<SEC-DOCUMENT>0001035267-23-000142.txt : 20230516
<SEC-HEADER>0001035267-23-000142.hdr.sgml : 20230516
<ACCEPTANCE-DATETIME>20230516080337
ACCESSION NUMBER:		0001035267-23-000142
CONFORMED SUBMISSION TYPE:	8-K
PUBLIC DOCUMENT COUNT:		13
CONFORMED PERIOD OF REPORT:	20230515
ITEM INFORMATION:		Departure of Directors or Certain Officers; Election of Directors; Appointment of Certain Officers: Compensatory Arrangements of Certain Officers
ITEM INFORMATION:		Regulation FD Disclosure
ITEM INFORMATION:		Financial Statements and Exhibits
FILED AS OF DATE:		20230516
DATE AS OF CHANGE:		20230516

FILER:

	COMPANY DATA:	
		COMPANY CONFORMED NAME:			INTUITIVE SURGICAL INC
		CENTRAL INDEX KEY:			0001035267
		STANDARD INDUSTRIAL CLASSIFICATION:	ORTHOPEDIC, PROSTHETIC & SURGICAL APPLIANCES & SUPPLIES [3842]
		IRS NUMBER:				770416458
		STATE OF INCORPORATION:			DE
		FISCAL YEAR END:			1231

	FILING VALUES:
		FORM TYPE:		8-K
		SEC ACT:		1934 Act
		SEC FILE NUMBER:	000-30713
		FILM NUMBER:		23925624

	BUSINESS ADDRESS:	
		STREET 1:		1020 KIFER ROAD
		CITY:			SUNNYVALE
		STATE:			CA
		ZIP:			94086
		BUSINESS PHONE:		4085232100

	MAIL ADDRESS:	
		STREET 1:		1020 KIFER ROAD
		CITY:			SUNNYVALE
		STATE:			CA
		ZIP:			94086
</SEC-HEADER>
<DOCUMENT>
<TYPE>8-K
<SEQUENCE>1
<FILENAME>isrg-20230515.htm
<DESCRIPTION>8-K
<TEXT>
<XBRL>
<?xml version="1.0" ?><!--XBRL Document Created with Wdesk from Workiva--><!--Copyright 2023 Workiva--><!--r:918cdfa8-f4ea-455f-9a76-7e5ba3f6a5f6,g:c8426acb-e595-4d87-8849-8480e9e87f23,d:97459ff0e4d5492790ea297a3f3f5468--><html xmlns:ixt-sec="http://www.sec.gov/inlineXBRL/transformation/2015-08-31" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:dei="http://xbrl.sec.gov/dei/2023" xmlns="http://www.w3.org/1999/xhtml" xmlns:ixt="http://www.xbrl.org/inlineXBRL/transformation/2020-02-12" xmlns:ix="http://www.xbrl.org/2013/inlineXBRL" xmlns:xbrli="http://www.xbrl.org/2003/instance" xmlns:link="http://www.xbrl.org/2003/linkbase" xmlns:xlink="http://www.w3.org/1999/xlink" xml:lang="en-US"><head><meta http-equiv="Content-Type" content="text/html"/>


<title>isrg-20230515</title></head><body><div style="display:none"><ix:header><ix:hidden><ix:nonNumeric contextRef="i20cdcbacf3c34e79a8d3a64244ff294b_D20230502-20230502" name="dei:EntityCentralIndexKey" id="id3VybDovL2RvY3MudjEvZG9jOjk3NDU5ZmYwZTRkNTQ5Mjc5MGVhMjk3YTNmM2Y1NDY4L3NlYzo5NzQ1OWZmMGU0ZDU0OTI3OTBlYTI5N2EzZjNmNTQ2OF80L2ZyYWc6YWM2Nzc0ODdmNTVhNDkyZGI3NmMwODBkZWEyNjQxN2YvdGFibGU6M2QxMzVkMGM1ZWMzNDljOGFlYTFhYjY0M2NmYjkyMzcvdGFibGVyYW5nZTozZDEzNWQwYzVlYzM0OWM4YWVhMWFiNjQzY2ZiOTIzN18zLTEtMS0xLTIzMjU0NA_a192649d-59fe-41a1-81aa-bf7518a230d5">0001035267</ix:nonNumeric><ix:nonNumeric contextRef="i20cdcbacf3c34e79a8d3a64244ff294b_D20230502-20230502" name="dei:AmendmentFlag" id="id3VybDovL2RvY3MudjEvZG9jOjk3NDU5ZmYwZTRkNTQ5Mjc5MGVhMjk3YTNmM2Y1NDY4L3NlYzo5NzQ1OWZmMGU0ZDU0OTI3OTBlYTI5N2EzZjNmNTQ2OF80L2ZyYWc6YWM2Nzc0ODdmNTVhNDkyZGI3NmMwODBkZWEyNjQxN2YvdGFibGU6M2QxMzVkMGM1ZWMzNDljOGFlYTFhYjY0M2NmYjkyMzcvdGFibGVyYW5nZTozZDEzNWQwYzVlYzM0OWM4YWVhMWFiNjQzY2ZiOTIzN182LTEtMS0xLTIzMjU0NA_a0561b05-121b-488f-9615-f372f48a4cbe">false</ix:nonNumeric></ix:hidden><ix:references xml:lang="en-US"><link:schemaRef xlink:type="simple" xlink:href="isrg-20230515.xsd"></link:schemaRef></ix:references><ix:resources><xbrli:context id="i20cdcbacf3c34e79a8d3a64244ff294b_D20230502-20230502"><xbrli:entity><xbrli:identifier scheme="http://www.sec.gov/CIK">0001035267</xbrli:identifier></xbrli:entity><xbrli:period><xbrli:startDate>2023-05-02</xbrli:startDate><xbrli:endDate>2023-05-02</xbrli:endDate></xbrli:period></xbrli:context></ix:resources></ix:header></div><div id="i97459ff0e4d5492790ea297a3f3f5468_1"></div><div style="min-height:36pt;width:100%"><div><span><br/></span></div></div><div style="-sec-extract:summary;text-align:center"><table style="border-collapse:collapse;display:inline-table;margin-bottom:5pt;vertical-align:text-bottom;width:100.000%"><tr><td style="width:1.0%"></td><td style="width:18.036%"></td><td style="width:0.1%"></td><td style="width:1.0%"></td><td style="width:18.036%"></td><td style="width:0.1%"></td><td style="width:1.0%"></td><td style="width:18.036%"></td><td style="width:0.1%"></td><td style="width:1.0%"></td><td style="width:18.036%"></td><td style="width:0.1%"></td><td style="width:1.0%"></td><td style="width:22.356%"></td><td style="width:0.1%"></td></tr><tr style="height:3pt"><td colspan="3" style="border-bottom:3pt double #000000;padding:0 1pt"></td><td colspan="3" style="border-bottom:3pt double #000000;padding:0 1pt"></td><td colspan="3" style="border-bottom:3pt double #000000;padding:0 1pt"></td><td colspan="3" style="border-bottom:3pt double #000000;padding:0 1pt"></td><td colspan="3" style="border-bottom:3pt double #000000;padding:0 1pt"></td></tr></table></div><div style="margin-top:9pt;text-align:center"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:18pt;font-weight:700;line-height:120%">UNITED STATES</span></div><div style="text-align:center"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:18pt;font-weight:700;line-height:120%">SECURITIES AND EXCHANGE COMMISSION</span><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:120%"> </span></div><div style="text-align:center"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:12pt;font-weight:700;line-height:120%">Washington, D.C.&#160;20549</span></div><div style="margin-top:3pt;text-align:center"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:18pt;font-weight:700;line-height:120%">FORM <ix:nonNumeric contextRef="i20cdcbacf3c34e79a8d3a64244ff294b_D20230502-20230502" name="dei:DocumentType" id="id3VybDovL2RvY3MudjEvZG9jOjk3NDU5ZmYwZTRkNTQ5Mjc5MGVhMjk3YTNmM2Y1NDY4L3NlYzo5NzQ1OWZmMGU0ZDU0OTI3OTBlYTI5N2EzZjNmNTQ2OF8xL2ZyYWc6MWNkZjJlOGM5M2EwNGQ5OTk3ZDI5ZGIyMWNkNDE3ODMvdGV4dHJlZ2lvbjoxY2RmMmU4YzkzYTA0ZDk5OTdkMjlkYjIxY2Q0MTc4M184NQ_1edc4f6b-63c8-4a5a-86dc-4e5e71cbf35e">8-K</ix:nonNumeric></span></div><div style="margin-top:3pt;text-align:center"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:12pt;font-weight:700;line-height:120%">CURRENT REPORT</span></div><div style="text-align:center"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:12pt;font-weight:700;line-height:120%">Pursuant to Section 13 or 15(d) of</span></div><div style="text-align:center"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:12pt;font-weight:700;line-height:120%">The Securities Exchange Act of 1934</span></div><div style="margin-bottom:6pt;margin-top:6pt;text-align:center"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:12pt;font-weight:400;line-height:120%">&#160; </span><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:12pt;font-weight:700;line-height:120%">Date of Report (Date of earliest event reported): <ix:nonNumeric contextRef="i20cdcbacf3c34e79a8d3a64244ff294b_D20230502-20230502" name="dei:DocumentPeriodEndDate" format="ixt:date-monthname-day-year-en" id="id3VybDovL2RvY3MudjEvZG9jOjk3NDU5ZmYwZTRkNTQ5Mjc5MGVhMjk3YTNmM2Y1NDY4L3NlYzo5NzQ1OWZmMGU0ZDU0OTI3OTBlYTI5N2EzZjNmNTQ2OF8xL2ZyYWc6MWNkZjJlOGM5M2EwNGQ5OTk3ZDI5ZGIyMWNkNDE3ODMvdGV4dHJlZ2lvbjoxY2RmMmU4YzkzYTA0ZDk5OTdkMjlkYjIxY2Q0MTc4M18yMjY_4d6ca4f4-cd18-4851-8125-cce087568dcd">May 15, 2023</ix:nonNumeric></span></div><div style="text-align:center"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:24pt;font-weight:700;line-height:120%"><ix:nonNumeric contextRef="i20cdcbacf3c34e79a8d3a64244ff294b_D20230502-20230502" name="dei:EntityRegistrantName" id="id3VybDovL2RvY3MudjEvZG9jOjk3NDU5ZmYwZTRkNTQ5Mjc5MGVhMjk3YTNmM2Y1NDY4L3NlYzo5NzQ1OWZmMGU0ZDU0OTI3OTBlYTI5N2EzZjNmNTQ2OF8xL2ZyYWc6MWNkZjJlOGM5M2EwNGQ5OTk3ZDI5ZGIyMWNkNDE3ODMvdGV4dHJlZ2lvbjoxY2RmMmU4YzkzYTA0ZDk5OTdkMjlkYjIxY2Q0MTc4M18yOTk0_8b26dcc0-5c05-4e71-ba6d-4dbb8d562113">INTUITIVE SURGICAL, INC.