UNITED STATES
                       SECURITIES AND EXCHANGE COMMISSION

                             Washington, D.C. 20549


                                    FORM 8-K

                                 CURRENT REPORT
                       Pursuant to Section 13 or 15(d) of
                       the Securities Exchange Act of 1934

      Date of Report (date of earliest event reported): September 30, 2003

                    INTEGRA LIFESCIENCES HOLDINGS CORPORATION

             (Exact name of Registrant as specified in its charter)


            Delaware                     0-26224                  51-0317849
(State or other jurisdiction of   (Commission File Number)    (I.R.S. Employer
 incorporation or organization)                              Identification No.)

                              311 Enterprise Drive
                              Plainsboro, NJ 08536
               (Address of principal executive offices) (Zip Code)
                                 (609)-275-0500
              (Registrant's telephone number, including area code)
                                 Not Applicable
          (Former name or former address, if changed since last report)










ITEM 5.  Other Events.

On September 30, 2003, Integra LifeSciences Corporation and Ethicon, Inc., a
division of Johnson & Johnson, ("Ethicon") entered into an amendment to their
June 3, 1999 Supply, Distribution and Collaboration Agreement, which governs the
marketing and distribution rights to INTEGRA Dermal Regeneration Template(R).
Under the terms of the amendment, Ethicon's exclusive right to sell and market
INTEGRA Dermal Regeneration Template will terminate on December 31, 2003 and
Ethicon will make certain payments to Integra upon execution of the amendment
and on December 31, 2003. Ethicon will continue to sell and market INTEGRA
Dermal Regeneration Template through the end of this year under the terms of the
1999 agreement. On January 1, 2004 Integra LifeSciences Corporation will resume
exclusive responsibility for the sales, marketing and distribution of the
product.

ITEM 7.  Financial Statements, Pro Forma Financial Information and Exhibits.

(a) Not applicable

(b) Not applicable

(c) Exhibits.

Exhibit
Number            Description of Exhibit
----------        ----------------------------

10.1              Amendment to Supply, Distribution and Collaboration Agreement
                  by and between Integra LifeSciences Corporation and
                  Ethicon, Inc. dated as of September 30, 2003.
99.1              Press release issued October 6, 2003 regarding amendment to
                  the INTEGRA Dermal Regeneration Template Supply, Distribution
                  and Collaboration Agreement.*

                  *This exhibit is being furnished under Item 5, Other Events of
                  this Form 8-K and shall not be deemed "filed" for purposes of
                  Section 18 of the Securities Exchange Act of 1934, nor shall
                  it be deemed incorporated by reference in any filing under the
                  Securities Act of 1933, except as shall be expressly set forth
                  by specific reference in such filing.









                                   SIGNATURES

Pursuant to the requirements of the Securities Exchange Act of 1934, as amended,
the Registrant has duly caused this report to be signed on its behalf by the
undersigned, hereunto duly authorized.



                    INTEGRA LIFESCIENCES HOLDINGS CORPORATION


Date: October 6, 2003                         By: /s/ Stuart M. Essig
                                                  -----------------------------
                                                  Stuart M. Essig
                      President and Chief Executive Officer








                                  Exhibit Index
                                                             -------------


Exhibit
Number      Description of Exhibit
-------     ----------------------

10.1              Amendment to Supply, Distribution and Collaboration Agreement
                  by and between Integra LifeSciences Corporation and
                  Ethicon, Inc. dated as of September 30, 2003.
99.1              Press release issued October 6, 2003 regarding amendment to
                  the INTEGRA Dermal Regeneration Template Supply, Distribution
                  and Collaboration Agreement.









Exhibit 10.1

          Amendment to Supply, Distribution and Collaboration Agreement

         This Amendment to Supply, Distribution and Collaboration Agreement
(this "Amendment") is effective as of September 30, 2003 by and between Integra
LifeSciences Corporation, a Delaware corporation ("Integra") and Ethicon, Inc.,
a New Jersey corporation ("Ethicon") on behalf of its Johnson & Johnson Wound
Management(TM) division.

