UNITED STATES SECURITIES AND EXCHANGE COMMISSION
                              Washington, DC 20549

                                    FORM 11-K



(Mark One)

[X]  ANNUAL REPORT PURSUANT TO SECTION 15(d) OF THE SECURITIES EXCHANGE ACT OF
     1934.

                    For the fiscal year ended AUGUST 31, 2003

                                       OR

[ ]  TRANSITION REPORT PURSUANT TO SECTION 15(d) OF THE SECURITIES EXCHANGE ACT
     OF 1934

     For the transition period from _________________ to __________________


                         COMMISSION FILE NUMBER 0-20212


A.   Full title of the plan and the address of the plan, if different from that
     of the issuer named below:


                      ARROW INTERNATIONAL, INC. 401(K) PLAN


B.   Name of issuer of the securities held pursuant to the plan and the address
     of its principal executive office:

                            Arrow International, Inc.
                                 P. O. Box 12888
                           Reading, Pennsylvania 19612



ARROW INTERNATIONAL, INC. 401(K) PLAN
- --------------------------------------------------------------------------------

TABLE OF CONTENTS



                                                                       PAGE NO.

FINANCIAL STATEMENTS:

     Independent Auditor's Report on the Financial Statements and
         Supplementary Schedule                                           1

     Statements of Net Assets Available for Benefits                      2

     Statements of Changes in Net Assets Available for Benefits           3

     Notes to Financial Statements                                        4




SUPPLEMENTARY SCHEDULE:

     Schedule of Assets (Held at End of Year)                             9




                          INDEPENDENT AUDITOR'S REPORT
             ON THE FINANCIAL STATEMENTS AND SUPPLEMENTARY SCHEDULE


To the Administrative Committee
Arrow International, Inc. 401(k) Plan
Reading, Pennsylvania


         We have audited the accompanying statements of net assets available for
benefits of the Arrow International, Inc. 401(k) Plan as of August 31, 2003 and
2002, and the related statements of changes in net assets available for benefits
for the years then ended. These financial statements are the responsibility of
the Plan's management. Our responsibility is to express an opinion on these
financial statements based on our audits.

         We conducted our audits in accordance with auditing standards generally
accepted in the United States of America. Those standards require that we plan
and perform the audit to obtain reasonable assurance about whether the financial
statements are free of material misstatement. An audit includes examining, on a
test basis, evidence supporting the amounts and disclosures in the financial
statements. An audit also includes assessing the accounting principles used and
significant estimates made by management, as well as evaluating the overall
financial statement presentation. We believe that our audits provide a
reasonable basis for our opinion.

         In our opinion, the financial statements referred to above present
fairly, in all material respects, the net assets available for benefits of the
Arrow International, Inc. 401(k) Plan as of August 31, 2003 and 2002, and the
changes in net assets available for benefits for the years then ended in
conformity with accounting principles generally accepted in the United States of
America.

         Our audits were conducted for the purpose of forming an opinion on the
basic financial statements taken as a whole. The supplementary schedule of
assets (held at end of year) as of August 31, 2003 is presented for the purpose
of additional analysis and is not a required part of the basic financial
statements, but is supplementary information required by the Department of
Labor's Rules and Regulations for Reporting and Disclosure under the Employee
Retirement Income Security Act of 1974. The supplementary schedule has been
subjected to the auditing procedures applied in the audits of the basic
financial statements and, in our opinion, is fairly stated in all material
respects in relation to the basic financial statements taken as a whole.



