October 6, 2006

Jim B. Rosenberg
Senior Assistant Chief Accountant
United States Securities and Exchange Commission
450 Fifth Street N.W.
Washington D.C. 20549

RE: TRINITY BIOTECH PLC
FORM 20-F FOR THE FISCAL YEAR ENDED DECEMBER 31, 2005
FILED MARCH 31, 2006-10-05
FILE NO. 000-22320

Dear Mr. Rosenberg,

I am responding to your letter dated September 21, 2006. With respect to each of
your queries I have included the query as contained in your letter and given our
response directly below.

ITEM 5 OPERATING AND FINANCIAL REVIEW AND PROSPECTS, PAGE 18

CRITICAL ACCOUNTING POLICIES AND ESTIMATES, PAGE 19

     1.   CONSISTENT  WITH SECTION V OF FINANCIAL  REPORTING  RELEASE 72, PLEASE
          PROVIDE US THE FOLLOWING INFORMATION,  IN DISCLOSURE FORMAT ABOUT EACH
          OF THE ESTIMATES YOU HAVE DISCUSSED:

          o    THE AMOUNT OF THE CHANGE IN EACH  ESTIMATE  AND ITS EFFECT ON THE
               REVENUE  RECOGNIZED  AND/OR  PROFIT  BEFORE  TAX FOR EACH  PERIOD
               PRESENTED  OR,  THAT  CHANGES  IN  THE  ESTIMATE  HAVE  NOT  BEEN
               MATERIAL; AND,
          o    THE EFFECT OF A REASONABLY  LIKELY  CHANGE IN EACH ESTIMATE AS OF
               THE LATEST  BALANCE  SHEET DATE ON REVENUE  AND/OR  PROFIT BEFORE
               TAX.

TRINITY BIOTECH PLC RESPONSE

MANAGEMENT OF TRINITY BIOTECH PLC PROPOSES TO AMEND PROSPECTIVELY ITS
DISCLOSURES IN ITS 2006 FORM 20-F. WE HAVE INCLUDED OUR PROPOSED REVISED
DISCLOSURES BELOW:

CRITICAL ACCOUNTING POLICIES AND ESTIMATES
Our discussion and analysis of our financial condition and results of operations
are based upon our consolidated financial statements, which have been prepared
in accordance with International Financial Reporting Standards (IFRS), as
adopted by the EU. The preparation of these financial statements requires us to
make estimates and judgements that affect the reported amount of assets,
liabilities, revenues and expenses, and related disclosure of contingent assets
and liabilities.

On an on-going basis, we evaluate our estimates, including those related to
intangible assets, contingencies and litigation. We base our estimates on
historical experience and on various other assumptions that are believed to be
reasonable under the circumstances, the results of which form the basis for
making judgements about the carrying values of assets and liabilities that are
not readily apparent from other sources. Actual results may differ from these
estimates under different assumptions or conditions.







We believe the critical accounting policies described below reflect our more
significant judgements and estimates used in the preparation of our consolidated
financial statements.

Research and development expenditure
Under IFRS as adopted by the EU, we write-off research and development
expenditure as incurred, with the exception of expenditure on projects whose
outcome has been assessed with reasonable certainty as to technical feasibility,
commercial viability and recovery of costs through future revenues. Such
expenditure is capitalised at cost within intangible assets and amortised over
its expected useful life of 15 years, which commences when commercial production
starts. Under US GAAP all research and development expenditure is written off to
the income statement as incurred. The impact of this treatment is reflected in
the reconciliation between IFRS, as adopted by the EU, and US GAAP contained in
Item 18, note 35 to the consolidated financial statements.

