amended,
this  Registration  Statement has been signed below by the following  persons in
the capacities and on April 7, 1998.

<TABLE>
<CAPTION>
               SIGNATURE                                 TITLE
               ---------                                 -----
<S>                                     <C>


 /s/ Eugene R. Corasanti                President, Chief Executive Officer and Director (Principal Executive
- -----------------------------------     Officer)
         Eugene R. Corasanti            


 /s/ Robert D. Shallish, Jr.            Vice President - Finance (Principal Financial and Accounting Officer)
- -----------------------------------     
       Robert D. Shallish, Jr.


 /s/ Joseph J. Corasanti                Vice President - Legal Affairs and Director
- -----------------------------------     
         Joseph J. Corasanti
</TABLE>








                                      II-10



<PAGE>



                                   SIGNATURES

         Pursuant  to the  requirements  of the  Securities  Act  of  1933,  the
registrant certifies that it has reasonable grounds to believe that it meets all
of the requirements for filing on Form S-4 and has duly caused this Registration
Statement  to be  signed  on its  behalf  by  the  undersigned,  thereunto  duly
authorized,  in the City of Utica and the State of New York,  on the 7th  day of
April, 1998.

                                       ENVISION MEDICAL CORPORATION



                                       By: /s/ Joseph J. Corasanti
                                          --------------------------------------
                                        Name:  Joseph J. Corasanti
                                        Title: Vice President - Legal Affairs



                                POWER OF ATTORNEY

         KNOW  ALL MEN BY THESE  PRESENTS,  that  each  person  whose  signature
appears  below  constitutes  and  appoints  Eugene R.  Corasanti  and  Joseph J.
Corasanti,  and each of them, his true and lawful  attorneys-in-fact and agents,
with full power of substitution and  resubstitution,  for him in his name, place
and stead, in any and all capacities,  to sign any and all amendments (including
post-effective  amendments) to the  Registration  Statement,  and file the same,
with all exhibits thereto and other documents in connection therewith,  with the
Securities and Exchange  Commission,  granting unto said  attorneys-in-fact  and
agents,  full power and authority to do and perform each and every act and thing
requisite  and  necessary  to be done as fully to all intents and purposes as he
might or could do in  person,  hereby  ratifying  and  confirming  all that said
attorneys-in-fact  and agents or any of them may lawfully do or cause to be done
by virtue hereof.

         Pursuant to the requirements of the Securities Act of 1933, as amended,
this  Registration  Statement has been signed below by the following  persons in
the capacities and on April 7, 1998.

<TABLE>
<CAPTION>
               SIGNATURE                                TITLE
               ---------                                -----
<S>                                     <C>

 /s/ Daniel McGuire                     President (Principal Executive Officer)
- -----------------------------------     
           Daniel McGuire


 /s/ Eugene R. Corasanti                Director
- -----------------------------------     
         Eugene R. Corasanti


 /s/ George Kempsell                    Director
- -----------------------------------     
           George Kempsell


 /s/ Joseph J. Corasanti                Vice President - Legal Affairs and Director
- -----------------------------------     
         Joseph J. Corasanti


 /s/ Thomas M. Acey                     Treasurer and Assistant Secretary (Principal Financial and Accounting
- -----------------------------------     Officer)
           Thomas M. Acey               
</TABLE>


                                     II-11

<PAGE>


                                   SIGNATURES

         Pursuant  to the  requirements  of the  Securities  Act  of  1933,  the
registrant certifies that it has reasonable grounds to believe that it meets all
of the requirements for filing on Form S-4 and has duly caused this Registration
Statement  to be  signed  on its  behalf  by  the  undersigned,  thereunto  duly
authorized,  in the City of Utica and the State of New York,  on the 7th  day of
April, 1998.

                                       LINVATEC CORPORATION



                                       By: /s/ Joseph J. Corasanti
                                          --------------------------------------
                                        Name:  Joseph J. Corasanti
                                        Title: Vice President - Legal Affairs



                                POWER OF ATTORNEY

         KNOW  ALL MEN BY THESE  PRESENTS,  that  each  person  whose  signature
appears  below  constitutes  and  appoints  Eugene R.  Corasanti  and  Joseph J.
Corasanti,  and each of them, his true and lawful  attorneys-in-fact and agents,
with full power of substitution and  resubstitution,  for him in his name, place
and stead, in any and all capacities,  to sign any and all amendments (including
post-effective  amendments) to the  Registration  Statement,  and file the same,
with all exhibits thereto and other documents in connection therewith,  with the
Securities and Exchange  Commission,  granting unto said  attorneys-in-fact  and
agents,  full power and authority to do and perform each and every act and thing
requisite  and  necessary  to be done as fully to all intents and purposes as he
might or could do in  person,  hereby  ratifying  and  confirming  all that said
attorneys-in-fact  and agents or any of them may lawfully do or cause to be done
by virtue hereof.

         Pursuant to the requirements of the Securities Act of 1933, as amended,
this  Registration  Statement has been signed below by the following  persons in
the capacities and on April 7, 1998.

<TABLE>
<CAPTION>
               SIGNATURE                                                    TITLE
               ---------                                                    -----
<S>                                     <C>

 /s/ George Kempsell                    President and Director (Principal Executive Officer)
- -----------------------------------     
           George Kempsell


 /s/ Eugene R. Corasanti                Director
- -----------------------------------     
         Eugene R. Corasanti


 /s/ Joseph Eaddy                       Vice President-Finance (Principal Financial and Accounting Officer)
- -----------------------------------     
            Joseph Eaddy


 /s/ Joseph J. Corasanti                Vice President - Legal Affairs and Director
- -----------------------------------     
         Joseph J. Corasanti
</TABLE>




                                      II-12



<PAGE>



                                   SIGNATURES

         Pursuant  to the  requirements  of the  Securities  Act  of  1933,  the
registrant certifies that it has reasonable grounds to believe that it meets all
of the requirements for filing on Form S-4 and has duly caused this Registration
Statement  to be  signed  on its  behalf  by  the  undersigned,  thereunto  duly
authorized,  in the City of Utica and the State of New York,  on the 7th  day of
April, 1998.

                                       NDM, INC.



                                       By: /s/ Joseph J. Corasanti
                                          --------------------------------------
                                        Name:  Joseph J. Corasanti
                                        Title: Secretary



                                POWER OF ATTORNEY

         KNOW  ALL MEN BY THESE  PRESENTS,  that  each  person  whose  signature
appears  below  constitutes  and  appoints  Eugene R.  Corasanti  and  Joseph J.
Corasanti,  and each of them, his true and lawful  attorneys-in-fact and agents,
with full power of substitution and  resubstitution,  for him in his name, place
and stead, in any and all capacities,  to sign any and all amendments (including
post-effective  amendments) to the  Registration  Statement,  and file the same,
with all exhibits thereto and other documents in connection therewith,  with the
Securities and Exchange  Commission,  granting unto said  attorneys-in-fact  and
agents,  full power and authority to do and perform each and every act and thing
requisite  and  necessary  to be done as fully to all intents and purposes as he
might or could do in  person,  hereby  ratifying  and  confirming  all that said
attorneys-in-fact  and agents or any of them may lawfully do or cause to be done
by virtue hereof.

         Pursuant to the requirements of the Securities Act of 1933, as amended,
this  Registration  Statement has been signed below by the following  persons in
the capacities and on April 7, 1998.

<TABLE>
<CAPTION>
               SIGNATURE                               TITLE
               ---------                               -----
<S>                                     <C>

 /s/ Eugene R. Corasanti                President, Chief Executive Officer and Director (Principal Executive
- -----------------------------------     Officer)
         Eugene R. Corasanti            


 /s/ Robert D. Shallish, Jr.            Chief Financial Officer and Treasurer (Principal Financial and Accounting
- -----------------------------------     Officer)
       Robert D. Shallish, Jr.          


 /s/ Joseph J. Corasanti                Secretary and Director
- -----------------------------------     
         Joseph J. Corasanti
</TABLE>







                                      II-13



<PAGE>



                                   SIGNATURES

         Pursuant  to the  requirements  of the  Securities  Act  of  1933,  the
registrant certifies that it has reasonable grounds to believe that it meets all
of the requirements for filing on Form S-4 and has duly caused this Registration
Statement  to be  signed  on its  behalf  by  the  undersigned,  thereunto  duly
authorized,  in the City of Utica and the State of New York,  on the  7th day of
April, 1998.

                                       BIRTCHER MEDICAL SYSTEMS, INC.



                                       By: /s/ Joseph J. Corasanti
                                          --------------------------------------
                                        Name:  Joseph J. Corasanti
                                        Title: Vice President - Legal Affairs



                                POWER OF ATTORNEY

         KNOW  ALL MEN BY THESE  PRESENTS,  that  each  person  whose  signature
appears  below  constitutes  and  appoints  Eugene R.  Corasanti  and  Joseph J.
Corasanti,  and each of them, his true and lawful  attorneys-in-fact and agents,
with full power of substitution and  resubstitution,  for him in his name, place
and stead, in any and all capacities,  to sign any and all amendments (including
post-effective  amendments) to the  Registration  Statement,  and file the same,
with all exhibits thereto and other documents in connection therewith,  with the
Securities and Exchange  Commission,  granting unto said  attorneys-in-fact  and
agents,  full power and authority to do and perform each and every act and thing
requisite  and  necessary  to be done as fully to all intents and purposes as he
might or could do in  person,  hereby  ratifying  and  confirming  all that said
attorneys-in-fact  and agents or any of them may lawfully do or cause to be done
by virtue hereof.

         Pursuant to the requirements of the Securities Act of 1933, as amended,
this  Registration  Statement has been signed below by the following  persons in
the capacities and on April 7, 1998.

<TABLE>
<CAPTION>
               SIGNATURE                               TITLE
               ---------                               -----
<S>                                     <C>


 /s/ Eugene R. Corasanti                President, Chief Executive Officer and Director (Principal Executive
- -----------------------------------     Officer)
         Eugene R. Corasanti            


 /s/ Robert D. Shallish, Jr.            Vice President and Treasurer (Principal Financial and Accounting Officer)
- -----------------------------------     
       Robert D. Shallish, Jr.