                                                    /s/ BEARD MILLER COMPANY LLP


Reading, Pennsylvania
December 23, 2003





ARROW INTERNATIONAL, INC. 401(K) PLAN
==========================================================================================
STATEMENTS OF NET ASSETS AVAILABLE FOR BENEFITS



                                                                  AUGUST 31,
                                                     =====================================
                                                           2003                 2002
                                                     ----------------     ----------------
                                                                       
ASSETS

     Investments, at fair value:
         Money market funds                          $     6,282,396      $     5,294,274
         Mutual funds                                     31,872,876           27,584,740
         Arrow International, Inc. common stock            5,954,059            3,416,128
         Participant loans                                 1,966,698            1,826,132
                                                     ----------------     ----------------

                                                          46,076,029           38,121,274
                                                     ----------------     ----------------

     Receivables:
         Participants' contributions                          33,324               37,226
         Employer's contributions                             76,051               74,023
                                                     ----------------     ----------------

                                                             109,375              111,249
                                                     ----------------     ----------------

         NET ASSETS AVAILABLE FOR BENEFITS           $    46,185,404      $    38,232,523
                                                     ================     ================



SEE NOTES TO FINANCIAL STATEMENTS.
- ------------------------------------------------------------------------------------------
                                            2






ARROW INTERNATIONAL, INC. 401(K) PLAN
====================================================================================================================
STATEMENTS OF CHANGES IN NET ASSETS AVAILABLE FOR BENEFITS



                                                                                    YEARS ENDED AUGUST 31,
                                                                           =========================================
                                                                                  2003                   2002
                                                                           ------------------     ------------------
                                                                                                 
INVESTMENT INCOME (LOSS)
     Net appreciation (depreciation) in fair value of investments               $ 4,875,130            ($5,072,002)
     Interest and dividends                                                         543,319                642,320
                                                                           ------------------     ------------------

                                                                                  5,418,449             (4,429,682)
                                                                           ------------------     ------------------

CONTRIBUTIONS
     Participant                                                                  3,748,970              4,062,624
     Employer, cash                                                                 898,998              1,066,209
     Employer, Arrow International, Inc. common stock                               716,244                717,636
                                                                           ------------------     ------------------

                                                                                  5,364,212              5,846,469
                                                                           ------------------     ------------------

BENEFITS PAID TO PARTICIPANTS                                                    (2,820,130)            (3,137,381)
                                                                           ------------------     ------------------

ADMINISTRATIVE EXPENSES                                                              (9,650)                (8,820)
                                                                           ------------------     ------------------

         NET INCREASE (DECREASE)                                                  7,952,881             (1,729,414)

NET ASSETS AVAILABLE FOR BENEFITS - BEGINNING OF YEAR                            38,232,523             39,961,937
                                                                           ------------------     ------------------

NET ASSETS AVAILABLE FOR BENEFITS - END OF YEAR                                 $46,185,404            $38,232,523
                                                                           ==================     ==================



SEE NOTES TO FINANCIAL STATEMENTS.
- --------------------------------------------------------------------------------------------------------------------
                                                      3




ARROW INTERNATIONAL, INC. 401(K) PLAN
================================================================================
NOTES TO FINANCIAL STATEMENTS



NOTE 1 - DESCRIPTION OF PLAN

              The following brief description of the Arrow International, Inc.
         401(k) Plan (the Plan) is provided for general purposes only.
         Participants should refer to the Plan agreement for a more complete
         description of the Plan's provisions.

              GENERAL

                  The Plan is a contributory, defined contribution plan which
                  was adopted on September 1, 1991 to establish a deferred
                  compensation arrangement under the provisions of Section
                  401(a) of the Internal Revenue Code (the Code). The Plan is
                  subject to the provisions of the Employee Retirement Income
                  Security Act of 1974 (ERISA) and is intended to be a qualified
                  plan under Section 401(a) of the Code. Effective
                  September 1, 2003, the Plan year of the Plan will be
                  December 31.

              ELIGIBILITY

                  All employees of Arrow International, Inc. and any of its
                  affiliates which adopt the Plan are eligible to participate in
                  the Plan immediately upon hire except (i) non-resident aliens
                  and (ii) employees who are not scheduled to work 1,000 hours
                  or more annually; provided, however, any employee who does
                  work or is credited with at least 1,000 hours of service
                  during a plan year will be eligible to participate.

              PARTICIPANT ACCOUNTS

                  Each participant's account is credited with the participant's
                  contributions and credited or charged with allocations of (a)
                  the Company's contributions and (b) Plan investment earnings
                  and losses, and administrative expenses, if any.

