Document:

EXHIBIT 10.9(b)

    AMENDMENT TO THE ITALIAN DISTRIBUTION AGREEMENT DATED SEPTEMBER 9TH, 2003

             BETWEEN CORONADO INDUSTRIES, INC. AND EUPHARMED S.R.L.

     THIS is an AMENDMENT to the existing Italian Distribution Agreement,  dated
September  9,  2003,  by and  between,  Coronado  Industries,  Inc.  having  its
headquarters at 16929 E. Enterprise Drive,  Suite 202,  Fountain Hills,  Arizona
85268 (hereinafter  referred to as "CI"), and Eupharmed s.r.l. having offices at
Via del Casale  Giuliani 46,  00141,  Rome,  ITALY  (hereinafter  referred to as
"EuP").

     The Parties wish to modify sections 2, 4 and 9 of the Italian  Distribution
Agreement as follows

     SECTION 2. PRICE, RETURNS, PURCHASE OBLIGATIONS, PRODUCT SUPPLY

     2.1(d) The supply prices will be fixed until June, 2008. Beginning in July,
            2008 CI can  adjust  the  supply  price  based  on a  reported  U.S.
            manufacturing inflation  index, with  such adjustment  using 2003 as
            the base year.

     2.2(i) EuP will have the following  monthly minimum  purchase  requirements
            ('Monthly Minimum')

                    Calendar Year                    Monthly Minimums
            --------------------------------------------------------------------
            November 2004                                   *
            --------------------------------------------------------------------
            December 2004                                   *
            --------------------------------------------------------------------
            January 2005 to December 2008                   *
            --------------------------------------------------------------------
           * [CONFIDENTIAL INFORMATION OMITTED AND FILED SEPARATELY WITH THE
             COMMISSION]

     2.3    Terms of payment shall be net 60 days upon receipt of merchandise by
            EuP

     2.8    CI  will  provide  EuP  with  an  additional 20 controllers, free of
            charge, in  support of  additional  clinical  trials  which they may
            perform as part of their market introduction.  The  controllers  are
            intended to be placed with physicians or institutions  which are not
            involved with the clinical trial  described  under  Section 8 of the
            original agreement and are not intended for commercial  sale. In the
            event the controllers  are  not  used in such  trials  they  will be
            returned to CI.

4.   NOTICES

     Any notices will be sent via  facsimile  and by a  recognized  express mail
carrier:

     If to EuP:            EuPharmed s.r.l.
                           Via del Casale
                           Giuliani 46, 00141
                           Rome, ITALY
                           Attn: Mr. Ignazio Cane
                           Facsimile # +39 6 454 356 73

Page 1 Amendment to Eupharmed Italian Distribution Agreement - September 2, 2004

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     If to CI:             Coronado Industries
                           16929 E. Enterprise Drive, Suite 202
                           Fountain Hills, Arizona  85268
                           Attention: CEO
                           CC: Director of Operations
                           Facsimile +1 480 837 6870

or to such other  address as either party may  hereafter  designate by notice to
the other  party.  The date of giving  of any such  notice  shall be on the date
received from an express mail carrier.

SECTION 9. TERM AND TERMINATON

     9.1  The term of this  Agreement  shall be for a period  of five (5)  years
          from the  September  1,  2004.  EuPharmed  may  extend the term for an
          additional  two  (2)  years  by  agreeing  to a  minimum  purchase  of
          [CONFIDENTIAL  INFORMATION  OMITTED  AND  FILED  SEPARATELY  WITH  THE
          COMMISSION]  (controllers and/or rings) in year six (6) and seven (7).
          Following the initial 7 year term outlined above,  this Agreement will
          be  automatically  renewable on an annual  basis,  unless either Party
          notifies the other 6 months prior to  expiration  of the initial term,
          or each annual extension, of their intention not to renew,

     All  other  terms  and  conditions   contained  in  the  original   Italian
Distribution Agreement and its amendments remain the same

     IN WITNESS WHEREOF,  the parties have executed this Agreement as of the day
and year first written above.

CORONADO INDUSTRIES, INC.                   EUPHARMED, s.r.l.

