EXHIBIT 10.14

                                      NOTE


$1,000,000.00                                                   January 21, 2000
                                                         Lancaster, Pennsylvania


     FOR VALUE  RECEIVED,  MEDICAL  TECHNOLOGY  &  INNOVATIONS,  INC., a Florida
corporation  ("Maker"),  hereby  promises  to pay to the order of  INTERNATIONAL
INVESTMENT PARTNERS, LTD., a Delaware corporation ("Lender"),  the principal sum
of ONE  MILLION  and No/100  Dollars  ($1,000,000.00),  together  with  interest
thereon, as follows:

     1. Definitions.  Capitalized terms used herein which are not defined herein
shall have the meanings  assigned to them in the Loan  Agreement or in the other
Loan Documents.

     2. Interest Rates and Payments.

          (a) Loan Rate. Subject to the alternatives for payment of interest set
     forth below,  the interest rate for the Loan ("Loan Rate") shall be a fixed
     rate of twelve percent (12%) per annum.

          (b) Loan  Payments.  During the first eighteen (18) months of the Loan
     the Maker will pay only  interest  monthly,  commencing on the first day of
     the month  following  receipt of such  $1,000,000.00  and execution of this
     Note, and continuing on the first day of the month for eighteen (18) months
     thereafter (the "Interest  Payment Date").  During the remaining  forty-two
     (42)  months of the loan,  the Maker  will pay  principal,  amortized  over
     twenty  years,  and interest  monthly,  commencing  on the first day of the
     nineteenth month and continuing on the first day of the month for forty-two
     months  thereafter.  The loan shall  amortize  over twenty (20) years.  The
     remaining  balance,  which  shall be in the form of a balloon  payment,  of
     principal and accrued  interest shall be due and paid in full at the end of
     sixty (60) months from the date of the Note.  All payments shall be applied
     first to expenses,  then interest and then to principal.  All payments will
     be made promptly to the Lender at its address specified in this Note, or at
     such other address as it may designate in writing.

          (c)  Payment  of  Interest,  Alternatives.   Notwithstanding  anything
     contained  herein to the contrary,  the Maker may satisfy its obligation to
     pay interest due on any Interest  Payment Date (except the maturity date of
     the Loan) as follows:


               (i) By  payment  in cash on each  Interest  Payment  Date (and at
          Maturity);


               (ii) Upon  written  notice to the Lender,  which  notice shall be
          given not less  than  five (5)  business  days  prior to the  Interest
          Payment Date and approval by the Lender,  by adding an amount equal to
          twice the amount of the interest  due on the Interest  Payment Date to
          the outstanding principal of the Loan;

          (d) Default Rate. Upon the occurrence of an Event of Default under any
     of the Loan  Documents,  the  Maker  agrees to pay to the  Lender,  without
     notice or demand,  interest on the unpaid amounts due hereunder at the rate
     of eighteen  percent (18%) per annum (the "Default  Rate"),  whether or not
     the Lender elects to accelerate the unpaid principal balance as a result of
     such Event of Default.  If  judgment  is entered  against the Maker on this
     Note, then the amount of the judgment entered (which may include principal,
     interest, fees, charges and costs) shall bear interest at the Default Rate.
     If this Note is  referred  to an attorney  for  collection,  whether or not
     judgment has been confessed or suit has been filed, the Maker shall pay all
     of the Lender's  reasonable  costs,  fees  (including,  but not limited to,
     reasonable attorneys' fees) and expenses resulting from such referral;

          (e)  Calculations.  Interest  accruing  on the  outstanding  principal
     balance  hereunder  shall be computed on the basis of the actual  number of
     days elapsed in a year of 360 days;

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          (f) Maturity Date.  Notwithstanding anything to the contrary contained
     in this Note or  elsewhere  in the Loan  Documents,  unless  extended by an
     agreement  executed by Maker and Lender,  this Note shall mature on January
     21, 2005 (the "Maturity Date") without further notice. On the Maturity Date
     the entire unpaid principal balance hereof,  together with accrued interest
     thereon,  and all other sums due and owing under the Loan Documents,  shall
     become due and payable in full.

          (g)  Prepayments.  Maker  shall have the right at its option to prepay
     this Note in whole at any time or in part from time to time without premium
     or  penalty,  provided  that the Maker  shall pay  accrued  interest on the
     prepaid  principal  amount to the date of  prepayment.  Any  prepayment  of
     principal  shall be applied  first to  interest  and then to  principal  in
     inverse order of maturity.

          (h)  Alternative for Repayment of the Loan. At any time, at the option
     of the Lender,  the outstanding  principal plus accrued and unpaid interest
     and  expenses  due may be paid in an amount of common stock of the Borrower
     at the rate of one share for  every  four  cents  owed to the  Lender  (the
     "Conversion  Rate"). The Conversion Rate had been determined at the time of
     negotiations,  based upon the previous sixty day average  closing price per
     share of the  Borrower's  common  stock as quoted  on the  Over-The-Counter
     Bulletin  Board (OTC:  BB).  The  Conversion  Rate will be adjusted for all
     stock splits subsequent to the Loan Agreement.

