**Exhibit 4.2**

 

**PLEDGESUPPLEMENT**

 

This **PLEDGESUPPLEMENT**, dated as of September 9, 2005, is delivered by **CE HUNTSVILLE HOLDINGS CORP.,** a Delawarecorporation (“**Grantor**”), pursuantto the Pledge and Security Agreement, dated as of June 30, 2004 (as it maybe from time to time amended, restated, supplemented or otherwise modified, the“**Security Agreement**”), between **ACCELLENT CORP. (formerly known as MEDICAL DEVICEMANUFACTURING, INC.)**, the other Grantors named therein, and **CREDIT SUISSE, CAYMAN ISLANDS BRANCH (formerly knownas CREDIT SUISSE FIRST BOSTON, acting through its Cayman Islands Branch)**,as Collateral Agent. Capitalized terms used herein not otherwise defined hereinshall have the meanings ascribed thereto in the Security Agreement.

 

Grantor hereby confirms the grant toCollateral Agent set forth in the Security Agreement of, and does hereby grantto Collateral Agent, a security interest in all of Grantor’s right, title andinterest in and to all Collateral to secure the Secured Obligations, in eachcase whether now or hereafter existing or in which Grantor now has or hereafteracquires an interest and wherever the same may be located. Grantor representsand warrants that the attached Supplements to Schedules accurately andcompletely set forth all additional information required pursuant to theSecurity Agreement and hereby agrees that such Supplements to Schedules shallconstitute part of the Schedules to the Security Agreement.

 

**IN WITNESS WHEREOF**,Grantor has caused this Pledge Supplement to be duly executed and delivered byits duly authorized officer as of the date first written above.

 

**CE HUNTSVILLE HOLDINGS CORP.**

 
| By:    | /s/ Stewart A. Fisher                                                    |   |
|--------|--------------------------------------------------------------------------|--------|
| Name:  | Stewart A. Fisher                                                        |
| Title: | Chief Financial Officer, Vice President,  Treasurer & Secretary |

 

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**SUPPLEMENT TO SCHEDULE 1TO PLEDGE AND SECURITY AGREEMENT**

 

Additional Information:

 

(A)                              FullLegal Name, Type of Organization, Jurisdiction of Organization, Chief ExecutiveOffice/Sole Place of Business and Organizational Identification Number of eachGrantor:

 
| **Full Legal Name**              | ** ** | **Type of  Organization** | ** ** | **Jurisdiction of  Organization** | ** ** | **Chief Executive  Office/Sole Place of  Business** | ** ** | **Organization  I.D.#** |
|----------------------------------|------------|---------------------------|------------|-----------------------------------|------------|-----------------------------------------------------|------------|-------------------------|
| **CE HUNTSVILLE HOLDINGS CORP.** |       | CORPORATION               |       | DELAWARE                          |       | PENNSYLVANIA                                        |       | 050712843               |

 

(B)                                OtherNames (including any Trade-Name or Fictitious Business Name) under which eachGrantor has conducted business for the Five Years Preceding the Closing Date:

 

| **Full Legal Name** | ** ** | **Trade Name or Fictitious  Business  Name** |
|---------------------|------------|----------------------------------------------|
| NONE                |       |                                         |

 

(C)                                Changesin Name, Jurisdiction of Organization, Chief Executive Office or Sole Place ofBusiness and Corporate Structure within the Five Years Preceding the ClosingDate:

 

| **Name of Grantor** | ** ** | **Date of  Change** | ** ** | **Description of Change** |
|---------------------|------------|---------------------|------------|---------------------------|
| NONE                |       |                |       |                      |

 

(D)                               FinancingStatements:

 

| **Name of Grantor**              | ** ** | **Filing  Jurisdiction(s)** |
|----------------------------------|------------|-----------------------------|
| **CE HUNTSVILLE HOLDINGS CORP.** |       | Delaware                    |

 

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**SUPPLEMENT TO SCHEDULE 2**

**TO PLEDGE AND SECURITY AGREEMENT**

 

Additional Information:

 

| **Name of Grantor**              | ** ** | **Location of Equipment and  Inventory** |
|----------------------------------|------------|------------------------------------------|
| **CE HUNTSVILLE HOLDINGS CORP.** |       | NOT  APPLICABLE                          |

 

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**SUPPLEMENT TO SCHEDULE 3**

**TO PLEDGE AND SECURITY AGREEMENT**

 

Additional Information:

 

Pledged Stock:

 
| **Grantor**     | ** ** | **Stock Issuer**                 | ** ** | **Class** | ** ** | **Certificated** | ** ** | **Stock  Cert.  No.** | ** ** | **Par  Value** | ** ** | **No. of  Pledged  Stock** | ** ** | **% of  Outstanding  Stock of the  Stock Issuer** | ** ** |
|-----------------|------------|----------------------------------|------------|-----------|------------|------------------|------------|-----------------------|------------|----------------|------------|---------------------------------|------------|---------------------------------------------------|------------|
| Accellent Corp. | ** ** | **CE HUNTSVILLE HOLDINGS CORP.** |       | Common    |       | Y                |       | C-1                   |       | $              | .001       |                            | 100 shares |                                              | 100        | % |
|                 |            |                                  |            |           |            |                  |            |                       |            |                |            |                                 |            |                                                   |            |  |

 

Pledged Partnership Interests:

NONE

 

Pledged Partnership Interests Elected to be Treated as Securities:

NONE

 

Pledged LLC Interests:

NONE

 

Pledged LLC Interests Elected to be Treated as Securities:

NONE

 

Pledged Trust Interests:

NONE

 

Pledged Debt:

NONE

 

Securities Account:

NONE

 

Commodities Accounts:

NONE

 

Deposit Accounts:

NONE

 

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**SUPPLEMENT TO SCHEDULE 4**

**TO PLEDGE AND SECURITY AGREEMENT**

 

Additional Information:

 

| **Name of Grantor**              | ** ** | **Description of Letters of  Credit** |
|----------------------------------|------------|---------------------------------------|
| **CE HUNTSVILLE HOLDINGS CORP.** |       | NONE                                  |

 

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**SUPPLEMENT TO SCHEDULE 5**

**TO PLEDGE AND SECURITY AGREEMENT**

 

Additional Information:

 

(A)                              Copyrights:NONE

 

(B)                                CopyrightLicenses: NONE

 

(C)                                Patents:NONE

 

(D)                               PatentLicenses: NONE

 

(E)                                 Trademarks:NONE

 

(F)                                 TrademarkLicenses: NONE

 

(G)                                TradeSecret Licenses: NONE

 

(H)                               IntellectualProperty Exception: NONE

 

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**SUPPLEMENT TO SCHEDULE 6**

**TO PLEDGE AND SECURITY AGREEMENT**

 

Additional Information:

 
| **Name of Grantor**              | ** ** | **Commercial Tort  Claims** |
|----------------------------------|------------|-----------------------------|
| **CE HUNTSVILLE HOLDINGS CORP.** |       | NONE                        |

 

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