Document:

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                                                                   EXHIBIT 10.31

                    INTEGRA LIFESCIENCES HOLDINGS CORPORATION
                   CONTRACT STOCK / RESTRICTED UNITS AGREEMENT
                                   Pursuant to
                           2003 EQUITY INCENTIVE PLAN

            AGREEMENT, dated as of July 27, 2004, by and between Integra
LifeSciences Holdings Corporation, a Delaware corporation (the "Company"), and
Stuart M. Essig ("Executive").

            WHEREAS, the Company and Executive have entered into an Amended and
Restated Employment Agreement (the "Employment Agreement"), dated as of July 27,
2004, pursuant to which Executive will continue to serve as President and Chief
Executive Officer of the Company, on the terms and conditions set forth and
described therein; and

            WHEREAS, pursuant to the Employment Agreement, the Company has
agreed to grant to Executive an aggregate of 750,000 (seven hundred fifty
thousand) shares of contract stock in the form of restricted units (the "Units")
representing an equal number of shares of restricted common stock of the
Company, par value $.01 per share ("Common Stock"), on the terms set forth
herein; and

            WHEREAS, the grant of Units and restricted Common Stock hereunder is
being made under the Integra LifeSciences Holdings Corporation 2003 Equity
Incentive Plan (the "2003 Plan"), a copy of which is attached.

            NOW, THEREFORE, the parties agree as follows:

      1. Definitions. Capitalized terms not otherwise defined herein shall have
the meaning set forth in the Employment Agreement, unless otherwise indicated.

      2. Grant of Units. Pursuant to Section 3.2(c) of the Employment Agreement,
Executive is hereby granted, as of July 27, 2004, deferred compensation in the
form of 750,000 (seven hundred fifty thousand) Units pursuant to the terms of
this Agreement and to the 2003 Plan.

      3. Dividend Equivalents. Executive shall be paid, on a quarterly basis
with respect to all outstanding Units (as such Units may be adjusted under
Section 6), dividend equivalent amounts equal to the regular quarterly cash
dividend payable to holders of Common Stock (to the extent regular quarterly
cash dividends are paid) as if Executive were an actual shareholder with respect
to the number of shares of Common Stock equal to his outstanding Units. Such
dividend equivalents shall be paid on the same date as the regular quarterly
cash dividend is paid by the Company in respect of the Common Stock.

      4. Payments of Units.

      (a) The shares of Common Stock underlying the Units (the "Unit Shares")
shall be paid out to Executive on the first business day following the date
Executive's

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employment with the Company terminates; provided, however, that Executive shall
have a one-time right to elect to defer the delivery of the Unit Shares by
giving written notice to the Company (but in no event shall Executive defer
delivery of the Unit Shares beyond June 30, 2029) and in no event shall
Executive's deferral election be effective unless (i) made at least twelve
months prior to the otherwise applicable distributing date and (ii) the deferred
delivery date is at least five years (or such shorter period as may be allowed
under applicable law without causing any immediate taxation or imposition of
interest or penalties) beyond the scheduled delivery date. The Executive's right
to defer delivery of the Unit Shares shall be permitted only if such election
shall not cause constructive receipt of such shares under applicable law or
otherwise directly result in any interest or penalties being imposed on
Executive. If such right to elect to defer would cause Executive to be subject
to immediate taxation or would result in any interest or penalties being
imposed, such right shall be deemed automatically modified to the minimum extent
necessary (as mutually agreed by the Company and the Executive) to avoid such
immediate taxation or imposition of interest or penalties. In the event a Change
in Control occurs, the timing of the payment of the Unit Shares shall be
governed by the terms of the Employment Agreement. Notwithstanding any election
by Executive to defer delivery of Unit Shares, in the event that Executive
becomes subject to income taxation on any Units or Unit Shares prior to the then
currently scheduled date (or dates, as applicable) of delivery, Executive shall
receive an immediate distribution of all Unit Shares which are then subject to
immediate taxation. The Company shall consult with Executive before making any
such distribution of Unit Shares to confirm whether Executive intends to dispute
any asserted recognition of taxation on Units of Unit Shares prior to the
scheduled deferred delivery date.

      (b) Any Unit Shares delivered shall be deposited in an account designated
by Executive and maintained at a brokerage house selected by Executive. Any such
Unit Shares shall be duly authorized, fully paid and non-assessable shares,
listed with NASDAQ or the principal United States securities exchange on which
the Common Stock is admitted to trading and registered on the Company
Registration Statement, if registration is requested by Executive.

      (c) Except as otherwise provided in this Agreement, Executive shall not be
deemed to be a holder of any Common Stock pursuant to a Unit until the date of
the issuance of a certificate to him for such shares and, except as otherwise
provided in this Agreement, Executive shall not have any rights to dividends or
any other rights of a shareholder with respect to the shares of Common Stock
covered by a Unit until such shares of Common Stock have been issued to him,
which issuance shall not be unreasonably delayed.