              FORFEITED ACCOUNTS

                  As of August 31, 2003 and 2002, forfeited employer matching
                  non-vested accounts amounted to $11,232 and $99,018,
                  respectively. Forfeitures of employer matching non-vested
                  accounts are used to reduce the employer's matching 401(k)
                  contribution. During the years ended August 31, 2003 and 2002,
                  forfeitures of $125,563 and $-0-, respectively, were applied
                  against employer contributions.

              VESTING

                  Participants are immediately vested in their voluntary
                  contributions plus actual earnings thereon. A participant
                  becomes 20% vested in the Company's discretionary
                  contributions to the Plan after one year of service. Vesting
                  increases 20% each year until the participant is fully vested
                  after five years of credited service.



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                                        4




ARROW INTERNATIONAL, INC. 401(K) PLAN
================================================================================
NOTES TO FINANCIAL STATEMENTS



NOTE 1 - DESCRIPTION OF PLAN (CONTINUED)

              CONTRIBUTIONS

                  EMPLOYEE TAX DEFERRED CONTRIBUTIONS

                      Eligible participants may contribute up to 20% of their
                      pre-tax earnings. Participants are not permitted to
                      allocate more than 50% of their contribution to the Arrow
                      International Common Stock Fund.

                  EMPLOYER CONTRIBUTIONS

                      The Plan sponsor can make discretionary matching
                      contributions to the Plan. During 2003 and 2002, the
                      Company made this discretionary matching contribution at
                      the rate of 50% of every dollar contributed by employees
                      up to a maximum of 2% of the employee's pre-tax salary.

                  OTHER EMPLOYER CONTRIBUTIONS

                      The Plan sponsor is permitted to make a discretionary
                      contribution to the Plan for the benefit of all employees.
                      This contribution is to be made in the form of Arrow
                      International common stock. During 2003 and 2002, the Plan
                      sponsor chose to make this contribution at the rate of 1%
                      of each employee's monthly salary. Once this contribution
                      is made, participants have the ability to liquidate the
                      stock and move the proceeds into other Plan investment
                      options. Participants are immediately 100% vested in this
                      contribution.

              PARTICIPANT LOANS

                  A participant may borrow from their accounts a minimum of
                  $1,000 up to a maximum of the lesser of $50,000 or 50% of
                  their vested account balance. Loan terms may not exceed five
                  years unless the loan is for the purchase of a primary
                  residence. Loans are secured by the balance in the
                  participant's account and bear interest at the prime rate.
                  Loans are repaid through regular payroll deductions.

              ADMINISTRATIVE COSTS

                  Substantially all plan expenses are paid by the Plan sponsor.


NOTE 2 - SUMMARY OF ACCOUNTING POLICIES

              A summary of the significant accounting policies consistently
         applied in the preparation of the accompanying financial statements
         follows:

              BASIS OF ACCOUNTING

                  The accompanying financial statements have been prepared on
                  the accrual basis of accounting.



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                                        5



ARROW INTERNATIONAL, INC. 401(K) PLAN
================================================================================
NOTES TO FINANCIAL STATEMENTS



NOTE 2 - SUMMARY OF ACCOUNTING POLICIES (CONTINUED)

              ESTIMATES

                  The preparation of financial statements in conformity with
                  accounting principles generally accepted in the United States
                  of America requires management to make estimates and
                  assumptions that affect the reported amounts of assets and
                  liabilities and disclosure of contingent assets and
                  liabilities at the date of the financial statements and the
                  reported amounts of revenues and expenses during the reporting
                  period. Actual results could differ from those estimates.

              INVESTMENT VALUATION AND INCOME RECOGNITION

                  T. Rowe Price Trust Company is the Plan trustee and
                  recordkeeper.

                  Money market funds and mutual funds are stated at quoted
                  market prices. Participant loans fund are stated at their
                  unpaid principal balance which approximates their fair value.
                  The change in the difference between fair value and the cost
                  of investments is reflected in the statements of changes in
                  net assets available for benefits as a component of the net
                  realized and unrealized appreciation (depreciation) in fair
                  value of investments.