     3. Payments. All payments (including  prepayments) to be made in respect of
principal, interest or other amounts due from Maker hereunder or under any other
Loan Document  shall be payable on the day when due. Such payments shall be made
to Lender at its office at 80 Abbeyville Road, Lancaster, Pennsylvania 17603, in
funds  immediately  available at such office without  set-off,  counterclaim  or
other  deduction of any nature.  Whenever any payment to be made under this Note
or any  other  Loan  Document  shall be stated to be due on a day which is not a
Business Day, such payment shall be made on the next following  Business Day and
such  extension  of time shall be included  in  computing  interest,  if any, in
connection with such payment.  To the extent permitted by law, after there shall
have become due (by acceleration or otherwise) interest or any other amounts due
from Maker  hereunder or under any other Loan Document,  such amounts shall bear
interest for each day until paid (before and after judgment), payable on demand,
at the Default Rate.

     4. Late Charge.  Any payment of principal or interest that is delinquent by
more than ten (10) days  shall draw  interest  at the rate of  eighteen  percent
(18%) per annum from the date due;  This charge shall be in addition to, and not
in lieu  of,  any  other  remedy  Lender  may  have  and is in  addition  to any
reasonable  fees and charges of any agents or attorneys which Lender is entitled
to employ on any default hereunder, whether authorized herein, or by law.

     5.  Default.  The  occurrence  of an Event of Default  under any other Loan
Document,  or the Maker's  failure to pay any sum due  hereunder or to otherwise
comply with any term hereof after any such grace periods or notices  required in
the Loan Agreement or Security  Agreement  shall  constitute an Event of Default
hereunder.  If an Event of Default  shall  occur under the  Security  Agreement,
Lender may accelerate the  indebtedness  evidenced hereby in accordance with the
provisions  of the Loan  Agreement  and Security  Agreement and may exercise the
other  rights and  remedies  provided  it in the  Security  Agreement,  the Loan
Agreement and the other Loan Documents.

     6.  Miscellaneous.  This  Note  evidences  the Loan and all  other  amounts
payable by Maker  hereunder or under any other Loan  Document.  This Note is the
"Note"  referred to in, and is entitled to the benefits  of, the Loan  Agreement
and  the  Security   Agreement,   which  among  other  things  provide  for  the
acceleration  of the maturity  hereof upon the  occurrence of certain events and
for prepayments in certain  circumstances and upon certain terms and conditions.
This  Note  is  secured  by and is  entitled  to the  benefits  of the  Security
Agreement and the other Loan Documents.

     The unpaid  principal  amount of this Note,  the  unpaid  interest  accrued
hereon,  the interest rate or rates  applicable to such unpaid  principal amount
and the duration of such  applicability  shall at all times be ascertained  from
the records of Lender, which shall be conclusive absent manifest error.

     Except as may be expressly  provided to the contrary in the Loan Documents,
Maker hereby expressly waives presentment, demand, notice, protest and all other
demands and notices in connection  with the delivery,  acceptance,  performance,
default or enforcement of this Note, the Loan Agreement,  the Security Agreement
and the other  Loan  Documents,  and an action  for  amounts  due  hereunder  or
thereunder shall immediately accrue.

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     All  notices,  requests,   demands,  directions  and  other  communications
(collectively, "notices") under the provisions hereof shall be in writing unless
otherwise  expressly  permitted  hereunder,  shall  be sent as  provided  in the
Security Agreement and shall be effective when received.  Lender may rely on any
notice  purportedly  made by or on behalf of  Maker,  and shall  have no duty to
verify the identity or authority of the person giving such notice.

     If this Note is placed in the hands of an attorney at law for collection by
reason of default on the part of Maker,  Maker hereby agrees to pay to Lender in
addition to the sums stated above, the reasonable costs of collection, including
a reasonable sum as attorneys' fees.

     This Note may not be amended, modified or supplemented orally.

     If any term or  provision  of this Note or the  application  thereof to any
Person or  circumstance  shall to any extent be invalid  or  unenforceable,  the
remainder of this Note, or the  application of such term or provision to Persons
or  circumstances  other than those as to which it is invalid or  unenforceable,
shall not be affected thereby, and each term and provision of this Note shall be
valid and enforceable to the fullest extent permitted by law.

     This Note shall be governed by, and  construed  and enforced in  accordance
with, the laws of the Commonwealth of Pennsylvania.

     This  obligation  shall bind Maker and its successors and assigns,  and the
benefits hereof shall inure to Lender and its successors and assigns.

     Time is of the essence with respect to matters of  performance  required of
Maker under this Note.

     THE MAKER HEREBY  KNOWINGLY WAIVES ITS RIGHT TO TRIAL BY JURY IN ANY ACTION
BROUGHT BY OR AGAINST THE MAKER ON,  MENTIONING,  RELATED TO OR  CONNECTED  WITH
THIS NOTE, THE LOAN AGREEMENT OR THE LOAN DOCUMENTS.

     IN WITNESS  WHEREOF,  Maker has duly executed and delivered this Note as of
the date first above written.


ATTEST:                                   MEDICAL TECHNOLOGY & INNOVATIONS, INC.



By /s/ Annalisa B.  Pegg                 By /s/ Joseph R.  DelVecchio
------------------------                 ---------------------------------------
Name:      Annalisa B.  Pegg              Name: Joseph R.  DelVecchio
Title:     Office Manager                 Title: Ex V.P. / COO


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