XML 56 R40.htm IDEA: XBRL DOCUMENT
v3.22.4

Financial Instruments - Schedule Of Available-For-Sale Investments With Unrealized Losses (Details) - USD ($) $ in Millions | Dec. 31, 2022 | Dec. 31, 2021
--- | --- | ---
Schedule of Available-for-sale Securities [Line Items] |  |
Unrealized losses less than 12 months, fair value | $ 1,510.4 | $ 4,856.7
Unrealized losses less than 12 months | (49.1) | (31.2)
Unrealized losses 12 months or greater, fair value | 3,538.3 | 0.0
Unrealized losses 12 months or greater | (149.4) | 0.0
Total Fair Value | 5,048.7 | 4,856.7
Total Unrealized Losses | (198.5) | (31.2)
Commercial paper |  |
Schedule of Available-for-sale Securities [Line Items] |  |
Unrealized losses less than 12 months, fair value |  | 4.0
Unrealized losses less than 12 months |  | 0.0
Unrealized losses 12 months or greater, fair value |  | 0.0
Unrealized losses 12 months or greater |  | 0.0
Total Fair Value |  | 4.0
Total Unrealized Losses |  | 0.0
Corporate debt securities |  |
Schedule of Available-for-sale Securities [Line Items] |  |
Unrealized losses less than 12 months, fair value | 631.4 | 1,687.9
Unrealized losses less than 12 months | (17.6) | (11.9)
Unrealized losses 12 months or greater, fair value | 1,221.9 | 0.0
Unrealized losses 12 months or greater | (58.4) | 0.0
Total Fair Value | 1,853.3 | 1,687.9
Total Unrealized Losses | (76.0) | (11.9)
U.S. treasuries |  |
Schedule of Available-for-sale Securities [Line Items] |  |
Unrealized losses less than 12 months, fair value | 731.7 | 2,596.3
Unrealized losses less than 12 months | (26.0) | (15.4)
Unrealized losses 12 months or greater, fair value | 1,886.9 | 0.0
Unrealized losses 12 months or greater | (70.6) | 0.0
Total Fair Value | 2,618.6 | 2,596.3
Total Unrealized Losses | (96.6) | (15.4)
U.S. government agencies |  |
Schedule of Available-for-sale Securities [Line Items] |  |
Unrealized losses less than 12 months, fair value | 102.7 | 412.5
Unrealized losses less than 12 months | (4.4) | (2.9)
Unrealized losses 12 months or greater, fair value | 324.6 | 0.0
Unrealized losses 12 months or greater | (15.5) | 0.0
Total Fair Value | 427.3 | 412.5
Total Unrealized Losses | (19.9) | (2.9)
Municipal securities |  |
Schedule of Available-for-sale Securities [Line Items] |  |
Unrealized losses less than 12 months, fair value | 44.6 | 156.0
Unrealized losses less than 12 months | (1.1) | (1.0)
Unrealized losses 12 months or greater, fair value | 104.9 | 0.0
Unrealized losses 12 months or greater | (4.9) | 0.0
Total Fair Value | 149.5 | 156.0
Total Unrealized Losses | $ (6.0) | $ (1.0)

X
- Definition Amount of investment in debt security measured at fair value with change in fair value recognized in other comprehensive income (available-for-sale), in continuous unrealized loss position for more than 12 months, without allowance for credit loss. Includes beneficial interest in securitized financial asset. + References Reference 1: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 326 -SubTopic 30 -Section 50 -Paragraph 5 -URI https://asc.fasb.org/extlink&oid=124269663&loc=SL82922890-210455 Reference 2: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 320 -SubTopic 10 -Section 50 -Paragraph 7 -URI https://asc.fasb.org/extlink&oid=126970911&loc=d3e27337-111563 Reference 3: http://www.xbrl.org/2003/role/exampleRef -Publisher FASB -Name Accounting Standards Codification -Topic 326 -SubTopic 30 -Section 55 -Paragraph 8 -URI https://asc.fasb.org/extlink&oid=121590138&loc=SL82922954-210456 + Details
Name: | us-gaap_DebtSecuritiesAvailableForSaleContinuousUnrealizedLossPosition12MonthsOrLonger
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | instant

X
- Definition Amount of accumulated unrealized loss on investment in debt security measured at fair value with change in fair value recognized in other comprehensive income (available-for-sale), in continuous unrealized loss position for 12 months or longer, without allowance for credit loss. Includes beneficial interest in securitized financial asset. + References Reference 1: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 320 -SubTopic 10 -Section 50 -Paragraph 7 -URI https://asc.fasb.org/extlink&oid=126970911&loc=d3e27337-111563 Reference 2: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 326 -SubTopic 30 -Section 50 -Paragraph 5 -URI https://asc.fasb.org/extlink&oid=124269663&loc=SL82922890-210455 + Details
Name: | us-gaap_DebtSecuritiesAvailableForSaleContinuousUnrealizedLossPosition12MonthsOrLongerAccumulatedLoss
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | instant

