AMENDED AND RESTATED 2005 EMPLOYMENT AGREEMENT


         This Amended and Restated Employment Agreement (this "Agreement") is
made as of the 19th day of December, 2005 by and between Integra LifeSciences
Holdings Corporation, a Delaware Corporation (the "Company") and David B. Holtz
("Executive").

                                   Background

         Executive is currently the Senior Vice President, Finance, of the
Company. The Company desires to continue to employ Executive, and Executive
desires to remain in the employ of the Company, on the terms and conditions
contained in this Agreement. Executive will be substantially involved with the
Company's operations and management and will learn trade secrets and other
confidential information relating to the Company and its customers; accordingly,
the noncompetition covenant and other restrictive covenants contained in Section
14 of this Agreement constitute essential elements hereof.

         NOW, THEREFORE, in consideration of the premises and the mutual
agreements contained herein and intended to be legally bound hereby, the parties
hereto agree as follows:

                                      Terms

         1. Definitions. The following words and phrases shall have the meanings
set forth below for the purposes of this Agreement (unless the context clearly
indicates otherwise):

            (a) "Base Salary" shall have the meaning set forth in Section 5.

            (b) "Board" shall mean the Board of Directors of the Company, or any
                successor thereto.

            (c) "Cause," as determined by the Board in good faith, shall mean
                Executive has --

                (1) failed to perform his stated duties in all material
                    respects, which failure continues for 15 days after his
                    receipt of written notice of the failure;

                (2) intentionally and materially breached any provision of this
                    Agreement and not cured such breach (if curable) within 15
                    days of his receipt of written notice of the breach;

                (3) demonstrated his personal dishonesty in connection with his
                    employment by the Company;

                (4) engaged in willful misconduct in connection with his
                    employment with the Company;

                (5) engaged in a breach of fiduciary duty in connection with his
                    employment with the Company; or




                (6) willfully violated any law, rule or regulation, or final
                    cease-and-desist order (other than traffic violations or
                    similar offenses) or engaged in other serious misconduct of
                    such a nature that his continued employment may reasonably
                    be expected to cause the Company substantial economic or
                    reputational injury.

            (d) A "Change in Control" of the Company shall be deemed to have
                occurred:

                (1) if the "beneficial ownership" (as defined in Rule 13d-3
                    under the Securities Exchange Act of 1934) of securities
                    representing more than fifty percent (50%) of the combined
                    voting power of the Company Voting Securities (as herein
                    defined) is acquired by any individual, entity or group (a
                    "Person"), other than the Company, any trustee or other
                    fiduciary holding securities under any employee benefit plan
                    of the Company or an affiliate thereof, or any corporation
                    owned, directly or indirectly, by the stockholders of the
                    Company in substantially the same proportions as their
                    ownership of stock of the Company (for purposes of this
                    Agreement, "Company Voting Securities" shall mean the then
                    outstanding voting securities of the Company entitled to
                    vote generally in the election of directors); provided,
                    however, that any acquisition from the Company or any
                    acquisition pursuant to a transaction which complies with
                    clauses (i), (ii) and (iii) of paragraph (3) of this
                    definition shall not be a Change in Control under this
                    paragraph (1); or

                (2) if individuals who, as of the date hereof, constitute the
                    Board (the "Incumbent Board") cease for any reason during
                    any period of at least 24 months to constitute at least a
                    majority of the Board; provided, however, that any
                    individual becoming a director subsequent to the date hereof
                    whose election, or nomination for election by the Company's
                    stockholders, was approved by a vote of at least a majority
                    of the directors then comprising the Incumbent Board shall
                    be considered as though such individual were a member of the
                    Incumbent Board, but excluding, for this purpose, any such
                    individual whose initial assumption of office occurs as a
                    result of an actual or threatened election contest with
                    respect to the election or removal of directors or other
                    actual or threatened solicitation of proxies or consents by
                    or on behalf of a Person other than the Board; or

