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                                                                     EXHIBIT 3.1

                              AMENDED AND RESTATED
                          CERTIFICATE OF INCORPORATION
                        OF APACHE MEDICAL SYSTEMS, INC.
                     (Pursuant to Sections 242 & 245 of the
               General Corporation Law of the State of Delaware)

         Gerald E. Bisbee, Jr. hereby certifies that:

         1.      Gerald E. Bisbee, Jr., is the Chairman of APACHE Medical
Systems, Inc., a Delaware corporation.

         2.      The Certificate of Incorporation of the corporation filed on
September 1, 1987 and amended and restated on December 26, 1991, January 2,
1992, December 31, 1992 and January 20, 1994, amended on August 17, 1995,
amended and restated on December 28, 1995 and amended and restated on June 19,
1996 is amended and restated to read as follows:

         FIRST.  Name.  The name of the corporation is APACHE Medical
Systems, Inc.

         SECOND. Registered Office.  The address of its registered office in
the State of Delaware is 1013 Centre Road, in the City of Wilmington, County of
New Castle  19805.  The name of its registered agent at such address is
Corporation Service Company.

         THIRD.  Purposes.  The nature of the business or purposes to be
conducted or promoted is:

                 To engage in any lawful act or activity for which corporations 
             may be organized under the General Corporation Law of Delaware and
             to do all things and exercise all powers, rights and privileges
             which a business corporation may now or hereafter be organized or
             authorized to do or to exercise under the laws of the State of
             Delaware.

         FOURTH. Authorized Capital.  The total number of shares of all classes
of capital stock which the corporation shall have authority to issue is Sixty
Million (60,000,000) shares, comprised of Thirty Million (30,000,000) shares of
Common Stock with a par value of One Cent ($.01) per share (the "Common Stock")
and Thirty Million (30,000,000) shares of Preferred Stock with a par value of
One Cent ($.01) per share (the "Preferred Stock").

         A description of the respective classes of stock and a statement of
the designations, preferences, voting powers (or no voting powers), relative,
participating, optional or other special rights and privileges, and the
qualifications, limitations and restrictions of the Preferred Stock and Common
Stock are as follows:
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         A.      PREFERRED STOCK

         1.      Designation.  The Preferred Stock shall be issuable in series,
and in  connection with the issuance of any series of Preferred Stock and to
the extent now or hereafter permitted by the laws of the State of Delaware, the
Board of Directors is authorized to fix by resolution the designation of each
series, the stated value of the shares of each series, the dividend rate or
rates of each series (which rate or rates may be expressed in terms of a
formula or other method by which such rate or rates shall be calculated from
time to time) and the date or dates and other provisions respecting the payment
of dividends, the provisions, if any, respecting the redemption of the shares
of each series and, subject to requirements of the laws of the State of
Delaware, the voting rights (except that such shares shall not have more than
one vote per share), the terms, if any, upon which the shares of each series
shall be convertible into or exchangeable for any other shares of stock of the
corporation and any other relative, participating, optional or other special
rights, and qualifications, limitations or restrictions thereof, of the shares
of each series.

         2.      Redemption, Conversion, etc.  Preferred Stock of any series 
redeemed, converted, exchanged, purchased, or otherwise acquired by the
Corporation shall constitute authorized but unissued Preferred Stock.

         3.      Rank.  All shares of any series of Preferred Stock, as between
themselves, shall rank equally and be identical (except that such shares may
have different dividend provisions); and all series of Preferred Stock, as
between themselves, shall rank equally and be identical except as set forth in
resolutions of the Board of Directors authorizing the issuance of such series.

         B.      COMMON STOCK

         1.      Voting Rights.  Except as otherwise required by law or this
Amended and Restated Certificate of Incorporation, including any certificate of
designations for a Series of Preferred Stock, each holder of Common Stock shall
have one vote in respect of each share of stock held by him of record on the
books of the corporation for the election of directors and on all matters
submitted to a vote of stockholders of the corporation.

