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                                                                   EXHIBIT 10.42

                               FIRST AMENDMENT TO
                            REVOLVING LOAN AGREEMENT

        This First Amendment to that certain Revolving Loan Agreement
("AMENDMENT") is made and entered into as of this 21ST day of August, 1997, by
and between Jalate, Ltd. ("CLIENT") and Heller Financial, Inc. ("HELLER").

        WHEREAS, Heller and Client are parties to a certain Revolving Loan
Agreement dated June 30, 1997, and all amendments thereto (the "AGREEMENT"); and

        WHEREAS, the parties desire to amend the Agreement as hereinafter set
forth;

        NOW THEREFORE, in consideration of the mutual conditions and agreements
set forth in the Agreement and this Amendment, and other good and valuable
consideration, the receipt and sufficiency of which are hereby acknowledged, the
parties hereto hereby agree as follows:

        1. DEFINITIONS. Capitalized terms used in this Amendment, unless
otherwise defined herein, shall have the meaning ascribed to such term in the
Agreement.

        2. AMENDMENTS. The second paragraph on page one of the Agreement is
amended by deleting the table in the second paragraph and inserting the
following table in lieu thereof:

<TABLE>
<CAPTION>
                      PERIOD                    MAXIMUM REVOLVING LOAN
        -----------------------------------------------------------------------------
<S>                                          <C>
        Effective Date through               The greater of:
        September 30, 1997
                                             (i) $2,500,000 in excess of the amount
                                             equal to ninety percent (90%) of the
                                             Purchase Price of outstanding
                                             Accounts purchased by Heller
                                             pursuant to the Factoring Agreement
                                             or

                                             (ii) $2,000,000 in excess of the
                                             amount equal to one hundred percent
                                             (100%) of the Purchase Price of
                                             outstanding Accounts purchased by
                                             Heller pursuant to the Factoring
                                             Agreement

        October 1, 1997 and thereafter       The greater of:

                                             (i) $2,000,000 in excess of the amount
                                             equal to ninety percent (90%) of the
                                             Purchase Price of outstanding
                                             Accounts purchased by Heller
                                             pursuant to the Factoring Agreement
                                             or

                                             (ii) $1,500,000 in excess of the amount
                                             equal to one hundred percent (100%) of
                                             the Purchase Price of outstanding Accounts
                                             purchased by Heller pursuant to the
                                             Factoring Agreement
</TABLE>

        3. CONDITIONS. The effectiveness of this Amendment is subject to the
following conditions precedent (unless specifically waived in writing by
Heller):



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               (a) There shall have occurred no material adverse change in the
business, operations, financial condition, profits or prospects of Client, or in
the Collateral;

               (b) Client shall have executed and delivered such other documents
and instruments as Heller may require;

               (c) All proceedings taken in connection with the transactions
contemplated by this Amendment and all documents, instruments and other legal
matters incident thereto shall be satisfactory to Heller and its legal counsel;
and

               (d) No Default or Event of Default under the Agreement as amended
hereby shall have occurred and be continuing.

        4. CORPORATE ACTION. The execution, delivery, and performance of this
Amendment has been duly authorized by all requisite corporate action on the part
of Client and this Amendment has been duly executed and delivered by Client.

        5. SEVERABILITY. Any provision of this Amendment held by a court of
competent jurisdiction to be invalid or unenforceable shall not impair or
invalidate the remainder of this Amendment and the effect thereof shall be
confined to the provision so held to be invalid or unenforceable.

        6. REFERENCES. Any reference to the Agreement contained in any notice,
request, certificate, or other document executed concurrently with or after the
execution and delivery of this Amendment shall be deemed to include this
Amendment unless the context shall otherwise require.

        7. COUNTERPARTS. This Amendment may be executed in one or more
counterparts, each of which shall constitute an original, but all of which taken
together shall be one and the same instrument.

        8. RATIFICATION. The terms and provisions set forth in this Amendment
shall modify and supersede all inconsistent terms and provisions of the
Agreement and, except as expressly modified and superseded by this Amendment,
the terms and provisions of the Agreement are ratified and confirmed and shall
continue in full force and effect.

        IN WITNESS WHEREOF, the parties hereto have caused this Amendment to be
duly executed under seal and delivered by their respective duly authorized
officers on the date first written above.

HELLER FINANCIAL, INC.                       JALATE,LTD.

By:       [SIG]                              By:      [SIG]
    _____________________________                _______________________________

Title:    Vice President                     Title:    V.P. FINANCE & CFO
       __________________________                   ____________________________

                                             ATTEST:
                                             ___________________________________
                                             Secretary



                                             [CORPORATE SEAL]



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