      (d) The Company may require that Executive pay to the Company, or the
Company may otherwise withhold, at the time of payment of the value of a Unit,
any such amount as is required by law or regulation to be withheld for Federal,
state or local income tax or any other taxes incurred by reason of the payment.

      (e) Executive's right to receive payment of any amounts under this
Agreement shall be an unfunded entitlement and shall be an unsecured claim
against the general assets of the Company.

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      (f) After payment in accordance with this Section 4, the Unit Shares may
not be sold, transferred or otherwise disposed of by Executive for a period of
five days after receipt of such shares by Executive, except that no such
restrictions shall apply in the case of a Change in Control or if Executive
determines to sell (or instruct the Company to withhold) any Unit Shares in
order to satisfy any obligations Executive may have with respect to any
applicable tax withholding requirements on receipt of Unit Shares.

      5. Representations. The Company represents and warrants that this
Agreement has been authorized by all necessary action of the Company, has been
approved by the Board and is a valid and binding agreement of the Company
enforceable against it in accordance with its terms and that the Unit Shares
will be issued pursuant to and in accordance with the 2003 Plan, will be listed
with NASDAQ or the principal United States securities exchange on which the
Common Stock is admitted to trading, and will be validly issued, fully paid and
non-assessable shares. The Company further represents and warrants that the
grant of Units under this Agreement has been approved by the Company's
Compensation Committee, that the 2003 Plan has and will have sufficient shares
available to effect the distribution of the Unit Shares, and that the Company
will file a Hart Scott Rodino application with respect to Executive on a timely
basis, if necessary, in connection with the acquisition of Unit Shares by
Executive under this Agreement.

      6. Changes in the Common Stock and Adjustment of Units.

      (a) In the event the outstanding shares of the Common Stock shall be
changed into an increased number of shares, through a share dividend or a
split-up of shares, or into a decreased number of shares, through a combination
of shares, then immediately after the record date for such change, the number of
Units then subject to this Agreement shall be proportionately increased, in case
of such share dividend or split-up of shares, or proportionately decreased, in
case of such combination of shares. In the event the Company shall issue any of
its shares of stock or other securities or property (other than Common Stock
which is covered by the preceding sentence), in a reclassification of the Common
Stock (including without limitation any such reclassification in connection with
a consolidation or merger in which the Company is the continuing entity), the
kind and number of Units subject to this Agreement immediately prior thereto
shall be adjusted so that the Executive shall be entitled to receive the same
kind and number of shares or other securities or property which the Executive
would have owned or have been entitled to receive after the happening of any of
the events described above, had he owned the shares of the Common Stock
represented by the Units under this Agreement immediately prior to the happening
of such event or any record date with respect thereto, which adjustment shall
become effective immediately after the effective date of such event retroactive
to the record date, if any, for such event.

      (b) In the event the Company shall distribute to all holders of the Common
Stock evidences of its indebtedness or assets (including leveraged
recapitalizations with special cash distributions, but excluding regular
quarterly cash dividends), then in each case the number of Units thereafter
subject to this Agreement shall be determined by multiplying the number of Units
theretofore subject to this Agreement by a fraction, (i) the numerator of which
shall be the then current market price per share of Common Stock (as determined
in paragraph (c) below) on the record date for such distribution, and (ii) the
denominator of

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which shall be the then current market price per share of the Common Stock less
the then fair value (as mutually determined in good faith by the Board and the
Executive) of the portion of the assets or evidences of indebtedness so
distributed applicable to a share of Common Stock. Such adjustment shall be made
whenever any such distribution is made, and shall become effective on the date
of distribution retroactive to the record date for the determination of
shareholders entitled to receive such distribution.

      (c) For the purpose of any computation under paragraph (b) of this Section
6, the current market price per share of the Common Stock at any date shall be
deemed to be the average of the daily Stock Prices (as defined herein) for 15
consecutive Trading Days (as defined herein) commencing 20 Trading Days before
the date of such computation. "Stock Price" for each Trading Day shall be the
"Fair Market Value" of the Common Stock (as defined in the Company Stock Option
Plan, as in effect on the date of this Agreement) for such Trading Day. "Trading
Day" shall be each Monday, Tuesday, Wednesday, Thursday and Friday, other than
any day on which the Common Stock is not traded on the exchange or in the market
which is the principal United States market for the Common Stock.

