ARROW INTERNATIONAL INC
SC 13G, 1999-02-16
SURGICAL & MEDICAL INSTRUMENTS & APPARATUS
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                          UNITED STATES
               SECURITIES AND EXCHANGE COMMISSION
                     Washington, D.C. 20549
                                
                          SCHEDULE 13G

            Under the Securities Exchange Act of 1934
                                
                       (Amendment No. 4)*

                    Arrow International, Inc.
                    -------------------------
                        (Name of Issuer)

                                
                   Common Stock, No Par Value
                   --------------------------
                 (Title of Class of Securities)

                            042764100
                            ---------
                         (CUSIP Number)


Check  the  following  box  if a fee  is  being  paid  with  this
statement  /   /.   (A  fee is not required only  if  the  filing
person: (1) has a previous statement on file reporting beneficial
ownership  of  more than five percent of the class of  securities
described  in  Item 1; and (2) has filed no amendment  subsequent
thereto reporting beneficial ownership of five percent or less of
such class.) (See Rule 13d-7).

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

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






SEC 1745 (2-95)

<PAGE>


 CUSIP No. 042764100                          Page 2 of 4 Pages
           ---------                          -----------------  

                                13G
- ---------------------------------------------------------------

1.   NAME OF REPORTING PERSON
     S.S. or I.R.S. IDENTIFICATION NO. OF ABOVE PERSON

     Robert L. McNeil, Jr.
     ###-##-####

- --------------------------------------------------------------
2.   CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*

                              (a) /   /
                              (b) /   /

- -------------------------------------------------------------
3.   SEC USE ONLY

- -------------------------------------------------------------
4.   CITIZENSHIP OR PLACE OF ORGANIZATION

     U.S.A.
- -------------------------------------------------------------
     NUMBER OF      5. SOLE VOTING POWER
     SHARES            2,231,844
     BENEFICIALLY   -----------------------------------------
     OWNED BY       6. SHARED VOTING POWER
     EACH              96,400
     REPORTING      -----------------------------------------
     PERSON         7. SOLE DISPOSITIVE POWER
     WITH              2,231,844
                    -----------------------------------------
                    8. SHARED DISPOSITIVE POWER
                       96,400
- -----------------------------------------------------------------
9.   AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON

                       2,328,244
- ------------------------------------------------------------------
10.  CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN
     SHARES*

     /  /
- ------------------------------------------------------------------
11.  PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9

     10.0%
- ------------------------------------------------------------------
12.  TYPE OF REPORTING PERSON*

     IN
- ------------------------------------------------------------------

              *SEE INSTRUCTION BEFORE FILLING OUT!


<PAGE>

  This Statement constitutes Amendment No. 3 to the Statement on
Schedule 13G filed by the undersigned with the Securities and
Exchange Commission ("SEC") on February 15, 1993, as amended in
February 1995, February 1996 and March 1998 (the "Schedule 13G"),
with respect to the Common Stock, No Par Value, of Arrow
International, Inc., a Pennsylvania Corporation, pursuant to SEC
Rule 13d-c.

  Other than as set forth herein, there has been no change in the
information reported in the Schedule 13G.

Item 4.   Ownership
          ---------

  Mr. McNeil's response to Item 4 of the Schedule 13G is hereby
amended and supplemented by the following:

  (a)     Total Amount Beneficially Owned:            2,328,244*
                                                      ---------

  (b)     Percent of Class:                                10.0%
                                                           ----

  (c)     Number of shares as to which such person has:


                (i) sole power to vote or to
                    direct the vote                   2,231,844
                                                      ---------
               (ii) shared power to vote or to
                    direct the vote                      96,400
                                                         ------
              (iii) sole power to dispose or to
                    direct the disposition of         2,231,844
                                                      --------- 
               (iv) shared power to dispose or to
                    direct the disposition of            96,400
                                                         ------

 *Includes 96,400 shares held by a charitable foundation of which
Mr. McNeil, a former director of the Company, is the president
and one of eight directors who have shared power to vote and
dispose of the shares of Common Stock held by such foundation.
Excludes 2,312,247 shares held by Hare & Co., as nominee for the
McNeil Trust, of which Mr. McNeil was the grantor for the benefit
of Mr. McNeil and his lineal descendants.  Mr. McNeil disclaims
beneficial ownership of such shares held in the McNeil Trust.
                                
                                
                                
                                
                                
                                
                                
                                
                        Page 3 of 4 pages


<PAGE>

                            SIGNATURE

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


February 16, 1999



                          By: /s/  Robert L. McNeil, Jr.
                              --------------------------
                                   Robert L. McNeil, Jr.































                        Page 4 of 4 pages



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