Document:

EX-10.4

Exhibit 10.4

FORM OF RESTRICTED STOCK AGREEMENT

 FOR NON-EMPLOYEE DIRECTORS (Quarterly Vesting)

          THIS RESTRICTED STOCK AGREEMENT (the “Award Agreement”), dated as of                                          (the “Award
Date”), is made by and between Integra LifeSciences Holdings Corporation, a Delaware corporation
(the “Company”), and                                         , a non-employee director of the Company, hereinafter
referred to as the “Participant”:

          WHEREAS, the Company maintains the Integra LifeSciences Holdings Corporation [2000] [2001]
[2003] Equity Incentive Plan, as amended (the “Plan”), and wishes to carry out the Plan, the terms
of which are hereby incorporated by reference and made part of this Award Agreement; and

          NOW, THEREFORE, in consideration of the various covenants herein contained, and intending to
be legally bound hereby, the parties hereto agree as follows:

ARTICLE I.

 DEFINITIONS 

          Capitalized terms not otherwise defined below shall have the meaning set forth in the Plan.
The masculine pronoun shall include the feminine and neuter, and the singular the plural, where the
context so indicates.

          Section 1.1 Restricted Stock. “Restricted Stock” shall mean                      shares of Common
Stock of the Company issued under this Award Agreement and subject to the Restrictions imposed
hereunder.

          Section 1.2  Restrictions. “Restrictions” shall mean the forfeiture and
transferability restrictions imposed upon Restricted Stock under the Plan and this Award Agreement.

          Section 1.3 Rule 16b-3. “Rule 16b-3” shall mean that certain Rule 16b-3 under the
Exchange Act, as such Rule may be amended from time to time.

          Section 1.4 Secretary. “Secretary” shall mean the Secretary of the Company.

          Section 1.5 Termination of Service. “Termination of Service” shall mean the time when
the Participant ceases to provide services to the Company and its Related Corporations and
Affiliates as an employee or Associate for any reason with or without cause, including, but not by
way of limitation, a termination by resignation, discharge, death, or Disability, but excluding a
termination where the Participant is simultaneously reemployed by, or remains employed by, or
continues to provide services to, the Company and/or one or more of its Related Corporations and
Affiliates or a successor entity thereto.

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          Section 1.6 Vested Shares. “Vested Shares” shall mean the shares of Restricted Stock
which are no longer subject to the Restrictions by reason of Section 3.2.

          Section 1.7 Vesting Date. “Vesting Date” shall mean each of the three-month, six-
month, nine-month and twelve-month anniversary dates of the Award Date.

ARTICLE II.

ISSUANCE OF RESTRICTED STOCK 

          Section 2.1 Issuance of Restricted Stock. On the date hereof the Company issues to
the Participant the Restricted Stock subject to the Restrictions and other conditions set forth in
this Award Agreement. The Company shall cause the Restricted Stock to be issued in the name of the
Participant or held in book entry form, but if a stock certificate is issued it shall be delivered
to and held in custody by the Company until the Restrictions lapse or such Restricted Stock is
forfeited. As a further condition to the Company’s obligations under this Award Agreement, the
Participant’s spouse, if any, shall execute and deliver to the Company the Consent of Spouse
attached hereto as  Exhibit A.

          Section 2.2 Restrictions. Until vested pursuant to Section 3.2, the Restricted Stock
shall be subject to forfeiture as provided in Section 3.1 and may not be sold, assigned,
transferred, pledged, or otherwise encumbered or disposed of.

          Section 2.3 Voting and Dividend Rights. The Participant, shall have all the rights of
a stockholder with respect to his Restricted Stock, including the right to vote the Restricted
Stock and the right to receive all dividends or other distributions paid or made with respect to
the Restricted Stock.

ARTICLE III.

RESTRICTIONS 

          Section 3.1 Forfeiture. Upon the Participant’s Termination of Service, the
Participant’s rights in Restricted Stock that has not yet vested pursuant to Section 3.2 shall
lapse, and such Restricted Stock shall be surrendered to the Company without consideration (and, in
the event of certificates representing such Restricted Stock are held by the Company, such
Restricted Stock shall be so transferred without any further action by the Participant).

          Section 3.2 Termination of Restrictions. The Restrictions shall terminate and lapse,
and such shares shall vest in the Participant and become Vested Shares on each Vesting Date as
provided in Section 3.3, provided that the Participant has continued to serve as an employee or an
Associate from the Award Date to and including such Vesting Date. Notwithstanding the foregoing,
upon a Change in Control, all Restrictions shall lapse and all Restricted Stock shall become Vested
Shares.

