The document presents CutFEM, a fictitious domain/distributed Lagrange multiplier method on hierarchical B-Spline Cartesian grids. It discusses the formulation of CutFEM for incompressible Navier-Stokes equations, including stabilization techniques. It also describes adaptive integration techniques for cut cells. Numerical examples applying CutFEM to flow past a cylinder and a pressure relief valve problem are presented to demonstrate the method's accuracy and ability to reduce degrees of freedom compared to traditional finite difference methods.