Exhibit 10.1

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                              INVACARE CORPORATION




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                           SECOND WAIVER AND AMENDMENT
                          Dated as of December 15, 2006

                                       to

                            NOTE PURCHASE AGREEMENTS
                          Dated as of February 27, 1998

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




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             SECOND WAIVER AND AMENDMENT TO NOTE PURCHASE AGREEMENTS

     THIS  SECOND  WAIVER AND  AMENDMENT,  dated as of  December  15, 2006 (this
"Waiver and  Amendment")  to the separate and several Note  Purchase  Agreements
dated  as of  February  27,  1998,  is  between  INVACARE  CORPORATION,  an Ohio
corporation (the "Company"),  and each of the institutions  which is a signatory
to this Waiver and is a Noteholder referred to below.


                                    RECITALS:

     A. The  Company has  previously  entered  into  separate  and several  Note
Purchase Agreements, each dated as of February 27, 1998, between the Company and
each of the institutions  identified on Schedule A thereto  (together with their
successors  and  assigns,   each  a   "Noteholder,"   and,   collectively,   the
"Noteholders"),  as amended by that certain First Amendment, dated as of October
1, 2003, to Note Purchase Agreements dated as of February 27, 1998, that certain
Second  Amendment,  dated as of September 29, 2005, to Note Purchase  Agreements
dated as of February 27, 1998, and that certain  Waiver and Amendment,  dated as
of November 14, 2006 (as amended,  restated or otherwise modified, the "Existing
NPA  Waiver"),  to Note  Purchase  Agreements  dated as of February 27, 1998 (as
amended,  restated or otherwise  modified from time to time,  collectively,  the
"Note  Purchase  Agreement"),  pursuant to which the Company issued and sold its
(i)  $80,000,000  6.71% Series A Senior Notes due February 27, 2008 (as amended,
restated,  supplemented,  replaced or otherwise  modified hereby or from time to
time,  collectively,  the  "Notes") and (ii)  $20,000,000  6.60% Series B Senior
Notes due February  27, 2005 (which  Series B Notes have since been paid in full
by the  Company).  The  Noteholders  are the  holders of all of the  outstanding
principal amount of the Notes.

     B. The Company has also  previously  entered into separate and several Note
Purchase  Agreements,  each dated as of October 1, 2003, between the Company and
each of the  institutions  identified on Schedule A thereto,  as amended by that
certain  First  Amendment,  dated as of  September  29, 2005,  to Note  Purchase
Agreement dated as of October 1, 2003, that certain Waiver and Amendment,  dated
as of November 14, 2006, to Note Purchase Agreements dated as of October 1, 2003
(as amended,  restated or otherwise  modified  from time to time,  the "Existing
2003 NPA Waiver"), and that certain Second Waiver and Amendment, dated as of the
date  hereof,  to Note  Purchase  Agreements  dated as of  October  1,  2003 (as
amended,  restated or otherwise  modified  from time to time,  the "New 2003 NPA
Waiver")  (such Note  Purchase  Agreements,  as amended,  restated or  otherwise
modified from time to time,  collectively,  the "2003 Note Purchase Agreement"),
pursuant  to  which  the  Company  issued  and sold to the  purchasers  named on
Schedule A thereto its (i)  $50,000,000  3.97% Series A Senior Notes due October
1, 2007, (ii)  $30,000,000  4.74% Series B Senior Notes due October 1, 2009, and
(iii)  $20,000,000  5.05% Series C Senior Notes due October 1, 2010 (all of such
notes, as amended, restated,  supplemented,  replaced or otherwise modified from
time to time, collectively, the "2003 Notes").

     C. The Company has also  previously  entered into separate and several Note
Purchase  Agreements,  each dated as of April 27, 2006,  between the Company and
each of the  institutions  identified on Schedule A thereto,  as amended by that
certain  Waiver and  Amendment,  dated as of November 14, 2006, to Note Purchase
Agreements  dated as of  April  27,  2006 (as  amended,  restated  or  otherwise
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modified  from time to time,  the  "Existing  2006 NPA Waiver") and that certain
Second  Waiver  and  Amendment  dated as of the  date  hereof  to Note  Purchase
Agreements  dated as of  April  27,  2006 (as  amended,  restated  or  otherwise
modified  from time to time,  the "New 2006 NPA  Waiver")  (such  Note  Purchase
Agreements,  as  amended,  restated  or  otherwise  modified  from time to time,
collectively, the "2006 Note Purchase Agreement"), pursuant to which the Company
issued and sold to the purchasers  named on Schedule A thereto its  $150,000,000
6.15% Senior Notes due April 27, 2016 (all of such notes, as amended,  restated,
supplemented,  replaced or otherwise  modified from time to time,  collectively,
the "2006 Notes").

     D. The  Company  has also  previously  entered  into  that  certain  Credit
Agreement  dated as of  January  14,  2005,  among the  Company,  the  Borrowing
Subsidiaries  (as defined  therein),  JPMorgan  Chase Bank,  N.A., as agent (the
"Agent"),  and the other bank lenders party thereto (the "Banks"), as amended by
that certain Letter  Agreement,  dated as of March 31, 2005,  that certain First
Amendment to Credit Agreement,  dated as of August 12, 2005, that certain Second
Amendment to Credit  Agreement,  dated as of March 31, 2006, that certain Waiver
and Amendment Agreement,  dated as of November 14, 2006 (as amended, restated or
otherwise  modified from time to time,  the "Existing  Bank  Waiver"),  and that
certain Second Waiver and Amendment Agreement (as amended, restated or otherwise
modified from time to time, the "New Bank Waiver"),  dated as of the date hereof
(as amended,  restated or otherwise modified from time to time, the "Bank Credit
Agreement").