         2.      Dividends.  Subject to the preferential rights of the
Preferred Stock, the holders of shares of Common Stock shall be entitled to
receive, when and if declared by the Board of Directors, out of the assets of
the corporation which are by law available therefor, dividends payable either
in cash, in property or in shares of capital stock.

         3.      Dissolution, Liquidation or Winding Up.  In the event of any
dissolution, liquidation or winding up of the affairs of the corporation, after
distribution in full of the preferential amounts, if any, to be distributed to
the holders of shares of the Preferred Stock, holders of Common Stock shall be
entitled, unless otherwise provided by law or this Amended and Restated
Certificate of Incorporation, including any certificate of designations for a
Series of Preferred Stock, to receive all of the remaining assets of the
corporation of whatever kind





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available for distribution to stockholders ratably in proportion to the number
of shares of Common Stock held by them respectively.

         FIFTH.  This corporation shall have perpetual existence.

         SIXTH.  The private property of the stockholders shall not be subject
to the payment of corporate debts to any extent whatever.

         SEVENTH In furtherance and not in limitation of the powers conferred
by the laws of the State of Delaware:

         A.      The Board of Directors of the corporation is expressly
authorized:

                 (i)      To make, alter or repeal the by-laws of the 
corporation.

                 (ii)     To authorize and cause to be executed mortgages and 
liens upon the real and personal property of the corporation.

                 (iii)    To set apart out of any of the funds of the
corporation available for dividends a reserve or reserves for any proper
purpose and to abolish any such reserve in the manner in which it was created.

                 (iv)     By a majority of the whole board, to designate one 
or more committees, each committee to consist of one or more of the
directors of the corporation. The board may designate one or more directors as
alternate member of any committee, who may replace any absent or disqualified
member of any committee. The by-laws may provide that in the absence or
disqualification of a member of a committee, the member or members thereof
present at any meeting and not disqualified from voting, whether or not such
member or members constitute a quorum, may unanimously appoint another member
of the Board of Directors to act at the meeting in the place of any such absent
or disqualified member.  Any such committee, to the extent provided in the
resolution of the Board of Directors, or in the by-laws of the corporation,
shall have and may exercise all the powers and authority of the Board of
Directors in the management of the business and affairs of the corporation, and
may authorize the seal of the corporation to be affixed to all papers which may
require it; but no such committee shall have the power or authority in
reference to amending this Amended and Restated Certificate of Incorporation
(except that a committee may, to the extent authorized in the resolution or
resolutions providing for the issuance of shares of stock adopted by the Board
of Directors as provided in Section 151(a) of the General Corporation Law of
the State of Delaware, fix any of the preferences or rights of such shares
relating to dividends, redemption, dissolution, any distribution of assets of
the corporation or the conversion into, or the exchange of such shares for,
shares of any other class or classes or any other series of the same or any
other class or classes of stock of the corporation), adopting an agreement of
merger or consolidation under Sections 251 or 252 of the General Corporation
Law of the State of Delaware, recommending to the stockholders the sale, lease
or exchange, of all or substantially all of the corporation's property and
assets, recommending to the stockholders a dissolution of the corporation or a





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revocation of a dissolution, or amending the by-laws of the corporation; and,
unless the resolution or by-laws expressly so provide, no such committee shall
have the power or authority to declare a dividend, to authorize the issuance of
stock or to adopt a certificate of ownership and merger pursuant to Section 253
of the General Corporation Law of the State of Delaware.

                 (v)      When and as authorized by the stockholders in
accordance with statute, to sell, lease or exchange all or substantially all of
the property and assets of the corporation, including its good will and its
corporate franchises, upon such terms and conditions and for such
consideration, which may consist in whole or in part of money or property
including shares of stock in, and/or other securities of, any other corporation
or corporations, as the Board of Directors shall deem expedient and for the
best interests of the corporation. 

         B.      Elections of directors need not be by written ballot unless
the by-laws of the corporation shall so provide.

         C.      The books of the corporation may be kept at such place within
or without the State of Delaware as the by-laws of the corporation may provide
or as may be designated from time to time by the Board of Directors of the
corporation.

