Supply Issues Stryker Cyber Attack (ICN 3289)

Overall position:

• Stryker’s supply, manufacturing, and operational capabilities are now fully back to business as usual.
• Stryker has issued the following message for trusts: “We would like to take this opportunity to express our sincere gratitude to NHS Supply Chain and the wider NHS estate and stakeholders for their support throughout what has been a challenging period.”
• Stryker has asked that trusts continue to place orders through the eDirect route on the NHS Supply Chain catalogue to ensure national visibility and enable any central controls required as the disruption moves nearer to a full resolution​. Changes to this position will be communicated via further updates to this ICN.

Stocked products:

• Five stocked Stryker products are moving from Control Demand Management to Protect Demand Management:
  • FDJ3862 – Defibrillator Electrode Edge – Adult – Not pre-connected
  • FDJ609 – Automated Defibrillator/Pacing Electrode LifePak – Adult – Quik Combo
  • FDJ610 – Automated Defibrillator/Pacing Electrode – LifePak – Adult – Quik Combo
  • FPA663 – Oral Swab Sodium Bicarbonate
  • FPA664 – Oral Swab Untreated.
• Under Protect Demand Management trusts are allocated a daily threshold and you are encouraged to place daily orders or set up standing orders to ensure consistent supply. Please complete an escalation form if you wish the threshold level to be reviewed.
• One product currently remains subject to Control Demand Management:
  • FDJ611 – Automated Defibrillator/Pacing Electrode – LifePak – Paed – Quik Combo.

Information for Clinical Choice (ICC):

• See our Downloads ▼ section to view two filterable ICC matrices for flow diverters and intrasaccular devices in the Interventional Neuroradiology product category.

Next steps:

• Continue to place orders through the eDirect route on the NHS Supply Chain catalogue.
• Continue to check this ICN for further updates.
• See our Useful Links section to find out more about back order line management processes.
• For support with ordering please email coreadminsupport@supplychain.nhs.uk.

Change:

• The supply disruption continues to improve.
• Stryker’s manufacturing is nearly back to full capacity and stock levels across Stryker’s product portfolio remain strong.
• Long Term Consignment (LTC) inventory is available across the network.
• All products available on NHS Supply Chain frameworks should continue to be ordered through the eDirect route on the NHS Supply Chain catalogue to ensure national visibility allowing NHS England to enable any central control required​. This has been agreed with Stryker and will be reviewed regularly. We will communicate any future changes via this ICN.
• Under the eDirect route, in line with normal back order line processes for all suppliers, if Stryker cannot fulfil an order in full, they will supply what they can and cancel the remaining items. NHS Supply Chain receives a daily list of orders where this has occurred, and our National Admin Team will rekey the order for Stryker to fulfil the outstanding items at a later point.
• You do not need to take any action as NHS Supply Chain will manage on your behalf. You will lose visibility of the order for a brief period but as soon as the order is rekeyed, you will be able to view it as normal.

Next steps:

• Continue to place orders through the eDirect route on the NHS Supply Chain catalogue.

Change:

• The supply disruption situation continues to improve.
• Stryker has resumed manufacturing and shipping products for the UK across most of its production lines, including for all joint replacement and trauma and extremity brands. They expect manufacturing to be at normal levels for all products by 10 April 2026.
• Stock levels across Stryker’s product portfolio remain strong.
• Long Term Consignment (LTC) inventory is available across the network.
• All products available on NHS Supply Chain frameworks should continue to be ordered through the eDirect route on the NHS Supply Chain catalogue to ensure national visibility allowing NHSE to enable any central control required​. This has been agreed with Stryker and will be reviewed regularly. We will communicate any future changes via this ICN.
• A product listing has been produced for pressure area care products.

Next steps:

• See our Downloads ▼ section to review the pressure area care product listing.​
• Continue to place orders through our online catalogue.
• Continue to order only what you need, do not attempt to build stock or place large orders​.
• Continue to check this ICN for further updates.
• For support with ordering please email coreadminsupport@supplychain.nhs.uk

Change:

• Four product listings have been produced to support procurement and clinical teams with finding alternatives to Stryker products.
• They cover:
  • Defibrillators and associated products
  • Minimally invasive surgery products including suction irrigation, trocar and tubing
  • Medical chart paper
  • Electrosurgical products including diathermy smoke evacuation.

Next steps:

• See our Downloads ▼ section to review the product listings.  ​
• Continue to place orders through NHS Supply Chain to ensure national visibility and enable any central controls required​.
• Continue to order only what you need, do not attempt to build stock or place large orders​.
• To mitigate potential supply risk, consider where alternative products could be used and manage current supply until fuller inventory/ information is available​.
• Continue to check this ICN for further updates.
• For support with ordering please email coreadminsupport@supplychain.nhs.uk

 Change:

Cyber security​

• • NHS Supply Chain has received the requested cyber assurances from Stryker, so we have reconnected communication channels, including emails, the Supplier Portal and Jaggaer,​ allowing information to flow as normal between our organisations.
  • Stryker has published a statement on their website from its Cyber Incident Response Unit that can be viewed by NHS trusts.
  • See our Useful Links section to view the cyber update from Stryker. ​

       Supply situation​

• • Stryker has resumed manufacturing, but it is not yet clear at which sites or what this means for capacity, so vigilance is still required. Further information on capacity is expected later this week. ​
  • Whilst Stryker is fulfilling orders, uncertainty remains on future inbound, so vigilance is still required.​
  • Prioritisation of demand allocation will continue in line with clinical criticality. ​

Ordering​

• • The interim solution stood-up last week to provide a secure ordering channel is no longer required given cyber security assurances have now been received.
  • Continue to place orders through NHS Supply Chain to ensure national visibility and enable any central controls required​. This has been agreed with Stryker.
  • Business-as-usual processes have resumed, and orders are flowing as normal​ between NHS Supply Chain and Stryker systems.
  • Stryker has cleared the backlog of orders meaning orders placed today will be fulfilled today​.
  • Order reconciliation continues, however, invoicing processes may be slightly delayed.

