Supply Issues ICU Medical International Ltd Paediatric Endotracheal Tubes FDF264, FDF265 and FDF168 (ICN 2759)

• The supply issue with Endotracheal Tubes with Murphy Eye products from ICU Medical International Ltd has improved.
• FDF017 is now available to order without restrictions.
• FDF283 is no longer subject to intermittent supply and is available to order.
• Three products remain subject to Protect Demand Management:
  • FDF168, FDF264 and FDF265.
• Three products are now affected in total.
• Potential indirect alternative products are available to order through our online catalogue for the affected products.
• Due to the nature of these products, identified stocked alternatives may also be subject to intermittent supply.
• Please note, one alternative product is no longer suspended:
  • FSM7804.
• See our Downloads ▼ section to access the product listing for further information on the affected product codes and potential alternatives.
• We will continue to review the stock to minimise further disruption and will update this ICN as soon as we have further information.
• The supply issue is now anticipated to be resolved by 30 April 2026.

• The supply issue with Endotracheal Tubes with Murphy Eye products from ICU Medical International Ltd is continuing.
• One product remains subject to intermittent supply:
  • FDF283.
• Four products remain subject to Protect Demand Management:
  • FDF265, FDF264, FDF168 and FDF017.
• Five products remain affected in total.
• Protect Demand Management products are available to order through NHS Supply Chain. However, trusts are allocated a maximum daily quantity or “threshold” to ensure fair supply of available stock across the NHS.
• Potential indirect alternative products are available to order through our online catalogue for the affected products. However, some of these products may also become subject to intermittent supply with the increase in demand.
• Customers are advised one indirect alternative is currently suspended and unavailable to order:
  • FSM7804.
• See our Downloads ▼ section to access the product listing for further information on the affected product codes and potential alternatives and for a full list of product codes subject to Protect Demand Management.
• We will continue to review the stock to minimise further disruption and will update this ICN as soon as we have further information.
• The supply issue is now anticipated to be resolved by 27 March 2026.

• The supply issue with Endotracheal Tubes with Murphy Eye products from ICU Medical International Ltd is continuing.
• One further product is now subject to Protect Demand Management:
  • FDF017.
• Three products remain subject to Protect Demand Management:
  • FDF168, FDF264 and FDF265.
• One product is no longer suspended and is now subject to intermittent supply:
  • FDF283.
• Five products are now affected in total.
• Protect Demand Management products are available to order through NHS Supply Chain. However, trusts are allocated a maximum daily quantity or “threshold” to ensure fair supply of available stock across the NHS.
• Due to the nature of these products, identified stocked alternatives may also be subject to intermittent supply.
• Potential indirect alternative products are available to order through our online catalogue for the affected products. However, some of these products may also become subject to intermittent supply with the increase in demand.
• Please be advised that one of the alternatives for FDF017 (FSM7804) is currently suspended.
• See our Downloads▼ section to access the product listing for further information on the affected product codes and potential alternatives.
• We will continue to review the stock to minimise further disruption and will update this ICN as soon as we have further information.
• The supply issue is now anticipated to be resolved by 27 February 2026.

• The supply issue with Endotracheal Tubes with Murphy Eye products from ICU Medical International Ltd is continuing.
• One product which has been previously affected is now suspended and is unavailable to order:
  • FDF283.
• Three product codes remain subject to Protect Demand Management:
  • FDF168, FDF264 and FDF265.
• Four products are now affected in total.
• Protect Demand Management products are available to order through NHS Supply Chain. However, trusts are allocated a maximum daily quantity or “threshold” to ensure fair supply of available stock across the NHS.
• Due to the nature of these products, identified stocked alternatives may also be subject to intermittent supply.
• Potential indirect alternative products are available to order through our online catalogue for the affected products. However, some of these products may also become subject to intermittent supply with the increase in demand.
• See our Downloads ▼ section to access the product listing for further information on the affected product codes and potential alternatives and for a full list of product codes subject to Protect Demand Management.
• We will continue to review the stock to minimise further disruption and will update this ICN as soon as we have further information.
• The supply issue is now anticipated to be resolved by 30 January 2026.

