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                        FIRST AMENDMENT TO NOTE AGREEMENT


         THIS FIRST  AMENDMENT  TO NOTE  AGREEMENT,  dated as of March 20,  1997
(this  "Amendment"),  is among INVACARE  CORPORATION,  and Ohio corporation (the
"Company"),  and the  holders of the Notes as set forth on the  signature  pages
hereof (collectively, the "Note Holders").


                                    RECITALS

     A. The Company and the Note Holders are parties to a Note Agreement,  dated
as of February 1, 1993,  (as now and hereafter  amended,  the "Note  Agreement")
pursuant to which the Company  authorized,  issued and sold  $25,000,000  of its
7.45%  Senior  Notes and the Note  Holders  purchased,  subject to the terms and
conditions thereof.

     B. The Company desires to amend the Note Agreement and the Note Holders are
willing to do so strictly in accordance with the terms hereof.


                                      TERMS

         In  consideration  of the premises and of the mutual  agreement  herein
contained, the parties agree as follows:

ARTICLE 1.  AMENDMENTS.  Upon  fulfillment  of the  conditions  set forth in 
Article 3 hereof,  the Note  Agreement  shall be amended as follows:

     1.1   Section  5.7  shall  be  amended  by  deleting   the   reference   to
"$85,000,0000" and inserting "$150,000,000" in place thereof.

     1.2  Section  5.8(a)(3)(i)  shall be  deleted  and the  following  shall be
inserted in place thereof:

     (i) Consolidated Debt shall not exceed 65% of Consolidated  Capitalization,
increasing  to 68% on the date in which  the  Company  or any of its  Restricted
Subsidiaries   acquires  at  least  51%  of  the  capital  stock  of  Healthdyne
Technologies,  Inc., a Georgia  corporation  and  decreasing  to 65% on the date
which is fifteen  (15) months  after the date in which the Company or any of its
Restricted Subsidiaries acquires at least 51% of the capital stock of Healthdyne
Technologies, Inc., and

     1.3 Section  5.8(a)(3)(ii)  clause (B) shall be deleted  and the  following
shall be inserted in place thereof:

     (B) all Debt of all Restricted  Subsidiaries (other than Debt of Restricted
Subsidiaries  permitted  by  clause  (4)  below,  and  all  Debt  of  Restricted
Subsidiaries  listed on Annex B to Exhibit B hereto,  and all Debt of Healthdyne
Technologies, Inc. outstanding on the date of the merger into the Company or any
of its Restricted  Subsidiaries  in the maximum amount of $35,000,000  including
any  refinances  thereof  and listed on Annex  B(i) to  Exhibit B hereto,  to be
delivered to the Note Holders within fourteen (14) days after such merger) shall
not exceed 15% of Consolidated Capitalization; or

     1.4 Section  5.12(i)  shall be amended by deleting  the "and" at the end of
this section.


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     1.5 Section  5.12(j)  shall be amended by  replacing  the "." at the end of
clause (ii) with "; and" and adding a new section 5.12(k) to read as follows:

                  5.12(k)  Investments  by the Company or any of its  Restricted
                  Subsidiaries  in the shares of Common  Stock,  par value $0.01
                  per share, of Healthdyne Technologies, Inc. and the associated
                  Preferred  Stock Purchase Rights issued pursuant to the Rights
                  Agreement,  dated  as of  May  22,  1995,  between  Healthdyne
                  Technologies, Inc. and Trust Company Bank, as Rights Agent, in
                  accordance   with  the  Securities  and  Exchange   Commission
                  Schedule 14D-1 Tender Offer  Statement dated January 27, 1997,
                  together with any amendments or supplements thereto.

ARTICLE 2.  REPRESENTATIONS.   The Company represents and warrants to the Note 
Holders that:

     2.1 The execution,  delivery,  and  performance of this Amendment is within
its powers,  has been duly authorized and is not in contravention  with any law,
of the terms of its Articles of Incorporation or By-laws,  or any undertaking to
which it is a party or by which it is bound.

     2.2 This  amendment  is the  legal,  valid and  binding  obligation  of the
Company enforceable against it in accordance with the terms hereof.

     2.3  After  giving  effect  to  the  amendments   herein   contained,   the
representations  and  warranties  contained in Section 3.1 of the Note Agreement
are true on and as of the date  hereof with the same force and effect as if made
on and as of the date hereof.

     2.4 No Event of Default or any event or  condition  which  might  become an
Event of Default with notice or lapse of time,  or both,  exists or has occurred
and is continuing on the date hereof.




ARTICLE 3.  CONDITIONS OF  EFFECTIVENESS.  This  Amendment  shall not become  
effective  until each of the following has been satisfied:

     3.1 This  Amendment  shall be signed by the Company and the  required  Note
Holders.


ARTICLE 4.  MISCELLANEOUS.

     4.1  References  in  the  Note  Agreement  or  in  any  note,  certificate,
instrument,  or other  document  to the "Note  Agreement"  shall be deemed to be
references to the Note Agreement as amended  hereby and as further  amended from
time to time.

     4.2 The Company  acknowledges  and agrees that the Note  Holders have fully
performed all of their  obligations  under all documents  executed in connection
with the Note Agreement and all actions taken by the Note Holders are reasonable
and appropriate  under the  circumstances and within their rights under the Note
Agreement and all other documents executed in connection therewith and otherwise
available.  The  Company  represents  and  warrants  that it is not aware of any
claims or causes of action against any Note Holder,  or any of their  successors
or assigns.


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     4.3 Except as expressly  amended  hereby,  the Company agrees that the Note
Agreement,  the  Notes  and all  other  documents  executed  by the  Company  in
connection  with the Note Agreement in favor of any Note Holder are ratified and
confirmed  and shall remain in full force and effect and that is has no set off,
counterclaim  or  defense  with  respect  to the  foregoing.  Terms used but not
defined herein shall have the respective  meanings  ascribed thereto in the Note
Agreement.

     4.4 This Amendment may be signed upon any number of  counterparts  with the
same  effect  as if the  signatures  thereto  and  hereto  were  upon  the  same
instrument.


         IN WITNESS WHEREOF, the parties signing this Amendment have caused this
Amendment to be executed and delivered as of March 20, 1997.


                              INVACARE CORPORATION

                              By: /S/ Thomas R. Miklich
                              ---------------------------
                              Its Chief Financial Officer
                              ---------------------------

                      PACIFIC MUTUAL LIFE INSURANCE COMPANY

                              By: /S/ W.R. Schmidt
                              -----------------------------
                              Its  Assistant Vice President
                              -----------------------------

                      AMERICAN UNITED LIFE INSURANCE COMPANY

                              By: /S/ Christopher D. Pahlke
                              ---------------------------------------
                              Its  Vice President, Private Placements
                              ----------------------------------------

                     ROYAL MACCABEES LIFE INSURANCE COMPANY

                               By:/S/ Leonard D. Davenport, CFA
                               --------------------------------
                               Its  Vice President - RIMCO
                               --------------------------------

                     ROYAL LIFE INSURANCE COMPANY OF AMERICA
                               
                               By:/S/ Leonard D. Davenport, CFA
                               --------------------------------
                               Its  Vice President - RIMCO
                               --------------------------------
                              

                    ROYAL LIFE INSURANCE COMPANY OF NEW YORK

                               By:/S/ Leonard D. Davenport, CFA
                               --------------------------------
                               Its  Vice President - RIMCO
                               --------------------------------