X
- Definition Amount of investment in debt security measured at fair value with change in fair value recognized in other comprehensive income (available-for-sale), in continuous unrealized loss position for less than 12 months, without allowance for credit loss. Includes beneficial interest in securitized financial asset. + References Reference 1: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 320 -SubTopic 10 -Section 50 -Paragraph 7 -URI https://asc.fasb.org/extlink&oid=126970911&loc=d3e27337-111563 Reference 2: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 326 -SubTopic 30 -Section 50 -Paragraph 5 -URI https://asc.fasb.org/extlink&oid=124269663&loc=SL82922890-210455 Reference 3: http://www.xbrl.org/2003/role/exampleRef -Publisher FASB -Name Accounting Standards Codification -Topic 326 -SubTopic 30 -Section 55 -Paragraph 8 -URI https://asc.fasb.org/extlink&oid=121590138&loc=SL82922954-210456 + Details
Name: | us-gaap_DebtSecuritiesAvailableForSaleContinuousUnrealizedLossPositionLessThan12Months
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | instant

X
- Definition Amount of accumulated unrealized loss on investment in debt security measured at fair value with change in fair value recognized in other comprehensive income (available-for-sale), in continuous unrealized loss position for less than 12 months, without allowance for credit loss. Includes beneficial interest in securitized financial asset. + References Reference 1: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 326 -SubTopic 30 -Section 50 -Paragraph 5 -URI https://asc.fasb.org/extlink&oid=124269663&loc=SL82922890-210455 Reference 2: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 320 -SubTopic 10 -Section 50 -Paragraph 7 -URI https://asc.fasb.org/extlink&oid=126970911&loc=d3e27337-111563 + Details
Name: | us-gaap_DebtSecuritiesAvailableForSaleContinuousUnrealizedLossPositionLessThan12MonthsAccumulatedLoss
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | instant

X
- Definition Amount of investment in debt security measured at fair value with change in fair value recognized in other comprehensive income (available-for-sale), in unrealized loss position without allowance for credit loss. + References Reference 1: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 320 -SubTopic 10 -Section 50 -Paragraph 6 -Subparagraph (a)(1) -URI https://asc.fasb.org/extlink&oid=126970911&loc=d3e27290-111563 Reference 2: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 326 -SubTopic 30 -Section 50 -Paragraph 4 -Subparagraph (a)(1) -URI https://asc.fasb.org/extlink&oid=124269663&loc=SL82922888-210455 Reference 3: http://www.xbrl.org/2003/role/exampleRef -Publisher FASB -Name Accounting Standards Codification -Topic 326 -SubTopic 30 -Section 55 -Paragraph 8 -URI https://asc.fasb.org/extlink&oid=121590138&loc=SL82922954-210456 + Details
Name: | us-gaap_DebtSecuritiesAvailableForSaleUnrealizedLossPosition
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | instant

X
- Definition Amount of accumulated unrealized loss on investment in debt security measured at fair value with change in fair value recognized in other comprehensive income (available-for-sale), in unrealized loss position, without allowance for credit loss. Includes beneficial interest in securitized financial asset. + References Reference 1: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 320 -SubTopic 10 -Section 50 -Paragraph 6 -Subparagraph (a)(2) -URI https://asc.fasb.org/extlink&oid=126970911&loc=d3e27290-111563 Reference 2: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 326 -SubTopic 30 -Section 50 -Paragraph 4 -Subparagraph (a)(2) -URI https://asc.fasb.org/extlink&oid=124269663&loc=SL82922888-210455 + Details
Name: | us-gaap_DebtSecuritiesAvailableForSaleUnrealizedLossPositionAccumulatedLoss
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | instant

X
- Definition Line items represent financial concepts included in a table. These concepts are used to disclose reportable information associated with domain members defined in one or many axes to the table. + References No definition available. + Details
Name: | us-gaap_ScheduleOfAvailableForSaleSecuritiesLineItems
Namespace Prefix: | us-gaap_
Data Type: | xbrli:stringItemType
Balance Type: | na
Period Type: | duration

X
- Details
Name: | isrg_ScheduleOfAvailableForSaleSecuritiesAxis=us-gaap_CommercialPaperMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | isrg_ScheduleOfAvailableForSaleSecuritiesAxis=us-gaap_CorporateNoteSecuritiesMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | isrg_ScheduleOfAvailableForSaleSecuritiesAxis=us-gaap_USTreasurySecuritiesMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | isrg_ScheduleOfAvailableForSaleSecuritiesAxis=us-gaap_USTreasuryAndGovernmentMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | isrg_ScheduleOfAvailableForSaleSecuritiesAxis=us-gaap_MunicipalNotesMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |