Mail Stop 0306

April 25, 2005



Via U.S. Mail and Fascimile

Mr. Frederick J. Hirt
Chief Financial Officer and Senior Vice President - Finance
Arrow International, Inc.
2400 Bernville Road
Reading, PA 19605

	Re:	Arrow International, Inc.
		Form 10-K for the year ended August 31, 2004
Filed November 12, 2004
Form 10-Q for the quarterly period ended November 30, 2004
Form 8-K dated March 21, 2005
      File No. 000-20212


Dear Mr. Hirt:

      We have reviewed your filings and have the following
comments.
We have limited our review to only your financial statements and
related disclosures and will make no further review of your
documents.  Where indicated, we think you should revise your
documents in response to these comments.  If you disagree, we will
consider your explanation as to why our comment is inapplicable or
a
revision is unnecessary.  Please be as detailed as necessary in
your
explanation.  In some of our comments, we may ask you to provide
us
with supplemental information so we may better understand your
disclosure.  After reviewing this information, we may or may not
raise additional comments.

	Please understand that the purpose of our review process is
to
assist you in your compliance with the applicable disclosure
requirements and to enhance the overall disclosure in your filing.
We look forward to working with you in these respects.  We welcome
any questions you may have about our comments or on any other
aspect
of our review.  Feel free to call us at the telephone numbers
listed
at the end of this letter.



Form 10-K for the Fiscal Year ended December 31, 2002
Item 8. Financial Statements and Supplementary Data - Page 31
Note 5. Business Acquisitions - Page 47
1. We note that you refer to an independent valuation on page 48.
While you are not required to make reference to independent
valuations, when you do so, you must name the expert and file
their
written consents as an exhibit to any registration statement.
See
Item 601(b) of Regulation S-K.  Please revise in future filings.
Alternatively, you could disclose the method and significant
assumptions used by management to determine the fair values.
Note 16. Segment Reporting - Page 59
2. SFAS 131 requires disclosure of long-lived assets by geographic
area.  This disclosure should present tangible assets only and
should
not include intangible assets.  See question 22 in the FASB Staff
Implementation Guide to Statement 131. Revise future filings as
necessary.
Form 10-Q for the Quarterly Period Ended November 30, 2004
Item 4. Controls and Procedures - Page 25
3. Please clarify in future filings whether the internal control
observations were material weaknesses.  If internal control
observations are material weaknesses, disclose in greater detail
the
nature of these material weaknesses and when these were
identified.
In this regard, also revise to disclose the specific steps that
the
company has taken, if any, to remediate the material weakness and
disclose whether the company believes that the material weakness
still exists at the end of the period covered by the report.
Form 8-K dated March 21, 2005
4. We reference the discussion of non-GAAP measures throughout the
Form 8-K and the reconciliation of GAAP to non-GAAP information on
page 11, including non-GAAP measures for adjusted net sales,
adjusted
gross profit, adjusted income before taxes, adjusted net income,
and
adjusted diluted earnings per share. Please note that Instruction
2
to Item 2.02 of Form 8-K requires that when furnishing information
under this item you must provide all the disclosures required by
paragraph (e)(1)(i) of Item 10 of Regulation S-K and Question 8 of
the FAQ Regarding the Use of Non-GAAP Financial Measures dated
June
13, 2003 for each non-GAAP measure presented. Please revise to
include a discussion, in sufficient detail, of the following for
each
non-GAAP measure:
* The substantive reasons why management believes each non-GAAP
measure provides useful information to investors;
* The specific manner in which management uses each non-GAAP
measure
to conduct or evaluate its business;
* The economic substance behind management`s decision to use each
measure; and
* The material limitations associated with the use of each non-
GAAP
measure as compared to the use of the most directly comparable
GAAP
measure and the manner in which management compensates for these
limitations when using the non-GAAP measure.
5. In addition,  Item 10(e)(1)(i) of Regulation S-K requires that
whenever one or more non-GAAP financial measures are included in a
filing with the Commission the registrant must include a
presentation, with equal or greater prominence, of the most
directly
comparable financial measure or measures calculated and presented
in
accordance with Generally Accepted Accounting Principles (GAAP).
The
discussion of the preliminary second quarter and six months fiscal
year 2005 results focuses on the non-GAAP measures and does not
include a discussion of GAAP measures with equal or greater
prominence. Please revise.
6. Additionally, we note your disclosures of US sales and growth
rates excluding NEOCARE(r) and Stepic distributed products on page
6.
Please revise to provide all the disclosures discussed above for
this
non-GAAP measure and include the required reconciliation to the
most
directly comparable GAAP measure.

*    *    *    *

      As appropriate, please respond to these comments within 10
business days or tell us when you will provide us with a response.
Please furnish a cover letter with your amendment that keys your
responses to our comments and provides any requested supplemental
information.  Detailed cover letters greatly facilitate our
review.
Please file your cover letter on EDGAR.  When sending supplemental
information regarding this filing, please include the following
ZIP+4
code in our address: 20549-0306.  Please understand that we may
have
additional comments after reviewing your responses to our
comments.

      We urge all persons who are responsible for the accuracy and
adequacy of the disclosure in the filings reviewed by the staff to
be
certain that they have provided all information investors require
for
an informed decision.  Since the company and its management are in
possession of all facts relating to a company`s disclosure, they
are
responsible for the accuracy and adequacy of the disclosures they
have made.

	In connection with responding to our comments, please
provide,
in writing, a statement from the company acknowledging that:

* the company is responsible for the adequacy and accuracy of the
disclosure in the filing;
* staff comments or changes to disclosures in response to staff
comments in the filings reviewed by the staff do not foreclose the
Commission from taking any action with respect to the filing; and
* the company may not assert staff comments as a defense in any
proceeding initiated by the Commission or any person under the
federal securities laws of the United States.

	In addition, please be advised that the Division of
Enforcement
has access to all information you provide to the staff of the
Division of Corporation Finance in connection with our review of
your
filing or in response to our comments on your filing.

      You may contact Lynn Dicker, Staff Accountant, at (202) 824-
5264 or me at (202) 942-1791 if you have questions regarding
comments
on the financial statements and related matters.  In this regard,
do
not hesitate to contact Martin James, the Senior Assistant Chief
Accountant, at (202) 942-1984.



					Sincerely,



					Brian Cascio
					Accounting Branch Chief
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Mr. Frederick J. Hirt
Arrow International, Inc.
April 25, 2005
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