     E. The  Company is also a party to (i) that  certain  Receivables  Purchase
Agreement,  dated as of  September  30, 2005,  among the  Company,  as Servicer,
Invacare  Receivables  Corporation,  as Seller, Park Avenue Receivables Company,
LLC and  JPMorgan  Chase  Bank,  N.A.,  as Agent,  and the  purchasers  named on
Schedule A thereto  (the  "Securitization  Lenders")  as amended by that certain
Amendment No. 1 to  Receivables  Purchase  Agreement,  dated as of September 28,
2006 and that certain Omnibus Waiver, Amendment and Reaffirmation of Performance
Undertaking,  dated as of November 14, 2006 (as  amended,  restated or otherwise
modified from time to time,  the  "Existing  Securitization  Waiver"),  and that
certain  Second  Omnibus  Waiver,  Amendment and  Reaffirmation  of  Performance
Undertaking,  dated as of the date hereof (as  amended,  restated  or  otherwise
modified from time to time, the "New Securitization  Waiver",  and together with
the New 2003 NPA Waiver,  the New 2006 NPA Waiver and the New Bank  Waiver,  the
"Other December 2006 Waivers") (such Receivables Purchase Agreement, as amended,
restated or otherwise modified from time to time, the  "Securitization  Purchase
Agreement"), (ii) that certain Receivables Sale Agreement, dated as of September
30,  2005,  among the  Company,  Invacare  Receivables  Corporation,  Healthtech
Products,  Inc.  and  Invacare  Supply  Group,  Inc. as amended by the  Existing
Securitization Waiver and the New Securitization Waiver (as amended, restated or
otherwise modified from time to time, the  "Securitization  Sale Agreement") and
(iii) that certain Performance  Undertaking,  dated as of September 30, 2005, in
favor of Invacare  Receivables  Corporation  (as amended,  restated or otherwise
modified from time to time, the "Performance Undertaking", and together with the
Securitization  Sale Agreement and the Securitization  Purchase  Agreement,  the
"Securitization Documents", and the Securitization Documents,  together with the
2003 Note  Purchase  Agreement,  the 2006 Note  Purchase  Agreement and the Bank
Credit Agreement,  collectively,  the "Other Primary Loan  Agreements",  and the

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Other  Primary  Loan  Agreements,  together  with the Note  Purchase  Agreement,
collectively,  the "Primary Loan  Agreements"  and the Primary Loan  Agreements,
together with the other  agreements,  documents and instruments  entered into in
connection  therewith  or pursuant  thereto,  collectively,  the  "Primary  Loan
Documents").

     F. Pursuant to (i) the Existing NPA Waiver,  the Noteholders have agreed to
waive,  through December 15, 2006 (subject to the terms and conditions  thereof)
certain  Defaults  and  Events of  Default  that  otherwise  would  exist and be
continuing  under  the Note  Purchase  Agreements  and  which  are set  forth on
Schedule A attached hereto  (collectively,  the "Existing  Defaults"),  (ii) the
Existing 2003 NPA Waiver, the holders of the 2003 Notes (the "2003 Noteholders")
have agreed to waive,  through December 15, 2006, certain defaults and events of
default  under the 2003 Note  Purchase  Agreement,  (iii) the Existing  2006 NPA
Waiver,  the holders of the 2006 Notes (the "2006  Noteholders")  have agreed to
waive,  through December 15, 2006,  certain defaults and events of default under
the 2006 Note Purchase Agreement,  (iv) the Existing Bank Waiver, the Banks have
agreed to waive,  through  December  15,  2006,  certain  defaults and events of
default  under the Bank Credit  Agreement  and (v) the  Existing  Securitization
Waiver,  the Securitization  Lenders have agreed to waive,  through December 15,
2006, certain "Termination Events" and "Potential Termination Events" under (and
as defined in) the  Securitization  Sale  Agreement  and  certain  "Amortization
Events"  and  "Potential  Amortization  Events"  under (and as  defined  in) the
Securitization   Purchase   Agreement   (all  of  such  events,   the  "Existing
Securitization  Defaults"  and together  with any other such events from time to
time existing under such documents, the "Securitization Defaults").

     G. The  Company  has  requested  that the  Noteholders  agree to extend the
waivers of the Existing  Defaults  under the Note  Purchase  Agreement,  and the
Noteholders  are agreeable to such request,  solely on the terms and  conditions
set forth herein,  including,  without limitation,  the amendments  described in
Section 2 hereof.

     H. The Company has likewise  requested that (i) the 2003 Noteholders  agree
to extend the waivers of the defaults and events of default  under the 2003 Note
Purchase  Agreement  pursuant to the terms of the New 2003 NPA Waiver,  (ii) the
2006  Noteholders  agree to extend  the  waivers of the  defaults  and events of
default under the 2006 Note Purchase  Agreement pursuant to the terms of the New
2006 NPA Waiver, (iii) the Banks agree to extend the waivers of the defaults and
events of default under the Bank Credit Agreement (and waive any new defaults or
events of default  thereunder)  pursuant to the terms of the New Bank Waiver and
(iv) the  Securitization  Lenders  agree to extend the  waivers of the  Existing
Securitization Defaults under the Securitization Documents pursuant to the terms
of the New Securitization Waiver.

     I. All requirements of law have been fully complied with and all other acts
and things  necessary  to make this  Waiver and  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 Waiver and Amendment set forth in Section

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4 hereof,  and in consideration of good and valuable  consideration  the receipt
and sufficiency of which is hereby acknowledged, the Company and the undersigned
Noteholders do hereby agree as follows:

SECTION 1. TEMPORARY WAIVER.

     (a) The Company  acknowledges  and agrees that, as a result of the Existing
Defaults under the Note Purchase  Agreement,  the  Noteholders  may, on or after
December 15, 2006, if they so elect,  proceed to enforce their respective rights
and  remedies  under  the Note  Purchase  Agreement  to  collect  the  Company's
obligations thereunder.

     (b) Subject to the terms and conditions of this Waiver and  Amendment,  the
Noteholders hereby agree to temporarily waive (collectively,  the "Waivers") the
Existing  Defaults  during the period (the "Waiver  Period")  commencing  on the
Effective  Date and  expiring on the  earliest to occur of (i) January 31, 2007,
unless  such  date has been  automatically  extended  to  February  15,  2007 as
provided in Section 1(c) below (the "Outside Waiver Termination Date"), (ii) any
Default  or Event of  Default  under  the Note  Purchase  Agreement  (including,
without limitation,  any Default or Event of Default arising out of a failure to
comply  with any  term,  covenant  or  condition  of the  Existing  NPA  Waiver,
including   Section  5  thereof  as  amended   hereby),   (iii)  the  breach  or
nonperformance  by the Company or any  Subsidiary of any covenant,  agreement or
condition  set forth in this Waiver and  Amendment  or the Other  December  2006
Waivers, (iv) any breach of, default, event of default or Securitization Default
under any Other Primary Loan  Agreement (or any amendment or waiver with respect
thereto) or any  termination or other  expiration of the waiver period set forth
in the Other December 2006 Waivers, and (v) the date on which any representation
or warranty in Section 3 hereof fails to be true and correct.

     (c) The Outside Waiver  Termination  Date shall be  automatically  extended
from January 31, 2007 to February 15, 2007,  without notice or any other action,
if (i) on or prior to December  22, 2006,  the Company has provided  each of the
Noteholders  with a fully executed  commitment  letter or letters (as amended or
otherwise modified from time to time,  collectively,  the "Commitment  Letters")
providing fully  underwritten  commitments from one or more reputable  financial
institutions and/or institutional  investors to provide financing to the Company
in an aggregate amount sufficient to pay in full all outstanding  obligations of
the Company and its Subsidiaries under the Primary Loan Documents on or prior to
February 15, 2007, in form and substance  satisfactory  to the Required  Holders
and (ii) the waiver  period  under each of the Other  December  2006 Waivers has
likewise  been (or shall  be,  concurrently  with the  extension  of the  Waiver
Period)  extended to February 15, 2007 on terms and conditions  satisfactory  to
the Required Holders;  provided, however if on or prior to January 31, 2007, (x)
any of the Commitment  Letters is terminated  (unless the commitments  under the
remaining  Commitment  Letters,  after giving effect to such termination and any
new  Commitment  Letter or  Commitment  Letters  entered  into by the Company in
replacement of such  terminated  Commitment  Letter and delivered to each of the
Noteholders  prior  to such  termination,  are  sufficient  to pay in  full  all
outstanding  obligations of the Company and its  Subsidiaries  under the Primary
Loan  Documents on or prior to February 15, 2007) or (y) the waiver period under
any of the Other  December  2006 Waivers shall have reverted to January 31, 2007
then,  in any such case,  the Outside  Waiver  Termination  Date shall revert to
January 31, 2007;  provided,  further that if any of the events described in the

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foregoing  clauses (x) or (y) occurs after  January 31, 2007,  the Waiver Period
shall expire as of the  occurrence of such event  without  notice or any further
action.

     (d) The waiver  contemplated  in this Section 1 shall be effective only for
the Existing Defaults and only for the Waiver Period,  and such waiver shall not
entitle the Company to any future waiver in similar or other  circumstances  and
shall  automatically  cease to be effective  upon the  expiration  of the Waiver
Period,  without  notice or other  action of any kind by the  Noteholders.  Such
waiver shall not prejudice or constitute a waiver of any right or remedies which
any  Noteholder  may have or be entitled to with  respect to any other breach of
any  provision  of  any  of the  Note  Purchase  Agreement  or  the  Notes.  The
Noteholders  reserve their respective  rights, in their discretion,  to exercise
any or all of their rights and remedies  under the Note  Purchase  Agreement and
Notes as a result of the Existing  Defaults  upon the  expiration  of the Waiver
Period.  Without  limiting  the  foregoing,  upon the  expiration  of the Waiver
Period,  an Event of Default  will  continue  to exist  under the Note  Purchase
Agreement, and the Noteholders may, without the need for the expiration of grace
periods,  if any, in connection  with the Existing  Defaults  (but  otherwise in
accordance  with the  terms  of the Note  Purchase  Agreement),  accelerate  the
payment  in full of the  obligations  owed to the  Noteholders  under  the  Note
Purchase  Agreement  and  Notes,  and  enforce  and  exercise  any or all of the
Noteholders'  rights under or in respect of the Note Purchase  Agreement and the
Notes and under applicable law.

     (e) For avoidance of doubt, it is hereby  acknowledged and agreed to by the
Company that the addition of the  agreements  and  covenants in Section 5 hereof
and their  continuance  beyond the Waiver  Period are not to be  construed as an
acquiescence or waiver of the Existing Defaults beyond the Waiver Period but are
added for additional  protection of the Noteholders,  and the Noteholders  shall
retain all their  rights and remedies  under or in respect of the Note  Purchase
Agreement  and Notes and  under  applicable  law with  respect  to the  Existing
Defaults upon the expiration or termination of the Waiver Period.

SECTION 2. AMENDMENTS.

     Section 2.1. Amendment and Restatement of the Notes.

          (a)  Amendment  and  Restatement.  Each Note is  hereby,  without  any
     further  action  required  on  the  part  of  any  Person,   deemed  to  be
     automatically  amended to conform to and have the terms provided in Exhibit
     2.1(a) to this Agreement (except that the principal amount and the payee of
     each such Note shall  remain  unchanged).  Any Note  issued on or after the
     Effective  Date shall be in the form of Exhibit  2.1(a) to this  Waiver and
     Amendment.

          (b) Replacement Notes. Upon the request of any Noteholder, the Company
     will issue a replacement  Note or Notes  (consistent with the terms hereof)
     in favor of such  Noteholder  in the  appropriate  form in exchange for the
     Note or Notes of such  Noteholder  delivered  to the Company at the time of
     such exchange.

     Section 2.2. Amendments of Existing NPA Waiver.

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          (a) Section 5 of the Existing NPA Waiver is hereby amended by deleting
     the phrase "and continuing  through April 15, 2007" in the third and fourth
     lines thereof.

          (b)  Section  5(b) of the  Existing  NPA Waiver is hereby  amended and
     restated in its entirety to read as follows:

               "(b)  the  Company  will  not,  and will  not  permit  any of its
          Subsidiaries  to, at any time,  directly  or  indirectly  (i)  create,
          incur, assume, guarantee, or otherwise become liable in respect of (A)
          any Debt of the  Company  other  than Debt  incurred  under the Credit
          Agreement, (B) any Debt of Subsidiaries other than Debt incurred under
          the  Credit  Agreement  by  Subsidiaries  that are party to the Credit
          Agreement  as of December 15, 2006 and (C) any  Securitization  except
          that one or more Special  Purpose  Subsidiaries  that are party to the
          Securitization  Documents as of December 15, 2006 may become liable in
          respect  of  a  Permitted  Receivables   Securitization   Program  not
          exceeding  $75,401,750 (not including  obligations in respect of fees,
          expenses,  indemnities and other reimbursement  obligations  permitted
          under  such  Permitted  Receivables  Securitization  Program)  in  the
          aggregate  at any time and (ii)  create,  incur,  assume  or suffer to
          exist,  any Lien securing any Debt of the Company or any Subsidiary or
          any Lien created, incurred, assumed or otherwise existing with respect
          to any Securitization,  except Liens incurred on receivables,  related
          assets and  collections of the Company or any Subsidiary in connection
          with such assets being  transferred  to a Special  Purpose  Subsidiary
          pursuant  to  a  Permitted  Receivables   Securitization   Program  as
          permitted in accordance  with Section 5(f) of this Waiver;  as used in
          this Section  5(b),  "Securitization"  means one or more  transactions
          wherein the Company and/or a Subsidiary transfers receivables, related
          assets and  collections  of the Company  and/or such  Subsidiary  to a
          special purpose Subsidiary which issues or incurs indebtedness secured
          by such receivables and all of its other assets;"