By:     /s/ Gary R. Smith                   By:    /s/ Alberto Aiuto
    --------------------------                  ---------------------------
Name:   Gary R. Smith                       Name:  Alberto Aiuto
Title:  President                           Title: Managing Director
Date    __________________________          Date:  __________________________

Page 2 Amendment to Eupharmed Italian Distribution Agreement - September 2, 2004EXHIBIT 10.10

                     DISTRIBUTION AGREEMENT FOR NORTH AFRICA

     THIS  AGREEMENT  made and  entered  into this 30th day of  September,  2003
("Effective  Date"),  by and  between,  Coronado  Industries,  Inc.  having  its
headquarters at 16929 E. Enterprise Drive,  Suite 202,  Fountain Hills,  Arizona
85268 (hereinafter  referred to as "CI"), and EuPharmed s.r.l. having offices at
Via Deglia Ausoni 7/A, Rome 00185, Italy (hereinafter referred to as "EuP").

WITNESSETH

     WHEREAS, CI is engaged in the distribution and sale of a patented Pneumatic
Trabeculoplasty  (PNT) device as described on Schedule A (hereinafter called the
"Products") and desires to appoint EuP, on the terms and conditions  hereinafter
set forth, as exclusive distributor for the sale of the Products within Algeria,
Libya, Morocco and Tunisia.

     NOW THEREFORE in consideration  of the mutual  covenants herein  contained,
and other good and valuable consideration, it is mutually agreed as follows:

1.   APPOINTMENT AND ACCEPTANCE

     1.1  CI hereby  appoints EuP as CI's exclusive  distributor of the Products
          in the countries of Algeria,  Libya,  Morocco and Tunisia (hereinafter
          called "the North African Territory").

     1.2  EuP accepts  such  appointment  and agrees to use its best  efforts to
          promote,  develop and increase sales of the Products  within the North
          African  Territory.  Without limiting the generality of the foregoing,
          EuP shall:

          (a)  distribute  to the  best  advantage  such  literature  and  other
               advertising  material  as may be agreed to by CI and will not use
               or release any advertising or promotional  materials  (including,
               without   limitation,    labels,    packages,    circulars,   and
               advertisements) without the express prior written approval of CI;

          (b)  solicit  prospective  purchasers  who may  specify or utilize the
               Products;

          (c)  not promote or sell any product or product line which is directly
               or indirectly competitive with the Products;

          (d)  take no action which might impair the goodwill or  reputation  of
               CI or any of its affiliated companies or of the Products;

          (e)  refrain from making  quotations or writing letters under the name
               of CI: the name of CI shall not appear on stationery used by EuP,
               except as a  marginal  note  showing  "Distributor  for  Coronado
               Industries";

          (f)  have  complete  control  over,  and shall pay,  all the costs and
               expenses of its business;

          (g)  build and  maintain a sales  organization  commensurate  with the
               sales  potential of the Products in the North  African  Territory

Page 1   Eupharmed Distribution Agreement for North Africa   30 September 2003

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               and  employ  sales  personnel  trained  with  sufficient  product
               knowledge  to sell  the  Products  adequately  within  the  North
               African Territory;

          (h)  interface with customers and potential  customers on behalf of CI
               for  inquiries  with  respect  to  the  Products  and  use of the
               Products;

          (i)  not make claims with respect to indications for the Products that
               are not  approved by the  appropriate  Health  Authority or other
               appropriate regulatory body;

          (j)  purchase  sufficient  quantities of the Products from CI so as to
               be  able  to  maintain  an  adequate  supply  for  resale  of the
               Products;

          (k)  comply with all  applicable  Italian,  European and North African
               Territory   laws  and   regulations,   including   any  reporting
               requirements in regards to complaints or incidents;

          (l)  promptly  report to CI, or its European  representative  which is
               currently

                  Medical Device Safety Services
                  Burchardtstrasse 1
                  D-30163 Hannover Germany
                  +49 411 69 69 8630

               all complaints, incidents or problems it receives relating to the
               Products;

          (m)  follow all CI sales policies communicated by CI from time to time
               in the promotion and sale of Products;

          (n)  handle  and  store  all  Products  in  accordance  with  Italian,
               European and North  African  Territory  laws and the labeling and
               instructions of CI.

