CONMED CORPORATION
CODE OF ETHICS ON INTERACTIONS WITH HEALTH CARE PROFESSIONALS
(“Health Care Compliance Code of Ethics”)
(also “Health Care Compliance Program”)


I. INTRODUCTION


This Code of Ethics sets forth ConMed Corporation’s policy regarding our relations with Health Care Professionals. The term “Health Care Professional” is used herein to refer to any individual or entity that purchases, leases, uses, recommends or prescribes ConMed’s products in the United States: in other words, our customers and potential customers.


At ConMed, we recognize that Health Care Professionals play an essential role in the development, testing and training involved in producing safe and effective medical devices. We also recognize that the best interests of the patient can be well served by a collaborative relationship with Health Care Professionals. Our goal in developing this Code of Ethics is to ensure that our collaborative relationships do more than merely comply with applicable laws, regulations and government guidance—we aim to meet the highest ethical standards and achieve appropriate transparency so as to surpass the minimum standards of compliance.


To that end, we have adopted this Code of Ethics, which is modeled on the revised and restated Code of Ethics issued by the Advanced Medical Technology Association (AdvaMed), an organization representing companies such as ConMed that develop, produce, manufacture and market medical products, technologies and related services. This Code of Ethics also incorporates standards mandated under the laws of the various states, which are set forth in Exhibit A hereto. This Code of Ethics sets forth a statement of principles, as well as specific rules and examples, regarding our interactions with Health Care Professionals.


This Code of Ethics applies to all employees of ConMed and its subsidiaries doing business in the United States, as well as the sales representatives and exclusive manufacturers representatives in the United States who operate as ConMed’s sales agents.
We have established a Health Care Compliance Committee (HCCC) for each division to administer and oversee this Code of Ethics. Each HCCC will be responsible for interpreting and applying the Code of Ethics to specific situations arising within its division. All references to ConMed and ConMed products shall be deemed references to each subsidiary and its respective products. Each HCCC will report quarterly to ConMed’s General Counsel, as well as to the President or Vice President – General Manager of the related division.


If you have any questions relating to this Code of Ethics, or if you become aware of a situation that is or may potentially be a violation, you should contact any member of the HCCC or the Legal Department. You may also report a violation or suspected violation to your supervisor, or you may submit a report to Message Pro (Third Party Service) at 866-838-0850. All reports may be made anonymously. The Company will not allow retaliation against any employee for reports made in good faith.


Violations of this Code of Ethics will lead to disciplinary action, up to and including termination of employment.


II. BACKGROUND


The principal law that governs our relations with Health Care Professionals is the federal anti-kickback statute, which establishes severe civil and criminal penalties for anyone who knowingly and willfully offers or pays (or solicits or receives) any “remuneration” in cash or in kind, directly or indirectly, to induce someone (e.g., a doctor or hospital) to purchase, lease, recommend or prescribe any item for which payment may be made under any federal or state health care program. Under current judicial and administrative decisions, a violation may be found even if only one purpose of the “remuneration” is to induce the purchase of products; it does not matter if there are other legitimate purposes for the payment. In addition, there does not have to be an agreement to purchase in exchange for the remuneration, and there is no requirement that the remuneration result in an increase in state or federal health care expenditures.
If it is determined that ConMed violated the anti-kickback statute, our customers and potential customers could be barred from seeking Medicare or other governmental reimbursement for their purchases of ConMed’s products. In addition, ConMed and/or our officers and employees could face stiff fines and exclusion/debarment from all federal and state health care programs. Individuals, moreover, could face potential jail sentences for violations of this statute.


This Code of Ethics is designed to ensure to the maximum extent possible that payments to Health Care Professionals do not run afoul of the anti-kickback statute.


III. COMPANY-CONDUCTED PRODUCT TRAINING AND EDUCATION


ConMed recognizes the importance of providing training to purchasers on the safe and effective use of our products. Such programs often occur at centralized locations (requiring out-of-town travel for some participants), and may extend more than one day. For State-specific restrictions in this area, if any, please refer to Exhibit A. With regard to ConMed product training and education for purchaser:


IV. SUPPORTING THIRD-PARTY EDUCATIONAL CONFERENCES


ConMed may contribute to or sponsor the cost of third party national, regional, or specialty medical associations and conferences, and continuing medical education conferences and professional meetings, provided such conferences or meetings are primarily dedicated to promoting objective scientific, medical, surgical or other educational activities or discourse. Control over the selection of content of presentations, faculty, educational methods and materials must remain with the organizer of the conference.