          (c)  Section  5(i) of the  Existing  NPA Waiver is hereby  amended and
     restated in its entirety to read as follows:

               "(i) the Company will not, and will not permit any Subsidiary to,
          (x) enter into any  agreement  restricting  the ability of the Company
          and its Subsidiaries to amend or modify the Note Purchase Agreement or
          Notes or any document or instrument executed in connection  therewith,
          except  as set  forth  in the  waiver/amendment  to  the  Bank  Credit
          Agreement  referred  to in Section  3(c)  hereof or (y) enter into any
          agreement or  arrangement  requiring any defeasance of the Bank Credit
          Agreement; and"

SECTION 3. REPRESENTATIONS AND WARRANTIES OF THE COMPANY.

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

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     (a) this  Waiver  and  Amendment  has been duly  authorized,  executed  and
delivered by it and this Waiver and 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 Note Purchase Agreement,  as modified by this Waiver and Amendment,
constitutes 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 Waiver
and 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) does not
and 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 indenture, agreement or other instrument to which it is
a party or by which its properties or assets are or may be bound,  (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 Section 3(c) or (C) result in the creation of any Lien;

     (d) as of the date  hereof  and  after  giving  effect to this  Waiver  and
Amendment and the Other December 2006 Waivers,

          (i) no Default or Event of Default has  occurred  which is  continuing
     under the Note Purchase Agreement,

          (ii) no default,  event of default,  Securitization Default or similar
     event  has  occurred  and  is  continuing  under  any  Other  Primary  Loan
     Agreement; and

     (e) all the  representations and warranties made by the Company in the Note
Purchase  Agreement are true and correct on the date hereof as if made on and as
of the date hereof and are so repeated  herein as if expressly  set forth herein
or therein,  except (i) those  representations  and  warranties  included in the
Existing  Defaults and (ii) to the extent that any of such  representations  and
warranties expressly relate by their terms to a prior date;

     (f) neither the Company nor any of its Affiliates has paid or agreed to pay
any fees or other consideration, or given any additional security or collateral,
or shortened  the maturity or average life of any  indebtedness  or  permanently
reduced any borrowing capacity, in each case, in favor of or for the benefit for
any creditor of the Company, in connection with the obtaining of any consents or
approvals in connection with the transactions  contemplated  hereby  (including,
without  limitation,  under the Other Primary Loan  Agreements),  other than (i)
with respect to the Notes, the payment of the waiver fees referred to in Section
4(b)(i)  below and the  additional  fee payable in  accordance  with Section 5.2
below,  (ii) with respect to the 2003 Notes,  a waiver fee equal to 0.10% of the

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aggregate  outstanding  principal  amount of the 2003 Notes paid pro rata to the
2003  Noteholders,  (iii) with respect to the 2006 Notes,  a waiver fee equal to
0.10% of the aggregate  outstanding  principal amount of the 2006 Notes paid pro
rata to the 2006 Noteholders,  (iv) with respect to the Bank Credit Agreement, a
waiver fee equal to 0.10% of the  aggregate  commitments  of the Banks,  (v) the
waiver fee  payable to the  Securitization  Lenders  under  Section 4 of the New
Securitization  Waiver and (vi) with  respect to the 2003 Notes,  the 2006 Notes
and the Bank Credit Agreement,  a fee payable to the Banks, the 2003 Noteholders
and the 2006  Noteholders,  respectively,  on  substantially  identical terms to
those set forth in  Section  5.2 below with  respect  to the fee  payable to the
holders of Notes under such Section;

     (g) the amount of Consolidated Debt of the Company and its Subsidiaries (as
defined in and as calculated  under the Note Purchase  Agreement) as of December
15, 2006, is $500,762,618, as described in further detail on Schedule B hereto;

     (h) the amount of all  Revolving  Credit  Advances  (as defined in the Bank
Credit Agreement) outstanding under the Bank Credit Agreement as of December 15,
2006 is  $157,893,617,  consisting of $117,254,840 in Revolving  Credit Advances
made to Subsidiaries  and  $40,638,778 in Revolving  Credit Advances made to the
Company;  and as of December 15, 2006, there are no Bid-Option Loans (as defined
in the Bank Credit Agreement) outstanding;

     (i) on December 15, 2006, the Company and its  Subsidiaries  have the right
to obtain Advances (as defined in the Credit Agreement) of $20,000,000 under the
Credit Agreement;

     (j) except as set forth and described in the Recitals  hereto,  the Company
has not  entered  into any  amendment  or waiver or entered  into any  agreement
having the effect of an amendment or waiver with respect to any provision of any
of the Primary Loan Documents; and

     (k) there are no actions, suits or proceedings pending or, to the knowledge
of the Company, threatened against or affecting the Company or any Subsidiary or
any  property  of the  Company  or any  Subsidiary  in any court or  before  any
arbitrator  of any  kind  or  before  or by  any  governmental  authority  that,
individually  or in the  aggregate,  could  reasonably  be  expected  to  have a
Material Adverse Effect.

SECTION 4. CONDITIONS TO EFFECTIVENESS; POST-CLOSING COVENANTS.