• The supply issue with Paediatric Endotracheal Tubes products from ICU Medical International Ltd has improved.
• Four products are now available to order through our online catalogue:
  • FDF276, FDF017, FDF280 and FDF283.
• One product is no longer suspended and is now subject to Protect Demand Management:
  • FDF265.
• Two products remain subject to Protect Demand Management:
  • FDF168 and FDF264.
• Three products are now affected in total.
• Protect Demand Management products are available to order through NHS Supply Chain. However, trusts are allocated a maximum daily quantity or “threshold” to ensure fair supply of available stock across the NHS.
• Potential indirect alternative products are available to order through our online catalogue for the affected products. However, some of these products may also become subject to intermittent supply with the increase in demand.
• See our Downloads ▼ section to access the product listing for further information on the affected product codes and potential alternatives.
• Indirect alternative FDG1602 is now available to order through our online catalogue.
• Indirect alternative FSM7804 remains suspended and unavailable to order.
• We will continue to review the stock to minimise further disruption and will update this ICN as soon as we have further information.
• The supply issue is now anticipated to be resolved by 28 November 2025.

• The supply issue with Paediatric Endotracheal Tubes from ICU Medical International Ltd is continuing.
• Three products are no longer suspended and are now subject to Protect Demand Management:
  • FDF276, FDF280 and FDF283.
• Two products are no longer subject to Protect Demand Management and are now suspended and unavailable to order:
  • FDF017 and FDF265.
• Two products remain subject to Protect Demand Management:
  • FDF168 and FDF264.
• Seven products remain affected in total.
• Protect Demand Management products are available to order through NHS Supply Chain. However, trusts are allocated a maximum daily quantity or “threshold” to ensure fair supply of available stock across the NHS.
• Indirect alternative FDG1602 remains subject to Protect Demand Management.
• Indirect alternative FSM7804 remains suspended and unavailable to order.
• See our Downloads ▼ section to access the product listing for further information on the affected product codes and potential alternatives.
• The continuing supply issue is being monitored in conjunction with the supplier, and we will continue to review the stock situation to minimise further disruption and update this ICN with the latest information as it becomes available.
• The supply issue is now anticipated to be resolved by 31 October 2025.

• The supply issue with Paediatric Endotracheal Tubes from ICU Medical International Ltd is continuing.
• Two products remain suspended and unavailable to order:
  • FDF276 and FDF280.
• One product is no longer being demand managed and is now suspended and unavailable to order:
  • FDF283.
• Once stock is received, the above products will be subject to Protect Demand Management.
• One product is no longer suspended but is now subject to Protect Demand Management:
  • FDF017.
• Three products remain subject to Protect Demand Management:
  • FDF168, FDF264 and FDF265.
• Seven products remain affected in total.
• Protect Demand Management products are available to order through NHS Supply Chain. However, trusts are allocated a maximum daily quantity or “threshold” to ensure fair supply of available stock across the NHS.
• Please note, one indirect alternative remains subject to Protect Demand Management:
  • FDG1602.
• Also note, one indirect alternative is currently suspended:
  • FSM7804.
• Additional alternatives have been sourced for FDF265, FDF276 and FDF280 and are detailed in the updated product listing.
• See our Downloads ▼ section to access the product listing for further information on the affected product codes and potential alternatives and to view the supplier letter.
• The continuing supply issue is being monitored in conjunction with the supplier and we will continue to review the stock situation to minimise further disruption and update this ICN with the latest information as it becomes available.
• The supply issue is now anticipated to be resolved by 30 September 2025.

• The supply issue with Paediatric Endotracheal Tubes from ICU Medical International Ltd is continuing.
• Four affected product codes which were previously suspended are now subject to Protect Demand Management:
  • FDF168, FDF264, FDF265 and FDF283.
• Three product codes remain suspended and unavailable to order:
  • FDF276, FDF280 and FDF017.
• Seven products remain affected in total.
• FDF168, FDF264, FDF265 and FDF283 are available to order through NHS Supply Chain. However, trusts are allocated a maximum daily quantity or “threshold” to ensure fair supply of available stock across the NHS.
• Please note, one indirect alternative is now subject to Protect Demand Management:
  • FDG1602.
• Customers are advised to log into our website to view the product listing for further information on the affected product codes and potential alternatives.
• See our Downloads ▼ section to access the product listing for further information on the affected product codes and potential alternatives and for a full list of product codes subject to Protect Demand Management.
• We will update the ICN when we have further information.
• The supply issue is now anticipated to be resolved by 30 May 2025.

• The supply issue with Paediatric Endotracheal Tubes from ICU Medical International Ltd is continuing.
• New alternatives have been sourced for delisted product FDF1261 and are detailed on the product listing:
  • FDA85045, FEC85017 and FDF1271.
• Supplier data sheets for alternative Endotracheal Tube  products have been added to our Downloads ▼ section.
• Six product codes remain suspended and unavailable to order:
  • FDF168, FDF264, FDF265, FDF276, FDF280 and FDF283.
• One product code remains subject to Protect Demand Management.
  • FDF017.
• Seven products remain affected in total.
• See our Downloads ▼ section to access the product listing for further information on the affected product codes and potential alternatives and the alternatives data sheets.
• We will update the ICN when we have further information.
• The supply issue is now anticipated to be resolved by 30 April 2025.

