Intuitive Surgical JP Morgan Presentation

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    JP Morgan Healthcare

    Conference 2016

    Gary GuthartPresident and CEO

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    Forward Looking Statement

    These slides and any accompanying oral presentationby Intuitive Surgical, Inc. contain estimates and

    forward-looking statements. Actual results may differ

    materially from those expressed or implied as a result

    of certain risks and uncertainties. These risks and

    uncertainties are described in detail in the Companys

    Securities and Exchange Commission filings.

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    Agenda

    2015 Review

    da Vinci Value

    Opportunities/Catalysts

    2016 Priorities

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    2015 Objectives Expanding da Vinciin general

    surgery, particularly colorectal

    surgery and hernia repair

    Filling out our product line for

    da VinciXiand launching in key

    markets globally

    Developing our organizational

    capabilities and markets in

    Europe and Asia Advancing our technologies to

    improve surgery

    Lowering our direct product costs

    Areas of Strength

    General surgery growth

    International procedure

    growth

    da Vinci Xi product line

    and feature set

    Growing acceptance of

    robotic -assisted surgery

    Extensive, established

    da Vinci ecosystem

    Challenges Structural barriers in

    some markets

    Single-Siteprocedures

    2015 Commentary

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    Worldwide Procedure Trend

    0

    100,000

    200,000

    300,000

    400,000

    500,000

    600,000

    700,000

    800,000

    2010 2011 2012 2013 2014 2015 2016

    Urology Gynecology General Surgery Other

    2015:

    14% Growth

    2016 Guidance:

    9-12% Growth

    Company estimates

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    0

    100,000

    200,000

    300,000

    400,000

    500,000

    2010 2011 2012 2013 2014 2015

    Urology Gynecology General Surgery Other

    +11%

    US Procedure Trend

    Company estimates

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    OUS Procedure Trend

    0

    20,000

    40,000

    60,000

    80,000

    100,000

    120,000

    140,000

    160,000

    2010 2011 2012 2013 2014 2015

    Europe Asia Rest of World

    +26%

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    System Placement Trend by Region

    0

    20

    40

    60

    80

    100

    120

    140

    160

    Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4

    2014 2015

    U.S. Europe Asia Rest-of-World

    2015 +14%

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    System Placement Trend by Platform

    0

    20

    40

    60

    80

    100

    120

    140

    160

    Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4

    2014 2015

    Xi Si S / Sie

    2015 +14%

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    Total Revenue*

    $0

    $500

    $1,000

    $1,500

    $2,000

    $2,500

    2010 2011 2012 2013 2014 2015

    Systems Service Inst & Accy

    2015

    70%

    Recurring

    *Dollar amounts in millions

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    Annual Service Rev Per System

    da VinciSurgical System ASP

    Inst & Accy Rev Per Procedure

    Multiple Segment Product Offering

    $0.6M

    $170K$100K

    $3,200$700

    $2.5M

    da Vinci Si-e

    Single-Site

    Dual ConsoleXi

    Firefly

    Table Motion

    Endowrist

    Vessel Sealer

    Stapler

    2015: $1.54M

    2015: $1,840

    2015: $138K Dual ConsoleXida Vinci Si-e

    Includes company estimates and approximate ranges

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    DA VINCI VALUE

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    Length of stay

    Conversions to open surgery

    Complications

    Readmissions

    Surgical site infections (SSI)

    Instrument and accessory costs

    Comprehensive Cost of Care

    Capital costs

    OR time costs

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    Family of da Vinci Systems ~1400 Skill Simulators,Dual Surgeon Consoles

    3D HD Imaging,

    Fluorescent Imaging

    24/7/365

    Comprehensive

    Support

    Integrated Energy,

    Stapling, Vessel Sealing

    40+Training

    Course Offerings

    10,000Peer-Reviewed Publications

    1700+ Comparative Studies

    Analytics and

    Efficiency Programs

    da Vinci Ecosystem

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    OPPORTUNITIES AND CATALYSTSFOR GROWTH

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    Open Surgery Remains CommonU.S.

    Yr: 2004

    0%

    10%

    20%

    30%

    40%

    50%

    60%

    70%

    80%

    90%

    100%

    Prostate Malignant

    Hyst

    Benign Hyst

    Robotic Other MIS Open

    Source: ISI estimates and third party data

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    Open Surgery Remains CommonU.S.

    Yr: 2015

    0%

    10%

    20%

    30%

    40%

    50%

    60%

    70%

    80%

    90%

    100%

    Prostate Malignant

    Hyst

    Benign Hyst

    Robotic Other MIS Open

    Source: ISI Data as well as Estimates

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    Open Surgery Remains CommonU.S.

    Yr: 2015

    0%

    10%

    20%

    30%

    40%

    50%

    60%

    70%

    80%

    90%

    100%

    Prostate Malignant

    Hyst

    Benign Hyst Colorectal Ventral

    Hernia

    Thoracic

    Robotic Other MIS Open

    Source: ISI estimates and third party data

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    Total Procedure Markets

    As many as 4 million procedures available forproducts on the market today in countries for

    which we have clearances

    Over time, international opportunity will begreater than U.S.

    Roughly half of opportunity based on

    underlying cancer as cause

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    ISI Investments

    Advanced imaging

    Advanced instrumentation and computer-

    enhanced precision at tissue

    Less invasive access Training technologies

    Next generation robotic technologies

    International organization

    Continued clinical and economic validation

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    Building da Vinci Xi Value:

    NewXiProducts / Markets

    Vessel Sealer andFirefly launched 2014

    Korea Clearance Q4 14

    45 mmStapler launched Q1 15

    Clearance in Japan end of Q1 15 Harmonic curved shears and other new

    instruments FDA Cleared Q215

    Table motion CE Marked and 510(k)

    submitted in Q2 15 Single-Site510(k) submitted Q3 15

    30 mm Stapler 510(k) submitted Q3 15

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    da Vinci Sp

    Video plays at an accelerated speed.

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    2016 PRIORITIES

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    2016 Priorities

    Expand da Vinci in thoracic and general surgery,particularly colorectal surgery and hernia repair

    Advance key technologiesextend our product

    leadership position

    Drive international performance and strengthen

    our organization

    Maximize total-cost-to-treat value for customers

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