         EIGHTH.  Whenever a compromise or arrangement is proposed between this
corporation and its creditors or any class of them and/or between this
corporation and its stockholders or any class of them, any court of equitable
jurisdiction within the State of Delaware may, on the application in a summary
way of this corporation or of any creditor or stockholder thereof or on the
application of any receiver or receivers appointed for this corporation under
the provisions of Section 291 of Title 8 of the Delaware Code or on the
application of trustees in dissolution or of any receiver or receivers
appointed for this corporation under the provisions of Section 279 of Title 8
of the Delaware Code, order a meeting of the creditors or class of creditors,
and/or of the stockholders or class of stockholders of this corporation, as the
case may be, to be summoned in such manner as the said court directs.  If a
majority in number representing three-fourths in value of the creditors or
class of creditors, and/or of the stockholders or class of stockholders of this
corporation, as the case may be, agree to any compromise or arrangement and to
any reorganization of this corporation as a consequence of such compromise or
arrangement, the said compromise or arrangement and the said reorganization
shall, if sanctioned by the court to which the said application has been made,
be binding on all the creditors or class of creditors, and/or on all the
stockholders or class of stockholders, of this corporation, as the case may be,
and also on this corporation.

         NINTH.

         (a)      A director of the corporation shall not be personally liable 
to the corporation or its stockholders for monetary damages for breach of
fiduciary duty as a director, except for liability (i) for any breach of the
director's duty of loyalty to the corporation or its stockholders, (ii) for
acts or omissions not in good faith or which involve intentional misconduct or
a knowing violation of law, (iii) under Section 174 of the General Corporation
Law of the State of Delaware, or (iv) for any transaction from which the
director derived an improper personal
        




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benefit.  If the General Corporation Law of the State of Delaware, or any other
applicable law, is amended to authorize corporation action further eliminating
or limiting the personal liability of directors, then the liability of a
director of the corporation shall be eliminated or limited to the fullest
extent permitted by the General Corporation Law of the State of Delaware, or
any other applicable law, as so amended.  Any repeal or modification of this
Section (a) by the stockholders of the corporation shall not adversely affect
any right or protection of a director of the corporation existing at the time
of such repeal or modification.

         (b)      (1) Each person who has or is made a party or is threatened
to be made a party to or is involved in any action, suit or proceeding, whether
civil, criminal, administrative or investigative (hereinafter a "proceeding"),
by reason of the fact that he or she or a person of whom he or she is the legal
representative is or was a director or officer of the corporation or is or was
serving at the request of the corporation as a director, officer or employee or
agent of another corporation or of a partnership, joint venture, trust or other
enterprise, including service with respect to employee benefit plans, whether
the basis of such proceeding is an alleged action in an official capacity as a
director, officer, employee or agent or in any other capacity while serving as
a director, officer, employee or agent, shall be indemnified and held harmless
by the corporation to the fullest extent authorized by the General Corporation
Law of the State of Delaware, or any other applicable law, as the same exists
or may hereafter be amended (but, in the case of any such amendment, only to
the extent that such amendment permits the corporation to provide broader
indemnification rights than said law permitted the corporation to provide prior
to such amendment), against all expenses, liability and loss (including
attorneys' fees, judgments, fines, ERISA excise taxes or penalties and amounts
paid or to be paid in settlement) reasonably incurred or suffered by such
person in connection therewith and such indemnification shall continue as to a
person who has ceased to be a director, officer, employee or agent and shall
inure to the benefit of his or her heirs, executors and administrators;
provided, however, that except as provided in paragraph (2) of this Section (b)
with respect to proceedings seeking to enforce rights to indemnification, the
corporation shall indemnify any such person seeking indemnification in
connection with a proceeding (or part thereof) initiated by such person only if
such proceeding (or part thereof) was authorized by the Board of Directors of
the corporation.  The right to indemnification conferred in this Section (b)
shall be a contract right and shall include the right to be paid by the
corporation the expenses incurred in defending any such proceeding in advance
of its final disposition; provided, however, that if the General Corporation
Law of the State of Delaware, or any other applicable law, requires, the
payment of such expenses incurred by a director or officer in his or her
capacity as a director or officer (and not in any other capacity in which
service was or is rendered by such person while a director or officer,
including, without limitation, service to an employee benefit plan) in advance
of the final disposition of a proceeding shall be made only upon delivery to
the corporation of an undertaking by or on behalf of such director or officer
to repay all amounts so advanced if it shall ultimately be determined that such
director or officer is not entitled to be indemnified under this Section (b) or
otherwise.