         WHEREAS, Integra and the Johnson & Johnson Medical division of Ethicon,
Inc. ("JJM") entered into a Supply, Distribution and Collaboration Agreement,
dated June 3, 1999 relating to the Integra(TM) Dermal Regeneration Template(TM)
(the "Original Agreement"); and

         WHEREAS, Johnson & Johnson Wound Management(TM) ("JJWM") is the
division of Ethicon which is the successor through reorganization of Johnson &
Johnson Medical(TM) ; and

         WHEREAS, Integra and JJWM deem it in their mutual interests to amend
the Original Agreement in the manner described below.

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

         1. General. The purpose of this Amendment is to amend certain specific
provisions of the Original Agreement. All capitalized terms used but not defined
herein are used as defined in the Original Agreement. Except as expressly
modified by this Amendment, all terms and conditions of the Original Agreement
shall remain in full force and effect. The Original Agreement as amended by this
Amendment is referred to as the "Agreement."

         2. Replacement of References to JJM. All references to JJM in the
Original Agreement are hereby amended to be references to JJWM.

         3. Adjustment of Termination Date; Orderly Transition.

                           (a) Section 29.1 of the Agreement is hereby amended
                 in its entirety to read as follows:

                                    Section 29.1 Term. The term of this
                           Agreement shall commence on the date hereof and shall
                           expire on December 31, 2003. For purposes of this
                           Agreement, such period shall be referred to as both
                           the "Initial Period" and the "Term". JJWM shall have
                           no right to extend the Term of this Agreement and any
                           references herein to "Extension Periods" shall be of
                           no force or effect.

                           (b) During the period between the date of this
                  Amendment and the expiration of the Term of the Agreement,
                  except as otherwise expressly provided for in this Amendment,
                  the provisions of the Agreement shall remain in full force and
                  effect, JJWM shall continue to use its commercially reasonable
                  efforts to market and sell the Products in the Territory and
                  JJWM shall not enter into any transactions or take any actions
                  with respect to the Products other than in the ordinary course
                  of business consistent with its past practices, and Integra
                  shall continue to meet JJWM's purchase orders consistent with
                  its past practices.

                           (c) During the period between the date of this
                  Amendment and the expiration of the Term of the Agreement, the
                  Joint Steering Committee shall meet at intervals no less
                  frequent than once every two weeks to plan for and coordinate
                  an orderly transition from JJWM to Integra of the marketing,
                  sales, distribution, order processing, billing and collection,
                  intellectual property, domestic and international complaints
                  management, regulatory matters, clinical matters and research
                  and development, in each case relating to the Products
                  throughout the Territory, and JJWM shall use all commercially
                  reasonable efforts to effect such transition at its expense
                  prior to January 1, 2004 (except for those elements of the
                  transition that the parties agree shall occur after such
                  date). Such transition plan (the "Transition Plan") shall
                  include, among other things, the elements specified in Exhibit
                  A to this Amendment (the "Transition Plan Requirements").

                           (d) During the period between the date of this
                  Amendment and the expiration of the Term of the Agreement,
                  Integra agrees to refrain from direct contact with any of
                  JJWM's customers of Product relating to the marketing and/or
                  sales of such Product without the prior written consent of
                  JJWM. Notwithstanding the preceding sentence, JJWM will work
                  with Integra on developing and implementing a plan where joint
                  customer visits will be initiated in December 2003.

                           (e) From and after the date of this Amendment, the
                  provisions of Sections 2.3 and 2.4 shall cease to apply and
                  shall be of no further force and effect; JJWM shall be
                  relieved of its obligation under Section 3.3 to deliver a
                  marketing plan for the calendar year 2004, and Integra shall
                  be relieved of its obligation under Section 11.3 to deliver an
                  annual research plan for the calendar year 2004. In addition,
                  notwithstanding the provisions of Section 4(a), JJWM shall
                  have no obligation to purchase forecasted quantities of
                  Products for any time period after December 31, 2003.

         4. C&R Event Payments.

                           (a) JJWM hereby acknowledges the C&R Event set forth
                  in Section 13.1(vi) of the Original Agreement to have been
                  achieved and, simultaneously with the execution and delivery
                  of this Amendment, JJWM shall pay Integra $500,000 in respect
                  thereof.