</ix:nonNumeric></span></div><div style="text-align:center"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:120%">(</span><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:700;line-height:120%">Exact name of registrant as specified in its charter</span><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:120%">)</span></div><div style="text-align:center"><table style="border-collapse:collapse;display:inline-table;margin-bottom:5pt;vertical-align:text-bottom;width:99.561%"><tr><td style="width:1.0%"></td><td style="width:24.303%"></td><td style="width:0.1%"></td><td style="width:1.0%"></td><td style="width:10.794%"></td><td style="width:0.1%"></td><td style="width:1.0%"></td><td style="width:24.303%"></td><td style="width:0.1%"></td><td style="width:1.0%"></td><td style="width:10.794%"></td><td style="width:0.1%"></td><td style="width:1.0%"></td><td style="width:24.306%"></td><td style="width:0.1%"></td></tr><tr><td colspan="3" style="padding:2px 1pt;text-align:center;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:700;line-height:100%"><ix:nonNumeric contextRef="i20cdcbacf3c34e79a8d3a64244ff294b_D20230502-20230502" name="dei:EntityIncorporationStateCountryCode" format="ixt-sec:stateprovnameen" id="id3VybDovL2RvY3MudjEvZG9jOjk3NDU5ZmYwZTRkNTQ5Mjc5MGVhMjk3YTNmM2Y1NDY4L3NlYzo5NzQ1OWZmMGU0ZDU0OTI3OTBlYTI5N2EzZjNmNTQ2OF8xL2ZyYWc6MWNkZjJlOGM5M2EwNGQ5OTk3ZDI5ZGIyMWNkNDE3ODMvdGFibGU6YTAwYTRlYjg3OGY2NDRkM2ExZWU2MmQ4NmQ3ZDY5MTcvdGFibGVyYW5nZTphMDBhNGViODc4ZjY0NGQzYTFlZTYyZDg2ZDdkNjkxN18wLTAtMS0xLTIzMjU0NA_c9246e2d-828b-4ace-a51e-48fbf9ef427d">Delaware</ix:nonNumeric></span></td><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:7pt;font-weight:400;line-height:100%">&#160;&#160;</span></td><td colspan="3" style="padding:2px 1pt;text-align:center;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:700;line-height:100%"><ix:nonNumeric contextRef="i20cdcbacf3c34e79a8d3a64244ff294b_D20230502-20230502" name="dei:EntityFileNumber" id="id3VybDovL2RvY3MudjEvZG9jOjk3NDU5ZmYwZTRkNTQ5Mjc5MGVhMjk3YTNmM2Y1NDY4L3NlYzo5NzQ1OWZmMGU0ZDU0OTI3OTBlYTI5N2EzZjNmNTQ2OF8xL2ZyYWc6MWNkZjJlOGM5M2EwNGQ5OTk3ZDI5ZGIyMWNkNDE3ODMvdGFibGU6YTAwYTRlYjg3OGY2NDRkM2ExZWU2MmQ4NmQ3ZDY5MTcvdGFibGVyYW5nZTphMDBhNGViODc4ZjY0NGQzYTFlZTYyZDg2ZDdkNjkxN18wLTItMS0xLTIzMjU0NA_9d027697-5377-4e3c-a33c-391cd27ca162">000-30713</ix:nonNumeric></span></td><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:7pt;font-weight:400;line-height:100%">&#160;&#160;</span></td><td colspan="3" style="padding:2px 1pt;text-align:center;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:700;line-height:100%"><ix:nonNumeric contextRef="i20cdcbacf3c34e79a8d3a64244ff294b_D20230502-20230502" name="dei:EntityTaxIdentificationNumber" id="id3VybDovL2RvY3MudjEvZG9jOjk3NDU5ZmYwZTRkNTQ5Mjc5MGVhMjk3YTNmM2Y1NDY4L3NlYzo5NzQ1OWZmMGU0ZDU0OTI3OTBlYTI5N2EzZjNmNTQ2OF8xL2ZyYWc6MWNkZjJlOGM5M2EwNGQ5OTk3ZDI5ZGIyMWNkNDE3ODMvdGFibGU6YTAwYTRlYjg3OGY2NDRkM2ExZWU2MmQ4NmQ3ZDY5MTcvdGFibGVyYW5nZTphMDBhNGViODc4ZjY0NGQzYTFlZTYyZDg2ZDdkNjkxN18wLTQtMS0xLTIzMjU0NA_02b1487d-2eef-4966-875c-5b4b67c39485">77-0416458</ix:nonNumeric></span></td></tr><tr><td colspan="3" style="padding:2px 6.62pt;text-align:center;vertical-align:top"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:8pt;font-weight:700;line-height:100%">(State or Other Jurisdiction<br/>of Incorporation)</span></td><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:top"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:7pt;font-weight:400;line-height:100%">&#160;&#160;</span></td><td colspan="3" style="padding:2px 1pt;text-align:center;vertical-align:top"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:8pt;font-weight:700;line-height:100%">(Commission File Number)</span></td><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:top"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:7pt;font-weight:400;line-height:100%">&#160;&#160;</span></td><td colspan="3" style="padding:2px 1pt;text-align:center;vertical-align:top"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:8pt;font-weight:700;line-height:100%">(I.R.S. Employer                                                                                                                                             Identification No.)</span></td></tr></table></div><div style="margin-top:3pt;text-align:center"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:700;line-height:120%"><ix:nonNumeric contextRef="i20cdcbacf3c34e79a8d3a64244ff294b_D20230502-20230502" name="dei:EntityAddressAddressLine1" id="id3VybDovL2RvY3MudjEvZG9jOjk3NDU5ZmYwZTRkNTQ5Mjc5MGVhMjk3YTNmM2Y1NDY4L3NlYzo5NzQ1OWZmMGU0ZDU0OTI3OTBlYTI5N2EzZjNmNTQ2OF8xL2ZyYWc6MWNkZjJlOGM5M2EwNGQ5OTk3ZDI5ZGIyMWNkNDE3ODMvdGV4dHJlZ2lvbjoxY2RmMmU4YzkzYTA0ZDk5OTdkMjlkYjIxY2Q0MTc4M18zMTE_764c682b-448c-4823-b405-93d71ac9cbec">1020 Kifer Road</ix:nonNumeric> </span></div><div style="margin-top:3pt;text-align:center"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:700;line-height:120%"><ix:nonNumeric contextRef="i20cdcbacf3c34e79a8d3a64244ff294b_D20230502-20230502" name="dei:EntityAddressCityOrTown" id="id3VybDovL2RvY3MudjEvZG9jOjk3NDU5ZmYwZTRkNTQ5Mjc5MGVhMjk3YTNmM2Y1NDY4L3NlYzo5NzQ1OWZmMGU0ZDU0OTI3OTBlYTI5N2EzZjNmNTQ2OF8xL2ZyYWc6MWNkZjJlOGM5M2EwNGQ5OTk3ZDI5ZGIyMWNkNDE3ODMvdGV4dHJlZ2lvbjoxY2RmMmU4YzkzYTA0ZDk5OTdkMjlkYjIxY2Q0MTc4M18zMTU_45123840-8aab-44ac-9caa-d0ad2240b038">Sunnyvale</ix:nonNumeric>, <ix:nonNumeric contextRef="i20cdcbacf3c34e79a8d3a64244ff294b_D20230502-20230502" name="dei:EntityAddressStateOrProvince" format="ixt-sec:stateprovnameen" id="id3VybDovL2RvY3MudjEvZG9jOjk3NDU5ZmYwZTRkNTQ5Mjc5MGVhMjk3YTNmM2Y1NDY4L3NlYzo5NzQ1OWZmMGU0ZDU0OTI3OTBlYTI5N2EzZjNmNTQ2OF8xL2ZyYWc6MWNkZjJlOGM5M2EwNGQ5OTk3ZDI5ZGIyMWNkNDE3ODMvdGV4dHJlZ2lvbjoxY2RmMmU4YzkzYTA0ZDk5OTdkMjlkYjIxY2Q0MTc4M18zMTk_69a50864-b999-482a-8b11-40ad1585ab20">California</ix:nonNumeric>&#160;<ix:nonNumeric contextRef="i20cdcbacf3c34e79a8d3a64244ff294b_D20230502-20230502" name="dei:EntityAddressPostalZipCode" id="id3VybDovL2RvY3MudjEvZG9jOjk3NDU5ZmYwZTRkNTQ5Mjc5MGVhMjk3YTNmM2Y1NDY4L3NlYzo5NzQ1OWZmMGU0ZDU0OTI3OTBlYTI5N2EzZjNmNTQ2OF8xL2ZyYWc6MWNkZjJlOGM5M2EwNGQ5OTk3ZDI5ZGIyMWNkNDE3ODMvdGV4dHJlZ2lvbjoxY2RmMmU4YzkzYTA0ZDk5OTdkMjlkYjIxY2Q0MTc4M18zMjI_ea666554-4e8e-4ef5-a842-bda5d1905e12">94086</ix:nonNumeric> </span></div><div style="text-align:center"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:8pt;font-weight:700;line-height:120%">(Address of Principal Executive Offices) (Zip Code)</span></div><div