 /s/ Joseph J. Corasanti                Vice President - Legal Affairs, Secretary and Director
- -----------------------------------     
         Joseph J. Corasanti
</TABLE>




                                      II-14








                                                                    EXHIBIT 23.1





                       CONSENT OF INDEPENDENT ACCOUNTANTS



We  hereby  consent  to  the   incorporation  by  reference  in  the  Prospectus
constituting  part  of  this  Registration  Statement  on  Form  S-4  of  CONMED
Corporation  (the  "Company") of our report dated February 10, 1998 appearing on
page F-1 of the Company's Annual Report on Form 10-K for the year ended December
31, 1997. We also consent to the reference to us under the heading  "Experts" in
such Prospectus.





PRICE WATERHOUSE LLP


Syracuse, New York
April 8, 1998







                       SECURITIES AND EXCHANGE COMMISSION
                             WASHINGTON, D.C. 20549
                             ----------------------

                                    FORM T-1
           STATEMENT OF ELIGIBILITY AND QUALIFICATION UNDER THE TRUST
                                    INDENTURE
         ACT OF 1939, AS AMENDED, OF A CORPORATION DESIGNATED TO ACT AS
                                     TRUSTEE
                             ----------------------

                            FIRST UNION NATIONAL BANK
               ---------------------------------------------------
               (Exact name of trustee as specified in its charter)

 UNITED STATES NATIONAL BANK                                 56-0900030
- ------------------------------                          -------------------
(Jurisdiction of incorporation                             (IRS employer 
   if not a national bank)                              identification no.)


                            FIRST UNION NATIONAL BANK
                        230 SOUTH TRYON STREET, 9TH FLOOR
                               CHARLOTTE, NC 28202
                                 (704) 590-7600
                              ATTN: GENERAL COUNSEL
                    ----------------------------------------
                    (Address of principal executive offices)

                             ----------------------

                                  SAME AS ABOVE
          ------------------------------------------------------------
          (Name, address and telephone number, including area code, of
                          trustee's agent for service)

                             ----------------------

<TABLE>
<CAPTION>
                                                                                                                IRS EMPLOYER
EXACT NAME OF OBLIGOR AS                STATE OR OTHER JURISDICTION OF       PRIMARY STANDARD INDUSTRIAL       IDENTIFICATION
SPECIFIED IN ITS CHARTER                 INCORPORATION OR ORGANIZATION        CLASSIFICATION CODE NUMBER           NUMBER
- ------------------------------------- ----------------------------------- ---------------------------------- ------------------
<S>                                   <C>                                 <C>                                <C>
CONMED Corporation                                 New York                              3845                    16-0977505
Aspen Laboratories, Inc.                           Colorado                              3845                    84-0692164
       Consolidate Medical Equipment               New York                              3845                    16-1237634
       International, Inc.
CONMED Andover Medical, Inc.                       New York                              3845                    04-3195182
Birtcher Medical Systems, Inc.                    California                             3845                    95-0552628
Envision Medical Corporation                      California                             3841                    77-0273890
Linvatec Corporation                                Florida                              3841                    59-1086703
NDM, Inc.                                          New York                              3845                    16-1495367
</TABLE>

310 BROAD STREET
UTICA, NEW YORK 13501




<PAGE>



(315) 797-8375
(Address, including zip code, and telephone number, including area code, of
Obligor's principal executive offices)

- ----------------------

9% SENIOR SUBORDINATED NOTES DUE 2008 OF CONMED CORPORATION 
(Title of the indenture securities)

- ----------------------

1.  General Information.  Furnish the following information as to the trustee:

    (a)  Name and address of each examining or supervising authority to which it
is subject.

- --------------------------------------------------------------------------------
     Name                                            Address
- --------------------------------------------------------------------------------

Federal Reserve Bank of Richmond, VA                 Richmond, VA

Comptroller of the Currency                          Washington, D.C.

Securities and Exchange Commission Division
of Market Regulation                                 Washington, D.C.

Federal Deposit Insurance Corporation                Washington, D.C.

    (b) Whether it is authorized to exercise corporate trust powers.

        The Trustee is authorized to exercise corporate trust powers.

2.  Affiliations with obligor and underwriters. If the obligor or any 
    underwriter for the obligor is an affiliate of the trustee, describe each 
    such affiliation.

        None.


        (See Note 1 on Page 4.)






<PAGE>



Because the obligor is not in default on any securities  issued under indentures
under  which the  applicant  is  trustee,  Items 3 through  15 are not  required
herein.

16.  List of Exhibits.

         All exhibits  identified below are filed as a part of this statement of
eligibility.


     1.  A copy of the Articles of  Association  of First Union National Bank as
         now in effect,  which contain the authority to commence  business and a
         grant of powers to exercise  corporate trust powers,  is filed with the
         T-1 for Financial  Security  Assurance  Holdings LTD, as filed with the
         Securities and Exchange Commission on September 8, 1997 as Registration
         No. 333-34181.

     2.  A copy of the  certificate  of  authority  of the  trustee to  commence
         business, if not contained in the Articles of Association is filed with
         the T-1 for Financial  Security  Assurance  Holdings LTD, as filed with
         the  Securities  and  Exchange  Commission  on  September  8,  1997  as
         Registration No. 333-34181.

     3.  A copy of the authorization of the trustee to exercise  corporate trust
         powers,  if  such  authorization  is not  contained  in  the  documents
         specified  in  exhibits  (1) or (2)  above,  is filed  with the T-1 for
         Financial Security Assurance Holdings LTD, as filed with the Securities
         and  Exchange  Commission  on  September  8, 1997 as  Registration  No.
         333-34181.

     4.  A  copy  of  the  existing  By-laws  of  the  trustee,  or  instruments
         corresponding  thereto  is filed  with the T-1 for  Financial  Security
         Assurance Holdings LTD, as filed the Securities and Exchange Commission
         on September 8, 1997 as Registration No. 333-34181.

     5.  Inapplicable.

     6.  The  consent of the  trustee  required  by Section  321(b) of the Trust
         Indenture Act of 1939 is included at Page 4 of this Form T-1 Statement.

     7.  A copy of the  latest  report of  condition  of the  trustee  published
         pursuant to law or to the  requirements of its supervising or examining
         authority is attached hereto.

     8.  Inapplicable.

     9.  Inapplicable.




<PAGE>



                                      NOTE

      Note 1: Inasmuch as this Form T-1 is filed prior to the  ascertainment  by
the  Trustee of all facts on which to base a  responsible  answer to Item 2, the
answer to said Item is based on incomplete information.  Item 2 may, however, be
considered correct unless amended by an amendment to this Form T-1.

                                    SIGNATURE

       PURSUANT TO THE REQUIREMENTS OF THE TRUST INDENTURE ACT OF 1939, AS
AMENDED, THE TRUSTEE, FIRST UNION NATIONAL BANK, A NATIONAL ASSOCIATION
ORGANIZED AND EXISTING UNDER THE LAWS OF THE UNITED STATES OF AMERICA, HAS DULY
CAUSED THIS STATEMENT OF ELIGIBILITY AND QUALIFICATION TO BE SIGNED ON ITS
BEHALF BY THE UNDERSIGNED, THEREUNTO DULY AUTHORIZED, ALL IN THE CITY OF
HARTFORD, AND STATE OF CONNECTICUT, ON THE 14TH DAY OF APRIL, 1998.

                                            FIRST UNION NATIONAL BANK
                                            (TRUSTEE)

                                            BY: /s/ W. Jeffrey Kramer
                                               --------------------------------
                                               W. Jeffrey Kramer
                                               Vice President




                               CONSENT OF TRUSTEE

      UNDER SECTION 321(B) OF THE TRUST  INDENTURE ACT OF 1939, AS AMENDED,  AND
IN  CONNECTION  WITH THE  PROPOSED  ISSUANCE  BY THE  OBLIGORS  OF THE 9% SENIOR
SUBORDINATED  NOTES DUE 2008,  FIRST UNION  NATIONAL BANK AS THE TRUSTEE  HEREIN
NAMED,  HEREBY CONSENTS THAT REPORTS OF EXAMINATIONS OF SAID TRUSTEE BY FEDERAL,
STATE,  TERRITORIAL OR DISTRICT AUTHORITIES MAY BE FURNISHED BY SUCH AUTHORITIES
TO THE SECURITIES AND EXCHANGE COMMISSION UPON REQUESTS THEREFOR.

                                            FIRST UNION NATIONAL BANK


                                            BY: /s/ W. Jeffrey Kramer
                                               --------------------------------
                                               W. Jeffrey Kramer
                                               Vice President


Dated:  April 14, 1998



                                                                    EXHIBIT 99.1


                              LETTER OF TRANSMITTAL
                                       FOR
                      9% SENIOR SUBORDINATED NOTES DUE 2008
                                       OF
                               CONMED CORPORATION
                                 PURSUANT TO THE
                                 EXCHANGE OFFER
                                  IN RESPECT OF
          ALL OF ITS OUTSTANDING 9% SENIOR SUBORDINATED NOTES DUE 2008
                                       FOR
                      9% SENIOR SUBORDINATED NOTES DUE 2008
                                 ---------------

                PURSUANT TO THE PROSPECTUS DATED APRIL < >, 1998

 ------------------------------------------------------------------------------
 :   THE EXCHANGE OFFER WILL EXPIRE AT 5:00 P.M., NEW YORK CITY TIME, ON [ ], :
 :   1998  UNLESS  THE  EXCHANGE OFFER  IS  EXTENDED (THE "EXPIRATION DATE"). :
 :   TENDERS OF OLD NOTES MAY BE  WITHDRAWN  AT  ANY TIME PRIOR TO 5:00 P.M.  :
 :   ON THE BUSINESS DAY PRIOR TO THE EXPIRATION DATE.                        :
 ------------------------------------------------------------------------------

               The Exchange Agent For The Exchange Offer Is:

                         FIRST UNION NATIONAL BANK


           Address:                                  Facsimile Transmissions:
                                                   (Eligible Institutions Only)

   First Union National Bank                              (704) 590-7628
  Corporate Trust Operations
1525 West W.T. Harris Boulevard
     Charlotte, NC 28288-1153                        To Confirm by Telephone
 Attention: W. Jeffrey Kramer                        or for Information Call:

                                                          (704) 590-7408

     DELIVERY OF THIS LETTER OF TRANSMITTAL TO AN ADDRESS,  OR TRANSMISSION
VIA TELEGRAM,  TELEX OR  FACSIMILE,  OTHER THAN AS SET FORTH ABOVE WILL NOT
CONSTITUTE A VALID DELIVERY.  THE  INSTRUCTIONS  CONTAINED HEREIN SHOULD BE
READ CAREFULLY BEFORE THIS LETTER OF TRANSMITTAL IS COMPLETED.