         (2)     If a claim under paragraph (1) of this Section (b) is not paid
in full by the corporation within thirty days after a written claim has been
received by the corporation, the claimant may at any time thereafter bring suit
against the corporation to recover the unpaid





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amount of the claim and, if successful in whole or in part, the claimant shall
be entitled to be paid also the expense of prosecuting such claim.  It shall be
a defense to any such action (other than an action brought to enforce a claim
for expenses incurred in defending any proceeding in advance of its final
disposition where the required undertaking, if any is required, has been
tendered to the corporation) that the claimant has not met the standard of
conduct which makes it permissible under the General Corporation Law of the
State of Delaware, or any other applicable law, for the corporation to
indemnify the claimant for the amount claimed, but the burden of proving such
defense shall be on the corporation.  Neither the failure of the corporation
(including its Board of Directors, stockholders or independent legal counsel)
to have made a determination prior to the commencement of such action that
indemnification of the claimant is proper in the circumstances because he or
she has met the applicable standard of conduct set forth in the General
Corporation Law of the State of Delaware, or any other applicable law, nor an
actual determination by the corporation (including its Board of Directors,
stockholders or independent legal counsel) that the claimant has not met such
applicable standard of conduct, shall be a defense to the action or create a
presumption that the claimant has not met the applicable standard of conduct.

         (3)     The right to indemnification and the payment of expenses
incurred in defending a proceeding in advance of its final disposition
conferred in this Section (b) shall not be exclusive of any other right which
any person may have or hereafter acquire under any statute, provision of this
Amended and Restated Certificate of Incorporation, by-law, agreement, vote of
stockholders or disinterested directors or otherwise.

         (4)     The corporation may maintain insurance, at its expense, to
protect itself and any director, officer, employee or agent of the corporation
or another corporation, partnership, joint venture, trust or other enterprise
against any expense, liability or loss, whether or not the corporation would
have the power to indemnify such person against such expense, liability or loss
under the General Corporation Law of the State of Delaware, or any other
applicable law.

         (5)     The corporation may, to the extent authorized from time to
time by the Board of Directors, grant rights to indemnification, and rights to
be paid by the corporation the expenses incurred in defending any proceeding in
advance of its final disposition, to any employee or agent of the corporation
to the fullest extent of the provisions of this Section (b) with respect to the
indemnification and advancement of expenses of directors and officers of the
corporation.

         (6)     Any repeal or modification of this Section (b) by the
stockholders of the corporation shall not adversely affect any right or
protection of a director, officer, employee or agent of the corporation
existing at the time of such repeal or modification.

         TENTH.  The corporation reserves the right to amend or repeal any
provision contained in this Amended and Restated Certificate of Incorporation,
in the manner now or hereafter prescribed by statute, and all rights conferred
upon a stockholder herein are granted subject to this reservation.





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         The foregoing Amended and Restated Certificate of Incorporation has 
been duly adopted  in accordance with the provisions of Sections 242 and 245 of
the General Corporation Law of the State of Delaware.
        
         IN WITNESS WHEREOF, the undersigned has executed this Amended and
Restated Certificate of Incorporation on this 6th day of May, 1997.


                                        /s/  Gerald E. Bisbee, Jr.
                                        -------------------------------
                                        GERALD E. BISBEE, JR., Chairman





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