style="margin-top:3pt;text-align:center"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:12pt;font-weight:400;line-height:120%">&#160;</span><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:120%"> </span><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:12pt;font-weight:400;line-height:120%">&#160;</span><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:700;line-height:120%">Registrant&#8217;s telephone number, including area code: (<ix:nonNumeric contextRef="i20cdcbacf3c34e79a8d3a64244ff294b_D20230502-20230502" name="dei:CityAreaCode" id="id3VybDovL2RvY3MudjEvZG9jOjk3NDU5ZmYwZTRkNTQ5Mjc5MGVhMjk3YTNmM2Y1NDY4L3NlYzo5NzQ1OWZmMGU0ZDU0OTI3OTBlYTI5N2EzZjNmNTQ2OF8xL2ZyYWc6MWNkZjJlOGM5M2EwNGQ5OTk3ZDI5ZGIyMWNkNDE3ODMvdGV4dHJlZ2lvbjoxY2RmMmU4YzkzYTA0ZDk5OTdkMjlkYjIxY2Q0MTc4M180MzQ_e9ad5abf-a89d-42f3-b222-a46ad4a3bdae">408</ix:nonNumeric>) <ix:nonNumeric contextRef="i20cdcbacf3c34e79a8d3a64244ff294b_D20230502-20230502" name="dei:LocalPhoneNumber" id="id3VybDovL2RvY3MudjEvZG9jOjk3NDU5ZmYwZTRkNTQ5Mjc5MGVhMjk3YTNmM2Y1NDY4L3NlYzo5NzQ1OWZmMGU0ZDU0OTI3OTBlYTI5N2EzZjNmNTQ2OF8xL2ZyYWc6MWNkZjJlOGM5M2EwNGQ5OTk3ZDI5ZGIyMWNkNDE3ODMvdGV4dHJlZ2lvbjoxY2RmMmU4YzkzYTA0ZDk5OTdkMjlkYjIxY2Q0MTc4M180Mzg_ebed3066-17d8-49f9-8b17-f4e6dc270577">523-2100</ix:nonNumeric></span></div><div style="margin-top:3pt"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:120%">Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:</span><table style="border-collapse:collapse;display:inline-table;margin-bottom:5pt;vertical-align:text-bottom;width:100.000%"><tr><td style="width:1.0%"></td><td style="width:2.779%"></td><td style="width:0.1%"></td><td style="width:1.0%"></td><td style="width:95.021%"></td><td style="width:0.1%"></td></tr><tr><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><span style="color:#000000;font-family:'Arial Unicode MS',sans-serif;font-size:10pt;font-weight:400;line-height:100%"><ix:nonNumeric contextRef="i20cdcbacf3c34e79a8d3a64244ff294b_D20230502-20230502" name="dei:WrittenCommunications" format="ixt-sec:boolballotbox" id="id3VybDovL2RvY3MudjEvZG9jOjk3NDU5ZmYwZTRkNTQ5Mjc5MGVhMjk3YTNmM2Y1NDY4L3NlYzo5NzQ1OWZmMGU0ZDU0OTI3OTBlYTI5N2EzZjNmNTQ2OF8xL2ZyYWc6MWNkZjJlOGM5M2EwNGQ5OTk3ZDI5ZGIyMWNkNDE3ODMvdGFibGU6NTE1NWE2ODAyZDJmNDJmY2I3OGYxNzdmZTc0NTg3MmYvdGFibGVyYW5nZTo1MTU1YTY4MDJkMmY0MmZjYjc4ZjE3N2ZlNzQ1ODcyZl8wLTAtMS0xLTIzMjU0NA_f3cd1fe1-7757-4431-b086-913775b4b0cf">&#9744;</ix:nonNumeric></span></td><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:top"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:100%">Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)</span></td></tr><tr><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><span style="color:#000000;font-family:'Arial Unicode MS',sans-serif;font-size:10pt;font-weight:400;line-height:100%"><ix:nonNumeric contextRef="i20cdcbacf3c34e79a8d3a64244ff294b_D20230502-20230502" name="dei:SolicitingMaterial" format="ixt-sec:boolballotbox" id="id3VybDovL2RvY3MudjEvZG9jOjk3NDU5ZmYwZTRkNTQ5Mjc5MGVhMjk3YTNmM2Y1NDY4L3NlYzo5NzQ1OWZmMGU0ZDU0OTI3OTBlYTI5N2EzZjNmNTQ2OF8xL2ZyYWc6MWNkZjJlOGM5M2EwNGQ5OTk3ZDI5ZGIyMWNkNDE3ODMvdGFibGU6NTE1NWE2ODAyZDJmNDJmY2I3OGYxNzdmZTc0NTg3MmYvdGFibGVyYW5nZTo1MTU1YTY4MDJkMmY0MmZjYjc4ZjE3N2ZlNzQ1ODcyZl8xLTAtMS0xLTIzMjU0NA_94713434-4952-4282-99dd-0e48c0ba09cf">&#9744;</ix:nonNumeric></span></td><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:top"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:100%">Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)</span></td></tr><tr><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><span style="color:#000000;font-family:'Arial Unicode MS',sans-serif;font-size:10pt;font-weight:400;line-height:100%"><ix:nonNumeric contextRef="i20cdcbacf3c34e79a8d3a64244ff294b_D20230502-20230502" name="dei:PreCommencementTenderOffer" format="ixt-sec:boolballotbox" id="id3VybDovL2RvY3MudjEvZG9jOjk3NDU5ZmYwZTRkNTQ5Mjc5MGVhMjk3YTNmM2Y1NDY4L3NlYzo5NzQ1OWZmMGU0ZDU0OTI3OTBlYTI5N2EzZjNmNTQ2OF8xL2ZyYWc6MWNkZjJlOGM5M2EwNGQ5OTk3ZDI5ZGIyMWNkNDE3ODMvdGFibGU6NTE1NWE2ODAyZDJmNDJmY2I3OGYxNzdmZTc0NTg3MmYvdGFibGVyYW5nZTo1MTU1YTY4MDJkMmY0MmZjYjc4ZjE3N2ZlNzQ1ODcyZl8yLTAtMS0xLTIzMjU0NA_dd7d46c4-afb6-460e-9207-fab80cf5356d">&#9744;</ix:nonNumeric></span></td><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:top"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:100%">Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))</span></td></tr><tr><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><span style="color:#000000;font-family:'Arial Unicode MS',sans-serif;font-size:10pt;font-weight:400;line-height:100%"><ix:nonNumeric contextRef="i20cdcbacf3c34e79a8d3a64244ff294b_D20230502-20230502" name="dei:PreCommencementIssuerTenderOffer" format="ixt-sec:boolballotbox" id="id3VybDovL2RvY3MudjEvZG9jOjk3NDU5ZmYwZTRkNTQ5Mjc5MGVhMjk3YTNmM2Y1NDY4L3NlYzo5NzQ1OWZmMGU0ZDU0OTI3OTBlYTI5N2EzZjNmNTQ2OF8xL2ZyYWc6MWNkZjJlOGM5M2EwNGQ5OTk3ZDI5ZGIyMWNkNDE3ODMvdGFibGU6NTE1NWE2ODAyZDJmNDJmY2I3OGYxNzdmZTc0NTg3MmYvdGFibGVyYW5nZTo1MTU1YTY4MDJkMmY0MmZjYjc4ZjE3N2ZlNzQ1ODcyZl8zLTAtMS0xLTIzMjU0NA_eb377797-90e9-4488-b672-06a0d8669311">&#9744;</ix:nonNumeric></span></td><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:top"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:100%">Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))</span></td></tr></table></div><div style="text-align:center"><table style="border-collapse:collapse;display:inline-table;margin-bottom:5pt;vertical-align:text-bottom;width:100.000%"><tr><td style="width:1.0%"></td><td style="width:36.687%"></td><td style="width:0.1%"></td><td style="width:0.1%"></td><td style="width:0.518%"></td><td style="width:0.1%"></td><td style="width:1.0%"></td><td style="width:21.888%"></td><td style="width:0.1%"></td><td style="width:0.1%"></td><td style="width:0.518%"></td><td style="width:0.1%"></td><td style="width:1.0%"></td><td style="width:36.689%"></td><td style="width:0.1%"></td></tr><tr><td colspan="3" style="padding:2px 1pt;text-align:center;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:700;line-height:100%">Title&#160;of&#160;each&#160;class</span></td><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:100%">&#160;</span></td><td colspan="3" style="padding:2px 1pt;text-align:center;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:700;line-height:100%">Trading&#160;Symbol(s)</span></td><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:100%">&#160;</span></td><td colspan="3" style="padding:2px 1pt;text-align:center;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:700;line-height:100%">Name&#160;of&#160;each&#160;exchange&#160;on&#160;which&#160;registered</span></td></tr><tr><td colspan="3" style="border-top:1pt solid #000000;padding:2px 1pt;text-align:center;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:100%"><ix:nonNumeric contextRef="i20cdcbacf3c34e79a8d3a64244ff294b_D20230502-20230502" name="dei:Security12bTitle" id="id3VybDovL2RvY3MudjEvZG9jOjk3NDU5ZmYwZTRkNTQ5Mjc5MGVhMjk3YTNmM2Y1NDY4L3NlYzo5NzQ1OWZmMGU0ZDU0OTI3OTBlYTI5N2EzZjNmNTQ2OF8xL2ZyYWc6MWNkZjJlOGM5M2EwNGQ5OTk3ZDI5ZGIyMWNkNDE3ODMvdGFibGU6ODYxODc0NTc5NDViNDA4YWJjOTE3NTVkYjg5OTRhYzAvdGFibGVyYW5nZTo4NjE4NzQ1Nzk0NWI0MDhhYmM5MTc1NWRiODk5NGFjMF8xLTAtMS0xLTIzMjU0NA_03efb97b-e31b-4707-ac7e-807ca1e579af">Common Stock, par value $0.001 per share</ix:nonNumeric></span></td><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:100%">&#160;</span></td><td