Factors which impact our judgement to capitalise certain research and
development expenditure include the degree of regulatory approval for products
and the results of any market research to determine the likely future commercial
success of products being developed. We review these factors each year to
determine whether our previous estimates as to feasibility, viability and
recovery should be changed. During 2004 and 2005 there were no changes in the
assumptions regarding the degree of regulatory approval for any of the projects
being undertaken. The Company did make changes to the estimates used to
determine the future commercial success of the projects in the normal course of
business by including updated revenue estimates. However, these changes in
revenue estimates did not result in changes in the carrying value of any of the
development costs capitalised during or prior to 2005. At December 31, 2005 the
carrying value of capitalised development costs was US$11,853,000 compared with
US$6,967,000 at December 31, 2004. The increase in 2005 was attributable to
development costs of US$4,916,000 being capitalised during 2005, the acquisition
of US$400,000 of in-process development costs as part of the Primus acquisition,
partially offset by foreign exchange movements of US$80,000 and amortisation of
US$350,000. Given the expected cash flows that will result from the successful
conclusion of the Company's on-going development projects when compared to their
respective carrying values, any reasonably possible change in estimate would not
result in a change to these carrying values. In the event that any of the
projects cannot be completed this would result in a write off of the balance in
question. The projects which are currently in progress have a range of carrying
values up to US$1,942,000.

Impairment of intangible assets and goodwill
Definite lived intangible assets are reviewed for indicators of impairment
annually while goodwill and indefinite lived assets are tested for impairment
annually, individually or at the cash generating unit level.

Factors considered important, as part of an impairment review, include the
following:

     o    Significant   underperformance  relative  to  expected  historical  or
          projected future operating results;
     o    Significant changes in the manner of our use of the acquired assets or
          the strategy for our overall business;
     o    Obsolescence of products;
     o    Significant decline in our stock price for a sustained period; and our
          market capitalisation relative to net book value.

When we determine that the carrying value of intangibles,  non-current  assets
and related  goodwill may not be recoverable  based upon the existence of one or
more of the above  indicators of  impairment,  any  impairment is measured
based on our estimates of projected net discounted cash flows expected to result
from that asset, including eventual disposition.  Our





estimated impairment could prove insufficient if our analysis overestimated the
cash flows or conditions change in the future. As part of the impairment review
for 2004 and 2005, updated estimates of cash flows from sales were employed
based on the latest sales and forecast information available. These revised
estimates did not result in any impairment of intangible assets, non-current
assets or related goodwill. In the event that there was a 10% variation in the
assumed level of future growth in cashflows from sales, which would represent a
reasonably likely range of outcomes, no impairment of assets would occur in any
of the Company's cash generating units at December 31, 2004 and December 31,
2005. Similarly if there was a 10% variation in the discount rate used to
calculate the potential impairment of the carrying values, which would represent
a reasonably likely range of outcomes, no impairment of assets would occur at
December 31, 2004 and December 31, 2005.

Allowance for slow-moving and obsolete inventory
We evaluate the realisability of our inventory on a case-by-case basis and make
adjustments to our inventory provision based on our estimates of expected
losses. We write-off any inventory that is approaching its "use-by" date and for
which no further re-processing can be performed. We also consider recent trends
in revenues for various inventory items and instances where the realisable value
of inventory is likely to be less than its carrying value. Given the allowance
is calculated on the basis of the actual inventory on hand at the particular
balance sheet date, there were no material changes in estimates made during 2004
or 2005 which would have an impact on the carrying values of inventory during
those periods.

At December 31, 2005 our allowance for slow moving and obsolete inventory was
US$3,654,000 which represents approximately 9.1% of gross inventory value. This
compares with US$4,264,000, or approximately 10.2% of gross inventory value, at
December 31, 2004. The change in the estimated allowance for slow moving and
obsolete inventory as a percentage of gross inventory was due to the assessment
of the particular inventory on hand at each balance sheet date with particular
reference to the expiry dating of the inventory in question. In the event that
this estimate was to increase or decrease by 2%, of gross inventory which would
represent a reasonably likely range of outcomes, then a change in allowance of
US$802,000 at December 31, 2005 (2004: US$836,000) would result.

Allowance for impairment of receivables
We make judgements as to our ability to collect outstanding receivables and
where necessary make allowances for impairment. Such impairments are made based
upon a specific review of all significant outstanding receivables. In
determining the allowance, we analyse our historical collection experience and
current economic trends. If the historical data we use to calculate the
allowance for impairment of receivables does not reflect the future ability to
collect outstanding receivables, additional allowances for impairment of
receivables may be needed and the future results of operations could be
materially affected. Given the specific manner in which the allowance is
calculated, there were no material changes in estimates made during 2004 or 2005
which would have an impact on the carrying values of receivables in these
periods.

