Exhibit 10.2


                             INVACARE CORPORATION






                                SECOND AMENDMENT
                         Dated as of September 29, 2005



                                       to



                             NOTE PURCHASE AGREEMENT
                          Dated as of February 27, 1998







        Re: $80,000,000 6.71% Series A Senior Notes due February 27, 2008

                                       and

          $20,000,000 6.60% Series B Senior Notes due February 27, 2005



================================================================================

                   SECOND AMENDMENT TO NOTE PURCHASE AGREEMENT

     THIS SECOND  AMENDMENT  dated as of September 29, 2005 (the or this "Second
Amendment")  to the Note  Purchase  Agreement  dated as of February  27, 1998 is
among INVACARE CORPORATION, an Ohio corporation (the "Company"), and each of the
institutions  which is a signatory to this Second Amendment  (collectively,  the
"Noteholders").


                                    RECITALS:

     A. The Company and each of the  Noteholders  have  previously  entered into
that certain Note Purchase  Agreement  dated as of February 27, 1998, as amended
pursuant  to that  certain  First  Amendment  dated as of  October  1, 2003 (the
"Existing Note Purchase  Agreement," and, as amended hereby,  the "Note Purchase
Agreement")  pursuant  to which the  Company  issued the (i)  $80,000,000  6.71%
Series A Senior  Notes due  February  27,  2008 (the  "Series A Notes") and (ii)
$20,000,000  6.60%  Series B Senior  Notes due  February 27, 2005 (the "Series B
Notes");  and together with the Series A Notes collectively,  the "Notes").  The
Noteholders  are the holders of the  outstanding  principal  amount of the Notes
identified on the signature pages hereto.

     B. The  Company  has also  previously  entered  into  that  certain  Credit
Agreement dated as of January 14, 2005 (the "Bank Credit  Agreement")  among the
Company and certain Borrowing Subsidiaries (as defined therein), the banks named
therein (the "Banks"),  JPMorgan Chase Bank,  N.A., as agent,  Keybank  National
Association as  Syndication  Agent,  J.P.  Morgan  Securities,  Inc. and Keybank
National Association as Co-Lead Arrangers, pursuant to which the Banks agreed to
make term loans and extend a credit  facility to the  Company and the  Borrowing
Subsidiaries.

     C. The Company proposes that the Noteholders agree inter alia to permit the
consummation of the Permitted Receivables Securitization Program.

     D. In  furtherance of the foregoing,  the Company and the  Noteholders  now
desire to amend the Existing Note Purchase  Agreement in the respects,  but only
in the respects, hereinafter set forth.

     E.  Capitalized  terms  used  herein  shall  have the  respective  meanings
ascribed thereto in the Note Agreement, as amended hereby, unless herein defined
or the context shall otherwise require.

     F. All requirements of law have been fully complied with and all other acts
and things  necessary to make this Second  Amendment a valid,  legal and binding
instrument  according to its terms for the purposes  herein  expressed have been
done or performed.

     NOW, THEREFORE,  upon the full and complete  satisfaction of the conditions
precedent  to the  effectiveness  of this Second  Amendment  set forth in ss.3.1
hereof, and in consideration of good and valuable  consideration the receipt and
sufficiency of which is hereby acknowledged,  the Company and the Noteholders do
hereby agree as follows:
<page>
SECTION 1. AMENDMENTS.

     Section  1.1.  Amendment  to  Section  10 of  the  Existing  Note  Purchase
Agreement.  Section 10 of the Existing Note Purchase  Agreement  shall be and is
hereby amended to insert a new Section 10.7 to read in its entirety as follows:

               "Section 10.7. Minimum Credit Agreement  Commitment.  The Company
          shall at all times  maintain at least  $350,000,000  in aggregate loan
          commitments under its Credit Agreement."

     Section  1.2.  Amendment  to Section  11.3 of the  Existing  Note  Purchase
Agreement.  Section 11.3 of the Existing Note Purchase Agreement shall be and is
hereby amended in its entirety to read as follows:

     "Section 11.3. Maximum Amount of Consolidated Debt. The Company will not at
any time permit the ratio of Consolidated  Debt to  Consolidated  Operating Cash
Flow to exceed 3.50 to 1.00 (or such lower ratio at all times  during  which the
Credit  Agreement  requires a lower ratio) for the  immediately  preceding  four
fiscal quarter period taken as a single  accounting period ending on the date of
calculation."