colspan="3" style="border-top:1pt solid #000000;padding:2px 1pt;text-align:center;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:100%"><ix:nonNumeric contextRef="i20cdcbacf3c34e79a8d3a64244ff294b_D20230502-20230502" name="dei:TradingSymbol" id="id3VybDovL2RvY3MudjEvZG9jOjk3NDU5ZmYwZTRkNTQ5Mjc5MGVhMjk3YTNmM2Y1NDY4L3NlYzo5NzQ1OWZmMGU0ZDU0OTI3OTBlYTI5N2EzZjNmNTQ2OF8xL2ZyYWc6MWNkZjJlOGM5M2EwNGQ5OTk3ZDI5ZGIyMWNkNDE3ODMvdGFibGU6ODYxODc0NTc5NDViNDA4YWJjOTE3NTVkYjg5OTRhYzAvdGFibGVyYW5nZTo4NjE4NzQ1Nzk0NWI0MDhhYmM5MTc1NWRiODk5NGFjMF8xLTItMS0xLTIzMjU0NA_dec77b41-c0cb-4f8b-8b00-5200325a3694">ISRG</ix:nonNumeric></span></td><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:100%">&#160;</span></td><td colspan="3" style="border-top:1pt solid #000000;padding:2px 1pt;text-align:center;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:100%"><ix:nonNumeric contextRef="i20cdcbacf3c34e79a8d3a64244ff294b_D20230502-20230502" name="dei:SecurityExchangeName" format="ixt-sec:exchnameen" id="id3VybDovL2RvY3MudjEvZG9jOjk3NDU5ZmYwZTRkNTQ5Mjc5MGVhMjk3YTNmM2Y1NDY4L3NlYzo5NzQ1OWZmMGU0ZDU0OTI3OTBlYTI5N2EzZjNmNTQ2OF8xL2ZyYWc6MWNkZjJlOGM5M2EwNGQ5OTk3ZDI5ZGIyMWNkNDE3ODMvdGFibGU6ODYxODc0NTc5NDViNDA4YWJjOTE3NTVkYjg5OTRhYzAvdGFibGVyYW5nZTo4NjE4NzQ1Nzk0NWI0MDhhYmM5MTc1NWRiODk5NGFjMF8xLTQtMS0xLTIzMjU0NA_307afb57-fb2a-4868-bd12-817cd86d784a">The Nasdaq Global Select Market</ix:nonNumeric></span></td></tr></table></div><div style="margin-bottom:3pt;text-align:justify"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:120%">Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 (&#167;230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (&#167;240.12b-2 of this chapter).</span></div><div style="margin-bottom:3pt;text-align:justify"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:120%">Emerging growth company </span><span style="color:#000000;font-family:'Arial Unicode MS',sans-serif;font-size:10pt;font-weight:400;line-height:120%"><ix:nonNumeric contextRef="i20cdcbacf3c34e79a8d3a64244ff294b_D20230502-20230502" name="dei:EntityEmergingGrowthCompany" format="ixt-sec:boolballotbox" id="id3VybDovL2RvY3MudjEvZG9jOjk3NDU5ZmYwZTRkNTQ5Mjc5MGVhMjk3YTNmM2Y1NDY4L3NlYzo5NzQ1OWZmMGU0ZDU0OTI3OTBlYTI5N2EzZjNmNTQ2OF8xL2ZyYWc6MWNkZjJlOGM5M2EwNGQ5OTk3ZDI5ZGIyMWNkNDE3ODMvdGV4dHJlZ2lvbjoxY2RmMmU4YzkzYTA0ZDk5OTdkMjlkYjIxY2Q0MTc4M184Nzk_24459178-1a19-4a6e-af1b-9ffccc540b62">&#9744;</ix:nonNumeric></span></div><div><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:120%">If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.&#160;</span><span style="color:#000000;font-family:'Wingdings',sans-serif;font-size:10pt;font-weight:400;line-height:120%">&#168;</span><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:120%">&#160;&#160;</span><table style="border-collapse:collapse;display:inline-table;margin-bottom:5pt;vertical-align:text-bottom;width:100.000%"><tr><td style="width:1.0%"></td><td style="width:18.036%"></td><td style="width:0.1%"></td><td style="width:1.0%"></td><td style="width:18.036%"></td><td style="width:0.1%"></td><td style="width:1.0%"></td><td style="width:18.036%"></td><td style="width:0.1%"></td><td style="width:1.0%"></td><td style="width:18.036%"></td><td style="width:0.1%"></td><td style="width:1.0%"></td><td style="width:22.356%"></td><td style="width:0.1%"></td></tr><tr style="height:3pt"><td colspan="3" style="border-bottom:3pt double #000000;padding:0 1pt"></td><td colspan="3" style="border-bottom:3pt double #000000;padding:0 1pt"></td><td colspan="3" style="border-bottom:3pt double #000000;padding:0 1pt"></td><td colspan="3" style="border-bottom:3pt double #000000;padding:0 1pt"></td><td colspan="3" style="border-bottom:3pt double #000000;padding:0 1pt"></td></tr></table></div><div style="text-align:center"><span><br/></span></div><div style="height:36pt;position:relative;width:100%"><div style="bottom:0;position:absolute;width:100%"><div><span><br/></span></div></div></div><hr style="page-break-after:always"/><div style="min-height:36pt;width:100%"><div><span><br/></span></div></div><div><table style="border-collapse:collapse;display:inline-table;margin-bottom:5pt;vertical-align:text-bottom;width:100.000%"><tr><td style="width:1.0%"></td><td style="width:9.572%"></td><td style="width:0.1%"></td><td style="width:0.1%"></td><td style="width:0.384%"></td><td style="width:0.1%"></td><td style="width:1.0%"></td><td style="width:87.644%"></td><td style="width:0.1%"></td></tr><tr><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:top"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:700;line-height:100%">Item&#160;5.02.</span></td><td colspan="3" style="padding:0 1pt"></td><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:top"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:700;line-height:100%">Departure of Directors or Certain Officers; Election of Directors; Appointment of Certain Officers; Compensatory Arrangements of Certain Officers.</span></td></tr></table></div><div style="margin-bottom:6pt;margin-top:6pt;text-align:justify"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:120%">On May 15, 2023, the Board of Directors of Intuitive Surgical, Inc. (the &#8220;Company&#8221; or &#8220;Intuitive&#8221;) promoted David J. Rosa to the role of President of the Company, effective May 16, 2023. In connection with Mr. Rosa&#8217;s promotion, Gary S. Guthart, Ph.D., will cease to hold the title of President and will continue to serve as the Company&#8217;s Chief Executive Officer and as a member of its Board of Directors. Mr. Rosa will continue to report directly to Dr. Guthart.</span></div><div style="margin-bottom:6pt;margin-top:6pt;text-align:justify"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:120%">David J. Rosa, age 55, joined Intuitive in March 1996 and has held leadership positions across the organization in commercial, engineering, clinical development, marketing, and product development. In April 2011, Mr. Rosa was promoted to the position of Senior Vice President, Emerging Procedures &amp; Technology, and transitioned to the position of Senior Vice President, Scientific Affairs. In August 2014, Mr. Rosa was promoted to the position of Executive Vice President and Chief Scientific Officer. In June 2015, Mr. Rosa was appointed as Executive Vice President and Chief Commercial Officer. In January 2019, Mr. Rosa took on additional responsibility as Executive Vice President and Chief Business Officer. In January 2022, Mr. Rosa transitioned to Chief Strategy and Growth Officer. Mr. Rosa also currently serves on the Board of Directors of Kardium Inc. Mr. Rosa graduated magna cum laude with a B.S. in Mechanical Engineering from California Polytechnic University at San Luis Obispo. He also holds a Master of Science in Mechanical Engineering from Stanford University.