     HOLDERS  WHO WISH TO BE  ELIGIBLE  TO RECEIVE  NEW NOTES FOR THEIR OLD
NOTES PURSUANT TO THE EXCHANGE OFFER MUST VALIDLY TENDER (AND NOT WITHDRAW)
THEIR OLD NOTES TO THE EXCHANGE AGENT PRIOR TO THE EXPIRATION DATE.

     By  execution  hereof,  the  undersigned  acknowledges  receipt of the
Prospectus   (the   "Prospectus"),   dated  April  <  >,  1998,  of  CONMED
Corporation,  a New York corporation (the "Company"),  which, together with
this Letter of  Transmittal  and the  instructions  hereto (the  "Letter of
Transmittal"),  constitute the Company's  offer (the  "Exchange  Offer") to
exchange $1,000  principal amount of its 9% Senior  Subordinated  Notes due
2008 (the "New Notes") that have been  registered  under the Securities Act
of 1933, as amended (the "Securities Act"), pursuant to a Registration





<PAGE>



Statement of which the Prospectus  constitutes a part, for each $1,000 principal
amount  of its  outstanding  9%  Senior  Subordinated  Notes  due 2008 (the "Old
Notes"),  upon  the  terms  and  subject  to the  conditions  set  forth  in the
Prospectus.

         This  Letter  of   Transmittal  is  to  be  used  by  Holders  if:  (i)
certificates  representing  Old  Notes  are to be  physically  delivered  to the
Exchange  Agent  herewith by Holders;  (ii) tender of Old Notes is to be made by
book-entry  transfer to the Exchange  Agent's  account at The  Depository  Trust
Company (the "Book-Entry Transfer Facility" or "DTC") pursuant to the procedures
set forth in the Prospectus under "The Exchange Offer--Procedures for Tendering"
by any financial institution that is a participant in DTC and whose name appears
on a security  position  listing as the owner of Old Notes  (such  participants,
acting on behalf of Holders, are referred to herein, together with such Holders,
as "Acting  Holders");  or (iii) tender of Old Notes is to be made  according to
the  guaranteed  delivery  set  forth  in the  Prospectus  under  "The  Exchange
Offer--Procedures  for  Tendering."  DELIVERY  OF  DOCUMENTS  TO THE  BOOK-ENTRY
TRANSFER FACILITY DOES NOT CONSTITUTE DELIVERY TO THE EXCHANGE AGENT.

         The term "Holder" with respect to the Exchange  Offer means any person:
(i) in whose name Old Notes are  registered  on the books of the  Company or any
other  person  who has  obtained  a  properly  completed  bond  power  from  the
registered Holder; or (ii) whose Old Notes are held of record by DTC who desires
to deliver such Old Notes by book-entry transfer at DTC.

                     NOTE: SIGNATURES MUST BE PROVIDED BELOW
               PLEASE READ THE ACCOMPANYING INSTRUCTIONS CAREFULLY

         The  undersigned  has completed,  executed and delivered this Letter of
Transmittal to indicate the action the undersigned  desires to take with respect
to the Exchange Offer.  Holders who wish to tender their Old Notes must complete
this letter in its entirety.

         All capitalized terms used herein and not defined herein shall have the
meaning ascribed to them in the Prospectus.

         The  instructions  included  with this  Letter of  Transmittal  must be
followed.  Questions and requests for assistance or for additional copies of the
Prospectus, this Letter of Transmittal and the Notice of Guaranteed Delivery may
be directed to the Exchange Agent. See Instruction 6 herein.

         HOLDERS  WHO WISH TO ACCEPT THE  EXCHANGE  OFFER AND  TENDER  THEIR OLD
NOTES MUST COMPLETE THIS LETTER OF TRANSMITTAL IN ITS ENTIRETY.




























                                       -2-



<PAGE>



         List below the Old Notes to which this Letter of  Transmittal  relates.
If the space  provided  below is inadequate,  list the  certificate  numbers and
principal  amounts on a separately  executed  schedule and affix the schedule to
this  Letter of  Transmittal.  Tenders  of Old Notes  will be  accepted  only in
principal amounts equal to $1,000 or integral multiples thereof.

<TABLE>
<CAPTION>
                                          DESCRIPTION OF OLD NOTES

                                                                                             AGGREGATE
                                                                     CERTIFICATE             PRINCIPAL
                                                                      NUMBER(S)*               AMOUNT
             NAME(S) AND ADDRESS(ES) OF HOLDER(S)                   (ATTACH SIGNED       TENDERED (IF LESS
                  (PLEASE FILL IN, IF BLANK)                      LIST IF NECESSARY)        THAN ALL) **
<S>                                                               <C>                    <C>












                    TOTAL PRINCIPAL AMOUNT OF OLD NOTES TENDERED


<FN>
  *      Need not be completed by Holders tendering by book-entry transfer.

 **      Need not be completed by Holders who wish to tender with respect to all Old Notes listed. See
         Instruction 2.
</FN>
</TABLE>









                                       -3-



<PAGE>

|_|  CHECK HERE IF TENDERED OLD NOTES ARE BEING DELIVERED BY BOOK-ENTRY TRANSFER
     MADE TO THE ACCOUNT  MAINTAINED BY THE EXCHANGE  AGENT WITH THE  BOOK-ENTRY
     TRANSFER FACILITY AND COMPLETE THE FOLLOWING:

     Name of Tendering Institution:
                                   ---------------------------------------------

     DTC Book-Entry Account No.:
                                ------------------------------------------------

     Transaction Code No.:
                          ------------------------------------------------------

If Holders  desire to tender Old Notes  pursuant to the  Exchange  Offer and (i)
certificates  representing  such Old Notes are not lost but are not  immediately
available,  (ii) time will not permit this Letter of  Transmittal,  certificates
representing  such Old Notes or other  required  documents to reach the Exchange
Agent  prior to the  Expiration  Date or (iii)  the  procedures  for  book-entry
transfer  cannot be completed  prior to the  Expiration  Date,  such Holders may
effect a tender of such Old Notes in  accordance  with the  guaranteed  delivery
procedures set forth in the Prospectus under "The Exchange Offer--Procedures for
Tendering."

|_|  CHECK HERE AND ENCLOSE A PHOTOCOPY OF THE NOTICE OF GUARANTEED  DELIVERY IF
     TENDERED OLD NOTES ARE BEING  DELIVERED  PURSUANT TO A NOTICE OF GUARANTEED
     DELIVERY  PREVIOUSLY  DELIVERED  TO THE  EXCHANGE  AGENT AND  COMPLETE  THE
     FOLLOWING:

     Name(s) of Holder(s) of Old Notes:
                                       -----------------------------------------

     Window Ticket No. (if any):
                                ------------------------------------------------

     Date of Execution of 
        Notice of Guaranteed Delivery:
                                      ------------------------------------------

     Name of Eligible Institution that Guaranteed Delivery:
                                                           ---------------------

     If Delivered by Book-Entry Transfer:

     Name of Tendering Institution:
                                   ---------------------------------------------

     DTC Book-Entry Account No.:
                                ------------------------------------------------

     Transaction Code No.:
                          ------------------------------------------------------

|_|  CHECK HERE IF TENDERED BY BOOK-ENTRY  TRANSFER AND  NON-EXCHANGED OLD NOTES
     ARE TO BE RETURNED BY CREDITING THE BOOK-ENTRY  TRANSFER  FACILITY  ACCOUNT
     NUMBER SET FORTH ABOVE.

                                       -4-
<PAGE>



|_|      CHECK HERE IF YOU ARE A BROKER-DEALER WHO ACQUIRED THE OLD NOTES FOR
         ITS OWN ACCOUNT AS A RESULT OF MARKET MAKING OR OTHER TRADING
         ACTIVITIES (A "PARTICIPATING BROKER-DEALER") AND WISH TO RECEIVE 10
         ADDITIONAL COPIES OF THE PROSPECTUS AND 10 COPIES OF ANY AMENDMENTS OR
         SUPPLEMENTS THERETO.

         Name:
              ------------------------------------------------------------------

         Address:
                 ---------------------------------------------------------------

                 ---------------------------------------------------------------



































                                                      -5-



<PAGE>



Gentlemen:

         Upon the terms and subject to the conditions of the Exchange Offer, the
undersigned  hereby  tenders  to the  Company,  the  above  described  aggregate
principal  amount of the  Company's 9% Senior  Subordinated  Notes due 2008 (the
"Old Notes") in exchange for a like aggregate  principal amount of the Company's
9%  Senior  Subordinated  Notes  due 2008  (the  "New  Notes")  which  have been
registered under the Securities Act upon the terms and subject to the conditions
set forth in the Prospectus dated April < >, 1998 (as the same may be amended or
supplemented  from  time  to  time,  the  "Prospectus"),  receipt  of  which  is
acknowledged,  and in this  Letter  of  Transmittal  (which,  together  with the
Prospectus, constitute the "Exchange Offer").

         Subject  to and  effective  upon the  acceptance  for  exchange  of the
principal  amount of Old  Notes  tendered  in  accordance  with  this  Letter of
Transmittal,  the undersigned sells, assigns and transfers to, or upon the order
of, the Company all right,  title and interest in and to the Old Notes  tendered
hereby. The undersigned hereby irrevocably constitutes and appoints the Exchange
Agent its agent and  attorney-in-fact  (with full  knowledge  that the  Exchange
Agent also acts as the agent of the Company and as Trustee  under the  Indenture
for the Old Notes and the New Notes) with respect to the tendered Old Notes with
full power of substitution to (i) deliver certificates for such Old Notes to the
Company, or transfer ownership of such Old Notes on the account books maintained
by DTC,  together  in either  such  case,  with all  accompanying  evidences  of
transfer and authenticity to, or upon the order of, the Company and (ii) present
such Old Notes for transfer on the books of the Company and receive all benefits
and otherwise exercise all rights of beneficial ownership of such Old Notes, all
in  accordance  with the terms of the  Exchange  Offer.  The  power of  attorney
granted  in this  paragraph  shall be deemed  irrevocable  and  coupled  with an
interest.