As disclosed in Schedule II the allowance for impairment of receivables at
December 31, 2005 was US$587,000 which represents approximately 0.6% of Group
revenues. This compares with US$462,000 at December 31, 2004 which also
represents approximately 0.6% of Group revenues. In the event that this estimate
was to increase or decrease by 0.4% of Group revenues, which would represent a
reasonably likely range of outcomes, then a change in the allowance of
US$394,000 at December 31, 2005 (2004: US$320,000) would result.

Accounting for income taxes
Significant judgement is required in determining our worldwide income tax
expense provision. In the ordinary course of a global business, there are many
transactions and calculations where the ultimate tax outcome is uncertain. Some
of these uncertainties arise as a consequence of revenue sharing and cost
reimbursement arrangements among related





entities, the process of identifying items of revenue and expense that qualify
for preferential tax treatment and segregation of foreign and domestic income
and expense to avoid double taxation. Although we believe that our estimates are
reasonable, no assurance can be given that the final tax outcome of these
matters will not be different than that which is reflected in our historical
income tax provisions and accruals. Such differences could have a material
effect on our income tax provision and profit in the period in which such
determination is made. Deferred tax assets and liabilities are determined using
enacted or substantially enacted tax rates for the effects of net operating
losses and temporary differences between the book and tax bases of assets and
liabilities.

While we have considered future taxable income and ongoing prudent and feasible
tax planning strategies in assessing whether deferred tax assets can be
recognised, there is no assurance that these deferred tax assets may not be
realisable. The extent to which deferred tax assets which are recognised are not
realisable could have a material adverse impact on our income tax provision and
net income in the period in which such determination is made. In addition, we
operate within multiple taxing jurisdictions and are subject to audits in these
jurisdictions. These audits can involve complex issues that may require an
extended period of time for resolution. In management's opinion, adequate
provisions for income taxes have been made.

Note 12 to the financial statements outlines the basis for the deferred tax
assets and liabilities and Schedule II includes a movement on the valuation
allowances for income taxes during the period. There were no material changes in
estimates used to calculate the income tax expense provision during 2004 or
2005.

Warranty provision
We make judgements as to the extent to which we have to replace products which
are returned by customers due to quality issues. In determining the level of
provision required for such returns we consider our historical experience of
customers returning products. If our historical experience does / does not
reflect future levels of returned products then the level of provision is
increased / released as appropriate. Given that our historic experience in
replacing products has been infrequent and immaterial the level of warranty
provision required at December 31, 2004 and December 31, 2005 was also
determined to be immaterial. Management believes that any reasonably likely
level of returns in the future will still result in an immaterial provision
being required. However, this assessment is largely based on historic levels of
returns, which management cannot guarantee will continue to be the case and
hence in the future there may be a requirement for an increased level of
provision which could have material impact on the net assets of the Company.
There were no material changes in estimates of future levels of returns made
during 2004 or 2005.

LIQUIDITY AND CAPITAL RESOURCES, PAGE 27

WORKING CAPITAL, PAGE 28

2. PLEASE PROVIDE US, IN DISCLOSURE TYPE FORMAT, A MORE PROSPECTIVE AND ROBUST
DISCUSSION OF KNOWN DEMANDS, COMMITMENTS, TRENDS AND UNCERTAINTIES ON YOUR
LIQUIDITY AND THE EXPECTED MIX AND COST OF YOUR CAPITAL RESOURCES. EXPLAIN
FLUCTUATIONS IN CASH FLOWS FROM OPERATIONS AS REPORTED ON THE CASH FLOW
STATEMENT.