          Section 3.3 Lapse of Restrictions. One-fourth of the shares of Restricted Stock shall
become Vested Shares on each Vesting Date. On each Vesting Date, the Company shall issue new
certificates evidencing such Vested Shares and deliver such certificates to the Participant or his
legal representative, or record such Vested Shares in book entry form, free from the legend
provided for in Section 4.2 and any of the other Restrictions; provided, however,

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such certificates shall bear any other legends and such book entry accounts shall be subject
to any other restrictions as the Company may determine are required to comply with Section 4.6.
Such Vested Shares shall cease to be considered Restricted Stock subject to the terms and
conditions of this Award Agreement. Notwithstanding the foregoing, no such new certificate shall
be delivered to the Participant or his legal representative unless and until the Participant or his
legal representative shall have paid to the Company in cash or by check the full amount of all
federal, state and local withholding or other employment taxes applicable to the taxable income of
the Participant resulting from the lapse of the Restrictions.

ARTICLE IV.

MISCELLANEOUS 

          Section 4.1 No Additional Rights. Nothing in this Award Agreement or in the Plan
shall confer upon any person any right to a position as an Associate or continued employment by the
Company or any of its Related Corporations or Affiliates or affect in any way the right of any of
the foregoing to terminate the services of an individual at any time.

          Section 4.2 Legend. Any certificates representing shares of Restricted Stock issued
pursuant to this Award Agreement shall, until all Restrictions lapse and new certificates are
issued pursuant to Section 3.3, bear the following legend:

     THE SECURITIES REPRESENTED BY THIS CERTIFICATE ARE SUBJECT TO CERTAIN VESTING
REQUIREMENTS AND MAY BE SUBJECT TO FORFEITURE UNDER THE TERMS OF THAT CERTAIN RESTRICTED
STOCK AGREEMENT BY AND BETWEEN INTEGRA LIFESCIENCES HOLDINGS CORPORATION AND THE HOLDER OF
THE SECURITIES. PRIOR TO VESTING OF OWNERSHIP IN THE SECURITIES, THEY MAY NOT BE, SOLD,
ASSIGNED, TRANSFERRED, PLEDGED, OR OTHERWISE ENCUMBERED OR DISPOSED OF UNDER ANY
CIRCUMSTANCES. COPIES OF THE ABOVE REFERENCED AGREEMENT ARE ON FILE AT THE OFFICES OF THE
CORPORATION AT 311 ENTERPRISE DRIVE, PLAINSBORO, NEW JERSEY 08536.

          Section 4.3 Tax Withholding. On each Vesting Date, the Company shall notify the
Participant of the amount of tax which must be withheld by the Company under all applicable
federal, state and local tax laws. The Participant agrees to make arrangements with the Company to
remit a cash payment of the required amount to the Company.

          Section 4.4 Notices. Any notice to be given under the terms of this Award Agreement
to the Company shall be addressed to the Company in care of its Secretary, and any notice to be
given to the Participant shall be addressed to him at the address given beneath his signature
hereto. By a notice given pursuant to this Section 4.4, either party may hereafter designate a
different address for notices to be given to it or him. Any notice which is required to be given
to the Participant shall, if the Participant is then deceased, be given to the Participant’s
personal representative if such representative has previously informed the Company of his status
and address by written notice under this Section 4.4. Any notice shall have been deemed duly given
when enclosed in a properly sealed envelope or wrapper addressed as aforesaid, deposited

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(with postage prepaid) in a post office or branch post office regularly maintained by the
United States Postal Service.

          Section 4.5 Titles. Titles are provided herein for convenience only and are not to
serve as a basis for interpretation or construction of this Award Agreement.

          Section 4.6 Conformity to Securities Laws. This Award Agreement is intended to
conform to the extent necessary with all provisions of the Securities Act and the Exchange Act and
any and all regulations and rules promulgated by the Securities and Exchange Commission thereunder,
including without limitation Rule 16b-3. Notwithstanding anything herein to the contrary, this
Award Agreement shall be administered, and the Restricted Stock shall be issued, only in such a
manner as to conform to such laws, rules and regulations. To the extent permitted by applicable
law, this Award Agreement and the Restricted Stock issued hereunder shall be deemed amended to the
extent necessary to conform to such laws, rules and regulations.

          Section 4.7 Amendment. This Award Agreement may be amended only by a writing executed
by the parties hereto which specifically states that it is amending this Award Agreement.

          Section 4.8 Governing Law. The laws of the State of Delaware shall govern the
interpretation, validity, administration, enforcement and performance of the terms of this Award
Agreement regardless of the law that might be applied under principles of conflicts of laws.

*****

          IN WITNESS HEREOF, this Award Agreement has been executed and delivered by the parties hereto.

	 	 	 	 	 	 	 
	 

	 	 	INTEGRA LIFESCIENCES	 	 
	THE PARTICIPANT

	 	 	HOLDINGS CORPORATION	 	 
	 
	 	 	 	 	 	 
	 

	 	 	By	 	 	 
	 

	 	 	 	 	 	 
	[Name]

	 	 	 	Name:	 	 
	 

	 	 	 	Title:
	 	 
	 
	 	 	 	 	 	 
	 

	 	 	 	 	 	 
	Address
	 	 	 	 	 	 

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EXHIBIT
A 

CONSENT OF SPOUSE

          I,                                         , spouse of     
                                    , have read and approve the foregoing
Award Agreement. In consideration of granting of the right to my spouse to purchase shares of
Integra LifeSciences Holdings Corporation as set forth in the Award Agreement, I hereby appoint my
spouse as my attorney-in-fact in respect to the exercise of any rights under the Award Agreement
and agree to be bound by the provisions of the Award Agreement insofar as I may have any rights in
said Award Agreement or any shares issued pursuant thereto under the community property laws or
similar laws relating to marital property in effect in the state of our residence as of the date of
the signing of the foregoing Award Agreement.

