da Vinci 5 Installed Base Growing Rapidly
As of June 30, 2026, Intuitive had an installed base of 1,710 da Vinci 5 surgical systems, of which 136 are located outside the U.S., alongside 445 da Vinci SP systems, reflecting continued platform adoption following the March 2024 FDA clearance.
Tariff Costs and Refunds Impacting Cost of Revenue
During the three and six months ended June 30, 2026, tariffs and other trade measures recognized in total cost of revenue were $20.8M and $48.8M, respectively; the company also recognized $35.9M of IEEPA tariff refunds in Q2 2026 that reduced cost of revenue.
China Pricing Pressure from New National Framework
In Q2 2026, China's NHSA issued guidelines establishing a unified national framework for robotic-assisted surgery pricing, requiring all provinces to implement NHSA-mandated pricing limits in upcoming quarters; management states this has not yet had a material impact since only a small portion of the China installed base is in currently impacted provinces.