**EXHIBIT 31.1**

 

**CERTIFICATION**

 

I, Fred P. Lampropoulos,certify that:

 

1.                    I have reviewed this Annual Report on Form 10-K (the“Report”) of Medical Systems, Inc. (the “Registrant”);

 

2.                    Based on my knowledge, this Report does not containany untrue statement of a material fact or omit to state a material factnecessary to make the statements made, in light of the circumstances underwhich such statements were made, not misleading with respect to the periodcovered by this Report;

 

3.                    Based on my knowledge, the financial statements, andother financial information included in this Report, fairly present in allmaterial respects the financial condition, results of operations and cash flowsof the Registrant as of, and for, the periods presented in this Report;

 

4.                    The Registrant’s other certifying officer and I areresponsible for establishing and maintaining disclosure controls and procedures(as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) andinternal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and15d-15(f)) for the Registrant and have:

 

a) designed suchdisclosure controls and procedures, or caused such disclosure controls andprocedures to be designed under our supervision, to ensure that materialinformation relating to the Registrant, including its consolidatedsubsidiaries, is made known to us by others within those entities, particularlyduring the period in which this Report is being prepared;

 

b) designed suchinternal control over financial reporting, or caused such internal control overfinancial reporting to be designed under our supervision, to provide reasonableassurance regarding the reliability of financial reporting and the preparationof financial statements for external purposes in accordance with generalaccepted accounting principles;

 

c) evaluated theeffectiveness of the Registrant’s disclosure controls and procedures andpresented in this Report our conclusions about the effectiveness of thedisclosure controls and procedures, as of the end of the period covered by thisReport based on such evaluation; and

 

d) disclosed inthis Report any change in the Registrant’s internal control over financialreporting that occurred during the Registrant’s most recent fiscal quarter (theregistrant’s fourth fiscal quarter in case of an annual report) that hasmaterially affected, or is reasonably likely to materially affect, the Registrant’sinternal control over financial reporting; and

 

5.                    The Registrant’s other certifying officer and I havedisclosed, based on our most recent evaluation of internal control overfinancial reporting, to the Registrant’s auditors and the audit committee ofthe Registrant’s board of directors (or persons performing the equivalentfunctions):

 

a) all significantdeficiencies and material weaknesses in the design or operation of internalcontrol over financial reporting which are reasonably likely to adverselyaffect the Registrant’s ability to record, process, summarize and reportfinancial information; and

 

b) any fraud,whether or not material, that involves management or other employees who have asignificant role in the Registrant’s internal control over financial reporting.

 
| Date: March 10,  2010                                             |   |
|------------------------------------------------------------------------|--------|
|                                                                   |   |
| /s/ Fred P.  Lampropoulos                                              |   |
| Fred P. Lampropoulos                                                   |   |
| President and Chief  Executive Officer

(principal executive  officer) |   |

 

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