Dated:                                         ,                     

	 	 	 
	 

	 	 
	 

	 	[Spouse’s Name]

5EX-10.7:

 Exhibit 10.7

AMENDMENT 2008-2 

TO 

SECOND AMENDED AND RESTATED EMPLOYMENT AGREEMENT 

     THIS AMENDMENT, dated as of August 6, 2008, between Integra LifeSciences Holdings Corporation,
a Delaware corporation (the “Company”) and Stuart M. Essig (“Executive”).

RECITALS

     WHEREAS, the Company and Executive previously entered into the Second Amended and Restated
Employment Agreement, dated as of July 27, 2004, (the “Employment Agreement”), that sets
forth the terms and conditions of Executive’s employment with the Company, including, but not
limited to, severance benefits that will be payable to Executive if he experiences a covered
termination and the grant of certain equity-based awards to Executive;

     WHEREAS, as of December 19, 2006, Company and Executive entered into Amendment 2006-1 to the
Employment Agreement (“Amendment 2006-1”) to provide certain severance benefits to
Executive in the event Executive’s employment is terminated by Company for a covered termination in
connection with a Change in Control (as defined in the Employment Agreement);

     WHEREAS, as of March 6, 2008, Company and Executive entered into Amendment 2008-1 to the
Employment Agreement (“Amendment 2008-1”) to comply with the requirements of Section 409A
of the Internal Revenue Code of 1986, as amended, and the final regulations issued thereunder;

     WHEREAS, the Company and Executive desire to amend the Employment Agreement to extend the term
of Executive’s employment and to modify the provisions of the Employment Agreement relating to the
grant of equity-based awards to Executive; and

     WHEREAS, Section 8.6 of the Employment Agreement provides that the Employment Agreement may be
amended pursuant to a written agreement between the Company and Executive.

     NOW, THEREFORE, the Company and Executive hereby agree that, effective as of August 6, 2008,
the Employment Agreement, Amendment 2006-1 and Amendment 2008-1 shall be amended as follows:

     1. Section 2.1 of the Employment Agreement is hereby amended and restated in its entirety to
read as follows:

     “2.1 Term. The term of Executive’s employment hereunder commenced on July 27, 2004
(the “Commencement Date”) and shall continue until December 31, 2011, as further extended
or unless sooner terminated in accordance with the other provisions hereof (the “Term”).
Except as hereinafter provided, on December 31, 2011 and on each subsequent one-year anniversary
thereof, the Term shall be automatically extended for one year unless either party shall have given
to the other party written notice of termination of this Agreement at least six months prior to
such anniversary. If written notice of termination is given as provided above,

 

 

Executive’s employment under this Agreement shall terminate on the last day of the
then-current Term.”

     2. Section 3.2(b)(i) of the Employment Agreement is hereby amended and restated in its
entirety to read as follows:

     “(i) (A) The parties hereby acknowledge and agree that the Company has granted to Executive
the 2003 Plan Option, as defined in the Second Amended and Restated Employment Agreement between
the Company and Executive, dated as of July 27, 2004, as in effect prior to this Amendment 2008-2,
and the annual stock option grants contemplated thereby (together with the 2003 Plan Option, the
“Additional Company Stock Options”). For purposes of clarification, the term “Prior
Options,” as used herein, shall not include the Additional Company Stock Options or the Special
2008 Stock Option (as defined below).

          (B) On the first day following August 6, 2008 on which trading in the Common Stock is
permitted by the Company’s trading window, the Company shall grant Executive a non-qualified stock
option under the Company’s 2003 Equity Incentive Plan (the “2003 Plan”) to purchase 125,000
shares of Common Stock at an exercise price equal to the fair market value of the Common Stock on
the grant date (the “Special 2008 Stock Option” and, together with the Prior Options and
the Additional Company Stock Options, the “Stock Options”). The Special 2008 Stock Option
shall have a ten-year term and shall be granted on the other terms and conditions set forth in the
Stock Option Grant and Agreement attached as Exhibit A hereto (the “Special 2008 Stock
Option Agreement”). In the event of any inconsistency between the terms of this Agreement and
the Special 2008 Stock Option Agreement, the Special 2008 Stock Option Agreement shall govern.”