     Section  1.3.  Amendment  to Section  11.4 of the  Existing  Note  Purchase
Agreement.  Section 11.4 of the Existing Note Purchase Agreement shall be and is
hereby amended in its entirety to read as follows:

               "Section 11.4.  Incurrence of Priority Debt. The Company will not
          and will not permit any of its  Subsidiaries to directly or indirectly
          create,  incur,  assume,  guarantee,  or  otherwise  become  liable in
          respect of

                    (a) in the  case of the  Company,  any  Debt to be  incurred
               after the date of the  Closing  and  secured  by Liens  permitted
               pursuant to clause (h), (i), (j) or (l) of Section 11.6, or

                    (b) in the case of any  Subsidiary,  any Debt to be incurred
               by such Subsidiary after the date of Closing,

                    unless,  after giving effect to the  incurrence of such Debt
               and the application of the proceeds thereof,

                         (i) no Default or Event of Default would exist and

                         (ii)   the   aggregate    principal   amount   (without
                    duplication) of

                         (A) all Debt of the Company then outstanding secured by
                    Liens  permitted  pursuant to clauses (e),  (h), (i), (j) or
                    (l) of Section 11.6  (excluding,  in any case, any such Debt
                    owing to a Subsidiary and excluding any  duplication of Debt
                    that may arise by virtue of the  utilization  of clause (j))
                    and

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                         (B) all Consolidated Subsidiary Debt then outstanding

          does not exceed 30% of  Consolidated  Net Worth,  determined as of the
          last day of the most recently ended Fiscal Quarter.

               For the  purposes of this  Section  11.4,  any Person  becoming a
          Subsidiary after the date of the Closing shall be deemed,  at the time
          it  becomes  such a  Subsidiary,  to  have  incurred  all of its  then
          outstanding  Debt.  This Section 11.4 shall have no application to any
          Debt of a Subsidiary owing to the Company or a Subsidiary."

     Section  1.4.  Amendment  to Section  11.6 of the  Existing  Note  Purchase
Agreement.  Section 11.6 of the Existing Note Purchase Agreement shall be and is
hereby amended and restated in its entirety to read as follows:

               "Section  11.6.  Liens.  The Company will not and will not permit
          any of its  Subsidiaries  to directly  or  indirectly  create,  incur,
          assume or permit to exist  (upon the  happening  of a  contingency  or
          otherwise)  any  Lien on or with  respect  to any  property  or  asset
          (including,  without limitation, any document or instrument in respect
          of goods or accounts  receivable)  of the Company or such  Subsidiary,
          whether  now owned or held or  hereafter  acquired,  or any  income or
          profits  therefrom or assign or otherwise  convey any right to receive
          such  income  or  profits  (unless  it  makes,  or  causes to be made,
          effective  provision  whereby  the Notes will be equally  and  ratably
          secured  with any and all  other  obligations  thereby  secured,  such
          security to be pursuant to an agreement reasonably satisfactory to the
          Required Holders providing for such security  (including an opinion of
          counsel to the Company to the effect that the holders of the Notes are
          so equally and ratably secured) and, in any such case, the Notes shall
          have the benefit,  to the fullest  extent that, and with such priority
          as, the holders of the Notes may be entitled under  applicable law, of
          an  equitable  Lien on such  property),  provided  that the  foregoing
          restrictions and limitations shall not apply to:

                    (a) (i) Liens for taxes,  assessments or other  governmental
               charges  (including  ERISA  Liens) the payment of which is not at
               the time required by Section 10.4,  and (ii)  statutory  Liens of
               landlords  and  Liens  of  carriers,   warehousemen,   mechanics,
               materialmen, inventory suppliers and other similar Liens, in each
               case,  incurred in the  ordinary  course of business for sums not
               yet due or the  payment of which is not at the time  required  by
               Section 10.4;

                    (b)  Liens  (i)  arising  from  judicial   attachments   and
               judgments,  (ii) securing  appeal bonds or supersedeas  bonds, or
               (iii) arising in connection  with court  proceedings  (including,
               without  limitation,  surety  bonds and  letters of credit or any
               other instrument serving a similar purpose),

               provided  that (1) the  execution  or other  enforcement  of such
               Liens is effectively  stayed,  (2) the claims secured thereby are
               being  actively  contested  in  good  faith  and  by  appropriate
               proceedings  and (3)  adequate  book  reserves  shall  have  been
               established  and  maintained  with respect  thereto in accordance
               with GAAP;

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                    (c) Liens (other than any Lien imposed by ERISA) incurred or
               deposits  made  in  the  ordinary   course  of  business  (i)  in
               connection with workers' compensation, unemployment insurance and
               other types of social security or retirement benefits, or (ii) to
               secure  (or  to  obtain   letters  of  credit  that  secure)  the
               performance  of tenders,  statutory  obligations,  surety  bonds,
               appeal  bonds,   bids,   leases  (other  than  Capital   Leases),
               performance  bonds,  purchase,  construction or sales  contracts,
               leases and other similar  obligations,  in each case not incurred
               or made in connection with the borrowing of money,  the obtaining
               of  advances or credit or the  payment of the  deferred  purchase
               price of  property,  and which  Liens do not,  in the  aggregate,
               materially  impair the use of the property subject thereto in the
               operation  of the  business of the Company and the  Subsidiaries,
               taken as a whole,  or the value of such property for the purposes
               of such business;

                    (d)  leases  or  subleases  granted  to  others,  easements,
               rights-of-way,  restrictions,  zoning restrictions,  governmental
               restrictions  in respect of any  property  or  property  right or
               franchise  of the  Company or any  Subsidiary  and other  similar
               charges  or  encumbrances,  in each case  incidental  to, and not
               interfering  with,  the  ordinary  conduct of the business of the
               Company and the  Subsidiaries,  taken as a whole,  provided  that
               such  charges  and   encumbrances   do  not,  in  the  aggregate,
               materially detract from the value of such property;

                    (e) Liens  existing  on the date of the Closing as set forth
               on Schedule 11.6;

                    (f) Liens on property or assets of the Company or any of its
               Subsidiaries   securing   Debt  owing  to  the   Company  or  any
               Subsidiary;

                    (g) Liens  arising  from the  Transfer  by ICC (or any other
               Subsidiary  primarily  responsible  for  providing  credit to the
               customers of the Company and its  Subsidiaries)  of all or any of
               its  receivables,  whether  with or without  recourse to ICC, the
               Company or any other Subsidiary,  which Liens shall extend solely
               to such receivables, the proceeds in respect thereof, receivables
               substituted  therefor  and books or records  in respect  thereof,
               provided that such Transfer is an arm's-length  transaction,  not
               accounted for under GAAP as a secured loan and, in the good faith
               opinion of a Senior Financial Officer,  for fair value and in the
               best  interests of the Company and the  Subsidiaries,  taken as a
               whole, and provided,  further,  that recourse to ICC, the Company
               or any other  Subsidiary  in  connection  with any such  Transfer
               shall be limited to (i)  liabilities  arising  from the breach of
               warranties  made by ICC or such other  Subsidiary  in  connection
               with such  Transfer and (ii) an amount,  with respect to any such
               Transfer  and in addition  to clause (i) above,  not in excess of
               30% of the  proceeds of the  disposition  of the  receivables  so
               transferred in such Transfer;

                    (h) Liens  created to secure all or any part of the purchase
               price,  or to secure  Debt  incurred or assumed to pay all or any
               part of the purchase price or cost of  construction,  of property

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<page>
               (or any  improvement  thereon)  acquired  or  constructed  by the
               Company  or any of its  Subsidiaries,  provided  that  all of the
               following conditions are satisfied:

                         (i) any such Lien  shall  extend  solely to the item or
                    items of such property (or improvement  thereon) or proceeds
                    thereof so acquired or  constructed  and, if required by the
                    terms of the instrument originally creating such Lien, other
                    property (or improvement thereon) which is an improvement to
                    or is acquired  for  specific  use in  connection  with such
                    acquired or constructed property (or improvement thereon) or
                    which is real  property  being  improved by such acquired or
                    constructed property (or improvement thereon),

                         (ii) the  principal  amount of the Debt  secured by any
                    such Lien  shall at no time  exceed  an amount  equal to the
                    lesser of (A) the cost to such  Person of the  property  (or
                    improvement  thereon) so acquired or constructed and (B) the
                    Fair Market Value (as  determined in good faith by the Board
                    of  Directors   of  the   Company)  of  such   property  (or
                    improvement  thereon)  at the  time of such  acquisition  or
                    construction,

                         (iii) any such Lien shall be created  contemporaneously
                    with,  or  within  180  days  after,   the   acquisition  or
                    construction of such property, and

                         (iv) at the time of creation, incurrence, assumption or
                    guarantee  of the Debt secured by such Lien and after giving
                    effect thereto, no Default or Event of Default would exist;

                    (i) Liens existing on property of a Person immediately prior
               to its being  consolidated or amalgamated with or merged into the
               Company or any  Subsidiary or its becoming a  Subsidiary,  or any
               Lien  existing  on any  property  acquired  by the Company or any
               Subsidiary at the time such  property is so acquired  (whether or
               not the Debt secured  thereby shall have been assumed),  provided
               that

                         (i) no such Lien shall have been  created or assumed in
                    contemplation of such consolidation,  amalgamation or merger
                    or such Person's  becoming a Subsidiary or such  acquisition
                    of property,

                         (ii) each such Lien shall extend  solely to the item or
                    items of property so acquired and  proceeds  thereof and, if
                    required by the terms of the instrument  originally creating
                    such Lien,  other  property which is an improvement to or is
                    acquired for specific use in  connection  with such acquired
                    property,

                         (iii) the  principal  amount of the Debt secured by any
                    such Lien  shall at no time  exceed  an amount  equal to the
                    Fair Market Value (as  determined in good faith by the Board

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<page>
                    of  Directors   of  the   Company)  of  such   property  (or
                    improvement  thereon)  at the  time of  such  consolidation,
                    merger, becoming a Subsidiary or acquisition, and

                         (iv) at the time of creation, incurrence, assumption or
                    guarantee of the Debt secured by such Lien and, after giving
                    effect thereto, no Default or Event of Default would exist;

                    (j) Liens  renewing,  extending or replacing Liens permitted
               by  clause  (e),  (h)  or (i)  above,  provided  that  all of the
               following conditions are satisfied:

                         (i) no such new Lien shall  extend to any  property  of
                    the Company or any of its  Subsidiaries  other than property
                    already  encumbered by the existing Lien being so renewed or
                    replaced,

                         (ii) the principal amount of the underlying  obligation
                    secured by such  existing  Lien  outstanding  at the time of
                    such  renewal  or  replacement  shall  not be  increased  in
                    connection  with such renewal or replacement and the average
                    life thereof shall not be reduced, and

                         (iii)  immediately  after  such  extension,  renewal or
                    refunding no Default or Event of Default would exist;

                    (k) Liens on assets of Special Purpose Subsidiaries securing
               Debt  of  such  Special  Purpose  Subsidiaries  pursuant  to  the
               Permitted Receivables Securitization Program; and

                    (l) any Lien (other than a Lien  permitted  under clause (a)
               through clause (k) above) securing any Debt of the Company or any
               Subsidiary,  which Debt,  as of the date of the  creation of such
               Lien, does not exceed the remainder of

                                     (i) 30% of Consolidated Net Worth,
                           determined as of the end of the most recently ended
                           Fiscal Quarter, minus

                                    (ii) the sum (without duplication) of (A)
                           the aggregate principal amount of all Consolidated
                           Subsidiary Debt outstanding as of the date of
                           creation of such Lien plus (B) the total amount of
                           Debt of the Company outstanding as of the date of
                           creation of such Lien secured by Liens pursuant to
                           clause (e), (h), (i), (j) or (k) of this Section 11.6
                           or pursuant to this clause (l) (excluding any
                           duplication of Debt that may arise pursuant to the
                           utilization of said clause (j)).