                  Investments of the Plan are exposed to various risks, such as
                  interest rate, market and credit. Due to the level of risk
                  associated with certain investments and the level of
                  uncertainty related to changes in the value of investments, it
                  is at least reasonably possible that changes in risks in the
                  near term would materially affect investment assets reported
                  in the statements of net assets available for benefits and the
                  statements of changes in net assets available for benefits.

                  Purchases and sales of securities are recorded on a trade date
                  basis. Interest income is recorded on the accrual basis.
                  Dividends are recorded on the ex-dividend date.

              PAYMENT OF BENEFITS

                  Benefit payments to participants are recorded when paid.

                  There were distributions due participants in the amount of
                  $24,679 and $13,319 at August 31, 2003 and 2002, respectively.

              RECLASSIFICATION

                  Certain items on the 2002 financial statements have been
                  reclassified to conform to the 2003 financial statement
                  presentation format.



- --------------------------------------------------------------------------------
                                        6


ARROW INTERNATIONAL, INC. 401(K) PLAN
================================================================================
NOTES TO FINANCIAL STATEMENTS



NOTE 3 - INVESTMENTS

              The following table represents plan investments at August 31, 2003
         and 2002. Investments that represent five percent or more of the Plan's
         net assets are separately identified.



                                                            2003                                   2002
                                             -----------------------------------   ------------------------------------
                INVESTMENTS                        COST            FAIR VALUE            COST             FAIR VALUE
- -------------------------------------------- ----------------   ----------------   -----------------   ----------------
                                                                                            
Money market funds, at quoted
     market prices:
     T. Rowe Price Prime Reserve
         Fund, at quoted market prices            $6,282,396         $6,282,396        $  5,294,274       $  5,294,274

Mutual funds, at quoted market prices:
     T. Rowe Price Balanced Fund                   8,975,702          8,883,877           9,072,541          8,262,346
     T. Rowe Price Blue Chip Growth Fund          17,502,553         16,685,287          18,394,690         14,957,186
     Other mutual funds                            6,752,146          6,303,712           5,539,156          4,365,208

Common stock, at quoted market prices:
     Arrow International, Inc.                     4,135,739          5,954,059           3,360,749          3,416,128

Participant loan fund, stated at cost              1,966,698          1,966,698           1,826,132          1,826,132
                                             ----------------   ----------------   -----------------   ----------------

                                                 $45,615,234        $46,076,029         $43,487,542        $38,121,274
                                             ================   ================   =================   ================


              During 2003 and 2002, the Plan's investments (including gains and
         losses on investments bought and sold, as well as held during the year)
         appreciated (depreciated) in value by $4,875,130 and ($5,072,002),
         respectively, as follows:


                                                                                     2003                  2002
                                                                               ----------------     -----------------

                   Arrow International, Inc. common stock                           $1,831,731            ($245,120)
                   Mutual funds                                                      3,043,399           (4,826,882)
                                                                               ----------------     -----------------

                                                                                    $4,875,130          ($5,072,002)
                                                                               ================     =================


NOTE 4 - PLAN TERMINATION

              Although it has not expressed any intent to do so, the Company has
         the right under the Plan to discontinue its contributions at any time
         and to terminate the Plan subject to the provisions of ERISA. In the
         event of Plan termination, participants would become 100% vested in
         their employer contributions.



- --------------------------------------------------------------------------------
                                        7


ARROW INTERNATIONAL, INC. 401(K) PLAN
================================================================================
NOTES TO FINANCIAL STATEMENTS



NOTE 5 - INCOME TAX STATUS

              The Plan obtained its latest determination letter on December 18,
         2002, in which the Internal Revenue Service stated that the Plan, as
         then designed, was in compliance with the applicable requirements of
         the Internal Revenue Code. The Plan has been amended since receiving
         the determination letter. However, the Plan administrator and the
         Plan's tax counsel believe that the Plan is currently designed and
         being operated in compliance with the applicable requirements of the
         Internal Revenue Code. Therefore, no provision for income taxes has
         been included in the Plan's financial statements.