     (a) The  Waivers  shall  not  become  effective  until,  and  shall  become
effective when, each and every one of the following  conditions  shall have been
satisfied (the "Effective Date"):

          (i) executed counterparts of this Waiver and Amendment,  duly executed
     by the Company and the Required  Holders,  shall have been delivered to the
     Noteholders;

          (ii) the  representations  and  warranties of the Company set forth in
     Section  3 hereof  are true and  correct  on and with  respect  to the date
     hereof  and  (except  to the extent  that any of such  representations  and
     warranties  expressly  relate by their terms to a prior date) the Effective
     Date;

                                       8
<page>
          (iii) the Company shall have  furnished to the  Noteholders  and their
     special counsel an executed copy of the New Bank Waiver which shall provide
     for any amendment,  modification, waiver, or consent necessary to waive the
     defaults  or events of  default  waived  under the  Existing  Bank  Waiver,
     together  with any other  defaults or events of default that have  occurred
     and are  continuing,  for  the  Waiver  Period,  and  any  such  amendment,
     modification,  waiver, or consent shall be reasonably  satisfactory in form
     and  substance to the  Noteholders  and their special  counsel  (including,
     without  limitation,  with  respect to any waiver  thereunder  not expiring
     before the end of the Waiver Period hereunder),  and on the Effective Date,
     after  giving  effect  to the New  Bank  Waiver,  (i) the  Company  and its
     Subsidiaries have the right to obtain Advances of not less than $20,000,000
     under the Credit Agreement and (ii) the "Termination Date" under the Credit
     Agreement shall not be on a date prior to January 14, 2010;

          (iv) the Company  shall have  furnished to the  Noteholders  and their
     special  counsel an  executed  copy of the New 2003 NPA Waiver  which shall
     provide for any amendment,  modification,  waiver,  or consent necessary to
     waive the defaults or events of default  waived under the Existing 2003 NPA
     Waiver for the Waiver Period, and any such amendment, modification, waiver,
     or consent  shall be reasonably  satisfactory  in form and substance to the
     Noteholders and their special counsel (including,  without limitation, with
     respect to any waiver  thereunder not expiring before the end of the Waiver
     Period hereunder);

          (v) the Company  shall have  furnished  to the  Noteholders  and their
     special  counsel an  executed  copy of the New 2006 NPA Waiver  which shall
     provide for any amendment,  modification,  waiver,  or consent necessary to
     waive the defaults or events of default  waived under the Existing 2006 NPA
     Waiver for the Waiver Period, and any such amendment, modification, waiver,
     or consent  shall be reasonably  satisfactory  in form and substance to the
     Noteholders and their special counsel (including,  without limitation, with
     respect to any waiver  thereunder not expiring before the end of the Waiver
     Period hereunder);

          (vi) the Company  shall have  furnished to the  Noteholders  and their
     special  counsel an executed  copy of the New  Securitization  Waiver which
     shall provide for an amendment,  modification, waiver, or consent necessary
     to waive the Existing  Securitization  Defaults for the Waiver Period,  and
     any such amendment,  modification,  waiver,  or consent shall be reasonably
     satisfactory  in form and  substance to the  Noteholders  and their special
     counsel  (including,   without  limitation,  with  respect  to  any  waiver
     thereunder not expiring before the end of the Waiver Period hereunder);

          (vii) the Company shall have  acknowledged and agreed to an engagement
     agreement  between Bingham McCutchen LLP (on behalf of the Noteholders) and
     FTI Consulting,  Inc. (as amended, restated or otherwise modified from time
     to time, the "Financial Advisor Engagement Agreement") satisfactory in form
     and substance to the Noteholders and their special counsel;

                                       9
<page>
          (viii) the Company shall have acknowledged and agreed to an engagement
     agreement  among the  Noteholders  and Bingham  McCutchen  LLP (as amended,
     restated or otherwise  modified from time to time, the "Bingham  Engagement
     Agreement",  and together with the Financial Advisor Engagement  Agreement,
     the  "Engagement  Agreements")  satisfactory  in form and  substance to the
     Noteholders and their special counsel;

          (ix) the Noteholders  shall have received a copy of the resolutions of
     the Board of Directors of the Company authorizing the execution,  delivery,
     and  performance by the Company of this Waiver and Amendment,  certified by
     its  Secretary  or an  Assistant  Secretary,  together  with  documentation
     evidencing all other  proceedings taken in connection with the transactions
     contemplated by this Waiver and Amendment,  and all documents  necessary to
     the  consummation   thereof,  in  each  case,  which  shall  be  reasonably
     satisfactory  in form and  substance to the  Noteholders  and their special
     counsel;

          (x) the  Noteholders  shall  have  received  such lien  searches  with
     respect to the Company as are  reasonably  required by the  Noteholders  or
     their special counsel; and

          (xi) a statement of the Company's and its Subsidiaries'  cash balances
     as of the close of business on Friday, December 15, 2006, certified as true
     and correct by a Senior Financial Officer.

     (b) The Company shall, on or prior to December 18, 2006:

          (i) pay to each Noteholder,  by wire transfer of immediately availably
     funds, a waiver fee,  whether or not such holder has signed this Waiver and
     Amendment,  in an  amount  equal  to  0.10%  of the  aggregate  outstanding
     principal  amount of the Notes held by such  Noteholder;  such fee shall be
     deemed  earned when paid and shall not be subject to recovery or  repayment
     in the event this Waiver and  Amendment is  terminated or rescinded for any
     reason;

          (ii) pay the reasonable  fees and  disbursements  of the  Noteholders'
     special  counsel,  Bingham  McCutchen LLP, and the  Noteholder's  financial
     advisor, FTI Consulting, Inc., incurred in connection with the negotiation,
     preparation,  execution  and delivery of this Waiver and  Amendment and the
     transactions  contemplated hereby, and any fees and expenses of Chapman and
     Cutler LLP in connection with the negotiation,  preparation,  execution and
     delivery  of the  Existing  NPA  Waivers  that have not yet been paid;  the
     payment of the fees and  disbursements  pursuant to this  Section  4(b)(ii)
     does  not  preclude  the  Noteholders'   rights  to   indemnification   and
     reimbursement for other costs and expenses as provided in Section 6 of this
     Waiver and Amendment or Section 16 of the Note Purchase Agreement; and

          (iii) pay the fee reserves  payable to the Bingham  McCutchen  LLP and
     FTI  Consulting,  Inc.  under  the  terms  of their  respective  Engagement
     Letters.

                                       10
<page>
     The failure of the Company to comply with any of the covenants set forth in
this  Section  4(b)  shall  constitute,  and shall be deemed to  constitute,  an
immediate Event of Default under Section 12(c) of the Note Purchase Agreement.

SECTION 5. COVENANTS.

     In addition to and without  limiting the  Company's  obligations  under the
Note Purchase Agreement, the Company covenants and agrees that at all times from
and after the date hereof:

     Section 5.1.  Compliance with Financial Advisor Engagement  Agreement.  The
Company  shall  comply with each of the terms and  conditions  of the  Financial
Advisor Engagement Agreement.