      (d) For the purpose of this Section 6, the term "Common Stock" shall mean
(i) the class of Company securities designated as the Common Stock at the date
of this Agreement, or (ii) any other class of equity interest resulting from
successive changes or reclassifications of such shares consisting solely of
changes in par value, or from par value to no par value, or from no par value to
par value. In the event that at any time, as a result of an adjustment made
pursuant to the second sentence of Section 6(a) above, the Executive shall
become entitled to Units representing any shares other than the Common Stock,
thereafter the number of such other shares represented by a Unit shall be
subject to adjustment from time to time in a manner and on the terms as nearly
equivalent as practicable to the provisions with respect to the shares contained
in this Section 6, and the provisions of this Agreement with respect to the
shares of Common Stock represented by the Units shall apply on like terms to any
such other shares.

      (e) In case of any consolidation of the Company or merger of the Company
with another corporation as a result of which Common Stock is converted or
modified, or in case of any sale or conveyance to another corporation of the
property, assets and business of the Company as an entirety or substantially as
an entirety, the Company shall modify the Units so as to provide the Executive
with Units reflecting the kind and amount of shares and other securities and
property that he would have owned or have been entitled to receive immediately
after the happening of such consolidation, merger, sale or conveyance had his
Units immediately prior to such action actually been shares and, if applicable,
other securities of the Company represented by those Units. The provisions of
this Section 6(e) shall similarly apply to successive consolidations, mergers,
sales or conveyances.

      (f) If the Company distributes rights or warrants to all holders of its
Common Stock entitling them to purchase shares of Common Stock at a price per
share less than the current market price per share on the record date for the
distribution, the Company shall distribute to Executive equivalent amounts of
such rights or warrants as if Executive were an actual shareholder with respect
to the number of shares of Common Stock equal to his outstanding Units. Such
rights or warrants shall be exercisable at the same time, on the same terms, and
for the same price as the rights or warrants distributed to holders of the
Common Stock.

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      (g) In case any event shall occur as to which the provisions of this
Section 6 are not applicable but the failure to make any adjustment would not
fairly protect the rights represented by the Units in accordance with the
essential intent and principles of this Section 6 then, in each such case, the
Company shall make an adjustment, if any, on a basis consistent with the
essential intent and principles established in this Section 6, necessary to
preserve, without dilution, the rights represented by the Units. The Company
will promptly notify the Executive of any such proposed adjustment.

      (h) Notwithstanding anything to the contrary contained herein, the
provisions of Section 6 shall not apply to, and no adjustment is required to be
made in respect of, any of the following: (i) the issuance of shares of Common
Stock upon the exercise of any other rights, options or warrants that entitle
the holder to subscribe for or purchase such shares (it being understood that
the sole adjustment pursuant to this Section 6 in respect of the issuance of
shares of Common Stock upon exercise of rights, options or warrants shall be
made at the time of the issuance by the Company of such rights, options or
warrants, or a change in the terms thereof); (ii) the issuance of shares of
Common Stock to the Company's employees, directors or consultants pursuant to
bona fide benefit plans adopted by the Company's Board; (iii) the issuance of
shares of Common Stock in a bona fide public offering pursuant to a firm
commitment offering; (iv) the issuance of shares of Common Stock pursuant to any
dividend reinvestment or similar plan adopted by the Company's Board to the
extent that the applicable discount from the current market price for shares
issued under such plan does not exceed 5%; and (v) the issuance of shares of
Common Stock in any arm's length transaction, directly or indirectly, to any
party.

      (i) Notwithstanding anything in this Agreement to the contrary, in the
event of a spin-off by the Company to its shareholders, Executive's
participation in such spin-off with respect to the Units and the adjustment of
the Units shall be determined in an appropriate and equitable manner, and it is
the intention of the parties hereto that, to the extent practicable, such
adjustment shall include an equity interest in the spin-off entity.

      (j) In the event the parties hereto cannot agree upon an appropriate and
equitable adjustment to the Units, the services of an independent investment
banker mutually acceptable to Executive and the Company shall (at the sole
expense of the Company) be retained to determine an appropriate and equitable
adjustment, and such determination shall be binding upon the parties.

      7. No Right to Employment. Nothing in this Agreement shall confer upon
Executive the right to remain in employ of the Company or any subsidiary of the
Company.

      8. Nontransferability. This Agreement shall not be assignable or
transferable by the Company (other than to successors of the Company) and this
Agreement and the Units shall not be assignable or transferable by the Executive
otherwise than by will or by the laws of descent and distribution, and the Units

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may be paid out during the lifetime of the Executive only to him. More
particularly, but without limiting the generality of the foregoing, the Units
may not be assigned, transferred (except as provided in the preceding sentence),
pledged, or hypothecated in any way (whether by operation of law or otherwise),
and shall not be subject to execution, attachment or similar process. Any
attempted assignment, transfer, pledge, hypothecation or other disposition of
the Units contrary to the provisions of this Agreement, and any levy of any
attachment or similar process upon the Units, shall be null and void and without
effect.

