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EXHIBIT 4.(b)2

# Addendum to the
Contract of Unprotected Tenancy of 19 March 1998

# Made and executed this
25th day of December 2008

# Between

| | Engel
Resources and Development Ltd.
company
no. 520032178
of
85 Medinat Hayekim Street, Herzlia Pituach
(hereinafter:
the Landlord)
| | --------------------------------------------------------------------------------------------------------------------------------------

of the one part

# And

| | Lumenis
Ltd. (formerly ISC Medical Systems Ltd.)
company no.
520042557
of
the Yokneam Industrial Park P.O.B. 240, Yokneam(hereinafter:
the Tenant)
| | ----------------------------------------------------------------------------------------------------------------------------------------------------

of the other part

|WHEREAS | A
contract of tenancy was signed on 19 March 1998 between the Tenant and Skan Group
Yokneam Ltd. (hereinafter: Skan Group) in connection with an
office and hi-tech building in the Yokniam Industrial Zone
(hereinafter: the Premises) hereinafter the Tenancy Contract); and
|------- | ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

|WHEREAS | Skan
Group sold its rights in the Premises to Engel  Resources and  Development  Ltd.,  on  29
November,                      1999 (hereinafter: Engel Resources and/or the
Landlord); and
|------- | ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

|WHEREAS | On
the sale, Skan Group as signed to Engel Resources all its rights under the Tenancy
Contract; and
|------- | ---------------------------------------------------------------------------------------------------

|WHEREAS | The
Tenancy Contract will expire on 29 January, 2009; and
|------- | ---------------------------------------------------------

|WHEREAS | The
Tenant has requested the Landlord to extend the term of tenancy for a further term, and
the Landlord has granted its consent thereto, in the manner and on the terms set out
below in this Addendum:
|------- | --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

# It is therefore agreed
between the parties as follows:

|1. | The
preamble to this Addendum constitutes an integral part thereof.
|-- | -------------------------------------------------------------------

|2. | The
term of the lease will be for a further term of 24 months commencing on           29 January,
2009 and expiring on 28 January, 2011 (hereinafter:           the Further
Tenancy Term).
|-- | --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

|3. | It
is hereby agreed that as from 29 September, 2009, the Tenant may notify
          the Landlord of its wish to terminate the Further Tenancy Term on condition
that           it gives 120 days prior notice thereof, and the Landlord will have no
claim or           demand in this connection against the Tenant.
|-- | ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------



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|4. | For
the avoidance of doubt it is hereby clarified that the Further Tenancy Term
          will not be less than 12 months.
|-- | --------------------------------------------------------------------------------------------------------------------------

|5. | The
monthly rent in the first year of the Further Tenancy Term will be           NIS 100,000
(one hundred thousand Shekels) plus VAT. This sum will be           linked to the
Consumer Price Index (CPI base November 2008, that was published           in December
2008).
|-- | ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

|6. | The
rent in the second year of the Further Tenancy Term will be the sum of           NIS 110,000
(one hundred and ten thousand Shekels) plus VAT per month,           linked to the CPI
mentioned above.
|-- | --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

|7. | The
Tenant will, at the Landlords request, sign an assignment of the           Landlords
rights under this Addendum to the Agreement, in favour of a bank           representing
the Landlord.
|-- | ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

|8. | The
provisions of the Tenancy Contract and the Addendum thereto, save as           otherwise
expressly varied by this Addendum, will continue to be in full force           and effect
and bind the parties in all respects, mutuatis  mutandis,           during the
Further Tenancy term also.
|-- | ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

|9. | Save
where the context otherwise requires, words and expressions used herein           shall
bear the definitions ascribed thereto in the Tenancy Contract.
|-- | -----------------------------------------------------------------------------------------------------------------------------------------------------------

# In witness whereof the
parties have set their hands:

|(signed)Engel Resources and Development Ltd
The Landlord | /s/ Dov Ofer
CEOThe Tenant | /s/ Aviram Steinhart
CFO
|------------------------------------------------------------------------ | ---------------------------------------- | --------------------------------------

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|    |  |               
|--- |  | --------------
|B |  | 4/January/2009

ISC Medical Systems Ltd.
(Lumenis)

Dear Sir/Madam,

|Re: | Pledge
and assignment by way of charge of our rights against you under agreements between us
dated 19 March 1998 and the Addendum to the Contract dated 25 December, 2008 in
connection with the tenancy of premises on the land known as Parcels 12 and 13 in
Block 11495 in Yokneam (hereinafter: the Project) (hereinafter: the
Agreement)
|--- | -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

|WHEREAS | To
secure the repayment of all the sums that are and/or shall become due from us to Bank
Leumi le Israel BM (hereinafter: the Bank) by loans, credits and/or
other banking services that we have and/or intend receiving from the Bank, without
limitation in the aggregate amount thereof, we have pledged and assigned to the Bank by
way of charge all our rights against you under the Agreement, including the securities
and collateral that have been and/or will be given to us to secure those rights;
|------- | -----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

We therefore irrevocably instruct you
as follows:-

|1. | You
will make yourselves available to the Bank, to the extent you will be           required
to do so, for the purpose of performing your obligations under the           Agreement,
in accordance with the terms of the Agreement.
|-- | -----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

|2. | If
any monies will be due to us from you under or in connection with the
          Agreement, including in respect of the breach thereof  you are
irrevocably           instructed to transfer the same by means of account No. 110-7697700/41
in           the Haifa Principal Branch (876) of the Bank, at 21 Jaffa Road, Haifa.
|-- | -----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

|3. | Deleted.
|-- | --------

|4. | The
Bank may demand from you performance of the obligations under the Agreement           and
in those cases under Agreement, where we will have the right to demand from           you
compensation and/or other relief, including forfeiture of guarantees that           were
granted to us and/or to Bank Leumi le-Israel BM to secure your obligations.
|-- | ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

|5. | These
instructions are irrevocable and may not be revoked or varied without the
          consent of the Bank in writing.
|-- | -------------------------------------------------------------------------------------------------------------------------

|6. | Please
acknowledge to the Bank your agreement to the above and that you will act           in
accordance with such instructions.
|-- | --------------------------------------------------------------------------------------------------------------------------------

|Yours faithfully,(signed)
Engel Resources (authorised signatories plus stamp) |  | 
|--------------------------------------------------------------------------------------------------- |  | 

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Bank Leumi le Israel BM

Dear Sir/Madam,

We hereby agree to the pledge and
assignment of the contractual rights under the Agreement in favour of Bank Leumi le-Israel
BM.

We have taken note of the above
irrevocable instructions and hereby undertake to act in accordance therewith.

We agree that the Bank will have all
the rights that Engel Resources and Development Ltd., has against us under the Agreement,
including the right to demand from us compensation and/or other relief, including the
forfeiture of guarantees that have been given to secure our above undertakings.

In the event of your turning to us
for the purpose of performing the works to which the Agreement relates, we will continue
to perform such works in accordance with the terms of the Agreement.

We have taken note that the above
charge of the Agreement and our consent shall not obligate us by any undertaking towards
you, with respect either to the continuation of our employment in performing the works or
with respect to making any payments that are or will become due to us under the Agreement.

We further hereby waive fully and
absolutely, all rights of setoff and lien that we may have under the Agreement and/or at
law.

|Yours faithfully,
ISC (Authorized signatories and stamp) |  | Date ________________
|------------------------------------------------------------------------ |  | ---------------------

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