     Section  5.2. Fee Upon Failure to Deliver (or  Termination  of)  Commitment
Letters. If either (i) the condition set forth in Section 1(c)(i) of this Waiver
and  Amendment is not met or (ii) the event set forth in clause (x) of the first
proviso to Section  1(c)(i) of this  Waiver and  Amendment  occurs,  the Company
shall pay,  and there shall  become due and  payable,  on the next  Business Day
following the first to occur of the events set forth in the foregoing clause (i)
or clause  (ii),  a fee to each  Noteholder  in an amount  equal to 0.15% of the
aggregate outstanding principal amount of the Notes then held by such Noteholder
(which fee shall be paid by wire transfer of immediately  available funds); such
fee shall be deemed  earned  when paid and shall not be subject to  recovery  or
repayment in the event this Waiver and  Amendment is  thereafter  terminated  or
rescinded for any reason.

     Section 5.3.  Payment of Additional Fees or Compensation to Creditors.  The
Company will not, and will not permit any of its  Subsidiaries or Affiliates to,
pay or  agree to pay any fees or  other  consideration,  or give any  additional
security  or  collateral,  or  shorten  the  maturity  or  average  life  of any
indebtedness  or  permanently  reduce any borrowing  capacity,  in each case, in
favor of or for the benefit for any creditor of the Company (or any agent of any
creditor  or group of  creditors)  without  the  prior  written  consent  of the
Required  Holders (other than a fee payable to the Banks,  the 2003  Noteholders
and the 2006 Noteholders on substantially  identical terms to those set forth in
Section 5.2 above with respect to the fee payable to the Noteholders  under such
Section).

     Section 5.4.  Amendments  to Primary Loan  Documents.  The Company will not
permit any Primary Loan  Document or any amendment or waiver of any Primary Loan
Document (in each case,  other than the Note Purchase  Agreement and the Notes),
to be amended,  waived or otherwise  modified  after the date hereof without the
prior written consent of the Required Holders.

     Section  5.5.  Closing of New Credit  Facilities;  Prepayment.  The Company
covenants  and agrees  that it shall close the credit  facilities  which are the
subject of the  Commitment  Letters on or before  February 15, 2007 and it shall
make a drawing under such credit  facilities on or before  February 15, 2007 for
the purpose of prepaying all amounts  owing under the Note  Purchase  Agreement.
Any  such  prepayment  shall  be  deemed  to be an  optional  prepayment  of the
Company's  obligations  under  the  Note  Purchase  Agreement  and the  Notes in

                                       11
<page>
accordance with Section 8.2 of the Note Purchase Agreement,  and the Noteholders
waive the  requirement  of prior  written  notice of  prepayment  thereunder  in
connection with such prepayment.

     The failure of the Company to comply with any of the covenants set forth in
this Section 5 shall constitute, and shall be deemed to constitute, an immediate
Event of Default under Section 12(c) of the Note Purchase Agreement.

SECTION 6. FEES AND EXPENSES.

     The  Company  shall  pay the fees  and  disbursements  of the  Noteholders'
special counsel,  Bingham McCutchen LLP and the Noteholders'  financial advisor,
FTI Consulting, Inc., incurred in connection with the negotiation,  preparation,
execution  and  delivery  of this  Waiver  and  Amendment  and the  transactions
contemplated hereby in accordance with the terms of the Engagement Letters. This
provision  shall be  supplementary  to,  and  shall  not in any way be deemed to
limit, the Noteholders'  rights to  indemnification  and reimbursement for other
costs and expenses as provided in Section 16 of the Note Purchase Agreement.

SECTION 7. RELEASE.

     In order to induce the Noteholders to enter into this Waiver and Amendment,
the Company acknowledges and agrees that: (a) neither the Company nor any of its
Subsidiaries  has any claim or cause of action against any of the Noteholders or
any of their  respective  directors,  trustees,  officers,  employees  or agents
(collectively,  the "Released  Parties")  relating to or arising out of the Note
Purchase  Agreement or Notes or any of the  transactions  related  thereto;  (b)
neither the Company nor any of its Subsidiaries  has any offset right,  right of
recoupment,  counterclaim or defense of any kind against any of their respective
obligations, indebtedness or liabilities to any of the Released Parties; and (c)
each of the Released Parties has heretofore  properly performed and satisfied in
a timely manner all of its obligations to the Company and its Subsidiaries under
the Note Purchase Agreement.  Notwithstanding this representation and as further
consideration  for the agreements and  understandings  herein,  the Company,  on
behalf of itself and its employees,  agents,  executors,  heirs,  successors and
assigns  (the  "Releasing  Parties"),  hereby  releases  the  Noteholders,   its
respective  predecessors,  officers,  directors,  trustees,  employees,  agents,
attorneys, affiliates, subsidiaries, successors and assigns, from any liability,
claim, right or cause of action which now exists or hereafter arises as a result
of acts,  omissions or events occurring on or prior to the date hereof,  whether
known or unknown, including but not limited to claims arising from or in any way
related  to the Note  Purchase  Agreement  or  Notes or any of the  transactions
relating  thereto.  No Released  Party shall be liable with  respect to, and the
Company hereby waives, releases and agrees not to sue for, any special, indirect
or consequential  damages relating to the Note Purchase  Agreement and the Notes
or arising out of its  activities in connection  herewith or therewith  (whether
before, on or after the date hereof).

                                       12
<page>
SECTION 8. AMENDMENTS AND WAIVERS.

     This Waiver and  Amendment may be amended,  and the  observance of any term
hereof may be waived (either  retroactively  or  prospectively),  with (and only
with) the written consent of the Company and the Required Holders.

SECTION 9. DEFINITIONS.

     Capitalized  terms used herein shall have the respective  meanings ascribed
thereto in the Note Purchase  Agreement,  unless  defined  herein (in which case
such terms  shall have the  meanings  set forth  herein)  or the  context  shall
otherwise require.

SECTION 10. MISCELLANEOUS.