     3. Section 3.2(b)(ii) of the Employment Agreement is hereby amended and restated in its
entirety to read as follows:

     “(ii) The Company hereby represents and warrants to Executive that (A) the 2003 Plan has and
will have sufficient shares available to effect the grant and exercise of the Special 2008 Stock
Option and the stock options previously granted to Executive pursuant to this Agreement under the
2003 Plan (such options, together with the Special 2008 Stock Option, the “2003 Plan Stock
Options”) , and the 2003 Plan has been approved by the Company’s stockholders, (B) the Special
2008 Stock Option and the other 2003 Plan Stock Options have been properly authorized and approved
by the Board and/or its Compensation Committee, (C) the issuance of the Company Stock underlying
the Special 2008 Stock Option and the other 2003 Plan Stock Options have been or will be registered
on Form S-8 and (D) stockholder approval is not required to grant the Special 2008 Stock Option.”

     4. The reference to “Section 3.3” in Section 3.2(b)(iv) of the Employment Agreement is hereby
amended to read “Section 3.2(c)(i)(A).”

     5. The section heading of Section 3.2(c) of the Employment Agreement is hereby amended to read
“Restricted Units; Annual Awards.”

     6. Section 3.2(c)(i) of the Employment Agreement, as amended by Amendment 2008-1, is hereby
amended and restated in its entirety to read as follows:

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     “(i) (A) 2004 Restricted Units. The Company issued to Executive on the Commencement Date a
fully-vested equity-based signing award bonus in the form of contract stock for 750,000 shares of
the Company’s common stock (the “2004 Restricted Units”) pursuant to the 2003 Plan and the
terms and conditions set forth in the Contract Stock/Restricted Units Agreement, dated as of
July 27, 2004 (the “2004 Restricted Units Agreement”). The 2004 Restricted Units Agreement
has subsequently been amended. In the event of any inconsistency between the terms of this
Agreement and the 2004 Restricted Units Agreement, as amended, the 2004 Restricted Units Agreement,
as amended, shall govern. The shares underlying the 2004 Restricted Units (the “2004 Unit
Shares”) shall be delivered to Executive in accordance with the terms of the 2004 Restricted
Units Agreement, as amended. For purposes of clarification, the term “Prior Restricted
Units,” as used herein, shall not include the 2004 Restricted Units, or the Special 2008
Restricted Units or the Annual Awards (each as defined below).

     (B) Special 2008 Restricted Units. On August 6, 2008, the Company shall grant to Executive a
fully-vested equity-based signing award bonus in the form of contract stock for 375,000 shares of
the Company’s common stock (the “Special 2008 Restricted Units”) pursuant to the 2003 Plan
and the terms and conditions set forth in the Contract Stock/Restricted Units Agreement attached as
Exhibit D hereto (the “Special 2008 Restricted Units Agreement”). The shares
underlying the Special 2008 Restricted Units (the “Special 2008 Restricted Unit Shares”)
shall be delivered to Executive in accordance with the terms of the Special 2008 Restricted Units
Agreement.

     (C) Annual Award. During the period of the Term following August 6, 2008, provided that
Executive is an employee of the Company at the time of grant, the Company shall annually grant to
Executive in December of each year (commencing with a grant expected to be made in December 2008)
an award (the “Annual Award”) in the form of either (i) contract stock for between 75,000
and 100,000 (inclusive) shares of the Company’s common stock (the “Annual Restricted
Units”) pursuant to the 2003 Plan and the terms and conditions set forth in a Contract
Stock/Restricted Units Agreement substantially in the form attached as Exhibit E hereto
(the “Annual Restricted Units Agreement”), or (ii) performance stock for between 75,000 and
100,000 (inclusive) shares of the Company’s common stock (the “Annual Performance Stock”)
pursuant to the 2003 Plan and the terms and conditions set forth in a Performance Stock Agreement
substantially in the form attached as Exhibit F hereto (the “Annual Performance Stock
Agreement”). The form of the Annual Award (i.e., whether the Annual Award is Annual Restricted
Units or Annual Performance Stock) will be determined by the Compensation Committee of the Board in
its absolute discretion. The shares underlying the Annual Awards (the “Annual Award
Shares”) shall vest and be delivered to Executive in accordance with the terms of the Annual
Restricted Units Agreement and/or the Annual Performance Stock Agreement, as applicable (in any
case, the “Annual Award Agreement”). For purposes of this Agreement, (a) the Prior
Restricted Units, the 2004 Restricted Units, the Special 2008 Restricted Units and the Annual
Awards shall be referred to herein as the “Restricted Units,” and (b) the 2004 Restricted
Units Agreement, the Special 2008 Restricted Units Agreement and the Annual Award Agreements shall
be referred to herein as the “Restricted Units Agreements.”

     In the event of any inconsistency between the terms of this Agreement and any Annual Award
Agreement or the Special 2008 Restricted Units Agreement, the Annual Award Agreement and the
Special 2008 Restricted Units Agreement, respectively, shall govern.”