</span></div><div style="margin-bottom:6pt;margin-top:6pt;text-align:justify"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:120%">In connection with Mr. Rosa&#8217;s promotion to President, his annual base salary was increased from $652,468 to $700,000, and his targeted bonus opportunity under the Company&#8217;s Corporate Incentive Program for the fiscal year 2023 performance period was increased from 100% to 120% of his base salary. In addition, Mr. Rosa will receive, pursuant to the Company&#8217;s Amended and Restated 2010 Incentive Award Plan, grants of (i) an option to purchase shares of the Company&#8217;s common stock with a value of $1,500,000 (&#8220;Target Stock Option Value&#8221;), (ii) restricted stock units (&#8220;RSUs&#8221;) with a value of $1,500,000 (&#8220;Target RSU Value&#8221;) and (iii) performance stock units (&#8220;PSUs&#8221;) with a value of $2,000,000 (&#8220;Target PSU Value&#8221;), whose metrics are consistent with the 2023 annual grant of PSUs. The number of shares underlying the stock option will be determined by dividing the Target Stock Option Value by one-third of the 60 trading-day average closing price of the Company&#8217;s common stock, as reported by Nasdaq, through the last trading day of the month prior to the grant date (the &#8220;60 Trading-Day Average&#8221;). The number of RSUs and target number of PSUs will be determined by dividing each of the Target RSU Value and Target PSU Value by the 60 Trading-Day Average. The shares subject to the option will vest 25% on the first anniversary of the grant and 1/48 per month thereafter, and the shares subject to the RSUs will vest 25% annually over a four-year period. The shares subject to the PSUs will vest as to 0-125% of the target number of PSUs after a three-year period based on the achievement of certain performance objectives.</span></div><div style="margin-bottom:6pt;margin-top:6pt;text-align:justify"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:120%">There are no transactions in which Mr. Rosa had or will have a direct or indirect material interest that are required to be reported under Item 404(a) of Regulation S-K.</span></div><div style="margin-bottom:6pt;margin-top:6pt;text-align:justify"><table style="border-collapse:collapse;display:inline-table;margin-bottom:5pt;vertical-align:text-bottom;width:100.000%"><tr><td style="width:1.0%"></td><td style="width:9.541%"></td><td style="width:0.1%"></td><td style="width:0.1%"></td><td style="width:0.383%"></td><td style="width:0.1%"></td><td style="width:1.0%"></td><td style="width:87.676%"></td><td style="width:0.1%"></td></tr><tr><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:700;line-height:100%">Item&#160;7.01.</span></td><td colspan="3" style="padding:0 1pt"></td><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><div style="padding-left:108pt;text-indent:-108pt"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:700;line-height:100%">Regulation FD Disclosure.</span></div></td></tr></table></div><div style="margin-bottom:6pt;margin-top:6pt;text-align:justify"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:120%">On May 16, 2023, the Company issued a press release announcing executive leadership changes, which press release is furnished as Exhibit 99.1 to this Current Report on Form 8-K and is incorporated herein by reference.</span></div><div style="margin-bottom:6pt;margin-top:6pt;text-align:justify"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-style:italic;font-weight:400;line-height:120%">The information in this Item 7.01 of this Current Report on Form 8-K, including Exhibit 99.1, shall not be deemed &#8220;filed&#8221; for purposes of Section 18 of the Securities Exchange Act of 1934, as amended (the &#8220;Exchange Act&#8221;), or otherwise subject to the liabilities under that section and shall not be deemed to be incorporated by reference into any filing of the Company under the Securities Act of 1933, as amended, or the Exchange Act.</span></div><div style="margin-bottom:6pt;margin-top:6pt;text-align:justify"><table style="border-collapse:collapse;display:inline-table;margin-bottom:5pt;vertical-align:text-bottom;width:100.000%"><tr><td style="width:1.0%"></td><td style="width:9.541%"></td><td style="width:0.1%"></td><td style="width:0.1%"></td><td style="width:0.383%"></td><td style="width:0.1%"></td><td style="width:1.0%"></td><td style="width:87.676%"></td><td style="width:0.1%"></td></tr><tr><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:700;line-height:100%">Item&#160;9.01.</span></td><td colspan="3" style="padding:0 1pt"></td><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><div style="padding-left:108pt;text-indent:-108pt"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:700;line-height:100%">Financial Statements and Exhibits.</span></div></td></tr></table></div><div style="margin-bottom:6pt;margin-top:6pt;text-align:justify"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:120%">(d) Exhibits.</span></div><div style="margin-bottom:6pt;margin-top:6pt;text-align:justify"><table style="border-collapse:collapse;display:inline-table;margin-bottom:5pt;vertical-align:text-bottom;width:100.000%"><tr><td style="width:1.0%"></td><td style="width:9.541%"></td><td style="width:0.1%"></td><td style="width:0.1%"></td><td style="width:0.383%"></td><td style="width:0.1%"></td><td style="width:1.0%"></td><td style="width:87.676%"></td><td style="width:0.1%"></td></tr><tr><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:700;line-height:100%">Exhibit No.</span></td><td colspan="3" style="padding:0 1pt"></td><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><div style="padding-left:108pt;text-indent:-108pt"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:700;line-height:100%">Description.</span></div></td></tr><tr><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:100%">99.1</span></td><td colspan="3" style="padding:0 1pt"></td><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><div><span style="color:#0000ff;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:100%;text-decoration:underline"><a style="-sec-extract:exhibit;color:#0000ff;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:100%;text-decoration:underline" href="q223ex-991executiveleaders.htm">Press release issued by Intuitive Surgical, Inc., dated</a> May 16, 2023.</span></div></td></tr><tr><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:100%">104</span></td><td colspan="3" style="padding:0 1pt"></td><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:100%">Cover Page Interactive Data File (embedded within the Inline XBRL document).</span></td></tr></table></div><div style="margin-bottom:9pt;margin-top:6pt;text-align:justify"><span><br/></span></div><div style="margin-bottom:6pt;margin-top:6pt;text-align:justify"><span><br/></span></div><div style="height:36pt;position:relative;width:100%"><div style="bottom:0;position:absolute;width:100%"><div><span><br/></span></div></div></div><hr style="page-break-after:always"/><div style="min-height:36pt;width:100%"><div><span><br/></span></div></div><div style="text-align:center"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:700;line-height:120%">SIGNATURES</span></div><div style="margin-bottom:12pt;margin-top:9pt"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:120%">Pursuant to the requirements of the Securities Exchange Act of 1934, as amended, the Registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.