     Section 10.1.  More  Favorable  Provisions.  The Company  acknowledges  and
agrees that any  covenants,  defaults or similar  provisions set forth in any of
the Other  December 2006 Waivers not  substantially  provided for in this Waiver
and Amendment,  or any such covenants,  defaults or similar  provisions that are
more  favorable to the  creditors  thereunder  than the  covenants,  defaults or
similar  provisions  hereunder,  are hereby  incorporated by reference into this
Waiver and  Amendment  to the same extent as if set forth fully  herein,  and no
subsequent amendment,  waiver,  termination or modification thereof shall affect
any such covenants, terms, conditions or defaults as incorporated herein.

     Section 10.2.  Construction;  References to Note Purchase  Agreement.  This
Waiver and Amendment  shall be construed in  connection  with and as part of the
Note Purchase Agreement. Any and all notices,  requests,  certificates and other
instruments  executed and  delivered  after the  execution  and delivery of this
Waiver and  Amendment may refer to the Note Purchase  Agreement  without  making
specific  reference  to this  Waiver and  Amendment  but  nevertheless  all such
references shall include this Waiver and Amendment unless the context  otherwise
requires. This Waiver and Amendment shall not be construed more strictly against
the Noteholders  merely by virtue of the fact that the same has been prepared by
the Noteholders or their counsel,  it being  recognized that the Company and the
Noteholders have contributed  substantially and materially to the preparation of
this  Waiver and  Amendment,  and each of the  parties  hereto  waives any claim
contesting the existence and the adequacy of the  consideration  given by any of
the other parties hereto in entering into this Waiver and Amendment.

     Section  10.3.   Ramifications  of  Waiver;   Reaffirmation.   The  Company
acknowledges   that  the  waivers  and  amendments   granted  hereunder  by  the
Noteholders  shall not be  construed as an agreement to amend or waive any other
provision of any of the Note Purchase Agreement,  and the Noteholders shall have
no  obligation  to enter  into any such  amendment  or  waiver.  Other  than the
Existing  Defaults  temporarily  waived  during the Waiver  Period,  none of the
Noteholders have waived, nor are they by this Waiver and Amendment waiving,  and
have made no commitment to waive, any other Default or Event of Default that may
occur or be continuing  on the date hereof or may occur or be  continuing  after
the date hereof.  The  Noteholders  reserve their  respective  rights,  in their
discretion,  to exercise any or all of their rights and remedies  under the Note
Purchase Agreement as a result of any other such Default or Event of Default. No

                                       13
<page>
delay or  omission  of the  Noteholders  to  exercise  any right  under the Note
Purchase Agreement shall impair any such right or be construed to be a waiver of
any other such Default or Event of Default or an acquiescence therein. Except as
modified,  waived or expressly amended by this Waiver and Amendment,  all terms,
conditions,  and covenants  contained in the Note Purchase  Agreement are hereby
ratified and  confirmed by the Company and shall be and remain in full force and
effect.

     Section 10.4. Affirmation of Recitals; etc. The Company hereby acknowledges
and affirms  the  accuracy of all  recitals  to this Waiver and  Amendment.  The
Company  represents  that  neither  it,  nor  any of its  Subsidiaries,  has any
intention  to file or acquiesce in the filing of any  bankruptcy  or  insolvency
proceeding  hereafter  and that the  Company  believes  that the  period of time
allowed by this  Waiver and  Amendment  is  sufficient  for the  Company and its
Subsidiaries  to  accomplish  the  transactions  that  they have  undertaken  as
represented by the Company to the Noteholders.

     Section 10.5. Further Assurances.  The Company will, and will cause each of
its Subsidiaries to, execute and deliver any and all documents reasonably deemed
necessary or appropriate by the Noteholders to carry out the intent of and/or to
implement this Waiver and Amendment.

     Section 10.6.  Section  Headings.  The descriptive  headings of the various
Sections  or parts of this Waiver and  Amendment  are for  convenience  only and
shall not affect the meaning or construction of any of the provisions hereof.

     Section 10.7. Governing Law. This Waiver and Amendment shall be governed by
and construed and enforced 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 the laws of a jurisdiction other than such State.

     Section 10.8.  Survival.  The provisions of Sections 6 and 7 of this Waiver
and Amendment  shall survive and continue in effect  following any  termination,
rescission or expiration of this Waiver and Amendment.

     Section 10.9.  Time is of the Essence.  TIME IS OF THE ESSENCE WITH RESPECT
TO ALL COVENANTS, CONDITIONS, AGREEMENTS, OR OTHER PROVISIONS HEREIN.

     Section 10.10.  Counterparts.  This Waiver and Amendment may be executed in
any  number  of  counterparts,  each of  which  shall be an  original;  but such
counterparts  shall constitute but one and the same  instrument.  Delivery of an
executed  counterpart  of a  signature  page to this  Waiver  and  Amendment  by
facsimile shall be effective as delivery of a manually  executed  counterpart of
this Waiver and Amendment.



                  [Remainder of page left intentionally blank]

                                       14



     If you are in  agreement  with  the  foregoing,  please  sign  the  form of
agreement  on the  accompanying  counterpart  of this Waiver and  Amendment  and
return  it to the  Company,  whereupon  the  foregoing  shall  become a  binding
agreement between you and the Company.


                              INVACARE CORPORATION


                              By: /s/ Gregory C. Thompson
                              Name: Gregory C. Thompson
                              Title: Chief Financial Officer


                                       13



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


                              AMERICAN UNITED LIFE INSURANCE COMPANY


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



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


                               By


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


                               By /s/ Peter Coccia
                               Its Partner



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


                              By /s/ Monica M. Heyl
                              Its  Authorized IM Representative


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

                              THE BALTIMORE LIFE INSURANCE COMPANY

                              By AllianceBernstein LP
                                 its Investment Advisor

                              By /s/ Matthew Minnetian
                              Name Matthew Minnetian
                              Title: Senior Vice President



                              THE OHIO CASUALTY INSURANCE COMPANY

                              By /s/ Paul Gerard
                              Its Senior Vice President, Investments



                              NATIONWIDE LIFE INSURANCE COMPANY


                              By /s/ Joseph P. Young
                                     Joseph P. Young
                              Its Authorized Signatory



                           TEACHERS INSURANCE AND ANNUITY ASSOCIATION OF AMERICA


                             By: /s/ Roi G. Chandy
                             Name: Roi G. Chandy
                             Title: Director


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

                             TIAA-CREF LIFE INSURANCE COMPANY

                             By:  Teachers Insurance and Annuity Association of
                                  America, as Investment Manager

                             By: /s/ Roi G. Chandy
                             Name: Roi G. Chandy
                             Title: Director


                              PRINCIPAL LIFE INSURANCE COMPANY
                              By:  Principal Global Investors, LLC
                                   a Delaware limited liability company,
                                   its authorized signatory


                              By /s/ Debra Svoboda EPP
                                      EPP Counsel


                              By /s/ James C. Fifield
                                      Counsel

<page>
                                                                     Schedule A

                                Existing Defaults

Events of Default under Section 12.1(c) of the Note Purchase Agreement by virtue
of (a) the  continuing  failure of the Company to comply with  Section 11.3 (the
Consolidated  Debt covenant which is tested at all times) and (b) the failure of
the  Company to give the written  notice of its  failure to comply with  Section
11.3, as required by Section 7.1(d).