               For the  purposes of this  Section  11.6,  any Person  becoming a
               Subsidiary after the date of the Closing shall be deemed,  at the
               time it becomes such a  Subsidiary,  to have  incurred all of its
               then existing Liens securing outstanding Debt."

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     Section  1.5.  Amendment  to Section  11.7 of the  Existing  Note  Purchase
Agreement.  Section 11.7 of the Existing Note Purchase Agreement shall be and is
hereby amended and restated in its entirety to read as follows:

               "Section 11.7. Sale of Assets, Etc. The Company will not and will
          not permit any of its Subsidiaries to make any Transfer, provided that
          the foregoing restriction does not apply to a Transfer if:

                    (a) the  property  that  is the  subject  of  such  Transfer
               constitutes  either (i)  inventory or (ii)  equipment,  fixtures,
               supplies or materials no longer  required in the operation of the
               business  of the  Company or any of its  Subsidiaries  or that is
               obsolete,  and, in each case,  such  Transfer is in the  ordinary
               course of business;

                    (b) such Transfer is (i) from a Subsidiary to the Company or
               a  Wholly-Owned   Subsidiary  or  (ii)  from  the  Company  to  a
               Wholly-Owned  Subsidiary,  in each case,  so long as  immediately
               before and after giving  effect to the  consummation  of any such
               Transfer, no Default or Event of Default would exist;

                    (c) such  Transfer is subject to Section 11.2 and  satisfies
               the requirements thereof;

                    (d) such  Transfer  is of  receivables  of ICC (or any other
               Subsidiary  primarily  responsible  for  providing  credit to the
               customers of the Company and its  Subsidiaries),  whether with or
               without  recourse to ICC,  the  Company or any other  Subsidiary,
               provided that such Transfer is an arm's-length  transaction,  not
               accounted for under GAAP as a secured loan and, in the good-faith
               opinion of a Senior Financial Officer,  for fair value and in the
               best  interests of the Company and the  Subsidiaries,  taken as a
               whole, and provided,  further,  that recourse to ICC, the Company
               or any other  Subsidiary  in  connection  with any such  Transfer
               shall be limited to (i)  liabilities  arising  from the breach of
               warranties  made by ICC or such other  Subsidiary  in  connection
               with any such  Transfer  and (ii) an amount,  with respect to any
               such Transfer and in addition to clause (i) above,  not in excess
               of 30% of the proceeds of the  disposition of the  receivables so
               transferred in such Transfer;

                    (e) such  Transfer  involves only  receivables  owned by the
               Company or a Subsidiary  being  transferred to a Special  Purpose
               Subsidiary  for  fair  market  value  pursuant  to the  Permitted
               Receivables Securitization Program; or

                    (f) such Transfer is not a Transfer  described in clause (a)
               through  clause (d) above (each such Transfer is referred to as a
               "Basket  Transfer"),  and all of the following  conditions  shall
               have been satisfied with respect to such Transfer:

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                         (i) in the good faith opinion of the Board of Directors
                    of  the   Company,   the   Transfer  is  in   exchange   for
                    consideration  with a Fair  Market  Value at least  equal to
                    that of the property exchanged, and is in the best interests
                    of the Company and its Subsidiaries, taken as a whole,

                         (ii) immediately before and after giving effect to such
                    transaction no Default or Event of Default would exist, and

                         (iii) immediately after giving effect to such Transfer,
                    the book value of all property  that was the subject of each
                    Basket  Transfer  occurring  after the date of Closing would
                    not exceed 25% of Consolidated Total Assets as of the end of
                    the then most recently ended Fiscal Quarter.

     If the Net  Proceeds  Amount for any Basket  Transfer  is applied to a Debt
     Offered  Prepayment  Application  and/or is  applied  to, or  committed  in
     writing to, a Property  Reinvestment  Application,  in each case within 365
     days after the  consummation of such Transfer (and, in the case of any such
     commitment,  such Property Reinvestment Application is actually consummated
     within 30 days after the  expiration  of such  365-day  period),  then such
     Basket Transfer,  to the extent of such application or applications of such
     Net Proceeds  Amount,  shall be excluded  from any  calculations  set forth
     above in subclause (iii) of this clause (f).