</span></div><div style="margin-bottom:12pt;margin-top:9pt"><table style="border-collapse:collapse;display:inline-table;margin-bottom:5pt;vertical-align:text-bottom;width:100.000%"><tr><td style="width:0.1%"></td><td style="width:1.380%"></td><td style="width:0.1%"></td><td style="width:0.1%"></td><td style="width:1.667%"></td><td style="width:0.1%"></td><td style="width:1.0%"></td><td style="width:29.934%"></td><td style="width:0.1%"></td><td style="width:0.1%"></td><td style="width:1.667%"></td><td style="width:0.1%"></td><td style="width:1.0%"></td><td style="width:4.216%"></td><td style="width:0.1%"></td><td style="width:0.1%"></td><td style="width:1.667%"></td><td style="width:0.1%"></td><td style="width:1.0%"></td><td style="width:2.922%"></td><td style="width:0.1%"></td><td style="width:0.1%"></td><td style="width:0.374%"></td><td style="width:0.1%"></td><td style="width:1.0%"></td><td style="width:50.773%"></td><td style="width:0.1%"></td></tr><tr><td colspan="9" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:7pt;font-weight:400;line-height:100%">&#160;</span></td><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:7pt;font-weight:400;line-height:100%">&#160;</span></td><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:7pt;font-weight:400;line-height:100%">&#160;</span></td><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:7pt;font-weight:400;line-height:100%">&#160;</span></td><td colspan="9" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:100%">INTUITIVE SURGICAL, INC.</span></td></tr><tr><td colspan="9" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:100%">&#160;</span></td><td colspan="6" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:100%">&#160;</span></td><td colspan="6" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:100%">&#160;</span></td><td colspan="6" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:100%">&#160;</span></td></tr><tr><td colspan="15" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:100%">Date:  May 16, 2023</span></td><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:7pt;font-weight:400;line-height:100%">&#160;</span></td><td colspan="3" style="padding:2px 1pt;text-align:right;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:100%">By:</span></td><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:7pt;font-weight:400;line-height:100%">&#160;</span></td><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><div><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-style:italic;font-weight:400;line-height:100%">/S/ J</span><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:8pt;font-style:italic;font-weight:400;line-height:100%">AMIE</span><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-style:italic;font-weight:400;line-height:100%"> E. S</span><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:8pt;font-style:italic;font-weight:400;line-height:100%">AMATH</span></div></td></tr><tr><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:7pt;font-weight:400;line-height:100%">&#160;</span></td><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:7pt;font-weight:400;line-height:100%">&#160;</span></td><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:7pt;font-weight:400;line-height:100%">&#160;</span></td><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:7pt;font-weight:400;line-height:100%">&#160;</span></td><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:7pt;font-weight:400;line-height:100%">&#160;</span></td><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:7pt;font-weight:400;line-height:100%">&#160;</span></td><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:7pt;font-weight:400;line-height:100%">&#160;</span></td><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:7pt;font-weight:400;line-height:100%">&#160;</span></td><td colspan="3" style="border-top:1pt solid #000000;padding:2px 1pt;text-align:left;vertical-align:bottom"><div style="text-indent:11.25pt"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-style:italic;font-weight:400;line-height:100%">Name:</span><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:100%">&#160;</span><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-style:italic;font-weight:400;line-height:100%">Jamie E. Samath</span></div></td></tr><tr><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:7pt;font-weight:400;line-height:100%">&#160;</span></td><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:7pt;font-weight:400;line-height:100%">&#160;</span></td><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:7pt;font-weight:400;line-height:100%">&#160;</span></td><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:7pt;font-weight:400;line-height:100%">&#160;</span></td><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:7pt;font-weight:400;line-height:100%">&#160;</span></td><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:7pt;font-weight:400;line-height:100%">&#160;</span></td><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:7pt;font-weight:400;line-height:100%">&#160;</span></td><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:7pt;font-weight:400;line-height:100%">&#160;</span></td><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><div style="text-indent:11.25pt"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-style:italic;font-weight:400;line-height:100%">Title: Senior Vice President and Chief Financial Officer</span></div></td></tr></table></div><div style="height:36pt;position:relative;width:100%"><div style="bottom:0;position:absolute;width:100%"><div><span><br/></span></div></div></div></body></html>
</XBRL>
</TEXT>
</DOCUMENT>
<DOCUMENT>
<TYPE>EX-99.1
<SEQUENCE>2
<FILENAME>q223ex-991executiveleaders.htm
<DESCRIPTION>EX-99.1
<TEXT>
<!DOCTYPE html PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN" "http://www.w3.org/TR/html4/loose.dtd"><html><head>
<!-- Document created using Wdesk -->
<!-- Copyright 2023 Workiva -->
<title>Document</title></head><body><div id="i77c4f2ef77be436b96079b008596d425_1"></div><div style="min-height:31.5pt;width:100%"><div style="text-align:right"><font style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:700;line-height:120%">Exhibit 99.1</font></div></div><div style="text-align:center"><table style="border-collapse:collapse;display:inline-table;margin-bottom:5pt;vertical-align:text-bottom;width:100.000%"><tr><td style="width:1.0%"></td><td style="width:49.300%"></td><td style="width:0.1%"></td><td style="width:0.1%"></td><td style="width:0.920%"></td><td style="width:0.1%"></td><td style="width:1.0%"></td><td style="width:47.380%"></td><td style="width:0.1%"></td></tr><tr style="height:3pt"><td colspan="3" style="padding:0 1pt"></td><td colspan="3" style="padding:0 1pt"></td><td colspan="3" style="padding:0 1pt"></td></tr><tr><td colspan="3" style="padding:0 1pt"></td><td colspan="3" style="padding:0 1pt"></td><td colspan="3" style="padding:2px 1pt;text-align:right;vertical-align:bottom"><font style="font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:100%"><br><br></font><font style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:100%">Contact&#58; Global Public Affairs<br>+1-202-997-7373</font></td></tr></table></div><div style="margin-top:9pt;text-align:center"><font style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:700;line-height:120%">INTUITIVE ANNOUNCES EXECUTIVE LEADERSHIP CHANGES</font></div><div style="margin-bottom:12pt;margin-top:3pt;text-align:center"><font style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-style:italic;font-weight:700;line-height:120%">Dave Rosa named President&#59; Gary Guthart remains Chief Executive Officer</font></div><div style="margin-bottom:6pt;margin-top:6pt;text-align:justify"><font style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:120%">SUNNYVALE, CALIF. May 16, 2023 &#8211; Intuitive (the &#8220;Company&#8221;) (Nasdaq&#58; ISRG), a global technology leader in minimally invasive care and the pioneer of robotic-assisted surgery, today announced executive leadership changes as the Company continues expanding globally and advancing minimally invasive care.