2.   PRICE, RETURNS, PURCHASE OBLIGATIONS, PRODUCT SUPPLY

     2.1  The supply price of the Products,  except for samples, to EuP shall be
          as outlined below;

          (a)  PNT controllers at  [CONFIDENTIAL  INFORMATION  OMITTED AND FILED
               SEPARATELY WITH THE COMMISSION] per controller.

          (b)  PNT  rings  at  [CONFIDENTIAL   INFORMATION   OMITTED  AND  FILED
               SEPARATELY  WITH THE  COMMISSION]  per single ring  packaged in a
               sterile  sachet.  Rings will be  provided  to EuP in units of 100
               sterile sachets/carton.

          (c)  CI will arrange for shipment of product from their  manufacturing
               facility to EuP's  warehouse.  The cost of  shipping  the product
               from  CI's  distribution  facility  to  EuP's  central  receiving
               facility in Italy will be the responsibility of CI

          (d)  The  above  supply  prices  will be fixed  until  December  2007.
               Beginning in January 2008 CI can adjust the supply price based on

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<PAGE>

               a  reported  U.S.   manufacturing   inflation  index,  with  such
               adjustment using 2003 as the base year.

          (e)  The above pricing reflects the current controller and ring design
               and manufacturing  processes. In the event the United States Food
               and Drug  Administration  (USFDA) or any other governmental heath
               authority  (HA)  requires  modifications  to the  PNT  controller
               and/or  ring in order to allow  continuing  sale within the North
               African  Territory  which  would  lead  to  an  increase  in  the
               manufacturing  costs to CI of more than 10%, the Parties agree to
               negotiate a new supply price.

     2.2  EuP will have no minimum purchase requirements in regards to the North
          African Territory

     2.3  Terms of payment shall be AS FOLLOWS:

          2.3.1 Controllers - Payment net 30 days upon receipt of merchandise by
          EuP.

          2.3.2 PNT Rings - Payment net 60 days upon receipt of  merchandise  by
          EuP.

     2.4  EuP shall make the payments described herein by bank wire transfer per
          instructions  to be provided by CI. Time shall be of the essence  with
          respect to the payment monies by EuP pursuant to this Agreement.

     2.5  CI will  provide to EuP,  free of charge,  four (4) -50 rings  starter
          packs in order to  accelerate  the  introduction  and  adoption of PNT
          within the North  African  Territory.  The intent is to provide the 50
          ring starter  packs along with the devices  described in paragraph 2.6
          below  to key  opinion  leaders/hospitals  within  the  North  African
          Territory  so as to allow them to gain  experience  with PNT. EuP will
          not sell  materials  which are  provided to them free of charge.  Free
          Products provided to EuP by CI under the Parties existing Distribution
          Agreement  for Italy dated  September 9, 2003 (the Italian  Agreement)
          cannot be distributed  within the North African  Territory without the
          prior written consent of CI

     2.6  Within 5 business days of receiving  the necessary  approvals to allow
          distribution  of Products  within two (2) of the countries  within the
          North  African  Territory  , EuP will  place an order for four (4) PNT
          Model 1000 Controllers at the supply price indicated in paragraph 2.1a
          above. EuP agrees to distribute these controllers,  free of charge, to
          four  (4)  opinion  leaders/  hospitals,   within  the  North  African
          Territory.  EuP will be  responsible  for the selection of the opinion
          leaders/hospitals.

     2.6  EuP may  return  goods,  including  vacuum  units  which  may  require
          service,  to CI only in accordance with CI's published  returned goods
          policy. Used rings cannot be returned to CI

     2.7  CI will be responsible for the production,  including  sourcing of raw
          materials,  for all  commercial  and clinical  supplies.  All Products
          shipped to EuP will be in  compliance  with  relevant  regulatory  and
          governmental requirements,  including compliance with the requirements
          of an EU 2a  device  classification  and will have  sufficient  expiry

Page 3   Eupharmed Distribution Agreement for North Africa   30 September 2003

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          dating to allow for distribution through normal distribution channels.
          This  manufacturing  obligation  will expire upon  termination of this
          Agreement.