TRINITY BIOTECH PLC RESPONSE:

MANAGEMENT OF TRINITY BIOTECH PLC PROPOSES TO AMEND PROSPECTIVELY ITS
DISCLOSURES IN ITS 2006 FORM 20-F. WE HAVE INCLUDED OUR PROPOSED REVISED
DISCLOSURES BELOW:








WORKING CAPITAL
In the Company's opinion the Company's existing cash position and cash generated
from operations will be sufficient to support its existing operations for at
least the next 12 months. The amount of cash generated from operations will
depend on a number of factors which include the following:
     o    The ability of the Company to continue to generate revenue growth from
          its existing product lines;
     o    The  ability of the  Company to generate  revenues  from new  products
          following the successful completion of its development projects;
     o    The extent to which  capital  expenditure  is incurred  on  additional
          property plant and equipment;
     o    The level of  investment  required to undertake  both new and existing
          development projects;
     o    Successful  working  capital  management  in the  context of a growing
          Company.
The Company expects that the cashflows that the business will generate will be
sufficient to repay the debt obligations which were outstanding at December 31,
2005. These obligations include the repayment of the remaining convertible
debentures, bank loans and finance leases. The timing of these repayment
obligations and the expected maturity dates are set out in more detail in Item
11. However, if the assumptions underlying such expectations change, the Company
may be required to raise additional capital to meet its cash requirements.

In the event that the Company makes any further acquisitions we believe that the
Company may be required to obtain additional debt and/or equity funding. The
exact timing and amount of such funding will depend on the Company's ability to
identify and secure acquisition targets which fit with the Company's growth
strategy and core competencies. It is anticipated that some or all of the costs
of such acquisitions may be met from debt funding. The cost of such funding will
depend on prevailing interest rates at the time and the size and nature of the
funding being provided. The extent of future equity requirements will depend on
the size of any acquisitions and the availability and/or the cost of debt
funding.

CASH MANAGEMENT
As at December 31, 2005, Trinity Biotech's consolidated cash and cash
equivalents, excluding restricted cash were US$9,881,000. This compares to cash
and cash equivalents, excluding restricted cash of US$15,139,000 at December 31,
2004.

Cash generated from operations for the year ended December 31, 2005 amounted to
US$10,602,000 (2004: US$2,789,000). These cash flows were primarily generated by
profit before interest and taxation of US$6,622,000 (2004: US$6,187,000), as
adjusted for non cash items of US$6,014,000 (2004: US$3,457,000) less cash
outflows due to changes in working capital of US$2,034,000 (2004: US$6,855,000).
The non cash charges primarily relate to stock compensation, depreciation and
amortisation.

The net cash outflows in 2005 due to changes in working capital of US$2,034,000
are due to the following:
     o    An increase in accounts  receivable by  US$8,034,000  due to increased
          Group   revenues   arising  from  both   continuing   activities   and
          acquisitions in 2005.
     o    An increase in trade and other  payables  by  US$4,689,000  due to the
          combination  of  increased   activity  including  the  impact  of  the
          acquisitions undertaken during the year.
     o    A decrease in inventory by US$1,311,000  due to lower inventory levels
          being achieved through  revisions in the Company's  inventory  holding
          policies.

Net interest paid amounted to US$601,000 (2004: US$640,000). This consisted of
interest paid of US$972,000 (2004: US$931,000) on the Company's interest bearing
debt including





bank loans, convertible debentures and finance leases and was partially offset
by interest received of US$371,000 (2004: US$291,000) on the Company's cash
deposits.

Net cash outflows from investing activities for the year ended December 31, 2005
amounted to US$24,398,000 (2004: US$15,632,000) which were principally made up
as follows:
     o    Payments  for   acquisitions  in  2005   (US$13,129,000)   principally
          consisting of payments for the  acquisition  of the assets of Research
          Diagnostics Inc. of US$4,305,000  (including acquisition expenses) and
          payments for the  acquisition of Primus  Corporation  of  US$8,798,000
          (including acquisition expenses). Payments for acquisitions in 2004 of
          US$19,090,000  consisted of payments for the acquisition of the trade,
          assets  and  certain   liabilities  of  Adaltis  Inc  of  US$2,964,000
          (including  acquisition  costs) and  payments for the  acquisition  of
          Fitzgerald  Industries  International Inc of US$16,126,000  (including
          acquisition expenses).
     o    Payments  to  acquire   intangible   assets  of  US$5,509,000   (2004:
          US$3,601,000),  which principally  related to development  expenditure
          capitalised  as part of the  Company's  on-going  product  development
          activities.
     o    Acquisition of property,  plant and equipment of  US$4,039,000  (2004:
          US$3,824,000)  incurred as part of the Company's  investment programme
          for its manufacturing and distribution activities.
     o    Movements in financial fixed assets,  which resulted in a cash outflow
          of  US$1,852,000  in 2005, was due to an increase in the level of cash
          deposits  (restricted  cash) which the Company agreed to keep with its
          lending banks in accordance with the terms of its borrowing covenants.
          At January 1, 2004,  the Group was required to keep  US$18,000,000  on
          deposit as restricted  cash with its lending banks.  This  restriction
          was reduced to US$7,148,000 at December 31, 2004,  resulting in a cash
          inflow from investing activities of US$10,852,000 in 2004.