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     7. The Employment Agreement is hereby amended such that references therein to the following
defined terms shall be modified as follows:

     (a) References to “Additional Restricted Units” shall be replaced with references to “2004
Restricted Units”;

     (b) References to “Restricted Units Agreement” shall be replaced with references to “2004
Restricted Units Agreement”; and

     (c) References to “Additional Unit Shares” shall be replaced with references to “2004 Unit
Shares.”

     8. Section 3.2(c)(ii) of the Employment Agreement is hereby amended and restated in its
entirety to read as follows:

     “(ii) The shares underlying the Prior Restricted Units (the “Prior Restricted Unit
Shares” and, collectively with the 2004 Unit Shares, the Special 2008 Restricted Unit Shares
and the Annual Award Shares, the “Restricted Unit Shares”) shall be delivered to Executive
on the dates specified in the Initial Employment Agreement or Amended and Restated Employment
Agreement and the award agreements that were exhibits thereto, as applicable, if Executive is still
employed by the Company on the dates specified in such respective agreements and, except as
provided in the following sentence, this Agreement shall not be deemed to modify the Prior
Restricted Units or Prior Restricted Unit Shares in any respect. Notwithstanding anything contained
herein, Executive’s right to defer delivery of Prior Restricted Unit Shares on six months’ advance
notice shall be deemed modified to be 12 months’ advance notice.”

     9. Section 3.2(c)(iii) of the Employment Agreement is hereby amended and restated in its
entirety to read as follows:

     “(iii) The Company hereby represents and warrants to Executive that (i) stockholder approval
is not required to grant the Special 2008 Restricted Units, or to distribute to Executive the
Special 2008 Restricted Unit Shares, (ii) the 2003 Plan has and will have sufficient shares
available to effect the distribution of the 2004 Unit Shares and the Special 2008 Restricted Unit
Shares, (iii) the 2004 Restricted Units and the Special 2008 Restricted Units have been properly
authorized and approved by the Board and/or its Compensation Committee and (iv) the Company will
use commercially reasonable best efforts to cause the issuance of the 2004 Unit Shares and the
Special 2008 Restricted Unit Shares to be registered on Form S-8.”

     10. The final sentence of Section 4.1 of the Employment Agreement, as amended by Amendment
2008-1, is hereby amended and restated in its entirety to read as follows:

     “All 2004 Unit Shares, Special 2008 Restricted Unit Shares and Annual Award Shares shall be
delivered to Executive as provided in his Restricted Units Agreements, respectively.”

     11. In Section 4.2 of the Employment Agreement, as amended by Amendment 2008-1, both
references to “December 31, 2009” are hereby amended to read “December 31, 2011.” In addition, the
final sentence of Section 4.2 of the Employment Agreement, as amended by Amendment 2008-1, is
hereby amended and restated in its entirety to read as follows:

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     “All 2004 Unit Shares, Special 2008 Restricted Unit Shares and Annual Award Shares shall be
delivered to Executive as provided in his Restricted Units Agreements, respectively.”

     12. In Section 4.3 of the Employment Agreement, as amended by Amendment 2008-1, both
references to “December 31, 2009” are hereby amended to read “December 31, 2011.” In addition, the
second and third sentences of Section 4.3 of the Employment Agreement, as amended by Amendment
2008-1, are hereby amended and restated in their entirety to read as follows:

     “If Executive’s employment hereunder is terminated for Cause in accordance with this Section
4.3 prior to December 31, 2011, (i) the portion of the Stock Options that is vested on the Date of
Termination shall be exercisable until their original respective expiration dates, (ii) the
non-vested portions of the Stock Options shall terminate on the Date
of Termination and (iii) and the 2004 Unit Shares, Special 2008 Restricted Unit Shares and Annual Award Shares
shall be delivered to Executive as provided in his Restricted Units Agreements, respectively. In
addition, if the Executive’s employment is terminated for Cause in accordance with this Section
4.3, the Prior Restricted Unit Shares shall be distributed to Executive in accordance with the
terms of the Initial Employment Agreement or Amended and Restated Employment Agreement and the
award agreements that were exhibits thereto, as applicable.”

     13. Clause (D) of the first full sentence of Section 4.4(a) of the Employment Agreement, as
amended by Amendment 2006-1 and Amendment 2008-1, is hereby amended and restated in its entirety to
read as follows:

     "(D) all 2004 Unit Shares, Special 2008 Restricted Unit Shares and Annual Award Shares shall
be delivered to Executive as provided in his Restricted Units Agreements, respectively.”

     14. The reference to clause “(x)” of the definition of Good Reason in the first paragraph of
Section 4.4(b) of the Employment Agreement is hereby amended to refer to clause “(ix)” instead.

     15. The second sentence of Section 4.5 of the Employment Agreement, as amended by Amendment
2006-1, is hereby amended and restated in its entirety to read as follows:

     “In the event that Executive’s employment with the Company terminates upon expiration of the
Term because the Company provides Executive with notice of termination pursuant to Section 2.1,
then, in addition to the foregoing, each Stock Option outstanding as of such date, other than the
Special 2008 Stock Option, shall fully vest (to the extent not already vested) and shall remain
exercisable until the expiration date of such Stock Option (e.g., 10 years after the grant date or
such lesser time as is specified in the Stock Option grant). The treatment of the Special 2008
Stock Option in the event of a failure to extend this Agreement shall be as set forth in the
Special 2008 Stock Option Agreement.”