</font></div><div style="margin-bottom:6pt;margin-top:6pt;text-align:justify"><font style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:120%">Dave Rosa has been promoted to the role of President, leading Intuitive&#8217;s product, digital, quality, regulatory, supply chain, manufacturing, and commercial teams. He will oversee the Company&#8217;s core business, driving product, digital, and commercial excellence and delivery of Intuitive&#8217;s annual and mid-term strategies and goals. Rosa is a 27-year Company veteran who has held key leadership positions across the business, including in the commercial, engineering, clinical development, marketing, and product development organizations. Most recently, Rosa served as Executive Vice President and Chief Strategy and Growth Officer.</font></div><div style="margin-bottom:6pt;margin-top:6pt;text-align:justify"><font style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:120%">&#8220;As Intuitive has grown and demand for robotic-assisted surgery has increased, we remain focused on our mission to advance minimally invasive care and our commitment to working with customers to meaningfully improve patient outcomes,&#8221; said Intuitive Chief Executive Officer Gary Guthart. &#8220;Aligning our core business functions under Dave, a proven and outstanding leader with broad and deep experience across Intuitive, equips us to meet future opportunities to collaborate with hospitals and healthcare systems to address healthcare challenges at significant scale.&#8221;</font></div><div style="margin-bottom:6pt;margin-top:6pt;text-align:justify"><font style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:120%">&#8220;Our efforts over the past 27 years have created great opportunities to serve our customers better and in new ways. I look forward to leading our continued development of innovative, outcomes-focused products, services, and solutions,&#8221; said Rosa. &#8220;Intuitive aims to deliver excellence in customer experience, industry-leading innovation, and meaningful expansion of minimally invasive care. My goal is to help the Company continue to deliver on these aims.&#8221;</font></div><div style="margin-bottom:6pt;margin-top:6pt;text-align:justify"><font style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:120%">Guthart will continue as Intuitive&#8217;s CEO, leading the Company and focusing on Intuitive&#8217;s presence in the market, its overall strategy, governance, and culture, as well as nurturing early-stage business and product initiatives. Guthart has been with Intuitive for 27 years and has served as CEO since 2010.</font></div><div style="margin-bottom:6pt;margin-top:6pt;text-align:justify"><font style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:120%">In addition, Bob DeSantis will assume the newly created role of Executive Vice President and Chief Strategy and Corporate Operations Officer, leading strategic planning, operational structure, and management for the business. Previously, DeSantis served as Executive Vice President and Chief Product Officer. In his decade with Intuitive, he has been pivotal in advancing the development and manufacturing of the Company&#8217;s industry-leading robotic platforms.</font></div><div style="margin-bottom:6pt;margin-top:6pt;text-align:justify"><font style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:120%">Rosa and DeSantis will continue to report to Guthart, and all executive leadership changes are effective immediately.</font></div><div style="margin-bottom:6pt;margin-top:6pt;text-align:justify"><font style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:120%">Intuitive pioneered the field of robotic-assisted, minimally invasive surgery more than two decades ago with the da Vinci surgical system. Since then, more than 12 million procedures have been performed using da Vinci systems, with more than 66,000 surgeons worldwide trained on da Vinci systems.</font></div><div style="margin-bottom:6pt;margin-top:9pt;text-align:justify"><font style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:700;line-height:120%">About Intuitive</font></div><div style="margin-bottom:6pt;margin-top:6pt;text-align:justify"><font style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:120%">Intuitive (Nasdaq&#58; ISRG), headquartered in Sunnyvale, California, is a global leader in minimally invasive care and the pioneer of robotic surgery. Our technologies include the da Vinci surgical system and the Ion endoluminal system. By uniting advanced systems, progressive learning, and value-enhancing services, we help physicians and their teams optimize care delivery to support the best outcomes possible. At Intuitive, we envision a future of care that is less invasive and profoundly better, where diseases are identified early and treated quickly, so patients can get back to what matters most.</font></div><div style="margin-bottom:6pt;margin-top:6pt;text-align:justify"><font style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:120%">Product and brand names&#47;logos are trademarks or registered trademarks of Intuitive Surgical or their respective owner. See </font><font style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-style:italic;font-weight:400;line-height:120%">www.intuitive.com&#47;trademarks</font><font style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:120%">.</font></div><div style="margin-bottom:6pt;margin-top:6pt;text-align:justify"><font style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:120%">For more information, please visit the Company&#8217;s website at </font><font style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-style:italic;font-weight:400;line-height:120%">www.intuitive.com</font><font style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:120%">.