On May 14, we issued an updated research report on Integra LifeSciences Holdings Corporation IART. The company has been noticing certain major developments overseas. However, a tough competitive landscape is concerning.This New Jersey-based company is a leading developer, manufacturer and marketer of surgical implants and medical instruments for use in neurosurgery, extremity reconstruction, orthopedics and general surgery.Shares of this Zacks Rank #3 (Hold) company have outperformed its industry over the past three months. The stock has slid 1.9% compared with the industry’s 5.6% fall.Integra LifeSciences exited the first quarter of 2019 with a strong organic revenue performance. Within Orthopedics business, organic growth was generated one quarter ahead of schedule, banking on an improved sales force effectiveness, product introductions and double-digit growth in both ankle and shoulder product lines.Integra LifeSciences Holdings Corporation Price Integra LifeSciences Holdings Corporation price | Integra LifeSciences Holdings Corporation QuoteBenefiting from product launches and an enhanced sales force performance, the company expects faster organic growth in the second half of 2019. Within Codman Specialty Surgical segment, the company is currently working on the launch of seven products including an intracranial pressure monitor, CereLink.In this segment, the company realigned 100% of in-patient wound reconstruction and orthopedic territories as part of its channel extension strategy. At the end of the first quarter, Integra LifeSciences noted that the operating performance of each franchise was in line or slightly better than the company’s expectations. Per plan, Integra LifeSciences is now running the entire Codman Specialty Surgical business independently in the United States, Canada, Australia, New Zealand and China.Meanwhile, Integra LifeSciences faces severe competition in the surgical implants and medical instruments market. The company needs a consistent innovation to deflect rivalry. Moreover, consolidations in the industry could induce an intense pricing pressure.Key PicksSome better-ranked stocks in the broader medical space are Stryker Corporation SYK, CONMED CNMD and DENTSPLY SIRONA Inc XRAY, each currently carrying a Zacks Rank #2 (Buy). You can see the complete list of today’s Zacks #1 Rank (Strong Buy) stocks here.Stryker’s long-term earnings growth rate is projected to be 10.1%CONMED’s long-term earnings growth rate is expected at 13.3%.DENTSPLY SIRONA’s long-term earnings growth rate is predicted to be 11.5%.Will you retire a millionaire?One out of every six people retires a multimillionaire. Get smart tips you can do today to become one of them in a new Special Report, “7 Things You Can Do Now to Retire a Multimillionaire.”Click to get it free >>Want the latest recommendations from Zacks Investment Research? Today, you can download 7 Best Stocks for the Next 30 Days. Click to get this free report Stryker Corporation (SYK): Free Stock Analysis Report Integra LifeSciences Holdings Corporation (IART): Free Stock Analysis Report DENTSPLY SIRONA Inc. (XRAY): Free Stock Analysis Report CONMED Corporation (CNMD): Free Stock Analysis Report To read this article on Zacks.com click here.