Net cash provided by financing activities for the year ended December 31, 2005
amounted to US$9,679,000. The Company received US$9,000,000 as part of an
amendment to it current loan facilities to fund the Primus acquisition and
raised US$4,755,000 from issuing share capital. These inflows were offset by the
repayment of convertible debt by cash in 2005 of US$1,822,000, repayments of
debt and other liabilities of US$1,865,000, expenses paid in connection with
share issues and debt financing of US$195,000 and net repayments on finance
lease obligations of US$194,000.

Net cash provided by financing activities for the year ended December 31, 2004
amounted to US$27,492,000. The Company raised US$31,708,000 net from issuing
share capital, mainly attributable to the completion of a private placement of
`A' Ordinary shares in January 2004 with the remainder arising on the issue of
warrants and the exercise of stock options by employees. The Company also raised
an additional US$5,000,000 through the placement of convertible debentures which
are repayable on a quarterly basis from October 1, 2004. These inflows were
offset by expenses paid in connection with share issues and debt financing of
US$2,238,000, the repayment of convertible debt by cash in 2004 of US$1,822,000,
repayments of existing debt and other liabilities of US$4,889,000 and repayments
on finance lease obligations of US$267,000.

The majority of the Group's activities are conducted in US Dollars. The primary
foreign exchange risk arises from the fluctuating value of the Group's euro
denominated expenses as a result of the movement in the exchange rate between
the US Dollar and the euro. Arising from this, the Group pursues a treasury
policy which aims to sell US Dollars forward to match a portion of its uncovered
euro expenses at exchange rates lower than budgeted exchange rates. These
forward contracts are cashflow hedging instruments whose objective is to cover a
portion of these euro forecasted transactions. The Company expects that its
forward contracts as at December 31, 2005 will have a positive impact on the
cashflows of the





business. At December 31, 2005 forward contracts with a carrying value of
(US$44,000) (2004: US$NIL) had a fair value of (US$44,000) (2004: US$418,000).

As at December 31, 2005, year end borrowings were US$27,128,000 and cash and
cash equivalents was US$9,881,000 (US$18,881,000 inclusive of restricted cash).
For a more comprehensive discussion of the Company's level of borrowings at the
end of 2005, the maturity profile of the borrowings, the Company's use of
financial instruments, its currency and interest rate structure and its funding
and treasury policies please refer to Item 11 "Qualitative and Quantitative
Disclosures about Market Risk".



As part of its response to your letter Trinity Biotech plc acknowledges the
following:
     o    Trinity  Biotech plc is  responsible  for the adequacy and accuracy of
          the disclosure in this filing;
     o    Staff  comments or changes to disclosure in response to staff comments
          do not foreclose the Commission from taking any action with respect to
          the filing; and
     o    Trinity  Biotech plc may not assert staff comments as a defense in any
          proceeding initiated by the Commission or any person under the federal
          securities laws of the United States.


Subject to your satisfaction with my responses to your queries as outlined in
this letter it is our intention that all future filings of the Form 20-F will
include similar information, commencing with the Company's Form 20-F for the
fiscal year ended December 31, 2006.

In the event that you have any queries please contact me or my colleague Kevin
Tansley at +353 1 2769800.

YOURS SINCERELY

/s/Rory Nealon
RORY NEALON
CHIEF FINANCIAL OFFICER
TRINITY BIOTECH PLC.