         The undersigned  hereby represents and warrants that he or she has full
power and authority to tender,  sell, assign and transfer the Old Notes tendered
hereby and that the Company will acquire good and  unencumbered  title  thereto,
free and clear of all liens,  restrictions,  charges  and  encumbrances  and not
subject to any adverse  claim,  when the same are acquired by the  Company.  The
undersigned also acknowledges that this Exchange Offer is being made in reliance
upon an  interpretation  by the staff of the Securities and Exchange  Commission
that the New Notes issued in exchange for the Old Notes pursuant to the Exchange
Offer may be offered  for sale,  resold  and  otherwise  transferred  by holders
thereof (other than any such holder that is an "affiliate" of the Company within
the meaning of Rule 405 under the Securities  Act) without  compliance  with the
registration and prospectus  delivery  provisions of the Securities Act provided
that  such New Notes  are  acquired  in the  ordinary  course  of such  holder's
business and such holders have no arrangement  with any person to participate in
the  distribution of such New Notes. If the undersigned is not a  broker-dealer,
the  undersigned  represents  that it is not  engaged in, and does not intend to
engage in, a distribution of the New Notes.

         The undersigned  will upon request,  execute and deliver any additional
documents  deemed  by the  Exchange  Agent or the  Company  to be  necessary  or
desirable to complete  the  assignment  and  transfer of the Old Notes  tendered
hereby.

         For purposes of the Exchange Offer, the Company shall be deemed to have
accepted  validly  tendered Old Notes when, and as if the Company has given oral
or written notice thereof to the Exchange  Agent.  If any tendered Old Notes are
not  accepted  for  exchange  pursuant  to the  Exchange  Offer for any  reason,
certificates for any such unaccepted Old Notes will be returned (except as noted
below with respect to tenders through DTC), without expense,  to the undersigned
at the  address  shown  below  or at a  different  address  shown  below or at a
different address as may be indicated under "Special  Issuance  Instructions" as
promptly as practicable after the Expiration Date.

         All  authority  conferred  or agreed to be  conferred by this Letter of
Transmittal   shall  survive  the  death,   incapacity  or  dissolution  of  the
undersigned  and every  obligation  under this  Letter of  Transmittal  shall be
binding upon the undersigned's heirs, personal  representatives,  successors and
assigns.


                                       -6-

<PAGE>


         The undersigned  understands  that tenders of Old Notes pursuant to the
procedures  described  under the caption  "The  Exchange  Offer--Procedures  for
Tendering" in the Prospectus and in the  instructions  hereto will  constitute a
binding  agreement  between the  undersigned  and the Company upon the terms and
subject to the conditions of the Exchange Offer.

         Unless  otherwise  indicated  under  "Special  Issuance  Instructions,"
please issue the certificates  representing the New Notes issued in exchange for
the Old Notes accepted for exchange and return any Old Notes not tendered or not
exchanged,  in the  name(s) of the  undersigned  (or in either such event in the
case of Old Notes tendered by DTC, by credit to the account at DTC).  Similarly,
unless otherwise  indicated under "Special Delivery  Instructions,"  please send
the certificates representing the New Notes issued in exchange for the Old Notes
accepted  for exchange  and any  certificates  for Old Notes not tendered or not
exchanged (and accompanying documents, as appropriate) to the undersigned at the
address  shown below the  undersigned's  signatures,  unless,  in either  event,
tender is being  made  through  DTC.  In the event that both  "Special  Issuance
Instructions"  and "Special Delivery  Instructions" are completed,  please issue
the certificates representing the New Notes issued in exchange for the Old Notes
accepted for exchange and return any Old Notes not tendered or not  exchanged in
the name(s) of, and send said  certificates to, the person(s) so indicated.  The
undersigned  recognizes  that the  Company  has no  obligation  pursuant  to the
"Special Issuance  Instructions" and "Special Delivery Instructions" to transfer
any Old Notes from the name of the registered  holder(s)  thereof if the Company
does not accept for exchange any of the Old Notes so tendered.

         BY TENDERING OLD NOTES AND EXECUTING  THIS LETTER OF  TRANSMITTAL,  THE
UNDERSIGNED  HEREBY  REPRESENTS  AND AGREES THAT (I) THE  UNDERSIGNED  IS NOT AN
"AFFILIATE" OF THE COMPANY, (II) ANY NEW NOTES TO BE RECEIVED BY THE UNDERSIGNED
ARE BEING ACQUIRED IN THE ORDINARY COURSE OF ITS BUSINESS, (III) THE UNDERSIGNED
HAS NO  ARRANGEMENT  OR  UNDERSTANDING  WITH  ANY  PERSON  TO  PARTICIPATE  IN A
DISTRIBUTION  (WITHIN  THE  MEANING  OF THE  SECURITIES  ACT) OF NEW NOTES TO BE
RECEIVED  IN  THE  EXCHANGE  OFFER,  AND  (IV)  IF  THE  UNDERSIGNED  IS  NOT  A
BROKER-DEALER,  THE UNDERSIGNED IS NOT ENGAGED IN, AND DOES NOT INTEND TO ENGAGE
IN, A DISTRIBUTION (WITHIN THE MEANING OF THE SECURITIES ACT) OF SUCH NEW NOTES.
BY TENDERING OLD NOTES  PURSUANT TO THE EXCHANGE OFFER AND EXECUTING THIS LETTER
OF  TRANSMITTAL,  A HOLDER OF OLD NOTES  WHICH A  BROKER-DEALER  REPRESENTS  AND
AGREES,  CONSISTENT WITH CERTAIN INTERPRETIVE LETTERS ISSUED BY THE STAFF OF THE
DIVISION OF CORPORATION  FINANCE OF THE  SECURITIES  AND EXCHANGE  COMMISSION TO
THIRD PARTIES,  THAT (A) SUCH OLD NOTES HELD BY THE  BROKER-DEALER ARE HELD ONLY
AS A NOMINEE,  OR (B) SUCH OLD NOTES WERE ACQUIRED BY SUCH BROKER-DEALER FOR ITS
OWN ACCOUNT AS A RESULT OF MARKET-MAKING  ACTIVITIES OR OTHER TRADING ACTIVITIES
AND IT WILL  DELIVER THE  PROSPECTUS  (AS AMENDED OR  SUPPLEMENTED  FROM TIME TO
TIME) MEETING THE  REQUIREMENTS  OF THE  SECURITIES  ACT IN CONNECTION  WITH ANY
RESALE OF SUCH NEW NOTES (PROVIDED THAT, BY SO ACKNOWLEDGING AND BY DELIVERING A
PROSPECTUS,  SUCH  BROKER-DEALER  WILL  NOT BE  DEEMED  TO  ADMIT  THAT IT IS AN
"UNDERWRITER" WITHIN THE MEANING OF THE SECURITIES ACT).

         THE  COMPANY  HAS  AGREED  THAT,  SUBJECT  TO  THE  PROVISIONS  OF  THE
REGISTRATION  RIGHTS  AGREEMENT,  THE  PROSPECTUS,  AS  IT  MAY  BE  AMENDED  OR
SUPPLEMENTED FROM TIME TO TIME, MAY BE USED BY A PARTICIPATING BROKER-DEALER (AS
DEFINED BELOW) IN CONNECTION  WITH RESALES OF NEW NOTES RECEIVED IN EXCHANGE FOR
OLD  NOTES,   WHERE  SUCH  OLD  NOTES  WERE   ACQUIRED  BY  SUCH   PARTICIPATING
BROKER-DEALER  FOR ITS OWN ACCOUNT AS A RESULT OF  MARKET-MAKING  ACTIVITIES  OR
OTHER TRADING ACTIVITIES,  FOR A PERIOD ENDING 90 DAYS AFTER THE EXPIRATION DATE
(SUBJECT TO  EXTENSION  UNDER  CERTAIN  LIMITED  CIRCUMSTANCES  DESCRIBED IN THE
PROSPECTUS)  OR, IF  EARLIER,  WHEN ALL SUCH NEW NOTES HAVE BEEN  DISPOSED OF BY
SUCH  PARTICIPATING  BROKER-DEALER.  IN  THAT  REGARD,  EACH  BROKER-DEALER  WHO
ACQUIRED OLD NOTES FOR ITS

                                       -7-



<PAGE>



OWN  ACCOUNT  AS A RESULT  OF  MARKET-MAKING  OR  OTHER  TRADING  ACTIVITIES  (A
"PARTICIPATING  BROKER-DEALER"),  BY TENDERING SUCH OLD NOTES AND EXECUTING THIS
LETTER OF  TRANSMITTAL,  AGREES THAT, UPON RECEIPT OF NOTICE FROM THE COMPANY OF
THE  OCCURRENCE  OF ANY  EVENT OR THE  DISCOVERY  OF ANY FACT  WHICH  MAKES  ANY
STATEMENT CONTAINED OR INCORPORATED BY REFERENCE IN THE PROSPECTUS UNTRUE IN ANY
MATERIAL RESPECT OR WHICH CAUSES THE PROSPECTUS TO OMIT TO STATE A MATERIAL FACT
NECESSARY IN ORDER TO MAKE THE STATEMENTS CONTAINED OR INCORPORATED BY REFERENCE
THEREIN,  IN  LIGHT  OF THE  CIRCUMSTANCES  UNDER  WHICH  THEY  WERE  MADE,  NOT
MISLEADING  OR OF THE  OCCURRENCE  OF  CERTAIN  OTHER  EVENTS  SPECIFIED  IN THE
REGISTRATION RIGHTS AGREEMENT, SUCH PARTICIPATING BROKER-DEALER WILL SUSPEND THE
SALE OF NEW NOTES  PURSUANT TO THE  PROSPECTUS  UNTIL THE COMPANY HAS AMENDED OR
SUPPLEMENTED  THE  PROSPECTUS TO CORRECT SUCH  MISSTATEMENT  OR OMISSION AND HAS
FURNISHED COPIES OF THE AMENDED OR SUPPLEMENTED  PROSPECTUS TO THE PARTICIPATING
BROKER-DEALER OR THE COMPANY HAS GIVEN NOTICE THAT THE SALE OF THE NEW NOTES MAY
BE RESUMED,  AS THE CASE MAY BE. IF THE COMPANY GIVES SUCH NOTICE TO SUSPEND THE
SALE OF THE NEW  NOTES,  IT SHALL  EXTEND THE 90-DAY  PERIOD  REFERRED  TO ABOVE
DURING WHICH PARTICIPATING  BROKER-DEALERS ARE ENTITLED TO USE THE PROSPECTUS IN
CONNECTION  WITH THE RESALE OF NEW NOTES BY THE NUMBER OF DAYS DURING THE PERIOD
FROM AND  INCLUDING  THE DATE OF THE GIVING OF SUCH NOTICE TO AND  INCLUDING THE
DATE  WHEN  PARTICIPATING  BROKER-DEALERS  SHALL  HAVE  RECEIVED  COPIES  OF THE
SUPPLEMENTED OR AMENDED PROSPECTUS  NECESSARY TO PERMIT RESALES OF THE NEW NOTES
OR TO AND INCLUDING THE DATE ON WHICH THE COMPANY HAS GIVEN NOTICE THAT THE SALE
OF NEW NOTES MAY BE RESUMED, AS THE CASE MAY BE.