Next steps:

• Continue to order only what you need, do not attempt to build stock or place large orders​.
• To mitigate potential supply risk, consider where alternative products could be used and manage current supply until fuller inventory/ information is available​.
• Continue to check this ICN for further updates.
• See our Downloads ▼ section to review Information for Clinical Choice documents. ​
• For support with ordering please email coreadminsupport@supplychain.nhs.uk

Change:

• An Information for Clinical Choice (ICC) has been produced to support clinical teams with alternatives for Microcatheters in the Interventional Neuroradiology category.
• Further clinical guidance and details of alternative products across impacted product categories will be uploaded to this ICN as soon as they are available.

Next steps:

• See our Downloads ▼ section to view an Information for Clinical Choice (ICC) for Microcatheters – Interventional Neuroradiology.
• Continue to check this ICN for further updates.

Change:

• Clinical guidance has been produced to support clinical teams with seeking alternative products in two high-priority clinical product areas:
  • Trauma and Orthopaedics
  • Interventional Neuroradiology (INR).
• Further clinical guidance and details of alternative products across impacted product categories will be uploaded to this ICN as soon as they are available.

Next steps:

• See our Downloads▼ section to view an Information for Clinical Choice (ICC) for Interventional Neuroradiology and alternative supplier guidance for Trauma and Orthopaedics
• Continue to check this ICN for further updates.

National Guidance

• NHS England has issued national guidance on the Stryker cyber-attack supply disruption which all trusts should read and follow.
• See our Downloads ▼ section to read the NHS England letter which was issued on Wednesday 18 March 2026.

Interim Ordering Solution (Now Live)

• To maintain a safe and controlled flow of Stryker products, NHS Supply Chain, Stryker and their third-party logistics and warehousing partner, DHL, whose systems are unaffected by the cyber-attack, have jointly developed an interim ordering solution which is now live.
• All orders for Stryker products available via NHS Supply Chain must now be placed through eDirect even if you normally buy products directly.
• See our Downloads ▼ section to view the Stryker ordering guide.

Clinical Prioritisation

• NHS Supply Chain and Stryker have aligned a list of high-priority clinical product areas, including:
  • Trauma and Orthopaedics
  • Hip, knee, extremity and revision arthroplasty
  • Trauma fixation systems (plates, nails, screws)
  • Spine devices
  • Power tools and associated consumables
  • Single‑use tourniquets
  • Interventional Neuroradiology (INR)
  • Coils and flow diverters
  • Stent retrievers
  • Catheters (micro, aspiration, distal access)
  • Other Areas
  • Defibrillator consumables and accessories.
• Guidance on high-priority clinical product areas will be uploaded to this ICN as soon as they are available.

Required actions for trusts

Ordering

• Submit all Stryker orders via NHS Supply Chain eDirect until further notice even if you usually order direct from Stryker.
• Order essential and critical items only; do not build safety stock.
• Consider alternative suppliers and products where clinically safe.
• Ensure local catalogues are refreshed based on NHS Supply Chain data.
• Expect extended delivery timelines and delayed notifications.

Clinical

• Review where Stryker products are used across your trust.
• Implement local conservation measures for affected specialties.
• Begin planning to reduce reliance on Stryker products over the next 3 – 4 weeks.

Communication and Escalation

• Follow national messaging from NHS Supply Chain and NHS England.
• Report urgent clinical risks via NHS Supply Chain’s escalation process.
• Contact: coreadminsupport@supplychain.nhs.uk for ordering support.
• Direct general queries to Voice of the Customer: Voiceofthecustomer@supplychain.nhs.uk.
• All updates, including FAQs, Information for Clinical Choice (ICC) guidance and revisions, will be posted here. Please check this ICN regularly.

Change

• NHS Supply Chain have continued to work with Stryker over the weekend to minimise disruption from the cyber-attack as the company seeks to restore its IT systems
• Our focus continues to be to maintain supply to allow the system to continue to operate as normal.
• Further guidance on product availability and ordering will be provided as soon as possible.

Next steps

• Please check this ICN regularly for updates, which will be provided as soon as there is further information.

Impact:

• We are working with Stryker to understand and assess the impact.
• The cyber-attack has affected all of Stryker’s systems so they cannot receive orders direct or via NHS Supply Chain.
• Our teams are working to identify potential alternative solutions across a number of category areas to minimise disruption to the NHS.
• Due to the incident the following stocked Stryker products will be subject to Control Demand Management and can only be ordered by submitting an escalation form:
  • FDJ3862 – Defibrillator Electrode Edge – Adult – Not pre-connected
  • FDJ609 – Automated Defibrillator/Pacing Electrode LifePak – Adult – Quik Combo
  • FDJ610 – Automated Defibrillator/Pacing Electrode – LifePak – Adult – Quik Combo
  • FDJ611 – Automated Defibrillator/Pacing Electrode – LifePak – Paed – Quik Combo
  • FPA663 – Oral Swab Sodium Bicarbonate
  • FPA664 – Oral Swab Untreated.
• A detailed product listing will follow.

Next steps:

• Check this ICN regularly for the latest updates.
• Items subject to Control Demand Management can only be ordered by submitting an escalation form to our Customer Services Team via coreadminsupport@supplychain.nhs.uk
• See our Downloads ▼ section to obtain an escalation form.
• See our Useful Links section for customer updates from Stryker.