ISRG · Earnings call · 2026Q3T · Full report

International Market Growth

INTUITIVE SURGICAL INC · 2026-10-20 · Importance 47 · Surprise 48

Outside the U.S., da Vinci placements increased 29%, and management said nearly 4,000 international customers had a da Vinci program, with nearly 25% operating two or more systems. International customers are expanding beyond urology and cancer procedures into benign hysterectomy in Germany, cholecystectomy in the U.K. and India, and inguinal hernia repair in Japan. Germany led Europe with 20 system installations, while Japan improved in placements and procedure growth for a second consecutive quarter and India recorded 42% procedure growth, surpassing 200,000 cumulative procedures. The operating environment in China remained challenging.

Key facts

• In Q3 2026, Intuitive placed 115 systems in Europe, up 83% from 63; 78 in Asia, up 30% from 60; and 18 in Rest of World countries, compared with 41 a year earlier.
• Intuitive received reimbursement for Ion in Korea during Q3 2026 and expects further reimbursement actions in other geographies in coming quarters.
• Intuitive plans to accelerate expansion into additional countries it does not currently serve in 2027.
• In Q3 2026, da Vinci placements outside the U.S. increased 29%.
• Outside the U.S., da Vinci adoption for benign procedures grew 41% in Q3 2026, compared with 37% in Q2 and 34% in Q1.
• Q3 2026 outside-U.S. da Vinci placements were 211 systems, up 29% from 164 a year earlier.
• In Q3 2026, almost 7,000 customers in more than 70 countries performed da Vinci procedures at over 10,000 procedures per day.
• Nearly 4,000 international customers had a da Vinci program as of Q3 2026, and nearly 25% operated two or more systems.