                (3) upon consummation by the Company of a reorganization, merger
                    or consolidation or sale or other disposition of all or
                    substantially all of the assets of the Company or the
                    acquisition of assets or stock of any entity (a "Business
                    Combination"), in each case, unless immediately following
                    such Business Combination: (i) Company Voting Securities
                    outstanding immediately prior to such Business Combination
                    (or if such Company Voting Securities were converted
                    pursuant to such Business Combination, the shares into which
                    such Company Voting Securities were converted) (x)
                    represent, directly or indirectly, more than 50% of the

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                    combined voting power of the then outstanding voting
                    securities entitled to vote generally in the election of
                    directors of the corporation resulting from such Business
                    Combination (the "Surviving Corporation"), or, if
                    applicable, a corporation which as a result of such
                    transaction owns the Company or all or substantially all of
                    the Company's assets either directly or through one or more
                    subsidiaries (the "Parent Corporation") and (y) are held in
                    substantially the same proportions after such Business
                    Combination as they were immediately prior to such Business
                    Combination; (ii) no Person (excluding any employee benefit
                    plan (or related trust) of the Company or such corporation
                    resulting from such Business Combination) beneficially owns,
                    directly or indirectly, 50% or more of the combined voting
                    power of the then outstanding voting securities eligible to
                    elect directors of the Parent Corporation (or, if there is
                    no Parent Corporation, the Surviving Corporation) except to
                    the extent that such ownership of the Company existed prior
                    to the Business Combination; and (iii) at least a majority
                    of the members of the board of directors of the Parent
                    Corporation (or, if there is no Parent Corporation, the
                    Surviving Corporation) were members of the Incumbent Board
                    at the time of the execution of the initial agreement, or
                    the action of the Board, providing for such Business
                    Combination; or

                (4) upon approval by the stockholders of the Company of a
                    complete liquidation or dissolution of the Company.

            (e) "Code" shall mean the Internal Revenue Code of 1986, as amended.

            (f) "Company" shall mean Integra LifeSciences Holdings Corporation
                and any corporation, partnership or other entity owned directly
                or indirectly, in whole or in part, by Integra LifeSciences
                Holdings Corporation.

            (g) "Disability" shall mean Executive's inability to perform his
                duties hereunder by reason of any medically determinable
                physical or mental impairment which is expected to result in
                death or which has lasted or is expected to last for a
                continuous period of not fewer than six months.

            (h) "Good Reason" shall mean:

                (1) a material breach of this Agreement by the Company which is
                    not cured by the Company within 15 days of its receipt of
                    written notice of the breach;

                (2) without Executive's express written consent, the Company
                    reduces Executive's Base Salary or materially reduces the
                    aggregate fringe benefits provided to Executive (except to

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                    the extent permitted by Section 5 or Section 6,
                    respectively) or substantially alters the Executive's
                    authority as set forth in Section 2 hereof in a manner
                    reasonably construed to constitute a demotion; provided,
                    Executive resigns within 90 days after the change objected
                    to and provided, however, that the appointment of a Chief
                    Financial Officer shall not constitute a demotion hereunder;
                    or

                (3) without Executive's express written consent, Executive fails
                    at any point during the one-year period following a Change
                    in Control to hold the title and authority held by Executive
                    immediately prior to the Change in Control with the Parent
                    Corporation (or if there is no Parent Corporation, the
                    Surviving Corporation) that Executive held with the Company
                    immediately prior to the Change of Control, provided
                    Executive resigns within one year of the Change in Control;

                (4) the Company fails to obtain the assumption of this Agreement
                    by any successor to the Company;

                (5) If the Company appoints a Chief Financial Officer and
                    Executive is no longer responsible for the Finance
                    department of the Company and the Company and Executive do
                    not mutually agree to an amended job title and/or
                    responsibilities for Executive by the 30th day before the
                    expiration of this Agreement (without regard to any
                    extensions); it being understood that Executive's
                    performance of different duties on an interim basis after a
                    Chief Financial Officer is appointed shall not be deemed
                    Executive's agreement to "an amended job title and/or
                    responsibilities" within the meaning of this paragraph (5)
                    unless Executive expressly so states.

            (i) "Principal Executive Office" shall mean the Company's principal
                office for executives, presently located at 311 Enterprise
                Drive, Plainsboro, New Jersey 08536.

