Exhibit 10(s)

                                                             September 22, 2003




The Borrowers party to the
Credit Agreement described below
One Invacare Way
Elyria, Ohio 44035
Attention: Chief Financial Officer



          Re:  Five Year  Credit  Agreement  dated as of October  17,  2001,  as
          amended (the "Credit  Agreement"),  among  Invacare  Corporation  (the
          "Company"),   each  of  the  Borrowing   Subsidiaries   party  thereto
          (collectively with the Company, the "Borrowers"),  the banks set forth
          on the signature  pages hereof  (together  with their  successors  and
          assigns, collectively, the "Banks" and each individually a "Bank") and
          Bank One, NA, a national  banking  association and successor by merger
          with Bank One, Michigan, as agent for the Bank (in such capacity,  the
          "Agent").


Ladies/ Gentlemen:

     The Borrowers have  requested  that the Banks modify the Credit  Agreement.
Pursuant to such request, the Borrowers,  the Banks and the Agent agree that the
Credit Agreement shall be modified as follows:

     (a)  Section  3.1 of the  Credit  Agreement  shall be  amended to add a new
Section 3.1(h) at the end thereof to read as follows:

               (h)  Notwithstanding  anything  in  this  Agreement  or any  Loan
          Document to the contrary,  none of the Borrowing Subsidiaries shall be
          liable  for any of the  Bank  Obligations  of any  other  Borrower.  A
          Borrowing  Subsidiary  shall be liable only for  Advances  and related
          interest and fees requested by such Borrowing  Subsidiary and directly
          advanced to, or issued for the direct benefit of, such Borrowing
         Subsidiary.

     (b) Section 5.2(b) of the Credit Agreement shall be amended and restated in
its entirety to read as follows:

               (b) Net  Worth.  Permit or suffer  Consolidated  Net Worth of the
          Company  and its  Subsidiaries  at any time to be less than the sum of
          (i) $410,000,000,  plus (ii) 50% of Cumulative Consolidated Net Income
          of the Company and its Subsidiaries,  if any, for the six-month period
          ending  December  31,  2003 and for each  fiscal  year of the  Company
          ending  December  31, 2004 and  thereafter,  plus (iii) 75% of the net
          cash proceeds  received by the Company from the issuance or other sale
          of  its  or  its  Subsidiaries  capital  stock.  For  the  purpose  of
          calculating "Net Worth" under this Section 5.2(b),  an amount shall be
          added back to Net Worth equal to the aggregate amount of capital stock
          repurchases by the Company, not to exceed $100,000,000.

     Except as expressly set forth above,  neither the Credit  Agreement nor any
other  Loan  Document  is  amended  or  modified  nor  are any of the  terms  or
provisions thereof waived. The Borrowers  represent and warrant to the Agent and
the Banks that: (a) the representations  and warranties  contained in Article IV
of the Credit  Agreement  and in the other Loan  Documents are true on and as of
the date  hereof with the same force and effect as if made on and as of the date
hereof,  and (b) no Event of Default or Default  exists or has  occurred  and is
continuing on the date hereof. The Borrowers agree that the Credit Agreement and
all other Loan  Documents  are ratified and  confirmed  and shall remain in full
force and effect and that they have no set off,  counterclaim,  defense or other
claim or dispute with respect to any of the foregoing.

     All  capitalized  terms used but not defined herein shall have the meanings
ascribed  thereto  in the Credit  Agreement.  The terms and  provisions  of this
letter shall be effective when it is signed by the Required Banks, the Agent and
the Borrowers.  This letter may be executed in any number of  counterparts,  and
telecopied signature pages shall be enforceable as originals.

                   Very truly yours,

                   BANK ONE, NA, as a Lender and as Agent


                   By   /s/ Andrew Strait
                        _____________________________
                   Title  Director


                   KEYBANK NATIONAL ASSOCIATION, as a Bank and Syndication Agent


                   By: /s/ J.T. Taylor
                        _________________________________
                   Its: Vice President


                   NATIONAL CITY BANK, as a Bank and Documentation Agent


                   By: /s/ Robert Coleman
                        _________________________________
                   Its: Sr. Vice President


                   BANK OF AMERICA, N.A., as a Bank and Documentation Agent


                   By: /s/ Kevin Bertelsen

                   Its: Vice President


                   JP MORGAN CHASE BANK, as a Bank and Co-Agent


                   By: /s/ Henry Centa
                        _________________________________
                   Its: Vice President


                   THE BANK OF NEW YORK


                   By: /s/ Patrick Vatel
                        _________________________________
                   Its: Assistant Vice President


                   CREDIT LYONNAIS NEW YORK BRANCH


                   By: /s/ Charles Heidsieck
                        _________________________________
                   Its: Senior Vice President


                   FIFTH THIRD BANK


                   By: /s/ James Byrnes
                        _________________________________
                   Its: Vice President


                   HARRIS TRUST AND SAVINGS BANK


                   By: /s/ Michael Pincus
                        _________________________________
                   Its: Managing Director


                   NORDEA BANK FINLAND PLC, formerly known as Merita Bank Plc


                   By: /s/ Thomas Hickey
                        _________________________________
                   Its: Vice President


                   PNC BANK, NATIONAL ASSOCIATION


                   By: /s/ Joseph Moran
                        _________________________________
                   Its: Managing Director


                   SUNTRUST BANK


                   By:  /s/ William D. Priester
                        _________________________________
                   Its: Director



The above is acknowledged, accepted and agreed to by the undersigned:

                              INVACARE CORPORATION


                    By: /s/ Gregory C. Thompson
                        _________________________________
                    Its: Senior Vice President
                         and Chief Financial Officer

                    INVACARE (DEUTSCHLAND) GmbH


                    By: /s/ Gregory C. Thompson
                        _________________________________
                    Its: Senior Vice President
                         and Chief Financial Officer

                    INVACARE AUSTRALIA PTY. LTD.


                    By: /s/ Gregory C. Thompson
                        _________________________________
                    Its: Senior Vice President
                         and Chief Financial Officer

                    INVACARE CANADA INC.


                    By: /s/ Gregory C. Thompson
                        _________________________________
                    Its: Senior Vice President
                         and Chief Financial Officer

                    INVACARE S.A.


                    By: /s/ Gregory C. Thompson
                        _________________________________
                    Its: Senior Vice President
                         and Chief Financial Officer

                    INVACARE BV


                    By: /s/ Gregory C. Thompson
                        _________________________________
                    Its: Senior Vice President
                         and Chief Financial Officer