Exhibit 10.22

500 Expressway Drive South

Brentwood, NY 11717

Phone: 631.231.4600

Fax: 631.404.3899

www.medical-action.com

June 14, 2012

Mr. Rick Setian

[_____________]

[_____________]

Dear Rick,

As approved by Paul D. Meringolo, CEO & President, and the Board of Directors, I am providing you with a summary of your Fiscal Year 2013 compensation program as an Executive Officer and member of the Executive Leadership Team:

·   Effective July 1, 2012 your new title will be President & General Manager – Custom Procedure Trays/OR Products

·   Base Salary - $11,538.46 bi-weekly to be effective July 1, 2012 (Subject to applicable taxes)

·   Salary adjustment of $10,020 per month to be paid on the last payroll of each month in FY’13. (Effective July 2012 and subject to applicable taxes) You must be employed at the time of payment to be eligible

·   Bonus Opportunity at 50% of base upon achievement of $12.7M in Operating Income

·   20,000 Restricted Shares granted upon achievement of $15M in Operating Income

·   Car allowance of $15,000 per year

Your leadership and dedication to our Values in Action will allow us to achieve our goals in FY’13.  Please sign and return this document to me at your earliest convenience.

Sincerely,

/s/ Laurie Darnaby

Laurie Darnaby, SPHR

Vice President of Human Resources

/s/ Rick Setian                                                                                                                                   03/11/2013

Rick Setian, President & General Manager -                                                                                Date

Custom Procedure Trays/OR Products