I hereby agree that Ethicon Endo-Surgery, Inc. and/or any of its affiliated companies may use my written personal procedure/experience. I further agree and consent to allow Ethicon Endo-Surgery, Inc., and/or its affiliated companies, and/or their assignees and/or licensees, to use, amend, transfer, display, broadcast, reproduce and/or distribute publicly or otherwise any such written case studies, (hereinafter collectively referred to as "patient testimonial") for any purposes whatsoever, including, but not limited to, educational, promotional or commercial purposes.

Ethicon Endo-Surgery, Inc. and/or its affiliated companies, may at its/their sole discretion make any and all changes in, additions to, and deletions from the "patient testimonial." Such alterations include, but are not limited to cuts, edits, additions, changes, rearrangement, adaptation of the "patient testimonial" to different formats, and other changes, additions and deletions necessary to make the "patient testimonial" commercially viable. With reference to the alterations referred to above, I hereby waive any and all claims I may now or hereafter have to the rights of integrity, disclosure and withdrawal and any other rights that may be known as or referred to as "moral rights."

Ethicon Endo-Surgery, Inc. and/or its affiliated companies may use the "patient testimonial" worldwide and without limitation in time without stating my name insofar as such use, to the extent required by Ethicon Endo-Surgery, Inc. and/or its affiliated companies, is related to educational, sales, promotional or marketing purposes.

This agreement contains the full terms of release intended by the parties and may not be changed except in writing signed by both parties to this agreement.