                           (b) Simultaneously with the execution and delivery of
                  this Amendment, JJWM shall pay Integra $2,000,000 for the
                  completion of the C&R Events that were described in the C&R
                  Notice dated January 31, 2003 previously submitted to JJWM.

                           (c) In consideration for the payments above, Integra
                  and JJWM agree that no additional C&R Event Payments will be
                  due and owing from JJWM to Integra under the Agreement, and
                  Integra hereby waives any claims which it has had or may have
                  with respect to the payment of such C&R Event Payments.

         5. Effect of Termination. Upon the expiration of the Agreement at the
end of the Term, in addition to the provisions of the Agreement contained in
Section 29.3:

                           (a) JJWM shall pay to Integra on December 31, 2003 by
                  wire transfer $2,000,000; provided that during the period
                  between the execution of this Amendment and the expiration of
                  the Term, if any JJWM customer orders have not been filled
                  because of action or inaction by Integra, such $2,000,000
                  payment will be reduced by an amount equal to (A) the customer
                  purchase prices of such unfilled orders times (B) 62.5%.

                           (b) JJWM and its affiliates shall cooperate fully in
                  the completion of those elements of the Transition Plan that
                  have not been completed by December 31, 2003, until such
                  elements have been completed;

                           (c) JJWM shall assign or transfer to Integra any
                  assets (whether tangible or intangible) to be transferred to
                  Integra pursuant to the Transition Plan;

                           (d) JJWM shall assign the "Avagen" trademark to
                  Integra;

                           (e) Notwithstanding Section 29.3(v), the license to
                  reproduce the Licensed Trademark granted by Integra to JJWM
                  pursuant to Section 5.2 of the Original Agreement shall
                  terminate on December 31, 2003;

                           (f) Notwithstanding Sections 29.3(vi - viii), any
                  rights and interests to Jointly-Owned Inventions in the Field
                  owned by JJWM or its affiliates shall be assigned to Integra
                  on December 31, 2003, and such Jointly-Owned Inventions
                  thereafter shall be the property of Integra exclusively.

         6. Final Payments Obligations. Integra acknowledges that the following
quarterly payments made or to be made by JJWM to Integra for the fourth quarter
2003: (1) the $500,000 quarterly Research Payment pursuant to Section 12.1 (to
be made on or around October 1, 2003) and (2) the $2,109,375 quarterly Minimum
Prepayment pursuant to Sections 6.7 and 6.8, shall represent JJWM's final
payment obligations to Integra under those sections in the Agreement prior to
the end of the Term. Integra further acknowledges that JJWM's payments to
Integra under paragraphs 4(a), 4(b), 5(a) and 6 of this Amendment shall
represent JJWM's final payment obligations to Integra under the Agreement and
this Amendment, with the exception of those specific costs for which JJWM will
be responsible for relating to transition services in Exhibit A.

         7. Release. Effective upon the execution of this Amendment, the parties
for themselves and their successors and assigns, hereby release and forever
discharge each other, and each other's officers, directors, employees, agents,
representatives, contract manufacturers, and licensees, from any and all claims,
demands, and causes of action whatsoever, known or unknown, that either party
may have arising out of the Original Agreement and Amendments prior to and as of
the date hereof.

         8. Further Assurances. Each of the parties shall execute, prior to and
following December 31, 2003, such documents and other papers and perform such
further acts as may be reasonably required or desirable to carry out the
provisions hereof and the transactions contemplated hereby, including with
respect to the transactions contemplated by the Transition Plan.

         9. Counterparts. This Amendment may be executed and delivered
(including by facsimile transmission) in one or more counterparts, and by the
different parties hereto in separate counterparts, each of which when executed
and delivered shall be deemed to be an original but all of which taken together
shall constitute one and the same agreement.








                        [This space left intentionally blank]






         IN WITNESS WHEREOF, the parties have executed this Agreement as of this
30th day of September, 2003.

INTEGRA LIFESCIENCES CORPORATION


By:____________________________
          Name:
          Title:



JOHNSON & JOHNSON WOUND MANAGEMENT,
A DIVISION OF ETHICON, INC.