      9. Arbitration, Legal Fees and Expenses. If any contest or dispute shall
arise between the Company and Executive regarding any provision of this
Agreement, the Company shall reimburse Executive for all legal fees and expenses
reasonably incurred by Executive in connection with such contest or dispute,
pursuant to the provisions of Section 8.1 of the Employment Agreement. The
application of this Section 9 (and Section 8.1 of the Employment Agreement)
shall survive the termination of the Employment Agreement. Such reimbursement
shall be made as soon as practicable following the resolution of such contest or
dispute (whether or not appealed) to the extent the Company receives reasonable
written evidence of such fees and expenses. Any dispute or controversy arising
under or in connection with this Agreement, shall be settled exclusively by
arbitration in Wilmington, Delaware in accordance with the Commercial
Arbitration Rules of the American Arbitration Association then in effect.
Judgment may be entered on the arbitrator's award in any court having
jurisdiction.

      10. Entire Agreement. This Agreement and the Employment Agreement contain
all the understandings between the parties hereto pertaining to the matters
referred to herein, and supersede all undertakings and agreements, whether oral
or in writing, previously entered into by them with respect thereto. The
Executive represents that, in executing this Agreement, he does not rely and has
not relied upon any representation or statement not set forth herein made by the
Company with regard to the subject matter, basis or effect of this Agreement or
otherwise.

      11. Amendment or Modification; Waiver. No provision of this Agreement may
be amended, modified or waived unless such amendment or modification is agreed
to in writing, signed by the Executive and by a duly authorized officer of the
Company, and such waiver is set forth in writing and signed by the party to be
charged. No waiver by any party hereto of any breach by another party hereto of
any condition or provision of this Agreement to be performed by such other party
shall be deemed a waiver of a similar or dissimilar condition or provision at
the same time, any prior time or any subsequent time.

      12. Notices. Any notice to be given hereunder shall be in writing and
shall be deemed given when delivered personally, sent by courier or telecopy or
registered or certified mail, postage prepaid, return receipt requested,
addressed to the party concerned at the address indicated below or to such other
address as such party may subsequently give notice of hereunder in writing:

                  To the Executive:

                  Stuart M. Essig
                  26 Coniston Court
                  Princeton, NJ 08540
                  Facsimile: 609-924-7264

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                  To the Company:

                  Integra LifeSciences Holdings Corporation
                  311 Enterprise Drive
                  Plainsboro, NJ  08536
                  Attention: Chairman
                  Facsimile: 609-275-9006

                 (with a copy to the Company's General Counsel)

            Any notice delivered personally or by courier under this Section 12
shall be deemed given on the date delivered and any notice sent by telecopy or
registered or certified mail, postage prepaid, return receipt requested, shall
be deemed given on the date telecopied or mailed.

      13. Severability. If any provision of this Agreement or the application of
any such provision to any party or circumstances shall be determined by any
court of competent jurisdiction to be invalid and unenforceable to any extent,
the remainder of this Agreement or the application of such provision to such
person or circumstances, other than those to which it is so determined to be
invalid and unenforceable, shall not be affected thereby, and each provision
hereof shall be validated and shall be enforced to the fullest extent permitted
by law.

      14. Noncontravention. The Company represents that the Company is not
prevented from entering into, or performing, this Agreement by the terms of any
law, order, rule or regulation, its certificate of incorporation or by-laws, or
any agreement to which it is a party.

      15. Survivorship. The respective rights and obligations of the parties
hereunder shall survive any termination of this Agreement or Executive's
employment to the extent necessary for the intended preservation of such rights
and obligations.

      16. Successors. This Agreement shall inure to the benefit of and be
binding upon each successor of the Company, and upon the Executive's
beneficiaries, legal representatives or estate, as the case may be.

      17. Governing Law. This agreement will be governed by and construed in
accordance with the laws of the State of Delaware, without regard to its
conflicts of laws principles.

      18. Headings. All descriptive headings of sections and paragraphs in this
Agreement are for convenience of reference only, and they form no part of this
Agreement and shall not affect its interpretation.

      19. Counterparts. This Agreement may be executed in counterparts, each of
which shall be deemed an original, but all of which together shall constitute
one and the same instrument.

            IN WITNESS WHEREOF, the parties hereto have executed this Contract
Stock / Restricted Units Agreement as of the date first above written.

                             INTEGRA LIFESCIENCES HOLDINGS CORPORATION

                             By: /s/ Richard Caruso
                                 ---------------------------
                                 Richard Caruso, Chairman

                                 /s/ Stuart M. Essig
                                 ---------------------------
                                 Stuart M. Essig

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                                                                   EXHIBIT 10.32

                  [FORM OF OPTION AGREEMENT WITH STUART ESSIG]

                    INTEGRA LIFESCIENCES HOLDINGS CORPORATION
                        STOCK OPTION GRANT AND AGREEMENT
                                   Pursuant to
                           2003 EQUITY INCENTIVE PLAN

            STOCK OPTION GRANT AND AGREEMENT made as of the ____ day of [____],
200_ (the "Grant Date"), between INTEGRA LIFESCIENCES HOLDINGS CORPORATION, a
Delaware corporation (the "Company"), and STUART M. ESSIG, an employee of the
Company (the "Employee").