Events  of  Default  under  Section  12(f) of the Note  Purchase  Agreement  (by
operation of Section  5(j) of the  Existing NPA Waiver) due to the  existence of
the defaults,  events of default and  Securitization  Defaults  described in the
Other December 2006 Waivers.







                                                                      Schedule B

                        Description of Consolidated Debt



                         [to be provided by the Company]









                                                                 EXHIBIT 2.1(a)

THIS NOTE HAS NOT BEEN  REGISTERED  UNDER THE UNITED  STATES  SECURITIES  ACT OF
1933,  AS  AMENDED,  OR ANY STATE  SECURITIES  LAWS.  NEITHER  THIS NOTE NOR ANY
INTEREST OR PARTICIPATION HEREIN MAY BE REOFFERED, SOLD, ASSIGNED,  TRANSFERRED,
PLEDGED, ENCUMBERED OR OTHERWISE DISPOSED OF IN THE ABSENCE OF SUCH REGISTRATION
OR UNLESS SUCH TRANSACTION IS EXEMPT FROM, OR NOT SUBJECT TO, REGISTRATION.


                         [FORM OF SERIES A SENIOR NOTE]


                              INVACARE CORPORATION

                6.71% SERIES A SENIOR NOTE DUE FEBRUARY 27, 2008

No. RA -__

PPN:  461203 A*2

$__________                                                               [Date]

     FOR  VALUE  RECEIVED,  the  undersigned,   INVACARE  CORPORATION,  an  Ohio
corporation   (herein  called  the   "Company"),   hereby  promises  to  pay  to
_______________    or    registered    assigns,    the    principal    sum    of
_________________________________  DOLLARS  ($__________)  on February 27, 2008,
with interest  (computed on the basis of a 360-day year of twelve 30-day months)
(a) on the  unpaid  balance  thereof at a rate equal to 6.71% per annum from the
date  hereof,  payable  semiannually  on February 27 and August 27 in each year,
commencing  with the February 27 or August 27 next  succeeding  the date hereof,
until the  principal  hereof shall have become due and  payable,  and (b) to the
extent  permitted by law, on any overdue  payment of interest,  and,  during the
continuance  of an Event of Default,  on such unpaid  balance and on any overdue
payment of any  Make-Whole  Amount (as defined in the Note  Purchase  Agreements
(defined  below)),  payable  semiannually as aforesaid (or, at the option of the
registered  holder  hereof,  on  demand),  at a rate per annum from time to time
equal to the Default Rate (as defined in the Note Purchase Agreements).

     Payments  of  principal  of,  interest  on and any  Make-Whole  Amount with
respect  to this Note are to be made in  lawful  money of the  United  States of
America  at  Elyria,  Ohio or at such  other  place as the  Company  shall  have
designated by written  notice to the holder of this Note as provided in the Note
Purchase Agreements referred to below.

     This Note is one of the 6.71%  Series A Senior  Notes due February 27, 2008
(herein  called  the  "Notes")   issued   pursuant  to  separate  Note  Purchase
Agreements, each dated as of February 27, 1998, as amended by that certain First
Amendment,  dated as of October 1, 2003, to Note Purchase Agreements dated as of
February 27, 1998,  that certain  Second  Amendment,  dated as of September  29,

<page>
2005, to Note Purchase  Agreements  dated as of February 27, 1998,  that certain
Waiver and Amendment, dated as of November 14, 2006, to Note Purchase Agreements
dated as of February 27, 1998,  and that certain  Second  Waiver and  Amendment,
dated as of December 15, 2006, to Note Purchase  Agreements dated as of February
27, 1998 (as amended,  restated or otherwise  modified  prior to the date hereof
and as amended or otherwise  modified  hereby or from time to time in accordance
with  the  terms  hereof  and   thereof,   collectively,   the  "Note   Purchase
Agreements"),  among the Company and the respective Purchasers named therein and
is entitled to the benefits thereof. Each holder of this Note will be deemed, by
its acceptance hereof, (i) to have agreed to the confidentiality  provisions set
forth in Section 21 of the Note  Purchase  Agreements  and (ii) to have made the
representation set forth in Section 6.2 of the Note Purchase Agreements.

     This  Note is a  registered  Note and,  as  provided  in the Note  Purchase
Agreements,  upon  surrender of this Note for  registration  of  transfer,  duly
endorsed, or accompanied by a written instrument of transfer,  duly executed, by
the  registered  holder  hereof or such  holder's  attorney  duly  authorized in
writing,  a new  Note  for a like  principal  amount  will  be  issued  to,  and
registered  in the  name  of,  the  transferee.  Prior  to due  presentment  for
registration  of  transfer,  the Company may treat the person in whose name this
Note is registered as the owner hereof for the purpose of receiving  payment and
for all other  purposes,  and the Company  will not be affected by any notice to
the contrary.

     This Note is subject to certain prepayments in the events, on the terms and
in the manner and amounts as provided in the Note Purchase Agreements. This Note
is also subject to optional  prepayment,  in whole or from time to time in part,
at the times and on the terms specified in the Note Purchase Agreements, but not
otherwise.

     If an Event of Default, as defined in the Note Purchase Agreements,  occurs
and is  continuing,  the  principal  of this Note may be declared  or  otherwise
become due and payable in the manner,  at the price  (including  any  applicable
Make-Whole Amount) and with the effect provided in the Note Purchase Agreements.

     THIS NOTE SHALL BE CONSTRUED AND ENFORCED 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 THE LAWS OF A JURISDICTION OTHER THAN SUCH
STATE.

                                       INVACARE CORPORATION



                                       By:
                                       Name: ___________________________________
                                       Title: