FIRST AMENDMENT TOSECURITIES PLEDGE AGREEMENT 

        **THISFIRST AMENDMENT TO SECURITIES PLEDGE AGREEMENT**(**“Amendment”**) is madeeffective this 8th day of July, 2003 by and between **LASALLE BUSINESS CREDIT, LLC**,successor by merger to LaSalle Business Credit, Inc., as Agent(**“Agent”**)****for **STANDARD FEDERAL BANK NATIONAL ASSOCIATION(“Lender”)**and **MEDICAL TECHNOLOGY SYSTEMS, INC.(“Pledgor”**). 

BACKGROUND 

       A.             Agent, Pledgor and Lifeserve Technologies, Inc. (which has subsequently          dissolved) previously entered into that certain Securities Pledge Agreement          dated June 26, 2002 (as the same may be amended from time to time, the          **“Pledge Agreement”**). 

       B.               Agent and Pledgor desire to amend the Pledge Agreement in accordance with the          terms and conditions set forth herein. 

       C.               Capitalized terms used herein and not otherwise defined shall have the meanings          provided for such terms in the Pledge Agreement. 

        **NOWTHEREFORE**, the parties hereto, intending to be legally bound hereby, agree as follows: 

       1.             **Confirmation of Background.** Pledgor does hereby ratify, confirm          and acknowledge that the statements contained in the foregoing Background are          true, accurate and complete in all respects and that the Pledge Agreement, as          modified and amended hereby, is valid, binding and in full force and effect as          of the date hereof and fully enforceable against Pledgor and its respective          assets in accordance with the terms thereof. 

              2.      **Pledged Shares.  Schedule I** of the Pledge Agreement          is hereby deleted in its entirety, and replaced with **Schedule          A** attached hereto. 

              3.     **Ratification and Confirmation.** As amended hereby, all of the terms          and conditions of the Pledge Agreement, all documents in connection therewith          and all liens, security interests, rights and remedies granted therein, remain          in full force and effect and are hereby ratified, confirmed and continued as          security for all obligations of Pledgor or to Agent and/or Lender. 

              4.     **Binding Effect.** This Amendment shall be binding upon the          successors and assigns of Pledgor and shall inure to the benefit of the          successors and assigns of Agent and Lender. 

       5.            **Severability.** The provisions of this Amendment are deemed to be          severable and the invalidity or unenforceability of any provision shall not          affect or impair the remaining provisions which shall continue in full force and          effect. 

                       6.    **Governing Law.** This Agreement shall be governed by and construed          in accordance with the internal laws (as opposed to conflict of laws provisions)          and decisions of the Commonwealth of Pennsylvania. Unless otherwise defined          herein, terms defined in Articles 8 and 9 of the Pennsylvania Uniform Commercial          Code are used herein as therein defined. Whenever possible, each provision of          this Agreement shall be interpreted in such manner as to be effective and valid          under applicable law, but, if any provision of this Agreement shall be          interpreted in such manner as to be ineffective or invalid under applicable law,          such provisions shall be ineffective or invalid only to the extent of such          prohibition or invalidity, without invalidating the remainder of such provision          or the remaining provisions of this Agreement. 

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