     16. Section 5.1 of the Employment Agreement, as amended by Amendment 2008-1, is hereby amended
in its entirety to read as follows:

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     “5.1 Triggering Events. Unless Executive has been terminated for Cause in accordance
with Section 4.3 hereof or has voluntarily left his employment with the Company (other than for
Good Reason or due to Disability), in each case prior to December 31, 2011, upon the occurrence of
a Change in Control, each Stock Option shall vest (to the extent not already vested) and be
exercisable through its original expiration date and all 2004 Unit Shares, Special 2008 Restricted
Unit Shares and Annual Award Shares shall be distributed to Executive as provided in his Restricted
Units Agreements, respectively. In the event that the delivery of the 2004 Unit Shares, Special
2008 Restricted Unit Shares or Annual Award Shares are not made on the Change in Control as
provided in the Restricted Units Agreements, respectively, and cash is paid as consideration for
the Company’s common stock in the Change in Control, then the Company, or its successor in the
Change in Control, shall deposit in an irrevocable rabbi trust with a reputable financial
institution acceptable to Executive the cash equivalent of the 2004 Unit Shares, Special 2008
Restricted Unit Shares and Annual Award Shares, and such cash equivalent and any interest or
earnings thereon shall be delivered to Executive as set forth in the Restricted Units Agreements,
respectively.”

     17. In all respects not modified by this Amendment 2008-2, the Employment Agreement, Amendment
2006-1 and Amendment 2008-1 are hereby ratified and confirmed.

[Signature page follows]

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     IN WITNESS WHEREOF, Company and Executive agree to the terms of the foregoing Amendment
2008-2, effective as of the date set forth above.

	 	 	 	 	 	 	 
	 	 	INTEGRA LIFESCIENCES HOLDINGS CORPORATION	 	 
	 
	 	 	 	 	 	 
	 

	 	By:
	 	/s/ Richard E. Caruso
 

	 	 
	 	 	Name: Richard E. Caruso	 	 
	 	 	Title: Chairman of the Board of Directors	 	 
	 
	 	 	 	 	 	 
	 	 	EXECUTIVE	 	 
	 
	 	 	 	 	 	 
	 	 	/s/ Stuart M Essig	 	 
	 	 	 	 	 
	 	 	Stuart M. Essig	 	 

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EXHIBIT A

[Stock Option Grant and Agreement]

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 ___, 2008 (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 Employee and the Company previously entered into that certain Second Amended and
Restated Employment Agreement dated as of July 27, 2004, as amended by Amendment 2006-1 to the
Second Amended and Restated Employment Agreement and Amendment 2008-1 to the Second Amended and
Restated Employment Agreement;

     WHEREAS, as of August 6, 2008, the Company and Executive have entered into an Amendment 2008-2
to the Second Amended and Restated Employment Agreement (such Second Amended and Restated
Employment Agreement, as so amended being hereinafter called the “Employment Agreement”),
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;

     WHEREAS, pursuant to the Employment Agreement, the Company has agreed to grant to Executive a
non-qualified stock option to purchase an aggregate of 125,000 (one hundred twenty-five thousand)
shares of common stock of the Company, par value $.01 per share (“Common Stock”), on the
terms set forth herein; and

     WHEREAS, the grant of the stock option hereunder is being made under the Integra LifeSciences
Holdings Corporation 2003 Equity Incentive Plan (the “2003 Plan”), a copy of which is
attached hereto and the terms and conditions of which are incorporated herein by reference;

     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 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 125,000 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

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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, this Option shall expire on [TENTH ANNIVERSARY OF DATE OF GRANT] (the
“Expiration Date”). Notwithstanding anything herein to the contrary, this Option shall not
be exercisable after the Expiration Date.

     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 31,250 shares on the
first anniversary of the Grant Date. 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, to the extent not
theretofore expired or terminated, 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. This Option
shall be subject to accelerated vesting as set forth in Sections 8(ii) and 8(iii) hereof.

     Notwithstanding anything contained herein, no portion of the Option which has not become
vested and exercisable as of the Employee’s termination of employment or in connection with
Employee’s termination of employment shall thereafter become vested or exercisable.

     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 currently 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).

9

 

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.

     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. The Company may choose an
alternative method of delivering the shares.

     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 the later of (i) December 31, 2011, or (ii) in the event that
Employee and the Company enter into (including by way of an automatic

10

 

extension) a new, amended or renewed employment agreement on or prior to December 31, 2011, the
last day of the term of such new, amended or renewed employment agreement (the “Extended
Expiration Date”), 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.

