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Condensed Consolidated Statements of Comprehensive Income (Unaudited) - USD ($)
shares in Millions, $ in Millions
 3 Months Ended 9 Months Ended
Sep. 30, 2018
Sep. 30, 2017
Sep. 30, 2018
Sep. 30, 2017
Revenue:        
Total revenue $ 920.9 $ 807.8 $ 2,677.7 $ 2,246.2
Cost of revenue:        
Total cost of revenue 278.6 239.7 809.3 678.2
Gross profit 642.3 568.1 1,868.4 1,568.0
Operating expenses:        
Selling, general and administrative 221.4 204.1 702.8 592.6
Research and development 107.6 83.4 298.2 241.5
Total operating expenses 329.0 287.5 1,001.0 834.1
Income from operations 313.3 280.6 867.4 733.9
Interest and other income, net 21.9 10.8 53.3 29.6
Income before taxes 335.2 291.4 920.7 763.5
Income tax expense (benefit) 43.4 (7.2) 87.0 61.1
Net income 291.8 298.6 833.7 702.4
Less: net loss attributable to noncontrolling interest in joint venture (0.7) 0.0 (1.7) 0.0
Net income attributable to Intuitive Surgical, Inc. $ 292.5 $ 298.6 $ 835.4 $ 702.4
Net income per share attributable to Intuitive Surgical, Inc.:        
Basic (in dollars per share) $ 2.57 $ 2.67 $ 7.37 $ 6.29
Diluted (in dollars per share) $ 2.45 $ 2.56 $ 7.04 $ 6.06
Shares used in computing net income per share attributable to Intuitive Surgical, Inc.:        
Basic (in shares) 114.0 111.8 113.4 111.6
Diluted (in shares) 119.2 116.8 118.6 115.9
Total comprehensive income attributable to Intuitive Surgical, Inc. $ 292.2 $ 299.2 $ 834.2 $ 702.1
Product        
Revenue:        
Total revenue 760.9 663.2 2,209.2 1,823.7
Cost of revenue:        
Total cost of revenue 225.1 195.4 654.7 545.6
Service        
Revenue:        
Total revenue 160.0 144.6 468.5 422.5
Cost of revenue:        
Total cost of revenue $ 53.5 $ 44.3 $ 154.6 $ 132.6