It means the group's wireless vital signs monitoring system - SensiumVitals - will now be available in Saudi Arabia, the United Arab Emirates, Qatar, Lebanon and Bahrain.
Toumaz chief executive Anthony Sethill told investors: "SensiumVitals represents state-of-the-art wearable, wireless patient monitoring.
"Our aim is to make the system available to patients and healthcare providers throughout the world. Today's announcement is a strong indication of the system's international appeal.
"The Middle East has some of the most high tech hospitals in the world - and is therefore an ideal market to introduce a highly innovative product such as SensiumVitals."
The new agreements follow the establishment of division Sensium Healthcare's direct sales force in the UK, Germany and France and other distribution agreements in USA, Canada, Mexico, Australia, New Zealand, Portugal and Scandinavia.