Common Contracts

Wells Fargo Bank, National Association 375 Park Avenue, NY 4073 New York, NY 10152 Telephone: 212-214-6101 Facsimile: 212-214-5913 June 9, 2011

Base Call Option Transaction • June 15th, 2011 • Integra Lifesciences Holdings Corp • Laboratory analytical instruments

• Contract Type
  Base Call Option Transaction
• Filed
  June 15th, 2011
• Company
  Integra Lifesciences Holdings Corp
• Industry
  Laboratory analytical instruments

To: Integra LifeSciences Holdings Corporation 311 Enterprise Drive Plainsboro, NJ 08536 Attention: Treasurer Telephone No.: (609) 275-0500 Facsimile No.: (609) 750-4264

To: Integra LifeSciences Holdings Corporation Plainsboro, NJ 08536 Attention: Treasurer Telephone No.: (609) 275-0500 Facsimile No.: (609) 750-4264 Re: Base Call Option Transaction

Base Call Option Transaction • June 15th, 2011 • Integra Lifesciences Holdings Corp • Laboratory analytical instruments

• Contract Type
  Base Call Option Transaction
• Filed
  June 15th, 2011
• Company
  Integra Lifesciences Holdings Corp
• Industry
  Laboratory analytical instruments

The purpose of this letter agreement (this “Confirmation”) is to confirm the terms and conditions of the call option transaction entered into between The Royal Bank of Scotland plc (“Dealer”), acting through RBS Securities Inc., as its agent, and Integra LifeSciences Holdings Corporation (“Counterparty”) as of the Trade Date specified below (the “Transaction”). This letter agreement constitutes a “Confirmation” as referred to in the ISDA Master Agreement specified below. This Confirmation shall replace any previous agreements and serve as the final documentation for the Transaction.