Exhibit 12.1

Integra LifeSciences Holdings Corporation

Ratio of Earnings to Fixed Charges

(in thousands, except ratios)

	Nine Months Ended September 30, 2016		Years Ended December 31,
			2015		2014		2013		2012		2011
Earnings from continuing operation before taxes		54,250		60,671		45,566		18,786		64,231		33,541
Fixed charges excluding capitalized interest		21,745		26,615		24,825		22,614		25,012		30,191
Earnings before income taxes and fixed charges		75,995		87,286		70,391		41,400		89,243		63,732
Fixed Charges
Interest Expense		19,255		23,517		21,967		19,725		22,237		27,628
Capitalized Interest		695		1,711		2,600		3,163		3,833		1,400
Rental Factor		2,490		3,098		2,858		2,889		2,775		2,563
Total Fixed Charges		22,440		28,326		27,425		25,777		28,845		31,591
Ratio of Earnings to Fixed Charges(1)		3.4x		3.1x		2.6x		1.6x		3.1x		2.0x

(1) The ratios of earnings to fixed charges have been computed on a consolidated basis by dividing earnings from continuing operations before income taxes and fixed charges by fixed charges. Fixed charges consist of interest on debt and a factor for interest included in rent expense. Income from continuing operations before income taxes has the meaning as set forth in our Consolidated Statement of Operation included in our report on Form 10-K for the year ended December 31, 2015 and Form 10-Q for the nine months ended September 30, 2016.