V. SALES, PROMOTIONAL, AND OTHER BUSINESS MEETINGS


Product Promotional Meetings Generally


It is appropriate for ConMed to meet with Health Care Professionals to discuss product features, contract negotiations, and sales terms. The locations of such meetings should be conducive to the discussion of patient care or product features. Such locations should be reasonably priced; generally, it is not appropriate to conduct these meetings at lavish hotels or resort locations.
ConMed may pay for occasional modest meals and refreshments for Health Care Professionals attending such meetings, provided a ConMed representative is present. ConMed is not permitted to provide meals or refreshments for those who are not attending the meeting, such as for office staff. ConMed will not pay for any other entertainment in connection with such meetings, except in accordance with Section VII below.


ConMed may pay for reasonable travel costs of attendees when necessary (e.g., for plant tours or demonstrations of non-portable equipment). However, ConMed will not pay for meals, refreshments, travel, or lodging of guests of Health Care Professionals or any other person who does not have a bona fide professional interest in the information being shared at the meeting. (For State-specific restrictions, if any, refer to Exhibit A.)


Focus Groups


Focus groups can provide ConMed with significant and valuable feedback on our products, proposed products, or other plans. Any payments made to Health Care Professionals for participation in a focus group, or otherwise to provide feedback on a product, discuss a research project, or explore a collaborative opportunity, must be in accordance with the following:


VI. CONSULTING ARRANGEMENTS WITH HEALTH CARE PROFESSIONALS


Consultants can provide valuable bona fide services, including research, product development and/or transfer of intellectual property, marketing, participation on advisory boards, presentations at ConMed-sponsored training, and product collaboration. It is appropriate to pay consultants fair market value compensation for performing these services intended to fulfill a legitimate business need. However, consulting agreements must not be disguised programs to pay customers for purchasing ConMed products or services or to influence such purchasing decisions. The following are required for any arrangement between ConMed and consultants:


VII. ENTERTAINMENT AND RECREATION


This section relates only to entertainment and recreational activities, as opposed to meals and refreshments, which are addressed in Section VIII below. Entertainment and recreational activities provided to Health Care Professionals are increasingly subject to state-specific restrictions, such as disclosure obligations or outright prohibition. Accordingly, it is ConMed’s policy to require pre-approval from the appropriate HCCC before paying, directly or indirectly, for any entertainment or recreational event or activity for any Health Care Professional, unless such Health Care Professional is an employee or director of the Company participating in the entertainment or recreational activity on the same terms as other Company employees. Providing unapproved entertainment and recreation to Health Care Professionals is prohibited, even if the ConMed employee or agent pays for such activities and is not reimbursed by ConMed. If you wish to engage in an entertainment or recreational activity with a Health Care Professional, you must obtain the approval of the appropriate HCCC in advance, or you may attend the event with each party paying his or her own way.


VIII. MODEST MEALS ASSOCIATED WITH HEALTH CARE PROFESSIONAL BUSINESS INTERACTIONS


In connection with product training, conferences, business meetings, and other interactions with Health Care Professionals described herein, ConMed may provide modest meals to Health Care Professionals as an occasional business courtesy consistent with the limitations in this section. (For State-specific restrictions, refer to Exhibit A.)


IX. EDUCATIONAL ITEMS; PROHIBITION ON GIFTS


ConMed occasionally may provide items to Health Care Professionals that benefit patients or serve a genuine educational function for Health Care Professionals (except where prohibited by state law, see Exhibit A). Other than medical textbooks or anatomical models used for educational purposes, any such items must have a fair market value of less than $100. ConMed may not provide items that are capable of use by the Health Care Professional (or his or her family members, office staff or friends) for noneducational or non-patient-related purposes, such as a DVD player or MP3 player/I-Pod, except as compensation for bona fide services.


ConMed may not give Health Care Professionals any type of complimentary non-educational branded promotional items, even if the item is of minimal value and related to the Health Care Professional’s work or for the benefit of patients. Examples of non-educational branded promotional items include pens, notepads, mugs, and/or other items that have a company name or logo, or the name or logo of a company product. ConMed also may not give a Health Care Professional gifts such as cookies, wine, flowers, chocolates, gift baskets, holiday gifts or cash or cash equivalents, regardless of the occasion.


