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 Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940

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1. Name and Address of Reporting Person * COSTELLO RICHARD A   2. Issuer Name and Ticker or Trading Symbol ICU MEDICAL INC/DE [ICUI] 5. Relationship of Reporting Person(s) to Issuer (Check all applicable) _____ Director _____ 10% Owner __X__ Officer (give title below) _____ Other (specify below) Vice President Sales (Last) (First) (Middle) 951 CALLE AMANECER 3. Date of Earliest Transaction (Month/Day/Year) 02/25/2014 (Street) SAN CLEMENTE, CA 92673 4. If Amendment, Date Original Filed(Month/Day/Year) 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) Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned

1.Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction 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 02/25/2014   X   6,923 A $ 46.53 8,096 D   Common Stock 02/25/2014   X   3,571 A $ 43.62 11,667 D   Common Stock 02/25/2014   X   1,250 A $ 37 12,917 D   Common Stock 02/25/2014   X   15,000 A $ 32.07 27,917 D   Common Stock 02/25/2014   X   938 A $ 43.12 28,855 D   Common Stock 02/25/2014   X   938 A $ 32.31 29,793 D   Common Stock 02/25/2014   S   28,620 D $ 58.6187 (1) 1,173 D   Common Stock (2) 02/25/2014   S   549 D $ 58.5444 (3) 624 D   Common Stock 02/25/2014   S   339 (4) D $ 58.4978 (5) 285 D

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Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)

1. Title of Derivative Security (Instr. 3)

2. Conversion or Exercise Price of Derivative Security

3. Transaction Date (Month/Day/Year)

3A. Deemed Execution Date, if any (Month/Day/Year)

4. Transaction Code (Instr. 8)

5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5)

6. Date Exercisable and Expiration Date (Month/Day/Year)

7. Title and Amount of Underlying Securities (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)

Code

V

(A)

(D)

Date Exercisable

Expiration Date

Title

Amount or Number of Shares

Non-Qualified Stock Option (right to buy)

$ 32.07

02/25/2014

X

15,000

02/04/2014

02/04/2019

Common Stock

15,000

(6)

0

D

Non-Qualified Stock Option (right to buy)

$ 32.31

02/25/2014

X

938

(7)

02/04/2020

Common Stock

938

(6)

0

D

Non-Qualified Stock Option (right to buy)

$ 37

02/25/2014

X

1,250

(7)

07/21/2020

Common Stock

1,250

(6)

1,563

D

Non-Qualified Stock Option (right to buy)

$ 43.12

02/25/2014

X

938

(7)

02/02/2021

Common Stock

938

(6)

3,750

D

Non-Qualified Stock Option (right to buy)

$ 43.62

02/25/2014

X

3,571

(7)

07/20/2021

Common Stock

3,571

(6)

5,313

D

Non-Qualified Stock Option (right to buy)

$ 46.53

02/25/2014

X

6,923

(7)

02/01/2022

Common Stock

6,923

(6)

6,924

D

Reporting Owners

Reporting Owner Name / Address	Relationships
	Director	10% Owner	Officer	Other
COSTELLO RICHARD A 951 CALLE AMANECER SAN CLEMENTE, CA 92673			Vice President Sales

Signatures

By: Lynn DeMartini For: Richard A. Costello		02/26/2014
**Signature of Reporting Person		Date

Explanation of Responses:

*	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).
(1)	The price recorded in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $58.27 to $58.81 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.
(2)	These securities are Restricted Stock Units.
(3)	The price recorded in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $58.50 to $58.68 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)	Shares purchased through Employee Stock Purchase Plan
(5)	The price recorded in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $58.49 to $58.50 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)	Transaction is the exercise of a derivative security; see Column 2.
(7)	Options vest and are exercisable as to 25% of the underlying grant one year after the date of grant and in equal monthly installments thereafter for three additional years.

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