          (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 Upon Nonrenewal. If Employee’s employment terminates as a result of
the Employment Agreement (or the Executive’s successor employment agreement with the Company, if
any) not being amended, renewed or replaced by a new employment agreement upon the expiration of
such agreement on December 31, 2011 or the Extended Expiration Date, if any, then this Option shall
become immediately vested and exercisable as of the date of termination and shall remain
exercisable in full until the Expiration Date.

     9. Disability. If the Employee terminates due to 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) the later of December 31, 2011 or the Extended Expiration Date, if any, 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) the later of December 31, 2011 or the Extended Expiration Date, if any, 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,
provided, that in the event that the number of shares

11

 

having a fair market value equal to the sums required to be withheld is not a whole number of
shares, the number of shares so withheld shall be rounded up to the nearest whole share.

     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 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

12

 

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.

          (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 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

13

 

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.

          (k) Notwithstanding anything in this Section 12 or this Agreement to the contrary, no
adjustment shall be made and no other action shall be taken with respect to the Option under this
Section 12 to the extent that such adjustment or action would cause the Option to be subject to
Section 409A of the Code (as defined in the Plan) or result in a penalty tax under Section 409A of
the Code.

     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 or
any new, amended or renewed 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 in accordance with the terms of Section 8.1 of the Employment Agreement
or any new, amended or renewed employment agreement; provided, however, that such reimbursement
shall be made within ninety (90) days following the resolution of such contest or dispute (whether
or not appealed), but not later than the end of the calendar year following the year in which the
contest or dispute is resolved, to the extent the Company receives reasonable written evidence of
such fees and expenses. The amount of any payment or reimbursement of such fees or expenses in one
year shall not affect the amount of payments or reimbursements that are eligible for payment or
reimbursement in any subsequent year, and the Executive’s right to such payment or reimbursement of
any such fees or expenses shall not be subject to liquidation or exchange for any other benefit.
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
Princeton, New Jersey 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

14

 

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.
Capitalized terms not otherwise defined herein shall have the meaning set forth in the Employment
Agreement or the 2003 Plan, as applicable, unless otherwise indicated.

     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.

     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.

[Signature page follows]

15

 

     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:	 	 	 	 
	 

	 	 	 	 

	 	 
	 	 	Name:	 	 
	 	 	Title:	 	 
	 
	 	 	 	 	 	 
	 	 	EMPLOYEE	 	 
	 
	 	 	 	 	 	 
	 	 	 	 	 
	 	 	Stuart M. Essig	 	 

16

 

EXHIBIT D

[Contract Stock/Restricted Units Agreement (Special 2008 Restricted Units)]

INTEGRA LIFESCIENCES HOLDINGS CORPORATION

CONTRACT STOCK / RESTRICTED UNITS AGREEMENT

Pursuant to

2003 EQUITY INCENTIVE PLAN

     AGREEMENT, dated as of August 6, 2008 (the “Grant Date”), by and between Integra
LifeSciences Holdings Corporation, a Delaware corporation (the “Company”), and Stuart M.
Essig (“Executive”).

     WHEREAS, the Company and Executive previously entered into that certain Second Amended and
Restated Employment Agreement dated as of July 27, 2004, as amended by Amendment 2006-1 to the
Second Amended and Restated Employment Agreement and Amendment 2008-1 to the Second Amended and
Restated Employment Agreement;

     WHEREAS, as of August 6, 2008, the Company and Executive have entered into an Amendment 2008-2
to the Second Amended and Restated Employment Agreement (such Second Amended and Restated
Employment Agreement, as so amended being hereinafter called the “Employment Agreement”),
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;

     WHEREAS, pursuant to the Employment Agreement, the Company has agreed to grant to Executive an
aggregate of 375,000 (three hundred seventy-five 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 hereto.

     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. Definitions. Capitalized terms not otherwise defined herein shall have the
meaning set forth in the Employment Agreement or the 2003 Plan, as applicable, unless otherwise
indicated.

     2. Grant of Units. Pursuant to Section 3.2(c)(i)(B) of the Employment Agreement,
Executive is hereby granted, as of August 6, 2008, deferred compensation in the form of 375,000
(three hundred seventy-five thousand) fully vested Units pursuant to the terms of this Agreement
and to the 2003 Plan.

17

 

     3. Dividend Equivalents. Executive shall be entitled to receive, 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 equivalent
amounts shall be aggregated on a quarterly basis while the Units are outstanding and paid to
Executive within thirty (30) days following the first business day that occurs immediately
following the 6-month period after the date of Executive’s “separation from service” from the
Company (within the meaning of Section 409A(a)(2)(A)(i) of the Internal Revenue Code of 1986, as
amended (the “Code”) and its corresponding regulations) (a “Separation from
Service”). The dividend equivalents and any amounts that may become payable in respect thereof
shall be treated separately from the Units and the rights arising in connection therewith for
purposes of the designation of time and form of payments required by Code Section 409A.

     4. Payment of Units.

          (a) The shares of Common Stock underlying the Units (the “Unit Shares”) shall be paid
out to Executive within thirty (30) days following the first business day that occurs immediately
following the 6-month period after the date of Executive’s Separation from Service.