This section is not intended to address the legitimate practice of providing products for evaluation and demonstration purposes, which is addressed in Section XII.


X. PROVISION OF COVERAGE, REIMBURSEMENT AND HEALTH ECONOMICS INFORMATION


ConMed may provide Health Care Professionals with coverage, reimbursement and health economic information regarding its products if such information is accurate, objective, and readily available. ConMed may also collaborate with Health Care Professionals, patients and organizations representing their interests, to achieve government and commercial payor coverage decisions, guidelines, policies, and adequate reimbursement levels that allow patients to access ConMed’s products.


ConMed may not interfere with a Health Care Professional’s independent clinical decision-making or provide coverage, reimbursement and health economics support as an unlawful inducement. For example, ConMed may not provide free services that eliminate an overhead or other expense that a Health Care Professional would otherwise of business prudence or necessity have incurred as part of its business operations if doing so would amount to an unlawful inducement. Furthermore, ConMed may not suggest a mechanism for billing for services that are not medically necessary, or for engaging in fraudulent practices to achieve inappropriate payment.

XI. RESEARCH AND EDUCATIONAL GRANTS AND CHARITABLE DONATIONS

ConMed may provide research and educational grants and charitable donations as follows:


Research Grants

Research provides valuable scientific and clinical information, improves clinical care, leads to promising new treatments, promotes improved delivery of health care, and otherwise benefits patients. In furtherance of these objectives, ConMed may provide research grants to support independent medical research with scientific merit. Such activities must have well-defined objectives and milestones set forth in a written contract, and may not be linked directly or indirectly to the purchase of ConMed’s products. Unrestricted research grants are not permitted.


Educational Grants

Educational grants may be provided for legitimate purposes, including but not limited to the examples below. As noted in Section IV above, ConMed may make educational grants to conference sponsors or training institutions. ConMed may not make educational grants directly to individual Health Care Professionals.

Charitable Donations


ConMed may make monetary and/or product donations for a bona fide charitable purpose, such as supporting indigent care, patient education, public education, community support, or the sponsorship of events where proceeds are intended for charitable purposes. Donations should be made only to charitable organizations that are separate from the Health Care Professional (e.g., the Health Care Professional’s charitable foundation).


XII. EVALUATION AND DEMONSTRATION PRODUCTS


ConMed may provide reasonable quantities of products to Health Care Professionals at no charge for evaluation and demonstration purposes under the following circumstances:


These products may be provided at no charge to allow Health Care Professionals to assess the appropriate use and functionality of the product and determine whether and when to use, order, or recommend the product in the future. ConMed products provided for evaluation are typically expected to be used in patient care.

Appropriate documentation and disclosure should be provided to Health Care Professionals regarding the no-charge status of evaluation and demonstration products.


CONCLUSION


This Code of Ethics does not and cannot answer every question. It is important to follow not only the letter of the Code, but also its spirit. If you have any concerns that any proposed payments may be questionable, don’t commit to make the payment without consulting the Legal Department or the HCCC.


Please note that any payments that are forbidden to be made by ConMed are also forbidden to be made by ConMed employees, sales representatives and distributors working for ConMed, including their immediate family members. You may not make any payments individually to any Health Care Professionals on ConMed’s behalf. No payments permitted hereunder may be made by personal checks.
Revised: August 17, 2010


EXHIBIT A
STATE-SPECIFIC STANDARDS


Massachusetts


When interacting with a Massachusetts Health Care Professional, you must adhere to the following standards in addition to the requirements set forth in the Code of Ethics. It is important to note that these restrictions apply to all interactions with Health Care Professionals licensed in Massachusetts, regardless of whether those interactions occur in Massachusetts or outside of Massachusetts. For further guidance, please contact the HCCC or the Legal Department.


Educational Conferences

Meals

Gifts

Vermont


When interacting with a Vermont Health Care Professional, you must adhere to the following standards in addition to the requirements set forth in the Code of Ethics. These restrictions apply to interactions with Health Care Professionals who are licensed in Vermont and who practice there regularly. For further guidance, please contact the HCCC or the Legal Department.


Gifts


Educational Conferences


Training


Evaluation and Demonstration Products