By:____________________________
         Name:
         Title:






Exhibit 99.1

News Release


Contacts:
Integra LifeSciences Holdings Corporation
John B. Henneman, III                                John Bostjancic
Executive Vice President                             Senior Director of Finance
Chief Administrative Officer                         (609) 936-2239
(609) 936-2481                                       jbostjancic@integra-ls.com
jhenneman@integra-ls.com


                 Integra LifeSciences Announces Plans to Market
     INTEGRA Dermal Regeneration Template(R) through its Direct Sales Force

             Alliance with ETHICON, Inc. to Terminate at end of 2003

Plainsboro, NJ / October 6, 2003 / -- Integra LifeSciences Holdings Corporation
(NASDAQ: IART - news) announced today that it has reached agreement with ETHICON
Inc. for the return to Integra of the exclusive right to sell, market and
distribute the INTEGRA Dermal Regeneration Template(R).

The INTEGRA Dermal Regeneration Template is the first and only product to
receive FDA approval as a skin replacement system with a claim for regeneration
of dermal tissue for the treatment of life-threatening burns and repair of scar
contractures. INTEGRA Dermal Regeneration Template was developed by Integra
LifeSciences Corporation, and has been sold in the United States since 1996. In
that time, the INTEGRA product has helped thousands of patients recover from
severe thermal injuries.

ETHICON will continue to sell and market the product through the end of this
year under the terms of a 1999 supply and distribution agreement between Integra
and ETHICON. In 2004 Integra LifeSciences Corporation will resume exclusive
responsibility for the sales, marketing and distribution of the product. Integra
and ETHICON are working together to develop a plan to ensure a smooth transition
of the product's distribution.

"We are delighted to again take responsibility for the sales, marketing and
clinical education for this extraordinary product," said Stuart M. Essig,
Integra's President and Chief Executive Officer. "In the four years that ETHICON
has managed the INTEGRA product, it has attained widespread use in burn units
for the treatment of life threatening burns. Going forward, our objective will
be to continue to expand the usage of INTEGRA Dermal Regeneration Template to
the plastic and reconstructive markets."

Integra expects the impact of the amendment to be accretive to earnings in 2003
and neutral or accretive to earnings in 2004. Certain amounts, including event
payment revenues related to the prior achievement of clinical and regulatory
events, and various revenues, transition costs and other income amounts related
to the amendment, will be recognized during the third and fourth quarters of
2003. Additional financial information will be made available on Integra
LifeSciences' quarterly earnings conference call, which is scheduled for October
31, 2003 at 9:00 a.m.

Integra LifeSciences Holdings Corporation is a diversified medical technology
company that develops, manufactures, and markets medical devices for use in a
variety of applications. The primary applications for our products are
neuro-trauma and neurosurgery, plastic and reconstructive surgery, and soft
tissue repair. Integra is a leader in applying the principles of biotechnology
to medical devices that improve patients' quality of life. The Company has its
corporate headquarters in Plainsboro, New Jersey, with manufacturing and
research facilities located throughout the world. The Company has approximately
860 permanent employees. Please visit the Company's Website at
(http://www.Integra-LS.com).

This news release contains forward-looking statements within the meaning of the
Private Securities Litigation Reform Act of 1995. Forward-looking statements
include, but are not limited to, statements concerning expectations for
Integra's ability to expand the usage of the INTEGRA product to the plastic and
reconstructive markets and the impact that the amendment to the supply and
distribution agreement will have on Integra's future financial results. Such
forward-looking statements involve risks and uncertainties that could cause
actual results to differ materially from predicted or expected results. Among
other things, Integra LifeSciences Corporation's ability to successfully recruit
and build a direct sales and marketing infrastructure around the INTEGRA product
may affect its ability to expand the usage of the product to the plastic and
reconstructive markets, and the costs of maintaining such a direct sales and
marketing infrastructure may affect Integra LifeSciences Corporation's future
financial results. In addition, the economic, competitive, governmental,
technological and other factors identified under the heading "Risk Factors"
included in the Business section of Integra's Annual Report on Form 10-K for the
year ended December 31, 2002 and information contained in subsequent filings
with the Securities and Exchange Commission could affect actual results.

Source: Integra LifeSciences Holdings Corporation