• The supply issue with Paediatric Endotracheal Tubes from ICU Medical International Ltd is continuing.
• Six product codes remain suspended and unavailable to order:
  • FDF168, FDF264, FDF265, FDF276, FDF280 and FDF283.
• One product code remains subject to Protect Demand Management:
  • FDF017.
• Seven product codes remain affected in total.
• FDF017 is available to order through the NHS Supply Chain. However, trusts are allocated a maximum daily quantity or “threshold” to ensure fair supply of available stock across the NHS.
• Potential indirect alternative products are available to order through our online catalogue for the affected products. However, some of these products may also become subject to intermittent supply with the increase in demand.
• See our Downloads ▼ section to access the product listing for further information on the affected product codes and potential alternatives and to view the product codes currently subject to Protect Demand Management.
• Our online catalogue is in the process of being updated to reflect the recently added alternatives.
• The supply issue is now anticipated to be resolved by 30 June 2025.

• The supply issue with Paediatric Endotracheal Tubes from ICU Medical International Ltd is continuing.
• Further alternatives have been sourced for the affected product codes and the product listing has been updated.
• Six affected product codes are now suspended and unavailable to order:
  • FDF168, FDF264, FDF265, FDF276, FDF280 and FDF283.
• One affected product remains subject to Protect Demand Management:
  • FDF017.
• Seven product codes remain affected in total.
• FDF017 is available to order through the NHS Supply Chain. However, trusts are allocated a maximum daily quantity or “threshold” to ensure fair supply of available stock across the NHS.
• Potential indirect alternative products are available to order through our online catalogue for the affected products. However, some of these products may also become subject to intermittent supply with the increase in demand.
• See our Downloads ▼ section to access the product listing for further information on the affected product codes and potential alternatives.
• Our online catalogue is in the process of being updated to reflect the new alternatives.
• The supply issue is now anticipated to be resolved by 30 April 2025.

• The supply issue with Paediatric Endotracheal Tubes from ICU Medical International Ltd is continuing.
• Three product codes have now been delisted from our online catalogue and are no longer available to order:
  • FDF1262, FDF1261 and FDF048.
• FDF017 is no longer suspended and is now subject to Protect Demand Management.
• Six product codes remain subject to Protect Demand Management:
  • FDF168, FDF264, FDF265, FDF276, FDF280 and FDF283.
• Seven products are now affected in total.
• These products are available to order through the NHS Supply Chain. However, trusts are allocated a maximum daily quantity or “threshold” to ensure fair supply of available stock across the NHS.
• Potential indirect alternative products are available to order through our online catalogue for the affected products. However, some of these products may also become subject to intermittent supply with the increase in demand.
• See our Downloads ▼ section to access the product listing for further information on the affected product codes and potential alternatives.
• The supply issue is anticipated to be resolved by 15 April 2025.

Change:

• The supplier ICU Medical International Ltd has informed us of a supply issue with its Paediatric Endotracheal Tubes.
• There are 10 product codes affected.
• The supply issue is due to a global ship hold; further information is to be provided shortly.

Impact:

• Due to this ongoing supply issue, six products codes are now being threshold managed as they are subject to Protect Demand Management:
  • FDF168, FDF264, FDF265, FDF276, FDF280 and FDF283.
• These products are available to order through NHS Supply Chain. However, trusts are allocated a maximum daily quantity or “threshold” to ensure fair supply of available stock across the NHS.
• Four product codes are currently suspended and unavailable to order:
  • FDF1262, FDF1261, FDF017 and FDF048.
• Potential indirect alternative products are available to order through our online catalogue.
• We are currently sourcing further stocked alternatives and updates will be made to the product listing as soon as possible.
• See our Downloads ▼ section to access the product listing for further information on the affected product codes and potential alternatives.
• We do not currently have a resolution date for the supply issue and will update this ICN as soon as we have further information.

Next Steps:               

• Customers are advised to log into our website to view the product listing for further information on the affected product codes and potential alternatives and to view the product codes currently subject to Protect Demand Management.
• The continuing supply issue is being monitored in conjunction with the supplier and we will continue to review the stock situation to minimise further disruption and update this ICN with the latest information as it becomes available.
• If you have any further questions, please contact your local NHS Supply Chain Customer Services Advisor.

Please note that due to the clinical nature of these alternative products, we advise you to consult your own clinical experts to ensure suitability for your organisations use of these products.