            (j) "Retirement" shall mean the termination of Executive's
                employment with the Company in accordance with the retirement
                policies, including early retirement policies, generally
                applicable to the Company's salaried employees.

            (k) "Termination Date" shall mean the date specified in the
                Termination Notice.

            (l) "Termination Notice" shall mean a dated notice which: (i)
                indicates the specific termination provision in this Agreement
                relied upon (if any); (ii) sets forth in reasonable detail the
                facts and circumstances claimed to provide a basis for the

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                termination of Executive's employment under such provision;
                (iii) specifies a Termination Date; and (iv) is given in the
                manner specified in Section 15(h).

         2. Employment. The Company hereby employs Executive as Senior Vice
President, Finance or such other title and position as Executive and the Chief
Executive Officer of the Company may mutually agree upon from time to time.
Until the Company appoints a Chief Financial Officer, Executive shall be
responsible for the Finance Department of the Company. Executive hereby agrees
to continue his employment and agrees to render services to the Company in such
capacity (or in such other capacity in the future as the Chief Executive Officer
may reasonably deem equivalent to such position) on the terms and conditions set
forth in this Agreement. Executive's primary place of employment shall be at the
Principal Executive Office and Executive shall report to the Chief Executive
Officer until such time as a Chief Financial Officer is appointed, at which time
Executive shall report to the Chief Financial Officer.

         3. Term.

            (a) Term and Renewal of Agreement. Unless earlier terminated by
                Executive or the Company as provided in Section 10 hereof, the
                term of Executive's employment under this Agreement shall
                commence on the date of this Agreement and terminate on December
                31, 2006. Subject to subsection 3(b), this Agreement shall be
                deemed automatically, without further action, to extend for an
                additional year on December 31, 2006 and each anniversary
                thereof.

            (b) Annual Review. Prior to December 31, 2006 and each anniversary
                thereof, the Board shall consider extending the term of this
                Agreement. The term shall continue to extend in the manner set
                forth in subsection 3(a) unless either the Board does not
                approve the extension and provides written notice to Executive
                of such event, or Executive gives written notice to the Company
                of Executive's election not to extend the term. In either case,
                the written notice shall be given not fewer than 30 days prior
                to any such renewal date. References herein to the term of this
                Agreement shall refer both to the initial term and successive
                terms.

         4. Duties. Executive shall:

            (a) faithfully and diligently do and perform all such acts and
                duties, and furnish such services as are assigned to Executive
                as of the date this Agreement is signed, and (subject to Section
                2) such additional acts, duties and services as the Chief
                Executive Officer or the Board may assign in the future; and

            (b) devote his full professional time, energy, skill and best
                efforts to the performance of his duties hereunder, in a manner
                that will faithfully and diligently further the business and
                interests of the Company, and shall not be employed by or
                participate or engage in or in any manner be a part of the

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                management or operations of any business enterprise other than
                the Company without the prior consent of the Chief Executive
                Officer or the Board, which consent may be granted or withheld
                in his or its sole discretion; provided, however, that
                notwithstanding the foregoing, Executive may serve on civic or
                charitable boards or committees so long as such service does not
                materially interfere with Executive's obligations pursuant to
                this Agreement.

         5. Compensation.

            (a) Base Salary. The Company shall compensate Executive for his
                services at a minimum base salary of $250,000 per year ("Base
                Salary"), payable in periodic installments in accordance with
                the Company's regular payroll practices in effect from time to
                time. Executive's Base Salary shall be subject to annual
                reviews, but may not be decreased without Executive's express
                written consent (unless the decrease is pursuant to a general
                compensation reduction applicable to all, or substantially all,
                executive officers of the Company).

            (b) Bonus Opportunity. Executive shall have the opportunity to
                receive a performance bonus targeted at 30% of his Base Salary
                as determined by the Compensation Committee of the Board (the
                "Compensation Committee") in its sole discretion.

