Intuitive reports 19% revenue growth in fourth quarter 2025

Intuitive (NASDAQ: ISRG) reported preliminary fourth quarter 2025 revenue of approximately $2.87 billion, representing a 19% increase compared to $2.41 billion in the fourth quarter of 2024. Full year 2025 revenue reached approximately $10.06 billion, up 21% from $8.35 billion in 2024.

The medical device company placed 532 da Vinci surgical systems in the fourth quarter of 2025, compared with 493 systems in the same period of 2024. Of these placements, 303 were da Vinci 5 systems, up from 174 in the prior year quarter. For the full year 2025, the company placed 1,721 da Vinci surgical systems, including 870 da Vinci 5 systems, compared with 1,526 total systems and 362 da Vinci 5 systems in 2024.

Fourth quarter 2025 worldwide procedures using da Vinci and Ion systems combined grew approximately 18% compared with the fourth quarter of 2024. Da Vinci procedures increased approximately 17% while Ion procedures grew approximately 44%. For the full year, approximately 3,153,000 surgical procedures were performed with da Vinci surgical systems, an increase of approximately 18% compared with approximately 2,683,000 procedures in 2024.

Instruments and accessories revenue for the fourth quarter increased 17% to approximately $1.66 billion, compared with $1.41 billion in the prior year period. Systems revenue was approximately $786 million in the fourth quarter, compared with $655 million in the fourth quarter of 2024.

The company expects worldwide da Vinci procedures to increase approximately 13% to 15% in 2026 compared with 2025. CEO Dave Rosa stated that the company saw increased adoption and utilization of surgical platforms and expanded product clearances across geographies in 2025.

Fourth quarter expenses included a $70 million contribution to the Intuitive Foundation, compared to $45 million in the fourth quarter of 2024. The preliminary results are subject to completion of final closing procedures and annual independent audit.

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