3.   RELATIONSHIP OF THE PARTIES

     EuP shall be an  independent  contractor  of CI.  This  Agreement  does not
create any employer-employee,  agency, joint venture or partnership relationship
between CI and EuP.  EuP is not  authorized  or empowered to act as agent for CI
for any  purpose and shall not on behalf of CI either  enter into any  contract,
undertaking,  or agreement of any kind whatever, or make any promise,  warranty,
or representation  with respect to the Products other than those published by CI
in the advertising and sales promotional material provided to EuP.

4.   NOTICES

     Any notices will be sent via  facsimile  and by a  recognized  express mail
carrier:

     If to EuP:            EuPharmed s.r.l.
                           Via Deglia Ausoni 7/A
                           Rome 00185
                           ITALY
                           Attn: Dr. Alberto Aiuto
                           Facsimile # +39 06 49 27 08 30

     If to CI:             Coronado Industries
                           16929 E. Enterprise Drive, Suite 202
                           Fountain Hills, Arizona  85268
                           Attention: CEO
                           CC: Director of Operations
                           Facsimile +1 480 837 6870

or to such other  address as either party may  hereafter  designate by notice to
the other  party.  The date of giving  of any such  notice  shall be on the date
received from an express mail carrier.

5.   FORCE MAJEURE

     Neither party hereto will be liable to the other for its failure to perform
hereunder due to act of God,  accident,  fire,  flood,  storm,  riot,  sabotage,
explosion, strike, labor disturbance, national defense requirement, governmental
law,  ordinance,   rule  or  regulation,   whether  valid  or  invalid,  defense
requirement,  governmental law, ordinance, rule or regulation,  whether valid or
invalid, inability to obtain electricity or other type of energy, raw materials,
labor,  equipment  or  transportation,  or  any  other  contingency  beyond  its
reasonable control which would make performance commercially  impracticable.  In
the event of a shortage  of  Products,  CI reserves  the right to  allocate  its
inventory of Products as it may determine in its sole discretion.

6.   TRADEMARKS AND PROPRIETARY INFORMATION

     6.1  CI will be responsible for registering and maintaining all Patents and
          Trademark(s),  if in CI's opinion such registration and maintenance is
          appropriate from a business  perspective,  relating to the Products in
          the North African Territory at CI's costs.

Page 4   Eupharmed Distribution Agreement for North Africa   30 September 2003

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     6.2  By virtue of the Agreement and EuP's performance hereunder,  EuP shall
          acquire no interest in CI trademarks or corporate names, label designs
          or other identifying  marks used to distinguish CI's Products.  Except
          for undertaking  such activities as are directly  related to promoting
          the sale of the Product under this  Agreement,  EuP shall not make use
          of the name CI, or make use of any  trademark  or trade  name which in
          the judgment of CI is confusingly  similar thereto without the written
          consent of CI.

     6.3  The Parties will use their best  efforts to discover any  infringement
          of any Patent,  Trademark or corporate name of Coronado Industries and
          will promptly  notify each other of any such  infringement or wrongful
          use.  Any  Proprietary  Information  provided  shall be and remain the
          property of CI, and CI will impose any conditions with respect thereto
          which it deems  reasonably  necessary  to  preserve  the  confidential
          nature thereof. EuP will retain all Proprietary  Information in strict
          confidence as trade secrets of CI and will not disclose, or permit any
          employee or agent of EuP to disclose,  any Proprietary  Information to
          anyone without the prior written  approval of CI,  provided,  however,
          that  such  disclosure  may be made to any  employee  of EuP who has a
          reasonable need for access thereto. For the purpose of this Agreement,
          the term "Proprietary Information" shall mean all formulae, processes,
          and other information  relating to the distribution,  sale, and use of
          any Product  which has been or may  hereafter  be furnished to EuP and
          which would not be  available  to the general  public  otherwise  than
          through violation of this Agreement.

     6.4  Upon the expiration or prior  termination of this Agreement,  EuP will
          exercise  all  necessary  precautions  to  safeguard  the  secrecy  of
          Proprietary  Information  and to prevent the  unauthorized  disclosure
          thereof,  EuP will consult CI as to the  procedures  established by it
          for this  purpose  and will from  time to time,  if  requested  by CI,
          advise CI of the procedures which it then has in effect.