            (c) Restricted Stock. Upon approval of the Compensation Committee,
                the Company shall grant Executive 6,750 shares of the Company's
                common stock subject to forfeiture and certain other
                restrictions (the "Restricted Stock") pursuant to the Company's
                2003 Equity Incentive Plan and the terms and conditions set
                forth in the Restricted Stock Agreement set forth on Exhibit A
                hereto, (the "Restricted Stock Agreement"). In the event of any
                inconsistency between the term of this Agreement and the
                Restricted Stock Agreement, the Restricted Stock Agreement shall
                govern. The Restricted Stock shall vest and become
                non-forfeitable on the earlier of (i) Change in Control, (ii)
                Termination of Executive's employment without Cause, death, for
                Good Reason or Disability prior to December 31, 2006, or (iii)
                December 31, 2006. Until vested the Restricted Stock shall not
                be transferable and shall be subject to forfeiture if Executive
                terminates his employment without Good Reason or the Company
                terminates Executive's employment for Cause.

         6. Benefit Plans. Executive shall be entitled to participate in and
receive benefits under any employee benefit plan or stock-based plan of the
Company, and shall be eligible for any other plans and benefits covering
executives of the Company, to the extent commensurate with his then duties and
responsibilities fixed by the Board. The Company shall not make any change in
such plans or benefits that would adversely affect Executive's rights
thereunder, unless such change affects all, or substantially all, executive
officers of the Company.

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         7. Vacation. Executive shall be entitled to paid annual vacation in
accordance with the policies established from time to time by the Board, which
shall in no event be fewer than three weeks per annum.

         8. Business Expenses. The Company shall reimburse Executive or
otherwise pay for all reasonable expenses incurred by Executive in furtherance
of or in connection with the business of the Company, including, but not limited
to, automobile and traveling expenses and all reasonable entertainment expenses,
subject to such reasonable documentation and other limitations as may be
established by the Company.

         9. Disability. In the event Executive incurs a Disability, Executive's
obligation to perform services under this Agreement will terminate, and the
Board may terminate this Agreement upon written notice to Executive.

         10. Termination.

            (a) Termination without Salary Continuation. In the event (i)
                Executive terminates his employment hereunder other than for
                Good Reason, or (ii) Executive's employment is terminated by the
                Company due to his Retirement, or death, or for Cause, Executive
                shall have no right to compensation or other benefits pursuant
                to this Agreement for any period after his last day of active
                employment. Additionally, subject to the exceptions set forth in
                subsection 5(c), all nonvested Restricted Stock granted pursuant
                to this Agreement shall be forfeited as of Executive's last day
                of active employment.

            (b) Termination with Salary Continuation (No Change in Control).
                Except as provided in subsection 10(c) in the event of a Change
                in Control, in the event (i) Executive's employment is
                terminated by the Company for a reason other than Retirement,
                death, Disability or Cause, or (ii) Executive terminates his
                employment for Good Reason, or (iii) the Company shall fail to
                extend this Agreement pursuant to the provisions of Section 3,
                then the Company shall:

                (1) pay Executive a severance amount equal to Executive's Base
                    Salary (determined without regard to any reduction in
                    violation of Section 5) as of his last day of active
                    employment , plus the target bonus under Section 5(b). The
                    severance amount shall be paid in a single sum on the first
                    business day of the month following the Termination Date;
                    and

                (2) maintain and provide to Executive, at no cost to Executive,
                    for a period ending at the earliest of (i) the first
                    anniversary of the Termination Date; (ii) the date of
                    Executive's full-time employment by another employer; or
                    (iii) Executive's death, continued participation in all
                    group insurance, life insurance, health and accident,
                    disability, and other employee benefit plans in which
                    Executive would have been entitled to participate had his

                                      -7-


                    employment with the Company continued throughout such
                    period, provided that such participation is not prohibited
                    by the terms of the plan or by the Company for legal
                    reasons.