         THE  UNDERSIGNED,  BY COMPLETING THE BOX ENTITLED  "DESCRIPTION  OF OLD
NOTES" ABOVE AND SIGNING THIS  LETTER,  WILL BE DEEMED TO HAVE  TENDERED THE OLD
NOTES AS SET FORTH IN SUCH BOX.






























                                       -8-



<PAGE>




                                PLEASE SIGN HERE

                  (TO BE COMPLETED BY ALL TENDERING HOLDERS OF
         OLD NOTES REGARDLESS OF WHETHER OLD NOTES ARE BEING PHYSICALLY
                               DELIVERED HEREWITH)

     This Letter of  Transmittal  must be signed by the  Holder(s)  of Old Notes
exactly  as their  name(s)  appear(s)  on  certificate(s)  for Old  Notes or, if
tendered by a participant in DTC, exactly as such  participant's name appears on
a  security  position  listing  as the  owner  of  Old  Notes,  or by  person(s)
authorized  to  become  registered   Holder(s)  by  endorsements  and  documents
transmitted  with this  Letter of  Transmittal.  If  signature  is by a trustee,
executor,  administrator,  guardian,  attorney-in-fact,  officer or other person
acting in a fiduciary or representative capacity, such person must set forth his
or her full title below under "Capacity" and submit evidence satisfactory to the
Company of such person's authority to so act. See Instruction 3 herein.

     If the signature appearing below is not of the registered  Holder(s) of the
Old Notes, then the registered Holder(s) must sign a valid proxy.

X .................................    Date: ...................................

X .................................    Date: ...................................
   SIGNATURE(S) OF HOLDER(S) OR 
      AUTHORIZED SIGNATORY

Name(s): ..........................    Address: ................................

         ..........................             ................................
               (PLEASE PRINT)                       (INCLUDING ZIP CODE)

Capacity:..........................    Area Code and 
Social                                   Telephone No.:.........................
  Security No.: ...................

                   PLEASE COMPLETE SUBSTITUTE FORM W-9 HEREIN

                 SIGNATURE GUARANTEE (SEE INSTRUCTION 3 HEREIN)
        Certain Signatures Must Be Guaranteed by an Eligible Institution

 ................................................................................
             (NAME OF ELIGIBLE INSTITUTION GUARANTEEING SIGNATURES)

 ................................................................................
               (ADDRESS (INCLUDING ZIP CODE) AND TELEPHONE NUMBER
                         (INCLUDING AREA CODE) OF FIRM)

 ................................................................................
                             (AUTHORIZED SIGNATURE)

 ................................................................................
                                 (PRINTED NAME)

 ................................................................................
                                     (TITLE)

Date: ...........................


                                       -9-

<PAGE>



<TABLE>
<CAPTION>
                  SPECIAL ISSUANCE INSTRUCTIONS                                             SPECIAL DELIVERY INSTRUCTIONS
                    (SEE INSTRUCTION 4 HEREIN)                                               (SEE INSTRUCTION 4 HEREIN)
<S>                                                                        <C>

To be completed ONLY if certificates  for Old Notes in                     To be completed ONLY if certificates  for Old Notes in
a principal  amount not  tendered  are to be issued in                     a principal  amount not  tendered or not  accepted for
the name of, or the New Notes  issued  pursuant to the                     purchase  or the  New  Notes  issued  pursuant  to the
Exchange  Offer  are to be  issued  to the  order  of,                     Exchange  Offer are to be sent to  someone  other than
someone   other  than  the  person  or  persons  whose                     the person or  persons  whose  signature(s)  appear(s)
signature(s)   appear(s)   within   this   Letter   of                     within  this  Letter of  Transmittal  or to an address
Transmittal  or issued to an  address  different  from                     different   from  that  shown  in  the  box   entitled
that  shown in the box  entitled  "Description  of Old                     "Description  of Old  Notes"  within  this  Letter  of
Notes"  within this Letter of  Transmittal,  or if Old                     Transmittal.
Notes  tendered by  book-entry  transfer  that are not                     
accepted for purchase are to be credited to an account                     
maintained at DTC.                                                         


Name:.................................................                     Name:....................................................
                     (PLEASE PRINT)                                                               (PLEASE PRINT)

Address: .............................................                     Address: ................................................
                     (PLEASE PRINT)                                                               (PLEASE PRINT)

 ......................................................                     .........................................................
                                              ZIP CODE                                                                      ZIP CODE

 ......................................................                     .........................................................
  TAXPAYER IDENTIFICATION OR SOCIAL SECURITY NUMBER                            TAXPAYER IDENTIFICATION OR SOCIAL SECURITY NUMBER
       (SEE SUBSTITUTE FORM W-9 HEREIN)                                                (SEE SUBSTITUTE FORM W-9 HEREIN)

</TABLE>































                                      -10-



<PAGE>



                                  INSTRUCTIONS

                    FORMING PART OF THE TERMS AND CONDITIONS
                   OF THE EXCHANGE OFFER AND THE SOLICITATION

      1.      DELIVERY  OF  THIS  LETTER  OF  TRANSMITTAL  AND  OLD  NOTES.  The
certificates  for the  tendered  Old Notes (or a  confirmation  of a  book-entry
transfer  into the Exchange  Agent's  account at DTC of all Old Notes  delivered
electronically),  as well as a properly completed and duly executed copy of this
Letter of Transmittal or facsimile  hereof and any other  documents  required by
this Letter of Transmittal must be received by the Exchange Agent at its address
set forth herein prior to 5:00 P.M., New York City time, on the Expiration Date.
The method of delivery of the tendered Old Notes, this Letter of Transmittal and
all other  required  documents to the Exchange Agent is at the election and risk
of the Holder and,  except as otherwise  provided  below,  the delivery  will be
deemed  made only when  actually  received  by the  Exchange  Agent.  Instead of
delivery by mail,  it is  recommended  that the Holder use an  overnight or hand
delivery  service.  In all cases,  sufficient  time  should be allowed to assure
timely  delivery.  No Letter of  Transmittal  or Old Notes should be sent to the
Company.

              Holders who wish to tender their Old Notes and (i) whose Old Notes
are not immediately  available or (ii) who cannot deliver their Old Notes,  this
Letter of Transmittal  or any other  documents  required  hereby to the Exchange
Agent prior to the  Expiration  Date must tender  their Old Notes and follow the
guaranteed  delivery  procedures set forth in the  Prospectus.  Pursuant to such
procedures:  (i) such tender must be made by or through an Eligible Institution;
(ii) prior to the  Expiration  Date,  the Exchange Agent must have received from
the  Eligible  Institution  a properly  completed  and duly  executed  Notice of
Guaranteed Delivery (by facsimile  transmission,  mail or hand delivery) setting
forth the name and  address  of the  Holder of the Old  Notes,  the  certificate
number  or  numbers  of such Old  Notes  and the  principal  amount of Old Notes
tendered,  stating that the tender is being made thereby and guaranteeing  that,
within five business days after the Expiration  Date, this Letter of Transmittal
(or facsimile  thereof)  together with the  certificate(s)  representing the Old
Notes (or a confirmation of electronic  delivery of book-entry delivery into the
Exchange  Agent's  account  at DTC) and any of the  required  documents  will be
deposited by the Eligible  Institution  with the Exchange Agent;  and (iii) such
properly completed and executed Letter of Transmittal (or facsimile hereof),  as
well as all other  documents  required  by this  Letter of  Transmittal  and the
certificate(s)  representing  all tendered Old Notes in proper form for transfer
(or a confirmation of electronic  mail delivery of book-entry  delivery into the
Exchange  Agent's account at DTC), must be received by the Exchange Agent within
five business days after the Expiration  Date, all as provided in the Prospectus
under the caption "Guaranteed Delivery  Procedures." Any Holder of Old Notes who
wishes to tender his Old Notes  pursuant to the guaranteed  delivery  procedures
described  above must  ensure that the  Exchange  Agent  receives  the Notice of
Guaranteed  Delivery  prior to 5:00 P.M.,  New York City time, on the Expiration
Date.

              The Notice of  Guaranteed  Delivery  may be  delivered  by hand or
transmitted  by  facsimile  or mail to the  Exchange  Agent,  and must include a
guarantee by an Eligible  Institution in the form set forth in such Notice.  For
Old Notes to be properly tendered pursuant to the guaranteed delivery procedure,
the Exchange  Agent must receive a Notice of Guaranteed  Delivery on or prior to
the  Expiration   Date.  As  used  herein  and  in  the  Prospectus,   "Eligible
Institution"  means a firm or other entity  identified in Rule 17Ad-15 under the
Exchange Act as "an eligible  guarantor  institution,"  including (as such terms
are defined  therein) (i) a bank; (ii) a broker,  dealer,  municipal  securities
broker or dealer  or  government  securities  broker or  dealer;  (iii) a credit
union; (iv) a national securities exchange, registered securities association or
clearing  agency;  or (v) a  savings  association  that  is a  participant  in a
Securities Transfer Association.