     For  purposes of  determining  the book value of any  property  that is the
     subject  of a  Transfer,  such book  value  shall be the book value of such
     property,  as  determined  in  accordance  with  GAAP,  at the  time of the
     consummation of such Transfer,  provided that, in the case of a Transfer of
     any capital stock or other equity interests of a Subsidiary, the book value
     thereof shall be deemed to be an amount equal to

          (A) the remainder  (determined  after  eliminating  all  intra-company
     transactions, assets and liabilities in accordance with GAAP) of

               (1) the book  value of the  total net  assets of such  Subsidiary
          less

               (2) the liabilities of such Subsidiary times

               (B) a percentage  that is equal to the percentage of total equity
          interests  of such  Subsidiary  attributable  to the capital  stock or
          other equity interest being so Transferred."

     Section 1.6.  Amendments to Existing Defined Terms.  The following  defined
terms set forth in Schedule B to the Existing Note Purchase  Agreement  shall be
and are hereby amended as follows:

          The definition of  Consolidated  Total Assets shall be amended to read
     in its entirety as follows:

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          "Consolidated  Total Assets"  means,  at any time, the total assets of
     the Company and its Subsidiaries determined on a consolidated basis at such
     time in accordance  with GAAP,  less, to the extent  otherwise  included in
     shareholders' equity, the net value of all assets that have been pledged in
     connection  with or  otherwise  relate  to the  Receivables  Securitization
     Program in an amount equal to the amount of the related Debt."

          The last paragraph of the definition of Debt set forth in the Existing
     Note  Purchase  Agreement  is hereby  amended  to read in its  entirety  as
     follows:

          For the purposes of the  avoidance of doubt,  "Debt" shall not include
     (i) any benefit  liability or funding  obligation  of the Company or any of
     its Subsidiaries in respect of any Plan or (ii) amounts  outstanding  under
     any  Permitted  Receivables  Securitization  Program,  whether  or not such
     amounts are shown as a liability on the balance sheet of the Company or any
     of its Subsidiaries.  For purposes of determining  "Debt," no amount listed
     above shall be included more than once in such determination.

     Section 1.7. New Defined  Terms.  Schedule B to the Existing  Note Purchase
Agreement  shall be and is hereby amended to insert the following  definition in
alphabetical order in such Schedule B:

          ""Credit  Agreement"  means that certain Credit  Agreement dated as of
     January 14, 2005 among the Company,  the  Subsidiaries  who are signatories
     thereto and the banks set forth on the  signature  pages  thereto,  each as
     amended, refinanced or otherwise modified from time to time."

          "Permitted  Receivables  Securitization  Program"  means  one or  more
     transactions wherein the Company and/or a Subsidiary transfers under a true
     sale  transaction  receivables of the Company  and/or such  Subsidiary to a
     Special  Purpose  Subsidiary  which issues or incurs debt secured solely by
     such receivables; provided, however, that (i) such debt is recourse only to
     such  receivables and such Special Purpose  Subsidiary,  (ii) the aggregate
     principal   amount  of  all  debt   outstanding  of  all  Special   Purpose
     Subsidiaries  pursuant  to such  transactions  shall not at any time exceed
     $150,000,000  and (iii) at the time of any such transaction and immediately
     after giving effect thereto, no Default or Event of Default would exist and
     the  Company  could  incur at least $1.00 of  additional  debt  pursuant to
     Sections 11.4 and 11.9.

          "Special Purpose Subsidiary" means a Wholly-Owned Subsidiary organized
     under the laws of the United  States or any State  thereof  and  authorized
     solely to (i) purchase  receivables  from the Company or a  Subsidiary  and
     issue  Debt with  recourse  solely  to such  receivables  and such  Special
     Purpose  Subsidiary and (ii) engage in activities  reasonably  necessary to
     effectuate the transactions referred to in clause (i).""

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SECTION 2. REPRESENTATIONS AND WARRANTIES OF THE COMPANY.