            (c) Termination with Salary Continuation (Change in Control).
                Notwithstanding anything to the contrary set forth in subsection
                10(b), in the event within twelve months of a Change in Control:
                (i) Executive terminates his employment for Good Reason, or (ii)
                Executive's employment is terminated by the Company for a reason
                other than Retirement, death, Disability or Cause, or (iii) the
                Company shall fail to extend this Agreement pursuant to Section
                3, then the Company shall:

                (1) pay Executive a severance amount equal to 2.99 times
                    Executive's Base Salary (determined without regard to any
                    reduction in violation of Section 5) as of his last day of
                    active employment plus the target bonus under Section 5(b);
                    the severance amount shall be paid in a single sum on the
                    first business day of the month following the Termination
                    Date;

                (2) maintain and provide to Executive, at no cost to Executive,
                    for a period ending at the earliest of (i) the fifth
                    anniversary of the date of this Agreement; or (ii)
                    Executive's death, continued participation in all group
                    insurance, life insurance, health and accident, disability,
                    and other employee benefit plans in which Executive would
                    have been entitled to participate had his employment with
                    the Company continued throughout such period, provided that
                    such participation is not prohibited by the terms of the
                    plan or by the Company for legal reasons; and

                (3) pay to Executive all reasonable legal fees and expenses
                    incurred by Executive as a result of such termination of
                    employment (including all fees and expenses, if any,
                    incurred by Executive in contesting or disputing any such
                    termination or in seeking to obtain to enforce any right or
                    benefit provided to Executive by this Agreement whether by
                    arbitration or otherwise).

            (d) Termination Notice. Except in the event of Executive's death, a
                termination under this Agreement shall be effected by means of a
                Termination Notice.

            (e) Parachute Payment Limitation. If any payment or benefit to
                Executive under this Agreement would be considered a "parachute
                payment" within the meaning of Section 280G(b)(2) of the Code
                and, if, after reduction for any applicable federal excise tax
                imposed by Section 4999 of the Code (the "Excise Tax") and
                federal income tax imposed by the Code, Executive's net proceeds
                of the amounts payable and the benefits provided under this
                Agreement would be less than the amount of Executive's net
                proceeds resulting from the payment of the Reduced Amount

                                      -8-


                described below, after reduction for federal income taxes, then
                the amount payable and the benefits provided under this
                Agreement shall be limited to the Reduced Amount. The "Reduced
                Amount" shall be the largest amount that could be received by
                Executive under this Agreement such that no amount paid to
                Executive under this Agreement and any other agreement,
                contract, or understanding heretofore or hereafter entered into
                between Executive and the Company (the "Other Agreements") and
                any formal or informal plan or other arrangement heretofore or
                hereafter adopted by the Company for the direct or indirect
                provision of compensation to Executive (including groups or
                classes of participants or beneficiaries of which Executive is a
                member), whether or not such compensation is deferred, is in
                cash, or is in the form of a benefit to or for Executive (a
                "Benefit Plan") would be subject to the Excise Tax. In the event
                that the amount payable to Executive shall be limited to the
                Reduced Amount, then Executive shall have the right, in
                Executive's sole discretion, to designate those payments or
                benefits under this Agreement, any Other Agreements, and/or any
                Benefit Plans, that should be reduced or eliminated so as to
                avoid having the payment to Executive under this Agreement be
                subject to the Excise Tax.

            (f) Section 409A. Notwithstanding any other provision in this
                Agreement to the contrary, any payments that would constitute
                deferred compensation for purposes of (and subject to) Code
                Section 409A shall be deferred for a period of six months
                following Executive's separation from service with the Company.

         11. Withholding. The Company shall have the right to withhold from all
payments made pursuant to this Agreement any federal, state, or local taxes and
such other amounts as may be required by law to be withheld from such payments.

         12. Assignability. The Company may assign this Agreement and its rights
and obligations hereunder in whole, but not in part, to any entity to which the
Company may transfer all or substantially all of its assets, if in any such case
said entity shall expressly in writing assume all obligations of the Company
hereunder as fully as if it had been originally made a party hereto. The Company
may not otherwise assign this Agreement or its rights and obligations hereunder.
This Agreement is personal to Executive and his rights and duties hereunder
shall not be assigned except as expressly agreed to in writing by the Company.

         13. Death of Executive. Any amounts due Executive under this Agreement
(not including any Base Salary not yet earned by Executive) unpaid as of the
date of Executive's death shall be paid in a single sum as soon as practicable
after Executive's death to Executive's surviving spouse, or if none, to the duly
appointed personal representative of his estate.