NOTE 6 - PARTIES-IN-INTEREST TRANSACTIONS

              Certain Plan investments are mutual funds that are managed by T.
         Rowe Price, the Plan's trustee and a party-in-interest to the Plan. The
         Plan also has a common stock fund which holds shares of Arrow
         International, Inc., the Plan sponsor and a party-in-interest. The Plan
         held 230,777 shares and 195,208 shares of Arrow International, Inc.
         common stock at August 31, 2003 and 2002, respectively.

              Fees paid during the year for administrative services rendered by
         parties-in-interest were based on customary and reasonable rates for
         such services.


NOTE 7 - EXCESS CONTRIBUTIONS

              As of August 31, 2003 and 2002, net assets available for benefits
         include approximately $45,000 and $68,000, respectively, due to certain
         active participants for excess deferral contributions. The 2002 excess
         contributions were recorded as a reduction in contributions in 2003.
         The 2003 excess contributions will be recorded as benefit payments when
         distributed in 2004.



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                                        8





ARROW INTERNATIONAL, INC. 401(K) PLAN
==================================================================================================================
SCHEDULE OF ASSETS (HELD AT END OF YEAR)
FORM 5500 - SCHEDULE H - LINE 4I
EIN:  23-1969991
PN:  004



                                                      AUGUST 31, 2003
- ------------------------------------------------------------------------------------------------------------------
                                                            DESCRIPTION OF            **                CURRENT
 (A)                 IDENTITY OF ISSUE (B)                  INVESTMENT (C)         COST (D)            VALUE (E)

- -----     --------------------------------------------   ---------------------  --------------     ---------------
                                                                                       
  *         T. Rowe Price Prime Reserve Fund               Money Market Fund          N/A             $  6,282,396
  *         T. Rowe Price Balanced Fund                       Mutual Fund             N/A                8,883,877
  *         T. Rowe Price Blue Chip Growth Fund               Mutual Fund             N/A               16,685,287
  *         T. Rowe Price International Stock Fund            Mutual Fund             N/A                1,160,423
  *         T. Rowe Price Spectrum Income Fund                Mutual Fund             N/A                1,385,782
  *         T. Rowe Price Equity Income Fund                  Mutual Fund             N/A                1,125,586
  *         T. Rowe Price Equity Index 500 Fund               Mutual Fund             N/A                1,881,452
  *         T. Rowe Price Mid-Cap Value Fund                  Mutual Fund             N/A                  146,857
  *         T. Rowe Price Small-Cap Value Fund                Mutual Fund             N/A                  268,285
  *         T. Rowe Price Mid-Cap Growth Fund                 Mutual Fund             N/A                  237,944
  *         T. Rowe Price Small-Cap Stock Fund                Mutual Fund             N/A                   97,383
  *         Arrow International, Inc.                         Common Stock            N/A                5,954,059
            Participant loan fund                            5.25% to 10.5%            0                 1,966,698
                                                                                                   ----------------

                                                                                                       $46,076,029
                                                                                                   ================


*    Party-in-interest.
**   Historical cost has not been presented as all investments are participant directed.



- ------------------------------------------------------------------------------------------------------------------
                                                        9





                                   SIGNATURES




         THE PLAN, pursuant to the requirements of the Securities Exchange Act
of 1934, the trustees (or other persons who administer the Plan), have duly
caused this annual report to be signed by the undersigned hereunto duly
authorized.



                                    ARROW INTERNATIONAL, INC. 401(k) PLAN




Date:     February  25,  2004       By:  /s/  John C. Long
      -----------------------          -----------------------------------------
                                         John C. Long
                                         Vice-President, Secretary and Treasurer




                                       10


                                INDEX TO EXHIBIT
                                ----------------



Exhibit No.
- -----------

23.1             Consent of Beard Miller Company LLP, independent auditors










                                       11