Company: ISRG
Filing Date: 2025-04-23
Form Type: 10-Q
Source: 0001035267-25-000109
Chunk: 98

Company: INTUITIVE SURGICAL INC
Filing Date: 2025-04-23
Form: 10-Q
Item: Item 2
Chunk 98
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 the three months ended March 31, 2025, and March 31, 2024, respectively. We believe that U.S. revenue has accounted for the large majority of total revenue due to U.S. patients’ ability to choose their provider and method of treatment, reimbursement structures supportive of innovation and MIS, and our initial investments focused on U.S. infrastructure. We have been investing in our business in OUS markets, and our OUS procedures have grown faster in proportion to U.S. procedures. We expect that our OUS procedures and revenue will make up a greater portion of our business in the long term.

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The following table summarizes our revenue and system unit placements (in millions, except percentages and unit placements):

 Three Months Ended March 31, 20252024RevenueInstruments and accessories$1,367.7 $1,158.9 Systems522.7 418.2 Total product revenue1,890.4 1,577.1 Service363.0 313.5 Total revenue$2,253.4 $1,890.6 U.S.$1,538.2 $1,238.5 OUS715.2 652.1 Total revenue$2,253.4 $1,890.6 % of Revenue – U.S.68%66%% of Revenue – OUS32%34%Instruments and accessories$1,367.7 $1,158.9 Service363.0 313.5 Operating lease revenue195.2 148.0 Total recurring revenue$1,925.9 $1,620.4 % of Total revenue 85%86%Da Vinci Surgical System Placements by RegionU.S. unit placements204 148 OUS unit placements163 165 Total unit placements*367 313 *Systems placed under fixed-payment operating lease arrangements (included in total unit placements)91 65 *Systems placed under usage-based operating lease arrangements (included in total unit placements)107 94 Da Vinci Surgical System Placements involving Trade-ins or Lease UpgradesUnit placements involving trade-ins or lease upgrades67 29 Unit placements not involving trade-ins or lease upgrades300 284 Ion System Placements**49 70 **Systems placed under fixed-payment operating lease arrangements (included in total unit placements)14 26 **Systems placed under usage-based operating lease arrangements (included in total unit placements)15 13