AMENDED AND RESTATED REVOLVING CREDIT NOTE

Executed as of the Amount _______ day of June, 2004 and delivered in
Philadelphia, PA. Amount $8,500,000.00

        FOR VALUE RECEIVED AND INTENDING TO BE LEGALLY BOUND, the Undersigned
(jointly and severally, if more than one) promises to pay to the order of
STANDARD FEDERAL BANK, NATIONAL ASSOCIATION (hereinafter, together with any
holder hereof, called “Lender”), at the main office of Agent (as hereinafter
defined), the principal sum of Eight Million Five Hundred Thousand Dollars
($8,500,000.00) plus the aggregate unpaid principal amount of all loans and
advances made by Lender or Agent to the Undersigned (or any one of them, if more
than one) pursuant to and in accordance with Subsection 2(a) of the Loan
Agreement (as hereinafter defined) in excess of such amount, or, if less, the
aggregate unpaid principal amount of all loans and advances made by Lender to
the Undersigned (or any one of them, if more than one) pursuant to and in
accordance with Subsection 2(a) of the Loan Agreement. The Undersigned (jointly
and severally, if more than one) further promises to pay interest on the
outstanding principal amount hereof on the dates and at the rates provided in
the Loan Agreement from the date hereof until payment in full hereof.

        This Note is referred to in and was delivered pursuant to that certain
Loan and Security Agreement dated June 26, 2002 among LaSalle Business Credit,
Inc. (“Agent”), Lender, the Undersigned and the Guarantors named therein (as
amended by that certain First Amendment to Loan and Security Agreement dated
July 18, 2003, that certain Second Amendment to Loan and Security Agreement
dated of even date herewith and as it may be further amended, modified or
supplemented from time to time, together with all exhibits thereto, the “Loan
Agreement”), and evidences the Undersigned’s Liabilities in respect of Revolving
Loans. All terms which are capitalized and used herein (which are not otherwise
defined herein) shall have the meaning ascribed to such terms in the Loan
Agreement.

        The outstanding principal balance hereunder and all accrued and unpaid
interest thereon shall be due and payable in full when and as provided for in
the Loan Agreement.

        The Undersigned (and each one of them, if more than one) hereby
authorizes the Agent to charge any account of the Undersigned (and each one of
them, if more than one) for all sums due hereunder. If payment hereunder becomes
due and payable on a Saturday, Sunday or legal holiday under the laws of the
United States or the Commonwealth of Pennsylvania, the due date thereof shall be
extended to the next succeeding Business Day, and interest shall be payable
thereon at the rate specified during such extension. Credit shall be given for
payments made in the manner and at the times provided in the Loan Agreement. It
is the intent of the parties that the rates of interest and other charges to the
Undersigned under this Note shall be lawful; therefore, if for any reason the
interest or other charges payable hereunder are found by a court of competent
jurisdiction, in a final determination, to exceed the limit which Agent or
Lender may lawfully charge the Undersigned, then the obligation to pay interest
or other charges shall automatically be reduced to such limit and, if any amount
in excess of such limit shall have been paid, then such amount shall be refunded
to the Undersigned.

        The Undersigned (and each one of them, if more than one) waives the
benefit of any law that would otherwise restrict or limit Agent or Lender in the
exercise of its right, which is hereby acknowledged, to set-off against the
Liabilities, without notice and at any time hereafter, any indebtedness matured
or unmatured owing from Agent or Lender to the Undersigned (or any one of them).
The Undersigned (and each one of them, if more than one) waives every
counterclaim (other than those that are not permitted to be brought in separate
actions) or setoff which the Undersigned (or any one of them) may now have or
hereafter may have to any action by Agent and/or Lender in enforcing this Note
and/or any of the other Liabilities, or in enforcing Agent’s and/or Lender’s
rights in the Collateral and ratifies and confirms whatever Agent and/or Lender
may do pursuant to the terms hereof and of the Loan Agreement and with respect
to the Collateral and agrees that neither Agent nor Lender shall be liable for
any error in judgment or mistakes of fact or law except for gross negligence or
willful misconduct.

        The Undersigned, any other party liable with respect to the Liabilities
and any and all endorsers and accommodation parties, and each one of them, if
more than one, waive any and all presentment, demand, notice of dishonor,
protest, and all other notices and demands in connection with the enforcement of
Agent’s and Lender’s rights hereunder.