7.   REGISTRATIONS AND HEALTH AUTHORITY INTERACTIONS

     7.1  EuP will be responsible for all interactions  with the relevant Health
          Authorities  (HA's)  and  will  bear  all  costs  associated  with the
          registration(s) in the North African Territory.

     7.2  CI, as reasonably  requested by EuP, will assist and provide expertise
          as required in dealing  with the  relevant  HA's in the North  African
          Territory.

     7.3  CI and EuP agree that a Type 2a device  classification  is required to
          allow the sale of the  Products  in the North  African  Territory.  CI
          agrees to supply EuP with Products meeting this classification.

8.   TERM AND TERMINATON

     8.1  The term of this Agreement shall be for the same period as the term of
          the Italian Agreement.

     8.2  In the event EuP loses exclusive distribution rights in Italy, for any
          reason  except due to a breach by Coronado,  the  exclusivity  for the
          North  African  Territory  will  also be lost.  In the event EuP loses

Page 5   Eupharmed Distribution Agreement for North Africa   30 September 2003

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          distribution  rights in Italy due to a breach by CI,  EuP may elect to
          retain distribution rights in the North African Territory.

     8.3  EuP hereby accords CI upon termination or expiration of this Agreement
          an option to repurchase from EuP all or any part of EuP's inventory of
          Products at the price paid therefore by EuP (the "Repurchase  Price"),
          pursuant to the following procedures:

          8.3.1 Within five (5) days after the  effective  date of  termination,
          EuP shall submit to CI a written schedule reflecting all Products then
          owned by or in EuP's  possession.  Said schedule  shall  identify each
          Product and shall indicate the quantity thereof on hand.

          8.3.2  Within ten (10) days after the receipt of such  schedule by CI,
          CI shall have the right to inspect  the  inventory  reflected  on such
          schedule.

          8.3.3 Within ten (10) days after completion of CI's inspection of said
          inventory,  CI shall give written notice of its election to repurchase
          all or any part of the inventory.

          8.3.4 Upon receipt of said notice of repurchase,  EuP shall  forthwith
          deliver  such  Products  as  may be  specified  therein  to a  carrier
          designated  by CI.  Payment  of the  Repurchase  Price as  hereinabove
          provided  shall be made by CI to EuP either by (1) the issuance to EuP
          of a credit corresponding to the Repurchase Price to be applied in the
          reduction  of any  indebtedness  of EuP to CI or by (2) payment of the
          excess  of the  Repurchase  Price  over any such  indebtedness  of EuP
          within ten (10) days after the delivery of said Products to CI.

     9.4  Upon   termination  or  expiration  of  this   Agreement,   EuP  shall
          immediately cease to represent itself as an authorized  distributor of
          CI with  respect  to the  Products  in the  North  African  Territory;
          provided,  however,  that EuP shall  have the  right to sell,  only in
          accordance with the provisions of this Agreement  notwithstanding  the
          termination or expiration of this Agreement,  those Products which are
          in its inventory on the date of such  termination and which CI has not
          repurchased pursuant to the provisions of Subsection 9.3 hereof.

     9.5  The  termination or expiration of this Agreement shall not release EuP
          from the obligation to pay any sum that may be owning to CI or operate
          to  discharge  any  liability  that had been  incurred by either Party
          prior to any such termination.

     9.6  Failure  by a Party to  comply  with any of its  material  obligations
          contained in this Agreement,  including  minimum  purchase and payment
          term obligations,  shall entitle the  non-defaulting  Party to give to
          the  defaulting  Party  written  notice  specifying  the nature of the
          default and requiring the defaulting  Party to make good such default.
          If such  default is not cured within sixty (60) days after the receipt
          of such  notice  (or,  if such  default is not  capable of being cured
          within such sixty (60) day  period,  within such amount of time as may
          be reasonably necessary to cure such breach, as long as the Defaulting
          Party is  making  diligent  efforts  to do so,  except  in the case of

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          payment  default,  as to which the defaulting  Party shall have only a
          sixty  (60)  day  cure  period),  the  non-defaulting  Party  shall be
          entitled  immediately  to terminate  this  agreement by giving written
          notice to the defaulting Party. The right of a Party to terminate this
          Agreement,  as hereinafter provided,  shall not be affected in any way
          by its waiver or failure to take action with  respect to any  previous
          default.