         14. Restrictive Covenants.

            (a) Covenant Not to Compete. During the term of this Agreement and
                for a period of one (1) year following the Termination Date,
                Executive shall not, without the express written consent of the
                Company, directly or indirectly: (i) engage, anywhere within the
                geographical areas in which the Company is conducting business
                operations or providing services as of the date of Executive's
                termination of employment, in the tissue engineering business

                                      -9-


                (the use of implantable absorbable materials, with or without a
                bioactive component, to attempt to elicit a specific cellular
                response in order to regenerate tissue or to impede the growth
                of tissue or migration of cells) (the "Tissue Engineering
                Business"), neurosurgery business (the use of surgical
                instruments, implants, monitoring products or disposable
                products to treat the brain or central nervous system)
                ("Neurosurgery Business"), instrument business (general surgical
                handheld instruments used for general purposes in surgical
                procedures) ("Instrument Business"), reconstruction business
                (bone fixation devices for foot and ankle reconstruction
                procedures) ("Reconstruction Business") or in any other line of
                business the revenues of which constituted at least 50% of the
                Company's revenues during the six (6) month period prior to the
                Termination Date (together with the Tissue Engineering Business,
                Neurosurgery Business, Instrument Business and Reconstruction
                Business, the "Business"); (ii) be or become a stockholder,
                partner, owner, officer, director or employee or agent of, or a
                consultant to or give financial or other assistance to, any
                person or entity engaged in the Business; (iii) seek in
                competition with the business of the Company to procure orders
                from or do business with any customer of the Company; (iv)
                solicit or contact with a view to the engagement or employment
                by any person or entity of any person who is an employee of the
                Company; (v) seek to contract with or engage (in such a way as
                to adversely affect or interfere with the business of the
                Company) any person or entity who has been contracted with or
                engaged to manufacture, assemble, supply or deliver products,
                goods, materials or services to the Company; or (vi) engage in
                or participate in any effort or act to induce any of the
                customers, associates, consultants, or employees of the Company
                to take any action which might be disadvantageous to the
                Company; provided, however, that nothing herein shall prohibit
                Executive and his affiliates from owning, as passive investors,
                in the aggregate not more than 5% of the outstanding publicly
                traded stock of any corporation so engaged.

            (b) Confidentiality. Executive acknowledges a duty of
                confidentiality owed to the Company and shall not, at any time
                during or after his employment by the Company, retain in
                writing, use, divulge, furnish, or make accessible to anyone,
                without the express authorization of the Board, any trade
                secret, private or confidential information or knowledge of the
                Company obtained or acquired by him while so employed. All
                computer software, business cards, telephone lists, customer
                lists, price lists, contract forms, catalogs, the Company books,
                records, files and know-how acquired while an employee of the
                Company are acknowledged to be the property of the Company and
                shall not be duplicated, removed from the Company's possession
                or premises or made use of other than in pursuit of the

                                      -10-


                Company's business or as may otherwise be required by law or any
                legal process, or as is necessary in connection with any
                adversarial proceeding against the Company and, upon termination
                of employment for any reason, Executive shall deliver to the
                Company all copies thereof which are then in his possession or
                under his control. No information shall be treated as
                "confidential information" if it is generally available public
                knowledge at the time of disclosure or use by Executive.

            (c) Inventions and Improvements. Executive shall promptly
                communicate to the Company all ideas, discoveries and inventions
                which are or may be useful to the Company or its business.
                Executive acknowledges that all such ideas, discoveries,
                inventions, and improvements which heretofore have been or are
                hereafter made, conceived, or reduced to practice by him at any
                time during his employment with the Company heretofore or
                hereafter gained by him at any time during his employment with
                the Company are the property of the Company, and Executive
                hereby irrevocably assigns all such ideas, discoveries,
                inventions and improvements to the Company for its sole use and
                benefit, without additional compensation. The provisions of this
                Section 14(c) shall apply whether such ideas, discoveries,
                inventions, or improvements were or are conceived, made or
                gained by him alone or with others, whether during or after
                usual working hours, whether on or off the job, whether
                applicable to matters directly or indirectly related to the
                Company's business interests (including potential business
                interests), and whether or not within the specific realm of his
                duties. Executive shall, upon request of the Company, but at no
                expense to Executive, at any time during or after his employment
                with the Company, sign all instruments and documents reasonably
                requested by the Company and otherwise cooperate with the
                Company to protect its right to such ideas, discoveries,
                inventions, or improvements including applying for, obtaining
                and enforcing patents and copyrights thereon in such countries
                as the Company shall determine.