              THE METHOD OF DELIVERY OF CERTIFICATES, THIS LETTER OF TRANSMITTAL
AND  ALL  OTHER  REQUIRED  DOCUMENTS  ARE AT THE  OPTION  AND  SOLE  RISK OF THE
TENDERING HOLDER AND THE DELIVERY WILL BE DEEMED MADE ONLY

                                      -11-



<PAGE>



WHEN ACTUALLY RECEIVED BY THE EXCHANGE AGENT. IF DELIVERY IS BY MAIL, REGISTERED
MAIL WITH RETURN RECEIPT  REQUESTED,  PROPERLY  INSURED,  OR OVERNIGHT  DELIVERY
SERVICE IS  RECOMMENDED.  IN ALL  CASES,  SUFFICIENT  TIME  SHOULD BE ALLOWED TO
ENSURE TIMELY DELIVERY.

              All questions as to the  validity,  form,  eligibility  (including
time of  receipt),  acceptance  and  withdrawal  of  tendered  Old Notes will be
determined by the Company in its sole discretion,  which  determination  will be
final and binding. The Company reserves the absolute right to reject any and all
Old Notes not properly  tendered or any Old Notes the  Company's  acceptance  of
which would, in the opinion of counsel for the Company, be unlawful. The Company
also reserves the right to waive any  irregularities  or conditions of tender as
to  particular  Old  Notes.  The  Company's  interpretation  of  the  terms  and
conditions of the Exchange Offer  (including the  instructions in this Letter of
Transmittal)  will be final and  binding  on all  parties.  Unless  waived,  any
defects or  irregularities in connection with tenders of Old Notes must be cured
within such time as the  Company  shall  determine.  Neither  the  Company,  the
Exchange Agent nor any other person shall be under any duty to give notification
of defects or irregularities with respect to tenders of Old Notes, nor shall any
of them incur any  liability for failure to give such  notification.  Tenders of
Old  Notes  will  not be  deemed  to  have  been  made  until  such  defects  or
irregularities have been cured or waived. Any Old Notes received by the Exchange
Agent  that  are  not  properly   tendered  and  as  to  which  the  defects  or
irregularities  have not been cured or waived will be returned  without  cost by
the  Exchange  Agent to the  tendering  Holders of Old Notes,  unless  otherwise
provided in this Letter of  Transmittal,  as soon as  practicable  following the
Expiration Date.

      2.      PARTIAL TENDERS;  WITHDRAWAL RIGHTS.  Tenders of Old Notes will be
accepted  in all  denominations  of  $1,000  and  integral  multiples  in excess
thereof.  If less than the entire principal amount of any Old Notes is tendered,
the tendering  Holder should fill in the principal  amount tendered in the third
column of the chart entitled  "Description  of Old Notes." The entire  principal
amount of Old Notes  delivered to the Exchange Agent will be deemed to have been
tendered unless otherwise  indicated.  If the entire principal amount of all Old
Notes is not tendered, Old Notes for the principal amount of Old Notes delivered
to the  Exchange  Agent will be deemed to have been  tendered  unless  otherwise
indicated.  If the entire principal amount of all Old Notes is not tendered, Old
Notes for the principal  amount of Old Notes not tendered and a  certificate  or
certificates representing New Notes issued in exchange of any Old Notes accepted
will be sent to the Holder at his or her registered address,  unless a different
address is provided in the  appropriate  box on this  Letter of  Transmittal  or
unless tender is made through DTC, promptly after the Old Notes are accepted for
exchange.

              Except as otherwise  provided herein,  tenders of Old Notes may be
withdrawn  at any time on or  prior  to the  Expiration  Date.  In  order  for a
withdrawal  to be effective  on or prior to that time,  a written,  telegraphic,
telex or  facsimile  transmission  of such notice of  withdrawal  must be timely
received by the Exchange Agent at one of its addresses set forth above or in the
Prospectus  on or prior to the  Expiration  Date.  Any such notice of withdrawal
must specify the name of the person who tendered the Old Notes to be  withdrawn,
the  aggregate  principal  amount  of  Old  Notes  to  be  withdrawn,   and  (if
Certificates for Old Notes have been tendered) the name of the registered holder
of the Old Notes as set forth on the certificate for the Old Notes, if different
from that of the person who tendered such Old Notes. If certificates for the Old
Notes have been delivered or otherwise  identified to the Exchange  Agent,  then
prior to the  physical  release  of such  certificates  for the Old  Notes,  the
tendering  holder  must  submit  the  serial  numbers  shown  on the  particular
certificates  for the Old Notes to be withdrawn  and the signature on the notice
of withdrawal must be guaranteed by an Eligible Institution,  except in the case
of Old Notes tendered for the account of an Eligible  Institution.  If Old Notes
have been tendered pursuant to the procedures for book-entry  transfer set forth
in the Prospectus  under "The Exchange  Offer--Procedures  for  Tendering,"  the
notice of  withdrawal  must specify the name and number of the account at DTC to
be  credited  with  the  withdrawal  of Old  Notes,  in which  case a notice  of
withdrawal will be effective if delivered to the Exchange Agent by

                                      -12-



<PAGE>



written, telegraphic, telex or facsimile transmission. Withdrawals of tenders of
Old Notes may not be rescinded.  Old Notes properly withdrawn will not be deemed
validly  tendered for purposes of the Exchange  Offer,  but may be retendered at
any subsequent  time on or prior to the Expiration  Date by following any of the
procedures described in the Prospectus under "The Exchange Offer--Procedures for
Tendering."

      3.      SIGNATURES  ON  THE  LETTER  OF   TRANSMITTAL;   BOND  POWERS  AND
ENDORSEMENTS;  GUARANTEE  OF  SIGNATURES.  If this  Letter  of  Transmittal  (or
facsimile  hereof)  is  signed  by the  registered  Holder(s)  of the Old  Notes
tendered  hereby,  the signature must  correspond with the name(s) as written on
the  face  of the Old  Notes  without  alternation,  enlargement  or any  change
whatsoever.

              If this Letter of Transmittal  (or facsimile  hereof) is signed by
the registered  Holder(s) of Old Notes tendered and the  certificate(s)  for New
Notes issued in exchange  therefor is to be issued (or any untendered  principal
amount of Old Notes is to be reissued)  to the  registered  Holder,  such Holder
need not and should not  endorse  any  tendered  Old  Debenture,  nor  provide a
separate bond power. In any other case, such holder must either properly endorse
the Old Notes tendered or transmit a properly completed separate bond power with
this Letter of Transmittal, with the signatures on the endorsement or bond power
guaranteed by an Eligible Institution.

              If this Letter of Transmittal (or facsimile hereof) is signed by a
person other than the  registered  Holder(s) of any Old Notes  listed,  such Old
Notes must be endorsed or accompanied  by appropriate  bond powers signed as the
name of the registered Holder(s) appears on the Old Notes.

              If this Letter of  Transmittal  (or  facsimile  hereof) or any Old
Notes  or  bond  powers  are  signed  by  trustees,  executors,  administrators,
guardians,  attorneys-in-fact, or officers of corporations or others acting in a
fiduciary  or  representative  capacity,  such persons  should so indicate  when
signing, and unless waived by the Company,  evidence satisfactory to the Company
of their authority so to act must be submitted with this Letter of Transmittal.

              Endorsements on Old Notes or signatures on bond powers required by
this Instruction 3 must be guaranteed by an Eligible Institution.

              Signatures on this Letter of  Transmittal  (or  facsimile  hereof)
must be  guaranteed  by an Eligible  Institution  unless the Old Notes  tendered
pursuant  thereto  are  tendered  (i)  by a  registered  Holder  (including  any
participant  in DTC whose name  appears on a  security  position  listing as the
owner of Old  Notes) who has not  completed  the box set forth  herein  entitled
"Special   Issuance   Instructions"  or  the  box  entitled   "Special  Delivery
Instructions" or (ii) for the account of an Eligible Institution.

      4.      SPECIAL  ISSUANCE AND  DELIVERY  INSTRUCTIONS.  Tendering  Holders
should  indicate,  in the applicable  spaces,  the name and address to which New
Notes or substitute Old Notes for principal amounts not tendered or not accepted
for exchange are to be issued or sent, if different from the name and address of
the person signing this Letter of  Transmittal  (or in the case of tender of the
Old Notes  through  DTC, if  different  from DTC).  In the case of issuance in a
different  name, the taxpayer  identification  or social  security number of the
person named must also be indicated.

      5.      IRREGULARITIES.   The  Company   will   determine,   in  its  sole
discretion,  all  questions as to the form of documents,  validity,  eligibility
(including  time of receipt)  and  acceptance  for exchange of any tender of Old
Notes,  which  determination  shall be final and  binding  on all  parties.  The
Company reserves the absolute right to reject any and all tenders  determined by
it not to be in proper form or the  acceptance of which,  or exchange for which,
may,  in the view of counsel to the  Company,  be  unlawful.  The  Company  also
reserves  the absolute  right,  subject to  applicable  law, to waive any of the
conditions of the Exchange Offer set forth in the Prospectus under "The Exchange
Offer--General" or any conditions or irregularity in

                                      -13-



<PAGE>



any  tender  of Old  Notes  of any  particular  holder  whether  or not  similar
conditions  or  irregularities  are  waived  in the case of other  holders.  The
Company's  interpretation  of the terms and  conditions  of the  Exchange  Offer
(including this Letter of Transmittal and the instructions hereto) will be final
and  binding.  No tender of Old Notes will be deemed to have been  validly  made
until all irregularities  with respect to such tender have been cured or waived.
The Company,  any affiliates or assigns of the Company,  the Exchange  Agent, or
any  other  person  shall  not be  under  any duty to give  notification  of any
irregularities  in  tenders  or incur any  liability  for  failure  to give such
notification.

