ISRG · Earnings call · 2026Q3T · Full report

Competition and Market Share

INTUITIVE SURGICAL INC · 2026-10-20 · Importance 10 · Surprise 6

In discussing ambulatory surgery centers, management said customers evaluate robotic systems on architecture, portfolio pricing, the broader ecosystem, and supporting infrastructure—not simply the robot. Intuitive said it had evaluated modular, table-mounted, and other architectures and continues to believe its cart-based da Vinci design best balances capability and usability in both main operating rooms and ASCs. Management said a modular architecture is not required to serve benign procedures and that its tiered portfolio, including XiR, is intended to fit customer economics. The company estimated that ASCs represent a little under 10% of U.S. soft-tissue surgery, with about 70% of those volumes affiliated with existing IDNs, and said its penetration of the ASC opportunity remains in the low first quartile.