            WHEREAS, the Company desires to afford the Employee an opportunity
to purchase shares of common stock of the Company ("Common Stock"), par value
$.01 per share, as hereinafter provided, under the Integra LifeSciences Holdings
Corporation 2003 Equity Incentive Plan (the "2003 Plan"), a copy of which is
attached.

            NOW THEREFORE, in consideration of the mutual covenants hereinafter
set forth and for other good and valuable consideration the legal sufficiency of
which is hereby acknowledged, the parties hereto, intending to be legally bound
hereby, agree as follows:

            1. Grant of Option. Pursuant to Section 3.2(b)(i)(B) of the Amended
and Restated Employment Agreement by and between the Employee and the Company
dated as of July 27, 2004 (the "Employment Agreement"), the Company hereby
grants to the Employee a non-qualified stock option (the "Option") to purchase
all or any part of an aggregate of [______] shares of Common Stock.

            2. Purchase Price. The purchase price per share of the shares of
Common Stock covered by the Option shall be $[FAIR MARKET VALUE ON THE DATE OF
GRANT]. It is the determination of the Company's Compensation Committee (the
"Committee") that on the Grant Date the purchase price per share was not less
than the greater of one hundred percent (100%) of the fair market value of the
Common Stock, or the par value thereof.

            3. Term. Unless earlier terminated pursuant to any provision of this
Stock Option Grant and Agreement or the Employment Agreement, this Option shall
expire on [TENTH ANNIVERSARY OF DATE OF GRANT] (the "Expiration Date"), which
date is not more than ten (10) years from the Grant Date. Notwithstanding
anything herein to the contrary, this Option shall not be exercisable after the
Expiration Date.

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            4. Exercise of Option. The Committee, using its authority and
discretion under Sections 3(b) and 7.1 of the 2003 Plan to set the terms of
Options granted under the 2003 Plan, has determined that this Option, subject to
law and regulation, shall vest and become exercisable in such installments and
on such dates, as follows:

                  This Option shall vest and become exercisable with respect to
[1/4th OF THE TOTAL SHARES GRANTED] shares on the first anniversary of the date
hereof. Thereafter, this Option shall vest and become exercisable with respect
to 1/36th of the remaining shares on the first business day of each following
month. Except as provided in Section 8(i) hereof, this Option shall vest and
become exercisable in its entirety, and shall remain exercisable until the
Expiration Date, (i) upon the occurrence of a "Change in Control" (as defined in
the Employment Agreement), or (ii) upon the receipt of a bona fide two-tier
tender offer with respect to the outstanding shares of Common Stock.

                  Once the Option becomes exercisable in accordance with the
foregoing, it shall remain exercisable, subject to the provisions contained in
this Stock Option Grant and Agreement, until the expiration of the term of this
Option as set forth in Paragraph 3 or until other termination of the Option as
set forth in this Stock Option Grant and Agreement.

            5. Method of Exercising Option. Subject to the terms and conditions
of this Stock Option Grant and Agreement, the Option may be exercised in whole
or in part by written notice to the Company, at its principal office, which is
located at 311 Enterprise Drive, Plainsboro, New Jersey 08536. Such notice shall
state the election to exercise the Option, and the number of shares with respect
to which it is being exercised, shall be signed by the person or persons so
exercising the Option; shall, unless the Company otherwise notifies the
Employee, be accompanied by the investment certificate referred to in Section 6;
and shall be accompanied by payment of the full Option price of such shares.

                  The Option price shall be paid to the Company in: (i) cash;
(ii) cash equivalent; (iii) Common Stock of the Company, in accordance with
Section 7.1(f)(ii) of the 2003 Plan (as in effect on the date of this Stock
Option Grant and Agreement); (iv) any combination of (i)-(iii); or (v) by
delivering a properly executed notice of exercise of the Option in accordance
with Section 7.1(f)(iii) of the 2003 Plan (as in effect on the date of this
Stock Option Grant and Agreement).

                  Upon receipt of such notice and payment, the Company, as
promptly as practicable, shall deliver or cause to be delivered a certificate or
certificates representing the shares with respect to which the Option is so
exercised. Such certificate(s) shall be registered in the name of the person or
persons so exercising the Option (or, if the Option is exercised by the Employee
and if the Employee so requests in the notice exercising the Option, shall be
registered in the name of the Employee and the Employee's spouse, jointly, with
right of survivorship) and shall be delivered as provided above to or upon the
written order of the person or persons exercising the Option. In the event the
Option is exercised by any person or persons after the legal disability or death
of the Employee, such notice shall be accompanied by appropriate proof of the
right of such person or persons to exercise the Option. All shares that are
purchased upon the exercise of the Option as provided herein shall be fully paid
and not assessable by the Company.