      6.      QUESTIONS,   REQUESTS  FOR  ASSISTANCE   AND  ADDITIONAL   COPIES.
Questions and requests for  assistance  may be directed to the Exchange Agent at
its  address  and  telephone  number  set forth on the  front of this  Letter of
Transmittal.  Additional  copies of the  Prospectus,  the  Notice of  Guaranteed
Delivery and the Letter of  Transmittal  may be obtained from the Exchange Agent
or from your broker, dealer, commercial bank, trust company or other nominee.

      7.      31% BACKUP  WITHHOLDING;  SUBSTITUTE FORM W-9. Under United States
federal  income tax law, a holder  whose  tendered  Old Notes are  accepted  for
exchange is required to provide the Exchange  Agent with such  holder's  correct
taxpayer  identification  number  ("TIN") on Substitute  Form W-9 below.  If the
Exchange  Agent is not  provided  with the correct  TIN,  the  Internal  Revenue
Service (the "IRS") may subject the holder or other payee to a $50  penalty.  In
addition,  payments to such  holders or other  payees with  respect to Old Notes
exchanged  pursuant  to  the  Exchange  Offer  may  be  subject  to  31%  backup
withholding.

              The box in Part 3 of the Substitute Form W-9 may be checked if the
tendering  holder has not been issued a TIN and has applied for a TIN or intends
to apply  for a TIN in the near  future.  If the box in Part 3 is  checked,  the
holder or other payee must also complete the  Certificate  of Awaiting  Taxpayer
Identification   Number   below   in  order   to   avoid   backup   withholding.
Notwithstanding  that  the  box in Part 3 is  checked  and  the  Certificate  of
Awaiting Taxpayer  Identification  Number is completed,  the Exchange Agent will
withhold 31% of all payments made prior to the time a properly  certified TIN is
provided to the  Exchange  Agent.  The  Exchange  Agent will retain such amounts
withheld during the 60 day period following the date of the Substitute Form W-9.
If the holder furnishes the Exchange Agent with its TIN within 60 days after the
date of the Substitute  Form W-9, the amounts  retained during the 60 day period
will be  remitted  to the holder and no further  amounts  shall be  retained  or
withheld from payments made to the holder  thereafter.  If, however,  the holder
has not  provided  the  Exchange  Agent with its TIN within  such 60 day period,
amounts withheld will be remitted to the IRS as backup withholding. In addition,
31% of all  payments  made  thereafter  will be withheld and remitted to the IRS
until a correct TIN is provided.

              The holder is required to give the  Exchange  Agent the TIN (e.g.,
social  security  number or employer  identification  number) of the  registered
owner of the Old  Notes or of the last  transferee  appearing  on the  transfers
attached to, or endorsed on, the Old Notes.  If the Old Notes are  registered in
more  than one  name or are not in the name of the  actual  owner,  consult  the
enclosed  "Guidelines for  Certification  of Taxpayer  Identification  Number on
Substitute Form W-9" for additional guidance on which number to report.

              Certain holders (including, among others, corporations,  financial
institutions  and certain  foreign  persons)  may not be subject to these backup
withholding  and  reporting  requirements.   Such  holders  should  nevertheless
complete the attached  Substitute Form W-9 below, and write "exempt" on the face
thereof,  to avoid possible erroneous backup  withholding.  A foreign person may
qualify as an exempt recipient by submitting a properly  completed IRS Form W-8,
signed under  penalties of perjury,  attesting to that holder's  exempt  status.
Please  consult  the  enclosed   "Guidelines  for   Certification   of  Taxpayer
Identification  Number on Substitute Form W-9" for additional  guidance on which
holders are exempt from backup withholding.

                                      -14-



<PAGE>



              Backup  withholding  is not an additional  United  States  federal
income tax.  Rather,  the United States federal income tax liability of a person
subject to backup withholding will be reduced by the amount of tax withheld.  If
withholding results in an overpayment of taxes, a refund may be obtained.

      8.      WAIVER OF CONDITIONS.  The Company  reserves the absolute right to
amend, waive or modify specified conditions in the Exchange Offer in the case of
any Old Notes tendered.

      9.      MUTILATED,  LOST,  STOLEN OR DESTROYED  OLD NOTES.  Any  tendering
Holder whose Old Notes have been  mutilated,  lost,  stolen or destroyed  should
contact  the  Exchange  Agent  at  the  address  indicated  herein  for  further
instruction.

     10.      SECURITY  TRANSFER  TAXES.  Holders who tender their Old Notes for
exchange  will  not be  obligated  to  pay  any  transfer  taxes  in  connection
therewith. If, however, New Notes are to be delivered to, or are to be issued in
the name of,  any  person  other  than the  registered  holder  of the Old Notes
tendered, or if a transfer tax is imposed for any reason other than the exchange
of Old Notes in connection with the Exchange Offer,  then the amount of any such
transfer tax (whether  imposed on the  registered  holder or any other  persons)
will be payable by the tendering holder. If satisfactory  evidence of payment of
such  taxes  or  exemption  therefrom  is  not  submitted  with  the  Letter  of
Transmittal,  the amount of such transfer taxes will be billed  directly to such
tendering holder.

                          (DO NOT WRITE IN SPACE BELOW)


Certificate Surrendered           Old Notes Tendered          Old Notes Accepted


- --------------------------------------------------------------------------------


- --------------------------------------------------------------------------------


- --------------------------------------------------------------------------------


- --------------------------------------------------------------------------------


Delivery Prepared by                   Checked by                    Date 
























                                      -15-



<PAGE>



                 PAYER'S NAME:
                              -------------------------------

<TABLE>
<S>                               <C>
- ------------------------------------------------------------------------------------------------------------------------------------
|SUBSTITUTE                     |  PART 1--PLEASE PROVIDE YOUR TIN IN THE            |               ___________________________   |
|                               |  BOX  AT  RIGHT AND CERTIFY BY  SIGNING            |                  Social Security Number     |
|FORM W-9                       |  AND DATING BELOW                                  |                                             |
|                               |                                                    |         OR _________________________________|
|                               |                                                    |              Employer Identification Number |
|                               |---------------------------------------------------------------------------------------------------
|                               |                                                                         |                        |
|Department of the Treasury     |  PART 2--Certification--Under Penalties of Perjury, I certify that:     |    PART 3--            |
|Internal Revenue Service       |                                                                         |                        |
|                               |  (1)  The number shown on this form is my correct Taxpayer              |                        |
|                               |       Identification Number (or  I am waiting for a number              |    Awaiting TIN  [_]   |
|Payer's Request for Taxpayer   |       to be issued to me) and                                           |                        |
|Identification Number ("TIN")  |                                                                         |                        |
|and Certification              |  (2)  I  am  not subject to backup withholding either because  I have   |                        |
|                               |       not  been  notified  by the  Internal  Revenue Service  ("IRS")   |                        |
|                               |       that I am subject to backup withholding  as a result of failure   |                        |
|                               |       to report all interest or dividends, or the IRS has notified me   |                        |
|                               |       that I am no longer subject to backup withholding.                |                        |
|                               ----------------------------------------------------------------------------------------------------
|                                                                                                                                  |
|                                  Certificate  instructions  -- You must  cross out item (2) in Part 2 above if you have          |
|                                  been  notified  by the IRS that you are  subject  to  backup  withholding  because  of          |
|                                  under-reporting  interest or  dividends  on your tax return.  However,  if after being          |
|                                  notified by the IRS that you were subject to backup  withholding you received  another          |
|                                  notification  from  the  IRS  stating  that  you  are  no  longer  subject  to  backup          |
|                                  withholding, do not cross out item (2).                                                         |
|                                                                                                                                  |
|                                                                                                                                  |
|                                  SIGNATURE                                                              DATE                     |
|                                            ---------------------------------------------------               --------------------|
- ------------------------------------------------------------------------------------------------------------------------------------
</TABLE>

NOTE:    FAILURE  TO  COMPLETE  AND  RETURN  THIS  FORM  MAY  RESULT  IN  BACKUP
         WITHHOLDING  OF  31% OF ANY  PAYMENTS  MADE  TO  HOLDERS  OF NEW  NOTES
         PURSUANT TO THE EXCHANGE OFFER.  PLEASE REVIEW THE ENCLOSED  GUIDELINES
         FOR CERTIFICATION OF TAXPAYER  IDENTIFICATION NUMBER ON SUBSTITUTE FORM
         W-9 FOR ADDITIONAL DETAILS.

           YOU MUST COMPLETE THE FOLLOWING CERTIFICATE IF YOU CHECKED
                   THE BOX IN PART 3 OF SUBSTITUTE FORM W-9.


- --------------------------------------------------------------------------------
|                                                                              |
|            CERTIFICATE OF AWAITING TAXPAYER IDENTIFICATION NUMBER            |
|                                                                              |
|        I  certify   under   penalties   of   perjury   that  a   taxpayer    |
|    identification number has not been issued to me, and either (a) I have    |
|    mailed  or   delivered   an   application   to   receive  a   taxpayer    |
|    identification  number to the appro priate  Internal  Revenue  Service    |
|    Center or  Social  Security  Administration  Office or (b) I intend to    |
|    mail or deliver an application in the near future.  I understand  that    |
|    if I do not provide a taxpayer  identification  number within 60 days,    |
|    20 percent of all  reportable  payments made to me thereafter  will be    |
|    withheld until I provide a number.                                        |
|                                                                              |
|                                                                              |
|    -------------------------------------    -----------------------------    |
|               Signature                                  Date                |
- --------------------------------------------------------------------------------


                                    -16-



<PAGE>

























               The Exchange Agent for the Exchange Offer is:


                         FIRST UNION NATIONAL BANK


           Address:                                  Facsimile Transmissions:
                                                   (Eligible Institutions Only)

   First Union National Bank                              (704) 590-7628
  Corporate Trust Operations
1525 West W.T. Harris Boulevard
     Charlotte, NC 28288-1153                        To Confirm by Telephone
 Attention: W. Jeffrey Kramer                        or for Information Call:

                                                          (704) 590-7408





                                                                    EXHIBIT 99.2

                          NOTICE OF GUARANTEED DELIVERY
                      FOR TENDER OF ANY AND ALL OUTSTANDING
                      9% SENIOR SUBORDINATED NOTES DUE 2008
                                       OF
                               CONMED CORPORATION


