FORM 4
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).         
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
                                                                                  
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Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
                      

1. Name and Address of Reporting Person *

Jain Vivek
2. Issuer Name and Ticker or Trading Symbol

ICU MEDICAL INC/DE [ ICUI ]
5. Relationship of Reporting Person(s) to Issuer (Check all applicable)

__X__ Director                    _____ 10% Owner
__X__ Officer (give title below)    _____ Other (specify below)
Chairman and CEO
(Last)          (First)          (Middle)

951 CALLE AMANECER
3. Date of Earliest Transaction (MM/DD/YYYY)

6/14/2023
(Street)

SAN CLEMENTE, CA 92673
4. If Amendment, Date Original Filed (MM/DD/YYYY)

 
6. Individual or Joint/Group Filing (Check Applicable Line)

_X _ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
(City)        (State)        (Zip)
Rule 10b5-1(c) Transaction Indication
Check this box to indicate that a transaction was made pursuant to a contract, instruction or written plan that is intended to satisfy the affirmative defense conditions of Rule 10b5-1(c). See Instruction 10.

Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Trans. Date 2A. Deemed Execution Date, if any 3. Trans. Code
(Instr. 8)
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 6/14/2023  M  6712 (1)A$58.79 30389 D  
Common Stock 6/14/2023  S  6712 D$185.7305 (2)23677 D  
Common Stock 6/14/2023  M  3637 (1)A$58.79 27314 D  
Common Stock 6/14/2023  S  3637 (1)D$186.5029 (3)23677 D  
Common Stock 6/14/2023  M  2781 (1)A$58.79 26458 D  
Common Stock 6/14/2023  S  2781 (1)D$187.434 (4)23677 D  
Common Stock 6/14/2023  M  8163 (1)A$58.79 31840 D  
Common Stock 6/14/2023  S  8163 (1)D$188.5155 (5)23677 D  
Common Stock 6/14/2023  M  785 (1)A$58.79 24462 D  
Common Stock 6/14/2023  S  785 (1)D$189.3167 (6)23677 D  
Common Stock 6/14/2023  M  1699 (1)A$58.79 25376 D  
Common Stock 6/14/2023  S  1699 (1)D$190.482 (7)23677 D  
Common Stock 6/14/2023  M  1601 (1)A$58.79 25278 D  
Common Stock 6/14/2023  S  1601 (1)D$192.0613 (8)23677 D  
Common Stock 6/14/2023  M  2104 (1)A$58.79 25781 D  
Common Stock 6/14/2023  M  2418 (1)A$58.79 28199 D  
Common Stock 6/14/2023  S  2418 (1)D$194.0219 (9)25781 D  
Common Stock 6/14/2023  M  100 (1)A$58.79 25881 D  
Common Stock 6/14/2023  S  100 (1)D$194.73 (10)25781 D  
Common Stock 6/14/2023  S  2104 (1)D$193.296 (11)23677 D  
Common Stock         60000 I by Trust (12)

Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivate Security
(Instr. 3)
2. Conversion or Exercise Price of Derivative Security3. Trans. Date3A. Deemed Execution Date, if any4. Trans. Code
(Instr. 8)
5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
6. Date Exercisable and Expiration Date7. Title and Amount of Securities Underlying Derivative Security
(Instr. 3 and 4)
8. Price of Derivative Security
(Instr. 5)
9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4)11. Nature of Indirect Beneficial Ownership (Instr. 4)
CodeV(A)(D)Date ExercisableExpiration DateTitleAmount or Number of Shares
Non-Qualified Stock Option (right to buy) $58.79 6/14/2023  M     6712 (1) 2/13/2018 2/24/2024 Common Stock 6712 $0.0 199654 D  
Non-Qualified Stock Option (right to buy) $58.79 6/14/2023  M     3637 (1) 2/13/2018 2/24/2024 Common Stock 3637 $0.0 196017 D  
Non-Qualified Stock Option (right to buy) $58.79 6/14/2023  M     2781 (1) 2/13/2018 2/24/2024 Common Stock 2781 $0.0 193236 D  
Non-Qualified Stock Option (right to buy) $58.79 6/14/2023  M     8163 (1) 2/13/2018 2/24/2024 Common Stock 8163 $0.0 185073 D  
Non-Qualified Stock Option (right to buy) $58.79 6/14/2023  M     785 (1) 2/13/2018 2/24/2024 Common Stock 785 $0.0 184288 D  
Non-Qualified Stock Option (right to buy) $58.79 6/14/2023  M     1699 (1) 2/13/2018 2/24/2024 Common Stock 1699 $0.0 182589 D  
Non-Qualified Stock Option (right to buy) $58.79 6/14/2023  M     1601 (1) 2/13/2018 2/24/2024 Common Stock 1601 $0.0 180988 D  
Non-Qualified Stock Option (right to buy) $58.79 6/14/2023  M     2104 (1) 2/13/2018 2/24/2024 Common Stock 2104 $0.0 178884 D  
Non-Qualified Stock Option (right to buy) $58.79 6/14/2023  M     2418 (1) 2/13/2018 2/24/2024 Common Stock 2418 $0.0 176466 D  
Non-Qualified Stock Option (right to buy) $58.79 6/14/2023  M     100 (1) 2/13/2018 2/24/2024 Common Stock 100 $0.0 176366 D  

Explanation of Responses:
(1) The option exercises/sales reported in this Form 4 were effected pursuant to a Rule 10b5-1 Plan adopted by the reporting person on March 15, 2023.
(2) The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $185.04 to $186.03, inclusive. The reporting person undertakes to provide ICU Medical, Inc., any security holder of ICU Medical, Inc., or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this Form 4.
(3) The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $186.05 to $187.04, inclusive. The reporting person undertakes to provide ICU Medical, Inc., any security holder of ICU Medical, Inc., or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this Form 4.
(4) The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $187.05 to $188.03, inclusive. The reporting person undertakes to provide ICU Medical, Inc., any security holder of ICU Medical, Inc., or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this Form 4.
(5) The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $188.06 to $189.03, inclusive. The reporting person undertakes to provide ICU Medical, Inc., any security holder of ICU Medical, Inc., or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this Form 4.
(6) The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $189.06 to $189.89, inclusive. The reporting person undertakes to provide ICU Medical, Inc., any security holder of ICU Medical, Inc., or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this Form 4.
(7) The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $190.16 to $191.12, inclusive. The reporting person undertakes to provide ICU Medical, Inc., any security holder of ICU Medical, Inc., or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this Form 4.
(8) The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $191.44 to $192.385, inclusive. The reporting person undertakes to provide ICU Medical, Inc., any security holder of ICU Medical, Inc., or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this Form 4.
(9) The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $193.58 to $194.21, inclusive. The reporting person undertakes to provide ICU Medical, Inc., any security holder of ICU Medical, Inc., or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this Form 4.
(10) All shares sold were sold at the exact price disclosed.
(11) The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $192.52 to $193.515, inclusive. The reporting person undertakes to provide ICU Medical, Inc., any security holder of ICU Medical, Inc., or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this Form 4.
(12) This transaction represented a gift of securities from the reporting person to two trusts for the benefit of family members, who share the same household. The reporting person disclaims beneficial ownership of the shares held by the trusts, and this report shall not be deemed as an admission that the reporting person is the beneficial owner of the trust's shares for purposes of Section 16 or for any other purpose.

Reporting Owners
Reporting Owner Name / Address
Relationships
Director10% OwnerOfficerOther
Jain Vivek
951 CALLE AMANECER
SAN CLEMENTE, CA 92673
X
Chairman and CEO

Signatures
Vivek Jain6/15/2023
**Signature of Reporting PersonDate


Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
*If the form is filed by more than one reporting person, see Instruction 4(b)(v).
**Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note:File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number.
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