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Intuitive Surgical Inc   (NASDAQ: ISRG)
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Description of Intuitive Surgical Inc's Business Segments


Intuitive Surgical Inc. Overview

Intuitive Surgical Inc. is a pioneering force in the field of robotic-assisted surgery, best known for its flagship product, the da Vinci Surgical System. The company has dedicated itself to developing technologies that enhance surgical precision and improve patient outcomes while promoting minimally invasive surgical techniques. Below is a detailed overview of the companys segments, products, and services.

1. Da Vinci Surgical System

The da Vinci Surgical System is at the heart of Intuitive Surgicals offerings, designed to allow surgeons to perform intricate procedures through small incisions with improved control, precision, and visualization. This system comprises several key components:

a. Surgeon Console
- Ergonomic Design: Provides a comfortable seated position, allowing surgeons to perform complex surgeries for extended periods without discomfort.
- 3D Visualization: Offers a high-definition, three-dimensional view of the surgical field, significantly enhancing depth perception and the ability to discern fine anatomical details.
- Precision Control: Translates the surgeon's hand movements into micro-movements of robotic instruments, allowing for unparalleled precision during surgeries.

b. Patient-Side Cart
- Electromechanical Arms: Equipped with up to four robotic arms that maneuver the surgical instruments. The design facilitates optimal positioning of instruments to meet varying surgical demands.
- Instrument Integration: The first two arms hold EndoWrist instruments, while a third arm manages a high-definition endoscope for visual feedback. The potential for a fourth arm provides additional options for instrument use, reducing the need for human assistants.

c. 3D Vision System
- InSite Technology: Combines advanced imaging with dual color monitors to deliver high-resolution 3D visuals while minimizing flicker, significantly reducing eye fatigue for surgeons.
- High Definition Options: Introduced in 2007, this system enhances visualization capabilities, includes features like digital zoom, and allows for magnification without repositioning the endoscope'a critical component in complex surgeries.

d. 3-Arm da Vinci S Surgical System
- A streamlined version of the larger da Vinci system, featuring a standard definition vision system and two instrument arms while maintaining the capacity for future upgrades.

EndoWrist Instruments and Accessories

Intuitive Surgical has developed a variety of EndoWrist instruments that offer wrist-like flexibility, enhancing surgical dexterity and efficacy. These instruments are essential for performing various surgical procedures and are characterized by:

- Variety of Instruments: Includes forceps, scissors, electrocautery devices, and other specialized tools tailored for specific surgical tasks, typically in either 5 mm or 8 mm diameters.
- Interchangeable Use: Instruments can be swiftly switched during procedures to improve efficiency and adaptability in dynamic surgical environments.
- Disposable Components: Many instrument tips include disposable components that enhance safety and simplify post-surgical processes.

Other Products and Technologies

While the focus remains primarily on the da Vinci system and EndoWrist instruments, Intuitive Surgical has previously offered a range of products that may still provide support to existing customers:

a. AESOP Endoscope Positioner
A robotic device capable of automatically positioning an endoscope based on verbal commands from the surgeon, reducing dependence on assistants.

b. ZEUS Surgical System
The early predecessor to the da Vinci system, previously designed for robotic surgeries but no longer actively promoted.

c. HERMES Control Center
A voice-activated system that allows surgeons to control various operating room devices and equipment through verbal commands.

d. SOCRATES Telementoring System
A platform enabling telecollaboration, allowing experienced surgeons to mentor and guide less experienced colleagues in real-time during surgeries.

Services and Support

Intuitive Surgical places a strong emphasis on customer service and support, ensuring the successful implementation and ongoing use of its technologies. The services offered include:

- Training Programs: Comprehensive training for surgical teams to ensure they are proficient and confident in using the da Vinci system safely and effectively.
- Maintenance and Upgrades: Ongoing technical support and the opportunity for customers to upgrade their systems to the latest technology advancements.
- Clinical Support: Access to clinical specialists who provide expert insight, recommendations, and best practices tailored for various surgical procedures, enhancing the overall surgical experience.

Conclusion

Intuitive Surgical Inc. has established itself as a leader in robotic surgical systems through the advancement of its da Vinci Surgical System, a diverse range of EndoWrist instruments, and a commitment to robust support services. By focusing on precision and minimally invasive techniques, the company continues to enhance surgical practices and improve healthcare delivery around the globe.