            (d) Breach of Covenant. Executive expressly acknowledges that
                damages alone will be an inadequate remedy for any breach or
                violation of any of the provisions of this Section 14 and that
                the Company, in addition to all other remedies, shall be
                entitled as a matter of right to equitable relief, including
                injunctions and specific performance, in any court of competent
                jurisdiction. If any of the provisions of this Section 14 are
                held to be in any respect unenforceable, then they shall be
                deemed to extend only over the maximum period of time,
                geographic area, or range of activities as to which they may be
                enforceable.

          15. Miscellaneous.

            (a) Amendment. No provision of this Agreement may be amended unless
                such amendment is signed by Executive and such officer as may be
                specifically designated by the Board to sign on the Company's
                behalf.

                                      -11-



            (b) Nature of Obligations. Nothing contained herein shall create or
                require the Company to create a trust of any kind to fund any
                benefits which may be payable hereunder, and to the extent that
                Executive acquires a right to receive benefits from the Company
                hereunder, such right shall be no greater than the right of any
                unsecured general creditor of the Company.

            (c) Prior Employment. Executive represents and warrants that his
                acceptance of employment with the Company has not breached, and
                the performance of his duties hereunder will not breach, any
                duty owed by him to any prior employer or other person.

            (d) Headings. The Section headings contained in this Agreement are
                for reference purposes only and shall not affect in any way the
                meaning or interpretation or this Agreement. In the event of a
                conflict between a heading and the content of a Section, the
                content of the Section shall control.

            (e) Gender and Number. Whenever used in this Agreement, a masculine
                pronoun is deemed to include the feminine and a neuter pronoun
                is deemed to include both the masculine and the feminine, unless
                the context clearly indicates otherwise. The singular form,
                whenever used herein, shall mean or include the plural form
                where applicable.

            (f) Severability. If any provision of this Agreement or the
                application thereof to any person or circumstance shall be
                invalid or unenforceable under any applicable law, such event
                shall not affect or render invalid or unenforceable any other
                provision of this Agreement and shall not affect the application
                of any provision to other persons or circumstances.

            (g) Binding Effect. This Agreement shall be binding upon and inure
                to the benefit of the parties hereto and their respective
                successors, permitted assigns, heirs, executors and
                administrators.

            (h) Notice. For purposes of this Agreement, notices and all other
                communications provided for in this Agreement shall be in
                writing and shall be deemed to have been duly given if
                hand-delivered, sent by documented overnight delivery service or
                by certified or registered mail, return receipt requested,
                postage prepaid, addressed to the respective addresses set forth
                below:

                To the Company:

                    Integra LifeSciences Holdings Corporation
                    311 Enterprise Drive
                    Plainsboro, New Jersey 08536
                    Attn:  President

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                With a copy to:

                    The Company's General Counsel

                To the Executive:

                    David B. Holtz
                    52 Heritage Drive
                    Allentown, NJ  05801

            (i) Entire Agreement. This Agreement sets forth the entire
                understanding of the parties and supersedes all prior
                agreements, arrangements and communications, whether oral or
                written, pertaining to the subject matter hereof.

            (j) Governing Law. The validity, interpretation, construction and
                performance of this Agreement shall be governed by the laws of
                the United States where applicable and otherwise by the laws of
                the State of New Jersey.

         IN WITNESS WHEREOF, this Agreement has been executed as of the date
first above written.

INTEGRA LIFESCIENCES HOLDINGS                        EXECUTIVE
CORPORATION


By:  /s/ Stuart M. Essig                              /s/ David B. Holtz
     ---------------------------------------          -----------------------
Its: President and Chief Executive Officer            David B. Holtz