        The loans evidenced hereby have been made and this Note has been
delivered at Philadelphia, Pennsylvania. THIS NOTE SHALL BE GOVERNED AND
CONTROLLED BY THE INTERNAL LAWS OF THE COMMONWEALTH OF PENNSYLVANIA AS TO
INTERPRETATION, ENFORCEMENT, VALIDITY, CONSTRUCTION, EFFECT, AND IN ALL OTHER
RESPECTS, INCLUDING WITHOUT LIMITATION, THE LEGALITY OF THE INTEREST RATES AND
OTHER CHARGES, and shall be binding upon the Undersigned (and each one of them,
if more than one) and the Undersigned’s legal representatives, successors and
assigns (and each one of them, if more than one). If this Note contains any
blanks when executed by the Undersigned (or any of them, if more than one), the
Agent or Lender is hereby authorized, without notice to the Undersigned (or any
of them, if more than one) to complete any such blanks according to the terms
upon which the loan or loans were granted. Wherever possible, each provision of
this Note shall be interpreted in such manner as to be effective and valid under
applicable law, but if any provision of this Note shall be prohibited by or be
invalid under such law, such provision shall be severable, and be ineffective to
the extent of such prohibition or invalidity, without invalidating the remaining
provisions of this Note. If more than one party shall execute this Note, the
term “Undersigned” as used herein shall mean all parties signing this Note, and
each one of them, and all such parties, their respective legal representatives,
successors and assigns, shall be jointly and severally obligated hereunder.

        To induce the Lender to make, or continued to make, the loan evidenced
by this Note, the Undersigned (and each one of them, if more than one) (i)
irrevocably agrees that, subject to Agent’s and Lender’s sole and absolute
election, all actions arising directly or indirectly as a result or in
consequence of this Note or any other agreement with the Agent, or the
Collateral, shall be instituted and litigated only in courts having situs in the
City of Philadelphia, Pennsylvania; (ii) hereby consents to the exclusive
jurisdiction and venue of any State or Federal Court located and having its
situs in said city; and (iii) waives any objection based on forum
non-conveniens. IN ADDITION, AGENT, LENDER AND THE UNDERSIGNED (OR ANY ONE OF
THEM, IF MORE THAN ONE) HEREBY WAIVE TRIAL BY JURY IN ANY ACTION OR PROCEEDING
WHICH PERTAINS DIRECTLY OR INDIRECTLY TO THIS NOTE, THE LIABILITIES, THE
COLLATERAL, ANY ALLEGED TORTIOUS CONDUCT BY THE UNDERSIGNED (OR ANY ONE OF THEM,
IF MORE THAN ONE), AGENT OR LENDER OR WHICH IN ANY WAY, DIRECTLY OR INDIRECTLY,
ARISES OUT OF OR RELATES TO THE RELATIONSHIP BETWEEN THE UNDERSIGNED, ON THE ONE
HAND (OR ANY ONE OF THEM, IF MORE THAN ONE), AND AGENT AND LENDER ON THE OTHER.
In addition, the Undersigned agrees that all service of process shall be made as
provided in the Loan Agreement.

        As used herein, all provisions shall include the masculine, feminine,
neuter, singular and plural thereof, wherever the context and facts require such
construction and in particular the word “Undersigned” shall be so construed.

        This Amended and Restated Revolving Credit Note constitutes the
increase, amendment and restatement of that certain Revolving Credit Note dated
June 26, 2002 in the face amount of Five Million Dollars ($5,000,000.00)
executed by the Undersigned payable to the order of Lender (the “Prior Note”),
and, as such, is secured by all liens, security interests, assignments, pledges,
rights and remedies securing the Prior Note, and evidences all indebtedness
previously advanced and unpaid under the Prior Note. Nothing contained herein
shall be deemed to constitute a novation, termination, waiver, release,
satisfaction, accord or accord and satisfaction of the Prior Note or any
indebtedness evidenced thereby.

        IN WITNESS WHEREOF, the Undersigned, has executed this Note on the date
above set forth.

        MEDICAL TECHNOLOGY SYSTEMS, INC.        By:

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    Name/Title:

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    Address:

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          MTS PACKAGING SYSTEMS, INC.        By:

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    Name/Title:

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    Address:

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