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            6. Shares to be Purchased for Investment. Unless the Company has
theretofore notified the Employee that a registration statement covering the
shares to be acquired upon the exercise of the Option has become effective under
the Securities Act of 1933 and the Company has not thereafter notified the
Employee that such registration statement is no longer effective, it shall be a
condition to any exercise of this Option that the shares acquired upon such
exercise be acquired for investment and not with a view to distribution, and the
person effecting such exercise shall submit to the Company a certificate of such
investment intent, together with such other evidence supporting the same as the
Company may request. Notwithstanding the foregoing, upon the written request of
Employee, the Company shall provide the Employee with a shelf registration
pursuant to a registration statement subject to the terms set forth in Exhibit B
to the Employment Agreement. The Company shall be entitled to delay the
transferability of the shares issued upon any such exercise to the extent
necessary to avoid a risk of violation of the Securities Act of 1933 (or of any
rules or regulations promulgated thereunder) or of any state laws or
regulations. Such restrictions may, at the option of the Company, be noted or
set forth in full on the share certificates. If any law or regulation requires
the Company to take any additional action regarding the Common Stock before the
Company issues certificates for the Common Stock subject to this Option or
before such Common Stock may be transferred by the Employee, the Company shall
use its commercially reasonable best efforts to resolve such problem.

            7. Transferability. This Option is not assignable or transferable,
in whole or in part, by the Employee other than by will or by the laws of
descent and distribution, and during the lifetime of the Employee the Option
shall be exercisable only by the Employee or by his/her guardian or legal
representative.

            8. Termination of Employment. If the Employee's employment with the
Company and all Related Corporations, as defined in the 2003 Plan, is terminated
for any reason other than death or disability prior to the Expiration Date of
this Option as set forth in Paragraph 3, this Option shall vest and become
exercisable in the following manner:

                  (i) Termination for Cause or Voluntary Termination Without
Good Reason. If the Employee is terminated for "Cause", as defined in Section
4.3 of the Employment Agreement, or if the Employee voluntarily leaves his
employment with the Company (other than for "Good Reason", as defined in Section
4.4 of the Employment Agreement, or "Disability", as defined in Section 4.2 of
the Employment Agreement) prior to December 31, 2009, then the portion of this
Option that is vested on the date of termination shall be exercisable until the
Expiration Date and the non-vested portion of this Option shall terminate on the
date of termination.

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                  (ii) Termination without Cause or by Employee for Good Reason.
If Employee is terminated without "Cause" or terminates employment for "Good
Reason", then this Option shall become immediately vested and exercisable and
shall remain exercisable in full until the Expiration Date.

                  (iii) Termination After December 31, 2009. If the Employee's
employment terminates for any reason following December 31, 2009 (including if
the Employment Agreement is not renewed following December 31, 2009), then this
Option shall remain exercisable in full until the Expiration Date.

            9. Disability. If the Employee is terminated for Disability during
his employment and prior to the Expiration Date of this Option as set forth in
Section 3, the vested portion of this Option shall be exercisable until the
later of (i) one year from the date of termination or (ii) December 31, 2009,
but in no event beyond the Expiration Date, and the non-vested portion of this
Option shall terminate on the date of termination.

            10. Death. If the Employee dies during his employment and prior to
the Expiration Date, or if the Employee dies during any period following
termination of employment but while this Option is still exercisable, then the
vested portion of this Option shall be exercisable by the Employee's estate,
personal representative or beneficiary who acquired the right to exercise this
Option by bequest or inheritance or by reason of the Employee's death at any
time prior to the later of (i) December 31, 2009 or (ii) one (1) year after the
Employee's death, but in no event beyond the Expiration Date, and the non-vested
portion of this Option shall terminate on the date of Employee's death.

            11. Withholding of Taxes. The obligation of the Company to deliver
shares of Common Stock upon the exercise of the Option shall be subject to
applicable federal, state and local tax withholding requirements. If the
exercise of any Option is subject to the withholding requirements of applicable
federal, state or local tax laws, the Committee, in its discretion, may permit
the Employee, subject to the provisions of the 2003 Plan (as in effect on the
date of this Stock Option Grant and Agreement) and such additional withholding
rules (the "Withholding Rules") as shall be adopted by the Committee, to satisfy
the withholding tax, in whole or in part, by electing to have the Company
withhold (or by returning to the Company) shares of Common Stock, which shares
shall be valued, for this purpose, at their fair market value on the date of
exercise of the Option (or, if later, the date on which the Employee recognizes
ordinary income with respect to such exercise). An election to use shares of
Common Stock to satisfy tax withholding requirements must be made in compliance
with and subject to the Withholding Rules. The Committee may not withhold shares
in excess of the number necessary to satisfy the minimum tax withholding
requirements.

