| Name of Company                                                             |   | Organized UnderLaws of |
|---------------------------------------------------------------------------------------|--------|----------------------------------|
|                                                                                  |   |                             |
| Domestic:                                                                             |   |                             |
| Symmetry      Medical USA, Inc.                                             |   | Delaware                         |
| Symmetry      Medical International, Inc.                                   |   | Delaware                         |
| Mettis      Group, Inc.                                                     |   | Delaware                         |
| Ultrexx, Inc.                                                                    |   | Indiana                          |
| Jet      Engineering, Inc.                                                       |   | Michigan                         |
| Specialty      Surgical Instrumentation, Inc. (d/b/a SSI, Inc.)             |   | Tennessee                        |
| Symmetry      Medical SSI Real Estate, LLC                                       |   | Tennessee                        |
| Riley      Medical, Inc.                                                    |   | Massachusetts                    |
| SMA      Real Estate, LLC                                                        |   | Maine                            |
| Symmetry      Medical Everest, LLC                                               |   | Delaware                         |
| TNCO, Inc.                                                                  |   | Massachusetts                    |
| Symmetry      New Bedford Real Estate, LLC                                       |   | Delaware                         |
|                                                                                  |   |                             |
| International:                                                                        |   |                             |
| Symmetry      Medical Cheltenham, Limited (f/k/a Othy Limited)                        |   | England                          |
| Poly-Vac France S.A.R.L.                                               |   | France                           |
| Symmetry      Medical Poly-Vac S.A.S. (f/k/a Poly-Vac S.A.)                 |   | France                           |
| Thornton      Precision Components Limited                                            |   | England                          |
| Everest      Metal International, Ltd.                                      |   | Ireland                          |
| Whedon,      Limited                                                                  |   | England                          |
| Clamonta,      Limited                                                                |   | England                          |
| Symmetry      Medical Switzerland SA (f/k/a Riley Medical      Europe S.A.) |   | Switzerland                      |
| Symmetry      Medical Malaysia, SDN                                                   |   | Malaysia                         |
| Introfocus,      Limited                                                              |   |  England                    |

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