          (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 shall be entitled to withhold in cash or deduction from other compensation
payable to the Executive any sums required by federal, state or local tax law to be withheld with
respect to the vesting, distribution or payment of the Units or the Unit Shares. In satisfaction
of the foregoing requirement with respect to the distribution or payment of the Units, the Company
shall withhold shares of Common Stock otherwise issuable in such distribution having a Fair Market
Value equal to the sums required to be withheld. Subject to the following sentence, the number of
shares of Common Stock which shall be so withheld in order to satisfy the Executive’s federal,
state and local withholding tax liabilities with respect to the issuance of shares of Common Stock
in payment of the Units shall be limited to the number of shares which have a Fair Market Value on
the date of withholding equal to the aggregate amount of such liabilities based on the minimum
statutory withholding rates for federal, state and local tax purposes that are applicable to such
supplemental taxable income. In the event that the number of shares of Common Stock having a Fair
Market Value equal to the sums required to be withheld is not a whole number of shares, the number
of shares so withheld shall be rounded up to the nearest whole share.

18

 

          (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.

          (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 (as defined in the Employment Agreement) or in the event that Unit Shares are sold or
withheld in order to satisfy any obligations Executive may have with respect to any applicable tax
withholding requirements on vesting or receipt of Unit Shares (including, without limitation,
pursuant to Section 4(d) above).

     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

19

 

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 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 2003 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 Change in Control, 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
(or cash, as applicable) that he would have owned or have been entitled to receive immediately
after the happening of such Change in Control, 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

20

 

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; provided,
however, that if such rights or warrants are deemed to be deferred compensation subject to the
requirements of Section 409A of the Code, such rights or warrants shall be distributed to Executive
in a manner that complies with such requirements.

          (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

21

 

and distribution, and the Units 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 during his
lifetime 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. The foregoing limitation
shall not preclude the Executive’s estate or heirs from recovering reasonable legal fees (and
related expenses) in accordance with the provisions hereof in the event that Executive’s estate or
heirs initiate or continue any dispute or controversy arising under or in connection with this
Agreement after Executive’s death; provided, however, that such reasonable legal fees (and related
expenses) are incurred within the six (6)-year period following the date of Executive’s death.
Such reimbursement shall be made within ninety (90) days following the resolution of such contest
or dispute (whether or not appealed), but not later than the end of the calendar year following the
year in which the contest or dispute is resolved, to the extent the Company receives reasonable
written evidence of such fees and expenses. The amount of any payment or reimbursement of such
fees or expenses in one year shall not affect the amount of payments or reimbursements that are
eligible for payment or reimbursement in any subsequent year, and the Executive’s right to such
payment or reimbursement of any such fees or expenses shall not be subject to liquidation or
exchange for any other benefit. Any dispute or controversy arising under or in connection with
this Agreement shall be settled exclusively by arbitration in Princeton, New Jersey 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.

22

 

     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

311 Enterprise Drive

Plainsboro, NJ 08536

Facsimile: 609-275-9006

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. Construction. Except as would be in conflict with any specific provision herein,
this 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 Agreement, all of the
provisions of

23

 

the 2003 Plan as in effect on the Grant Date are hereby incorporated herein as provisions of this
Agreement. In the event of any such conflict, the terms of this Agreement shall govern.

     18. 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.

     19. 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.

     20. 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.

     21. Section 409A of the Code. This Agreement is intended to comply with the
requirements of Section 409A of the Code, and shall in all respects be administered in accordance
with Section 409A. Notwithstanding anything in the Agreement to the contrary, payment may only be
made under the Agreement upon an event and in a manner permitted by Section 409A of the Code. If a
payment is not made by the designated payment date under the Agreement, the payment shall be made
by December 31 of the calendar year in which the designated date occurs. Any payment to be made
upon a termination of employment under this Agreement may only be made upon a Separation from
Service. To the extent that any provision of the Agreement would cause a conflict with the
requirements of Section 409A of the Code, or would cause the administration of the Agreement to
fail to satisfy the requirements of Section 409A, such provision shall be deemed null and void to
the extent permitted by applicable law.

[Signature page follows]

24

 

     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:	 	 	 	 
	 

	 	 	 	 

	 	 
	 	 	Name: Richard E. Caruso	 	 
	 	 	Title: Chairman of the Board of Directors	 	 
	 
	 	 	 	 	 	 
	 	 	EXECUTIVE	 	 
	 
	 	 	 	 	 	 
	 	 	 	 	 
	 	 	Stuart M. Essig	 	 

25

 

EXHIBIT E

[Contract Stock/Restricted Units Agreement (Annual Award)]

See Exhibit 10.8 to the Company’s Quarterly Report

on Form 10-Q for the quarter ended June 30, 2008

26

 

EXHIBIT F

[Performance Stock Agreement]

See Exhibit 10.9 to the Company’s Quarterly Report

on Form 10-Q for the quarter ended June 30, 2008

27

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