     Section 2.1. To induce the  Noteholders  to execute and deliver this Second
Amendment  (which  representations  shall  survive the execution and delivery of
this Second  Amendment),  the Company represents and warrants to the Noteholders
that:

               (a) this Second Amendment has been duly authorized,  executed and
          delivered by it and this Second Amendment constitutes the legal, valid
          and  binding  obligation,   contract  and  agreement  of  the  Company
          enforceable  against  it in  accordance  with  its  terms,  except  as
          enforcement may be limited by bankruptcy, insolvency,  reorganization,
          moratorium  or similar  laws or  equitable  principles  relating to or
          limiting creditors' rights generally;

               (b) the  Existing  Note  Agreement,  as  amended  by this  Second
          Amendment,  constitute  the  legal,  valid  and  binding  obligations,
          contracts  and  agreements  of the Company  enforceable  against it in
          accordance with their respective  terms,  except as enforcement may be
          limited  by  bankruptcy,  insolvency,  reorganization,  moratorium  or
          similar  laws  or  equitable   principles   relating  to  or  limiting
          creditors' rights generally;

               (c) the  execution,  delivery and  performance  by the Company of
          this Second  Amendment  (i) has been duly  authorized by all requisite
          corporate action and, if required,  shareholder  action, (ii) does not
          require the consent or approval of any governmental or regulatory body
          or agency,  and (iii) will not (A) violate (1) any  provision  of law,
          statute,  rule or regulation or its  certificate of  incorporation  or
          bylaws, (2) any order of any court or any rule, regulation or order of
          any other agency or  government  binding upon it, or (3) any provision
          of any material  indenture,  agreement or other instrument to which it
          is a party or by which its properties or assets are or may be bound or
          (B)  result in a breach  or  constitute  (alone or with due  notice or
          lapse of time or both) a default  under any  indenture,  agreement  or
          other instrument referred to in clause (iii)(A)(3) of this ss. 2.1(c);

               (d) as of the date hereof and after giving  effect to this Second
          Amendment,  no  Default  or Event of  Default  has  occurred  which is
          continuing; and

               (e) all the representations and warranties contained in Section 5
          of the Existing Note  Agreements  are true and correct in all material
          respects  with the same force and effect as if made by the  Company on
          and as of the date hereof.

SECTION 3. CONDITIONS TO EFFECTIVENESS OF THIS SECOND AMENDMENT.

     Section 3.1. This Second  Amendment shall not become  effective  until, and
shall become  effective  when,  each and every one of the  following  conditions
shall have been satisfied (the "Second Amendment Effective Date"):

               (a) executed counterparts of this Second Amendment, duly executed
          by the  Company  and the  holders of more than 50% of the  outstanding
          principal of the Notes, shall have been delivered to the Noteholders;

                                       10
<page>
               (b) the Noteholders shall have received a copy of the resolutions
          of the Board of Directors or its equivalent of the Company authorizing
          the execution,  delivery and performance by the Company of this Second
          Amendment, certified by its Secretary or an Assistant Secretary;

               (c) the  representations  and warranties of the Company set forth
          in ss. 2 hereof are true and  correct on and with  respect to the date
          hereof;

               (d) the Noteholders  shall have received the favorable opinion of
          Calfee,  Halter & Griswold  LLP,  counsel for the  Company,  dated the
          Second  Amendment  Effective Date,  which opinion shall be in form and
          substance  satisfactory to the Noteholders and Chapman and Cutler LLP,
          their special counsel;

               (e) All  proceedings  taken in connection  with the  transactions
          contemplated by this Second Amendment,  and all documents necessary to
          the consummation thereof, shall be reasonably satisfactory in form and
          substance to the Noteholders and Chapman and Cutler LLP, their special
          counsel,  and the Noteholders  shall have received a copy (executed or
          certified as may be appropriate) of all legal documents or proceedings
          taken in connection with the consummation of said transactions;

               (f) As of the  effective  date of this  Second  Amendment  (after
          giving effect to the amendments  contemplated  hereby),  no Default or
          Event of Default shall have occurred and be continuing; and

               (g) the  Company  shall have paid a fee to each  holder of Notes,
          whether or not they sign this Second Amendment,  in an amount equal to
          5 basis points  multiplied by the outstanding  principal amount of the
          Notes held by such holder of Notes.

This Second Amendment shall become  effective on the Second Amendment  Effective
Date.

SECTION 4. PAYMENT OF NOTEHOLDERS' COUNSEL FEES AND EXPENSES.