 

Composition of Intuitive Surgical Inc Revenues by Segments

 
Instruments and accessories    60.71 % of total Revenue
Systems    23.2 % of total Revenue
Service    16.11 % of total Revenue
U S    68.28 % of total Revenue
U S Instruments and accessories    42.78 % of total Revenue
U S Systems    14.91 % of total Revenue
U S Service    10.59 % of total Revenue
Outside of the U S OUS    31.75 % of total Revenue
Outside of the U S OUS Instruments and accessories    17.93 % of total Revenue
Outside of the U S OUS Systems    8.29 % of total Revenue
Outside of the U S OUS Service    5.53 % of total Revenue

Q1 three months ended (Mar 31 2025)
Revenues by Business Segments Revenues
(in millions $)
%
(of total Revenues)
Instruments and accessories 1,367.70 60.71 %
Systems 522.70 23.2 %
Service 363.00 16.11 %
U S 1,538.20 68.28 %
U S Instruments and accessories 963.80 42.78 %
U S Systems 335.90 14.91 %
U S Service 238.50 10.59 %
Outside of the U S OUS 715.20 31.75 %
Outside of the U S OUS Instruments and accessories 403.90 17.93 %
Outside of the U S OUS Systems 186.80 8.29 %
Outside of the U S OUS Service 124.50 5.53 %
Total 2,252.70 100 %




Q1 three months ended (Mar 31 2025)
Revenue Growth rates by Segment Y/Y Revenue
%
Q/Q Revenue
%
Instruments and accessories 18.02 % -
Systems 24.99 % -
Service 15.79 % -
U S 24.2 % -
U S Instruments and accessories 17.19 % -
U S Systems 58.07 % -
U S Service 17.14 % -
Outside of the U S OUS 9.68 % -
Outside of the U S OUS Instruments and accessories 20.03 % -
Outside of the U S OUS Systems -9.19 % -
Outside of the U S OUS Service 13.28 % -
Total - -




Q1 three months ended (Mar 31 2025)
Income by Business Segments Income
(in millions $)
%
(Profit Margin)
Total 703.70 31.24 %




Q1 three months ended (Mar 31 2025)
Income Growth rates by Segment Y/Y Income
%
Q/Q Income
%
Total - -




Annual Report on Intuitive Surgical Inc Divisions, Sales by Country

 
Instruments and accessories   Instruments and accessories Segment contribution to total sales 60.82 % of total Revenue
Systems   Systems Segment contribution to total sales 23.54 % of total Revenue
U S   U S Segment contribution to total sales 66.93 % of total Revenue
U S Instruments and accessories   U S Instruments and accessories Segment contribution to total sales 43.42 % of total Revenue
U S Systems   U S Systems Segment contribution to total sales 13.44 % of total Revenue
Services   Services Segment contribution to total sales 15.65 % of total Revenue
U S Services   U S Services Segment contribution to total sales 10.06 % of total Revenue
OUS   OUS Segment contribution to total sales 33.08 % of total Revenue
OUS Instruments and accessories   OUS Instruments and accessories Segment contribution to total sales 17.39 % of total Revenue
OUS Systems   OUS Systems Segment contribution to total sales 10.1 % of total Revenue
OUS Services   OUS Services Segment contribution to total sales 5.59 % of total Revenue


Twelve months ended 2024
ISRG s Annual Revenue by Geography and Business Segments Sales
(in millions $)
%
(of total Sales)
Instruments and accessories 5,079.00 60.82 %
Systems 1,966.00 23.54 %
U S 5,589.40 66.93 %
U S Instruments and accessories 3,626.40 43.42 %
U S Systems 1,122.60 13.44 %
Total 8,351.20 100 %
Services 1,307.10 15.65 %
U S Services 840.40 10.06 %
OUS 2,762.70 33.08 %
OUS Instruments and accessories 1,452.60 17.39 %
OUS Systems 843.40 10.1 %
OUS Services 466.70 5.59 %


Twelve months ended 2024
ISRG s Annual Income by Country and Business Segments Income
(in millions $)
%
(Profit Margin)
Total 2,337.50 27.99 %

Twelve months ended 2024
Annual Revenue and Income Growth by Country and Business Segments % Y/Y Sales Growth % Y/Y Income Growth
Instruments and accessories 18.76 % -
Systems 17.04 % -
U S 19.21 % -
U S Instruments and accessories 18.52 % -
U S Systems 29.71 % -
Services 11.93 % -
U S Services 10.1 % -
OUS 13.43 % -
OUS Instruments and accessories 19.38 % -
OUS Systems 3.59 % -
OUS Services 15.38 % -



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