            12. Adjustment of and Changes in the Common Stock.

                  (a) In the event the outstanding shares of the Common Stock
shall be changed into an increased number of shares, through a share dividend or

                                     Page 4

<PAGE>

a split-up of shares, or into a decreased number of shares, through a
combination of shares, then immediately after the record date for such change,
the number of shares of Common Stock then subject to the Option shall be
proportionately increased, in case of such share dividend or split-up of shares,
or proportionately decreased, in case of such combination of shares. In the
event the Company shall issue any of its shares of Common Stock or other
securities or property (other than common stock which is covered by the
preceding sentence), in a reclassification of the Common Stock (including
without limitation any such reclassification in connection with a consolidation
or merger in which the Company is the continuing entity), the Option shall be
adjusted so that the Employee shall be entitled to receive upon exercise of the
Option the same kind and number of shares or other securities or property which
the Employee would have owned or have been entitled to receive after the
happening of any of the events described above, had he owned the shares of the
Common Stock subject to the Option immediately prior to the happening of such
event or any record date with respect thereto, which adjustment shall become
effective immediately after the effective date of such event retroactive to the
record date, if any, for such event.

                  (b) In the event the Company shall distribute to all holders
of the Common Stock evidences of its indebtedness or assets (including leveraged
recapitalizations with special cash distributions), but excluding regular
quarterly cash dividends, then in each case the number of shares of Common Stock
thereafter subject to the Option shall be determined by multiplying the number
of shares theretofore subject to the Option by a fraction, (i) the numerator of
which shall be the then current market price per share of Common Stock (as
determined in paragraph (c) below) on the record date for such distribution, and
(ii) the denominator of which shall be the then current market price per share
of the Common Stock less the then fair value (as mutually determined in good
faith by the Board of Directors of the Company (the "Board") and the Employee)
of the portion of the assets or evidences of indebtedness so distributed
applicable to a share of Common Stock. Such adjustment shall be made whenever
any such distribution is made, and shall become effective on the date of
distribution retroactive to the record date for the determination of
shareholders entitled to receive such distribution.

                  (c) For the purpose of any computation under paragraph (b) of
this Section 12, the current market price per share of the Common Stock at any
date shall be deemed to be the average of the daily Stock Prices for 15
consecutive Trading Days commencing 20 Trading Days before the date of such
computation. "Stock Price" for each Trading Day shall be the "Fair Market Value"
of the Common Stock (as defined in the 2003 Plan, as in effect on the date of
this Stock Option Grant and Agreement) for such Trading Day. "Trading Day" shall
be each Monday, Tuesday, Wednesday, Thursday and Friday, other than any day on
which the Common Stock is not traded on the exchange or in the market which is
the principal United States market for the Common Stock.

                  (d) Notwithstanding anything in this Agreement to the
contrary, in the event of a spin-off by the Company to its shareholders, the
adjustment of the Option shall be determined in an appropriate and equitable
manner, and it is the intention of the parties hereto that, to the extent
practicable, such adjustment shall include an option grant to acquire an equity
interest in the spun-off entity.

                                     Page 5

<PAGE>

                  (e) Whenever the number of shares of Common Stock subject to
the Option is adjusted as herein provided, the purchase price per share of
Common Stock issuable thereunder shall be adjusted by multiplying such purchase
price immediately prior to such adjustment by a fraction, the numerator of which
shall be the number of shares of Common Stock subject to the Option immediately
prior to such adjustment, and the denominator of which shall be the number of
shares of Common Stock subject to the Option immediately thereafter.

                  (f) For the purpose of this Section 12, the term "Common
Stock" shall mean (i) the class of Company securities designated as the Common
Stock at the date of this Stock Option and Grant Agreement, or (ii) any other
class of equity interest resulting from successive changes or reclassifications
of such shares consisting solely of changes in par value, or from par value to
no par value, or from no par value to par value. In the event that at any time,
as a result of an adjustment made pursuant to the second sentence of Section
12(a) above, the Employee shall become entitled to, upon exercise of the Option,
any shares other than the Common Stock, thereafter the number of such other
shares issuable on exercise of the Option and the exercise price per share of
Common Stock issuable thereunder shall be subject to adjustment from time to
time in a manner and on the terms as nearly equivalent as practicable to the
provisions with respect to the shares contained in this Section 12 and the
provisions of this Stock Option and Grant Agreement with respect to the shares
of Common Stock issuable on exercise of the Option shall apply on like terms to
any such other shares.