     The Company agrees to pay upon demand,  the reasonable fees and expenses of
Chapman and Cutler  LLP,  counsel to the  Noteholders,  in  connection  with the
negotiation,  preparation,  approval,  execution  and  delivery  of this  Second
Amendment.

SECTION 5. MISCELLANEOUS.

     Section 5.1. This Second  Amendment  shall be construed in connection  with
and as part of the Existing Note Agreement, and except as modified and expressly
amended by this Second Amendment,  all terms, conditions and covenants contained
in the Existing Note  Agreement  are hereby  ratified and shall be and remain in
full force and effect.

     Section  5.2.  Any  and  all  notices,  requests,  certificates  and  other
instruments  executed and  delivered  after the  execution  and delivery of this

                                       11
<page>
Second  Amendment  may  refer  to the Note  Agreement  without  making  specific
reference to this Second  Amendment but  nevertheless  all such references shall
include this Second Amendment unless the context otherwise requires.

     Section 5.3. The descriptive  headings of the various  Sections or parts of
this Second  Amendment are for convenience only and shall not affect the meaning
or construction of any of the provisions hereof.

     Section 5.4.  This Second  Amendment  shall be governed by and construed in
accordance  with  the  law of the  State  of New  York  excluding  choice-of-law
principles of the law of such State that would require the  application  of laws
of a jurisdiction other than such State.


                                       12

     Section  5.5.  The  execution  hereof by you shall  constitute  a  contract
between us for the uses and  purposes  hereinabove  set forth,  and this  Second
Amendment  may  be  executed  in  any  number  of  counterparts,  each  executed
counterpart constituting an original, but all together only one agreement.

                          INVACARE CORPORATION


                          By:     /s/ Ronn L. Claussen
                                  ____________________
                          Name:   Ronn L. Claussen
                          Title:  Vice President and Treasurer



                                       13

The foregoing is hereby agreed to as of the date thereof:

                          WEST AMERICAN INSURANCE COMPANY



                         By     /s/ Paul Gerard
                                _________________
                         Its    Senior Vice President

                         $10,000,000 Series A


                         AMERICAN UNITED LIFE INSURANCE COMPANY



                         By     /s/ Michael Bullock
                                ________________________________
                         Its    V.P. Private Placements

                         $8,000,000 Series A


                                       14

The foregoing is hereby agreed to as of the date thereof:

                         MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY

                         By Babson Capital Management LLC, as Investment Adviser


                         By     /s/ Kathleen Lynch
                                ________________________________
                         Its    Managing Director

                         $20,000,000 Series A

                                       15



The foregoing is hereby agreed to as of the date thereof:

                         J. ROMEO & CO. (as
                         nominee for MONY
                         Life Insurance
                         Company)



                         By     /s/ Peter Coccia
                                ________________________________
                         Its    Partner

                         $9,000,000 Series A


                         J. ROMEO & CO. (as
                         nominee for MONY
                         Life Insurance
                         Company of America)



                         By     /s/ Peter Coccia
                                ________________________________
                         Its    Partner

                         $10,000,000 Series A



                                       16



The foregoing is hereby agreed to as of the date thereof:

                         HARE & CO. (as nominee for MONY Life Insurance Company)



                         By     /s/ Emilia F. Wiener
                                ________________________________
                         Its    Authorized Agent

                         $1,000,000 Series A

                                       17



The foregoing is hereby agreed to as of the date thereof:

                         THE BALTIMORE LIFE INSURANCE COMPANY



                         By
                                ________________________________
                         Its

                         $__________ Series ___


                                       18



The foregoing is hereby agreed to as of the date thereof:


                         NATIONWIDE LIFE INSURANCE COMPANY



                         By     /s/ Mark W. Poeppelman
                                ________________________________
                         Its    Authorized Signatory

                         $10,000,000 Series A



                                       19



The foregoing is hereby agreed to as of the date thereof:

                         RELIASTAR LIFE INSURANCE COMPANY
                         RELIASTAR LIFE INSURANCE COMPANY OF NEW YORK
                         By:  ING Investment Management LLC, as Agent



                         By________________________________
                         Its

                         $__________ Series ___



                                       20