     9.7  The  Parties  may  agree in a  writing,  signed  by both  Parties,  to
          terminate  this  agreement  in its  entirety.  In such an  event,  the
          Parties shall agree to the effects of such termination at that time.

10.  ASSIGNMENT

     This Agreement shall be binding upon the successors and assignees of CI and
     EuP.  This  Agreement  shall not be  assignable  by EuP  without  the prior
     written  consent of CI. CI may at any time assign this  Agreement to any of
     its affiliated companies or to an unrelated third party.

11.  INDEMNIFICATION

     11.1 So long as EuP is not negligent in storing and  otherwise  maintaining
          the Products and relabels and  repackages  the Products in  compliance
          with  procedures  agreed  to in  writing  by  CI,  and  complies  with
          applicable laws and its obligations  under this Agreement with respect
          to promotion of the Products,  CI will  indemnify EuP from any and all
          liability,  loss,  or damage  EuP may  suffer  as a result of  claims,
          demands,  costs, or judgment  against it arising from the sale of said
          Products supplied by CI . The limits of insurance will be a minimum of
          USD $1.0  million per  incidence  and $1.0 million in total which will
          also be the limits of this indemnification. This indemnification shall
          commence  from the execution of this  Agreement and shall  continue in
          full  force and  effect so long as there may be any  claims,  demands,
          costs or  judgments  arising  against  EuP from EuP's sale of Products
          supplied by CI.

     11.2 EuP will  indemnify CI from any and all  liability,  loss or damage CI
          may suffer as a result of claims,  demands, costs or judgments against
          it arising from EuP's  negligence in storing,  maintaining or handling
          the Products or from not  relabeling  or  repackaging  the Products in
          compliance with the agreed to written  procedure or otherwise  failing
          to comply with  applicable  laws and regulations and the terms of this
          Agreement.  The limits of insurance  will be a minimum USD 1.0 million
          per incidence and $1 million in total which will also be the limits of
          this  indemnification.  Said  indemnification  shall commence from the
          execution  hereof and shall  continue in full force and effect so long
          as  there  may be any  claims,  demands,  costs or  judgments  arising
          against CI as a result of EuP's conduct as aforesaid.

     11.3 Each Party will  maintain,  at each  Party's  own  expense,  insurance
          coverage from a reputable insurance carrier, so as to adequately cover
          the dollar amounts outlined in the above referenced indemnifications.

Page 7   Eupharmed Distribution Agreement for North Africa   30 September 2003

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12.  MISCELLANEOUS

     12.1 The  provisions  of  this   Agreement   shall  be  construed  and  the
          performance  thereof governed in accordance with the laws of the State
          of Arizona.

     12.2 The article  headings in this  Agreement are inserted for  convenience
          only  and  shall  not be  deemed  to be  part  of  this  Agreement  or
          considered in construing this Agreement.

     12.3 This  Agreement  constitutes  the  entire  understanding  between  the
          Parties and  supersedes  any previous  written or oral  agreements  or
          understandings between the Parties.

     12.4 No modification  to or waiver of the terms or conditions  hereof shall
          be  binding  upon  either  Party  unless  approved  in  writing  by an
          authorized  representative  and no  modification  can be  made  by the
          acknowledgment  of  acceptance  or by the use of purchase  order forms
          containing other or different terms or conditions.

     12.5 This  Agreement may be executed in one or more  counterparts,  each of
          which  shall be deemed an original  but all of which shall  constitute
          one and the same instrument.

     IN WITNESS WHEREOF,  the parties have executed this Agreement as of the day
and year first written above.

CORONADO INDUSTRIES                         EUPHARMED S.R.L.

By:     __________________________          By:     __________________________
Name:   __________________________          Name:   __________________________
Title:  __________________________          Title:  __________________________

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                                   SCHEDULE A

(1)  PNT Vacuum Controller - Model 1000

(2)  PNT  Sterilized/Single  Use/Disposable Ring - pre-sterilized  polypropylene
     3-port PNT ring.  One (1)  sterilized  ring per sealed  Tyvek(R)pouch.  100
     rings per carton

Page 9   Eupharmed Distribution Agreement for North Africa   30 September 2003

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