EXHIBIT 10.9(b)


    AMENDMENT TO THE ITALIAN DISTRIBUTION AGREEMENT DATED SEPTEMBER 9TH, 2003

             BETWEEN CORONADO INDUSTRIES, INC. AND EUPHARMED S.R.L.


     THIS is an AMENDMENT to the existing Italian Distribution Agreement,  dated
September  9,  2003,  by and  between,  Coronado  Industries,  Inc.  having  its
headquarters at 16929 E. Enterprise Drive,  Suite 202,  Fountain Hills,  Arizona
85268 (hereinafter  referred to as "CI"), and Eupharmed s.r.l. having offices at
Via del Casale  Giuliani 46,  00141,  Rome,  ITALY  (hereinafter  referred to as
"EuP").

     The Parties wish to modify sections 2, 4 and 9 of the Italian  Distribution
Agreement as follows

     SECTION 2. PRICE, RETURNS, PURCHASE OBLIGATIONS, PRODUCT SUPPLY

     2.1(d) The supply prices will be fixed until June, 2008. Beginning in July,
            2008 CI can  adjust  the  supply  price  based  on a  reported  U.S.
            manufacturing inflation  index, with  such adjustment  using 2003 as
            the base year.

     2.2(i) EuP will have the following  monthly minimum  purchase  requirements
            ('Monthly Minimum')

                    Calendar Year                    Monthly Minimums
            --------------------------------------------------------------------
            November 2004                                   *
            --------------------------------------------------------------------
            December 2004                                   *
            --------------------------------------------------------------------
            January 2005 to December 2008                   *
            --------------------------------------------------------------------
           * [CONFIDENTIAL INFORMATION OMITTED AND FILED SEPARATELY WITH THE
             COMMISSION]

     2.3    Terms of payment shall be net 60 days upon receipt of merchandise by
            EuP

     2.8    CI  will  provide  EuP  with  an  additional 20 controllers, free of
            charge, in  support of  additional  clinical  trials  which they may
            perform as part of their market introduction.  The  controllers  are
            intended to be placed with physicians or institutions  which are not
            involved with the clinical trial  described  under  Section 8 of the
            original agreement and are not intended for commercial  sale. In the
            event the controllers  are  not  used in such  trials  they  will be
            returned to CI.

4.   NOTICES

     Any notices will be sent via  facsimile  and by a  recognized  express mail
carrier:

     If to EuP:            EuPharmed s.r.l.
                           Via del Casale
                           Giuliani 46, 00141
                           Rome, ITALY
                           Attn: Mr. Ignazio Cane
                           Facsimile # +39 6 454 356 73


Page 1 Amendment to Eupharmed Italian Distribution Agreement - September 2, 2004

<PAGE>

     If to CI:             Coronado Industries
                           16929 E. Enterprise Drive, Suite 202
                           Fountain Hills, Arizona  85268
                           Attention: CEO
                           CC: Director of Operations
                           Facsimile +1 480 837 6870

or to such other  address as either party may  hereafter  designate by notice to
the other  party.  The date of giving  of any such  notice  shall be on the date
received from an express mail carrier.

SECTION 9. TERM AND TERMINATON

     9.1  The term of this  Agreement  shall be for a period  of five (5)  years
          from the  September  1,  2004.  EuPharmed  may  extend the term for an
          additional  two  (2)  years  by  agreeing  to a  minimum  purchase  of
          [CONFIDENTIAL  INFORMATION  OMITTED  AND  FILED  SEPARATELY  WITH  THE
          COMMISSION]  (controllers and/or rings) in year six (6) and seven (7).
          Following the initial 7 year term outlined above,  this Agreement will
          be  automatically  renewable on an annual  basis,  unless either Party
          notifies the other 6 months prior to  expiration  of the initial term,
          or each annual extension, of their intention not to renew,

     All  other  terms  and  conditions   contained  in  the  original   Italian
Distribution Agreement and its amendments remain the same

     IN WITNESS WHEREOF,  the parties have executed this Agreement as of the day
and year first written above.

CORONADO INDUSTRIES, INC.                   EUPHARMED, s.r.l.

By:     /s/ Gary R. Smith                   By:    /s/ Alberto Aiuto
    --------------------------                  ---------------------------
Name:   Gary R. Smith                       Name:  Alberto Aiuto
Title:  President                           Title: Managing Director
Date    __________________________          Date:  __________________________


Page 2 Amendment to Eupharmed Italian Distribution Agreement - September 2, 2004