                  (g) In case of any consolidation of the Company or merger of
the Company with another corporation as a result of which Common Stock is
converted or modified or in case of any sale or conveyance to another
corporation of the property, assets and business of the Company as an entirety
or substantially as an entirety, the Company shall modify the Option so as to
provide the Employee with an option for the kind and amount of shares and other
securities and property that he would have owned or have been entitled to
receive immediately after the happening of such consolidation, merger, sale or
conveyance had the Option, immediately prior to such action, actually been
exercised for shares and, if applicable, other securities of the Company subject
to the Option. The provisions of this Section 12(g) shall similarly apply to
successive consolidations, mergers, sales or conveyances.

                  (h) Notwithstanding anything to the contrary contained herein,
the provisions of this Section 12 shall not apply to, and no adjustment is
required to be made in respect of, any of the following: (i) the issuance of
shares of Common Stock upon the exercise of any other rights, options or
warrants that entitle the holder to subscribe for or purchase such shares (it
being understood that the sole adjustment pursuant to this Section 12 in respect
of the issuance of shares of Common Stock upon exercise of rights, options or
warrants shall be made at the time of the issuance by the Company of such
rights, options or warrants, or a change in the terms thereof); (ii) the
issuance of shares of Common Stock to the Company's employees, directors or
consultants pursuant to bona fide benefit plans or employment or consulting
arrangements adopted by the Company's Board of Directors; (iii) the issuance of
shares of Common Stock in a bona fide public offering; (iv) the issuance of

                                     Page 6

<PAGE>

shares of Common Stock pursuant to any dividend reinvestment or similar plan
adopted by the Company's Board of Directors to the extent that the applicable
discount from the current market price for shares issued under such plan does
not exceed 5%; and (v) the issuance of shares of Common Stock in any arm's
length transaction (including, without limitation, any acquisition, financing,
private placement, or, except as provided in Section 12(g), merger or
combination or consolidation), directly or indirectly, to any party.

                  (i) In the event the parties hereto cannot agree upon an
appropriate and equitable adjustment to the Option, the services of an
independent investment banker mutually acceptable to Employee and the Company
shall (at the sole expense of the Company) be retained to determine an
appropriate and equitable adjustment, and such determination shall be binding
upon the parties.

                  (j) For purposes of this Stock Grant and Option Agreement,
"Affiliate" of an entity or individual means any entity or individual, directly
or indirectly, controlling, controlled by or under common control with such
entity or individual.

            13. Legal Fees. If any contest or dispute shall arise between the
Company and the Employee regarding any provisions of this Stock Grant and Option
Agreement, the Company shall reimburse the Employee for legal fees and expenses
reasonably incurred by Employee in connection with such contest or dispute to
the extent set forth in Section 8.1 of the Employment Agreement. The application
of this Section 13 (and Section 8.1 of the Employment Agreement) shall survive
the termination of the Employment Agreement. Such reimbursement shall be made as
soon as practicable following the resolution of such contest or dispute (whether
or not appealed) to the extent the Company receives reasonable written evidence
of such fees and expenses. Notwithstanding any determination or interpretation
by the Committee, any dispute or controversy arising under or in connection with
this Agreement, shall be settled exclusively by arbitration in Wilmington,
Delaware in accordance with the Commercial Arbitration Rules of the American
Arbitration Association then in effect. Judgment may be entered on the
arbitrator's award in any court having jurisdiction.

            14. Construction. Except as would be in conflict with any specific
provision herein, this Stock Option Grant and Agreement is made under and
subject to the provisions of the 2003 Plan as in effect on the Grant Date and,
except as would conflict with the provisions of this Stock Option Grant and
Agreement, all of the provisions of the 2003 Plan as in effect on the Grant Date
are hereby incorporated herein as provisions of this Stock Option Grant and
Agreement. In the event of any such conflict, the terms of this Stock Option
Grant and Agreement shall govern.

            15. Governing Law. This Stock Option Grant and Agreement shall be
governed by applicable federal law and otherwise by the laws of the State of
Delaware.

                                     Page 7

<PAGE>

            16. Amendment or Modification: Waiver. No provision of this
Agreement may be amended, modified or waived unless such amendment or
modification is agreed to in writing, signed by the Employee and by a duly
authorized officer of the Company, and such waiver is set forth in writing and
signed by the party to be charged. No waiver by any party hereto of any breach
by another party hereto of any condition or provision of this Agreement to be
performed by such other party shall be deemed a waiver of a similar or
dissimilar condition or provision at the same time, any prior time or any
subsequent time.

            17. Counterparts. This Agreement may be executed in counterparts,
each of which shall be deemed an original, but all of which together shall
constitute one and the same instrument.

      IN WITNESS WHEREOF, the undersigned have executed this Stock Option Grant
and Agreement as of the date first written above.

                                                INTEGRA LIFESCIENCES HOLDINGS
                                                CORPORATION

                                                By: ___________________________

                                                    ___________________________
                                                    STUART M. ESSIG

                                     Page 8

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