         As  set  forth  in  the  Prospectus,  dated  ,  April  <  >  1998  (the
"Prospectus"), of CONMED Corporation (the "Company"), in the accompanying Letter
of Transmittal and instructions thereto (the "Letter of Transmittal"), this form
or one  substantially  equivalent  hereto  must be used to accept the  Company's
exchange  offer (the  "Exchange  Offer") to purchase all of its  outstanding  9%
Senior  Subordinated  Notes  due 2008  (the  "Old  Notes")  if (i)  certificates
representing  the Old Notes to be tendered for purchase and payment are not lost
but are not  immediately  available,  (ii) time will not  permit  the  Letter of
Transmittal,   certificates  representing  such  Old  Notes  or  other  required
documents to reach the Exchange Agent prior to the Expiration  Date or (iii) the
procedures for book-entry  transfer  cannot be completed prior to the Expiration
Date.  This form may be  delivered  by an Eligible  Institution  by mail or hand
delivery or transmitted, via telegram, telex or facsimile, to the Exchange Agent
as set forth below. This Notice of Guaranteed Delivery may be delivered by hand,
overnight  courier or mail, or  transmitted  by facsimile  transmission,  to the
Exchange  Agent.  See "The  Exchange  Offer--Procedures  for  Tendering"  in the
Prospectus.  In addition,  in order to utilize the guaranteed delivery procedure
to tender Old Notes  pursuant to the Exchange  Offer,  a  completed,  signed and
dated Letter of  Transmittal  relating to the Old Notes (or  facsimile  thereof)
must also be received by the  Exchange  Agent prior to 5:00 P.M.,  New York City
time, on the Expiration Date. All capitalized  terms used herein but not defined
herein shall have the meanings ascribed to them in the Prospectus.

     -----------------------------------------------------------------------
     |   THE  EXCHANGE  OFFER WILL EXPIRE AT 5:00 P.M.,  NEW YORK CITY     |
     |   TIME,  ON <  >,  1998  UNLESS  THE  OFFER  IS  EXTENDED  (THE     |
     |   "EXPIRATION DATE").  TENDERS OF OLD NOTES MAY BE WITHDRAWN AT     |
     |   ANY TIME PRIOR TO 5:00 P.M. ON THE  BUSINESS DAY PRIOR TO THE     |
     |   EXPIRATION DATE.                                                  |
     -----------------------------------------------------------------------

                          The Exchange Agent:

                       FIRST UNION NATIONAL BANK


           Address:                               Facsimile Transmissions:
                                                (Eligible Institutions Only)

           Address:                                  Facsimile Transmissions:
                                                   (Eligible Institutions Only)

   First Union National Bank                              (704) 590-7628
  Corporate Trust Operations
1525 West W.T. Harris Boulevard
     Charlotte, NC 28288-1153                        To Confirm by Telephone
 Attention: W. Jeffrey Kramer                        or for Information Call:

                                                          (704) 590-7408

    DELIVERY OF THIS NOTICE OF  GUARANTEED  DELIVERY TO AN ADDRESS OTHER THAN AS
SET FORTH ABOVE OR  TRANSMISSIONS  OF THIS  NOTICE OF  GUARANTEED  DELIVERY  VIA
FACSIMILE TO A NUMBER OTHER THAN AS SET FORTH ABOVE WILL NOT  CONSTITUTE A VALID
DELIVERY.

    THIS  NOTICE  OF  GUARANTEED  DELIVERY  IS  NOT  TO  BE  USED  TO  GUARANTEE
SIGNATURES.  IF A  SIGNATURE  ON A  LETTER  OF  TRANSMITTAL  IS  REQUIRED  TO BE
GUARANTEED BY AN "ELIGIBLE  INSTITUTION"  UNDER THE INSTRUCTIONS  THERETO,  SUCH
SIGNATURE  GUARANTEE  MUST  APPEAR  IN  THE  APPLICABLE  SPACE  PROVIDED  IN THE
SIGNATURE BOX ON THE LETTER OF TRANSMITTAL.

Ladies and Gentlemen:

    The undersigned hereby tender(s) to the Company,  upon the terms and subject
to the conditions set forth in the Exchange Offer and the Letter of Transmittal,
receipt of which is hereby  acknowledged,  the aggregate principal amount of Old
Notes set forth below pursuant to the guaranteed  delivery  procedures set forth
in the Prospectus.

<PAGE>



    The undersigned  understands that tenders of Old Notes will be accepted only
in  principal  amounts  equal to  $1,000  or  integral  multiples  thereof.  The
undersigned understands that tenders of Old Notes pursuant to the Exchange Offer
may not be  withdrawn  after 5:00 P.M.,  New York City time on the  Business Day
prior to the Expiration Date.  Tenders of Old Notes may also be withdrawn if the
Exchange  Offer  is  terminated  without  any  such Old  Notes  being  purchased
thereunder or as otherwise provided in the Prospectus.

    All authority  herein  conferred or agreed to be conferred by this Notice of
Guaranteed Delivery shall survive the death or incapacity of the undersigned and
every  obligation of the  undersigned  under this Notice of Guaranteed  Delivery
shall  be  binding  upon  the  heirs,   personal   representatives,   executors,
administrators,  successors,  assigns,  trustees in  bankruptcy  and other legal
representatives of the undersigned.

<TABLE>
<CAPTION>
                            PLEASE SIGN AND COMPLETE
<S>                                                                 <C>

Signature(s) of Registered Owner(s) or Authorized Signatory:        Name(s) of Registered Holder(s):

- ---------------------------------------------------------------     ----------------------------------------------------------------

- ---------------------------------------------------------------     ----------------------------------------------------------------

Principal Amount of Old Notes Tendered:                             Address:
                                       ------------------------             --------------------------------------------------------

- ---------------------------------------------------------------     ----------------------------------------------------------------

Certificate No(s). of Old Notes (if available):                     Area Code and Telephone No.:
                                               ----------------                                 ------------------------------------

- ---------------------------------------------------------------     If Old Notes will be delivered by book-entry transfer at The
                                                                    Depository Trust Company, insert, Depository Account No.:
- ---------------------------------------------------------------                                                              -------
Date:                                                               
     ----------------------------------------------------------     ----------------------------------------------------------------
</TABLE>

- --------------------------------------------------------------------------------
|                                                                              |
|  This  Notice of  Guaranteed  Delivery  must be  signed by the  registered   |
|  holder(s)  of  Old  Notes  exactly  as  its  (their)  name(s)  appear  on   |
|  certificates for Old Notes or on a security position listing as the owner   |
|  of Old Notes, or by person(s)  authorized to become registered  Holder(s)   |
|  by endorsements and documents  transmitted with this Notice of Guaranteed   |
|  Delivery.  If  signature  is  by  a  trustee,  executor,   administrator,   |
|  guardian, attorney-in-fact, officer or other person acting in a fiduciary   |
|  or  representative  capacity,  such  person must  provide  the  following   |
|  information.                                                                |
|                                                                              |
|                   Please print name(s) and address(es)                       |
|                                                                              |
|   Name(s):                                                                   |
|           ----------------------------------------------------------------   |
|                                                                              |
|           ----------------------------------------------------------------   |
|   Capacity:                                                                  |
|           ----------------------------------------------------------------   |
|   Address(es):                                                               |
|           ----------------------------------------------------------------   |
|                                                                              |
|           ----------------------------------------------------------------   |
|                                                                              |
|           ----------------------------------------------------------------   |
|                                                                              |
|  DO NOT SEND  OLD  NOTES  WITH  THIS  FORM.  NOTES  SHOULD  BE SENT TO THE   |
|  EXCHANGE  AGENT  TOGETHER  WITH A PROPERLY  COMPLETED  AND DULY  EXECUTED   |
|  LETTER OF TRANSMITTAL.                                                      |
- --------------------------------------------------------------------------------






                                     -2-

<PAGE>



                                    GUARANTEE
                    (NOT TO BE USED FOR SIGNATURE GUARANTEE)


    The undersigned, a firm or other entity identified in Rule 17Ad-15 under the
Securities  Exchange  Act  of  1934,  as  amended,  as  an  "eligible  guarantor
institution,"  including (as such terms are defined therein): (i) a bank; (ii) a
broker,  dealer,  municipal  securities  broker,  municipal  securities  dealer,
government  securities  broker,  government  securities  dealer;  (iii) a credit
union; (iv) a national securities exchange, registered securities association or
learning  agency;  or (v) a  savings  association  that  is a  participant  in a
Securities Transfer Association  recognized program (each of the foregoing being
referred to as an "Eligible  Institution"),  hereby guarantees to deliver to the
Exchange  Agent,  at one of its addresses set forth above,  either the Old Notes
tendered  hereby in proper form for transfer,  or confirmation of the book-entry
transfer of such Old Notes to the  Exchange  Agent's  account at The  Depository
Trust Company,  pursuant to the procedures for book-entry  transfer set forth in
the Prospectus,  in either case together with one or more properly completed and
duly executed  Letter(s) of  Transmittal  (or  facsimile  thereof) and any other
required documents within five business days after the date of execution of this
Notice of Guaranteed Delivery.

    THE UNDERSIGNED  ACKNOWLEDGES THAT IT MUST DELIVER THE LETTER OF TRANSMITTAL
AND OLD NOTES  TENDERED  HEREBY TO THE EXCHANGE AGENT WITHIN THE TIME PERIOD SET
FORTH  ABOVE AND THAT  FAILURE TO DO SO COULD  RESULT IN  FINANCIAL  LOSS TO THE
UNDERSIGNED.
<TABLE>
<S>                                                         <C>
Name of Firm:
             --------------------------------------------   -------------------------------------------------------
                                                                                Authorized Signature
Address:                                                    Name:
        -------------------------------------------------        --------------------------------------------------
                                                            Title:
- ---------------------------------------------------------         -------------------------------------------------
Area Code and Telephone No.:                                Date:
                            -----------------------------        --------------------------------------------------
</TABLE>

NOTE: DO NOT SEND  CERTIFICATES  FOR OLD NOTES WITH THIS FORM.  CERTIFICATES FOR
OLD NOTES SHOULD ONLY BE SENT WITH YOUR LETTER OF TRANSMITTAL.



                                       -3-




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