</font></div><div style="margin-bottom:6pt;margin-top:6pt;text-align:justify"><font><br></font></div><div style="height:67.5pt;position:relative;width:100%"><div style="bottom:0;position:absolute;width:100%"><div style="text-align:center"><font style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:120%">Page 1 of 2</font></div></div></div><hr style="page-break-after:always"><div style="min-height:31.5pt;width:100%"><div><font><br></font></div></div><div style="margin-bottom:6pt;margin-top:9pt;text-align:justify"><font style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:700;line-height:120%">Forward-Looking Statements</font></div><div style="margin-bottom:6pt;margin-top:6pt;text-align:justify"><font style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:120%">This press release contains forward-looking statements, including statements regarding executive leadership changes, the Company&#8217;s ability to address healthcare challenges at significant scale, the Company&#8217;s continued development of innovative, outcomes-focused products, services and solutions and the Company&#8217;s aim to deliver excellence in customer experience, industry-leading innovation and meaningful expansion of minimally invasive care across product and digital solutions, clinical applications and geographies. These statements reflect the judgment of the Company's management and involve a number of risks and uncertainties that could cause actual results to differ materially from those suggested by the forward-looking statements. These forward-looking statements should be considered in light of various important factors, including, but not limited to, the following&#58; the overall macroeconomic environment, which impacts customer spending and the Company&#8217;s costs, including increased inflation and interest rates, the conflict in Ukraine, disruption to the Company&#8217;s supply chain&#59; curtailed or delayed capital spending by hospitals&#59; delays in surgeon training&#59; delays in gathering clinical evidence&#59; delays in obtaining new product approvals, clearances, or certifications from regulatory authorities, or notified bodies&#59; the impact of global and regional economic and credit market conditions on healthcare spending&#59; the risk of the Company&#8217;s inability to comply with complex regulations&#59; regulatory approvals, clearances, certifications, and restrictions or any dispute that may occur with any regulatory body&#59; guidelines and recommendations in the healthcare and patient communities&#59; healthcare reform legislation in the U.S. and its impact on hospital spending, reimbursement, and fees levied on certain medical device revenues&#59; changes in hospital admissions and actions by payers to limit or manage surgical procedures&#59; the timing and success of product development and market acceptance of developed products&#59; the results of any collaborations, in-licensing arrangements, joint ventures, strategic alliances, or partnerships, including the joint venture with Shanghai Fosun Pharmaceutical (Group) Co., Ltd.&#59; the Company&#8217;s completion of and ability to successfully integrate acquisitions&#59; intellectual property positions and litigation&#59; competition in the medical device industry and in the specific markets of surgery in which the Company operates&#59; risks associated with the Company&#8217;s operations and any expansion outside of the United States&#59; unanticipated manufacturing disruptions or the inability to meet demand for products&#59; the Company&#8217;s reliance on sole-sourced and single-sourced suppliers&#59; the results of legal proceedings to which the Company is or may become a party&#59; adverse publicity regarding the Company and the safety of the Company&#8217;s products and adequacy of training&#59; the impact of changes to tax legislation, guidance, and interpretations&#59; changes in tariffs, trade barriers, and regulatory requirements&#59; and other risks and uncertainties. Readers are cautioned not to place undue reliance on these forward-looking statements, which speak only as of the date of this press release and which are based on current expectations and are subject to risks, uncertainties, and assumptions that are difficult to predict, including those risk factors identified under the heading &#8220;Risk Factors&#8221; in the Company&#8217;s Annual Report on Form 10-K for the year ended December 31, 2022, and the Company&#8217;s Quarterly report on Form 10-Q for the quarter ended March 31, 2023 as updated by the Company&#8217;s other filings with the Securities and Exchange Commission. The Company&#8217;s actual results may differ materially and adversely from those expressed in any forward-looking statement, and the Company undertakes no obligation to publicly update or release any revisions to these forward-looking statements, except as required by law. Statements using words such as &#8220;estimates,&#8221; &#8220;projects,&#8221; &#8220;believes,&#8221; &#8220;anticipates,&#8221; &#8220;plans,&#8221; &#8220;expects,&#8221; &#8220;intends,&#8221; &#8220;may,&#8221; &#8220;will,&#8221; &#8220;could,&#8221; &#8220;should,&#8221; &#8220;would,&#8221; &#8220;targeted,&#8221; and similar words and expressions are intended to identify forward-looking statements.</font></div><div style="height:67.5pt;position:relative;width:100%"><div style="bottom:0;position:absolute;width:100%"><div style="text-align:center"><font style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:120%">Page 2 of 2</font></div></div></div></body></html>
</TEXT>
</DOCUMENT>
<DOCUMENT>
<TYPE>EX-101.SCH
<SEQUENCE>3
<FILENAME>isrg-20230515.xsd
<DESCRIPTION>XBRL TAXONOMY EXTENSION SCHEMA DOCUMENT
<TEXT>
<XBRL>
<?xml version="1.0" encoding="UTF-8"?>

<!--XBRL Document Created with Wdesk from Workiva-->
<!--Copyright 2023 Workiva-->
<!--r:918cdfa8-f4ea-455f-9a76-7e5ba3f6a5f6,g:c8426acb-e595-4d87-8849-8480e9e87f23-->
<xs:schema xmlns:xs="http://www.w3.org/2001/XMLSchema" xmlns:link="http://www.xbrl.org/2003/linkbase" xmlns:isrg="http://www.intuitivesurgical.com/20230515" attributeFormDefault="unqualified" elementFormDefault="qualified" targetNamespace="http://www.intuitivesurgical.com/20230515">
  <xs:import namespace="http://www.w3.org/1999/xlink" schemaLocation="http://www.xbrl.org/2003/xlink-2003-12-31.xsd"/>
  <xs:import namespace="http://www.xbrl.org/2003/instance" schemaLocation="http://www.xbrl.org/2003/xbrl-instance-2003-12-31.xsd"/>
  <xs:import namespace="http://www.xbrl.org/2003/linkbase" schemaLocation="http://www.xbrl.org/2003/xbrl-linkbase-2003-12-31.xsd"/>
  <xs:import namespace="http://xbrl.sec.gov/dei/2023" schemaLocation="https://xbrl.sec.gov/dei/2023/dei-2023.xsd"/>
  <xs:annotation>
    <xs:appinfo>
      <link:linkbaseRef xmlns:xlink="http://www.w3.org/1999/xlink" xlink:arcrole="http://www.w3.org/1999/xlink/properties/linkbase" xlink:href="isrg-20230515_lab.xml" xlink:role="http://www.xbrl.org/2003/role/labelLinkbaseRef" xlink:type="simple"/>
      <link:linkbaseRef xmlns:xlink="http://www.w3.org/1999/xlink" xlink:arcrole="http://www.w3.org/1999/xlink/properties/linkbase" xlink:href="isrg-20230515_pre.xml" xlink:role="http://www.xbrl.org/2003/role/presentationLinkbaseRef" xlink:type="simple"/>
      <link:roleType id="DocumentandEntityInformationDocument" roleURI="http://www.intuitivesurgical.com/role/DocumentandEntityInformationDocument">
        <link:definition>0000001 - Document - Document and Entity Information Document</link:definition>
        <link:usedOn>link:presentationLink</link:usedOn>
        <link:usedOn>link:calculationLink</link:usedOn>
        <link:usedOn>link:definitionLink</link:usedOn>
      </link:roleType>
    </xs:appinfo>
  </xs:annotation>
</xs:schema>
</XBRL>
</TEXT>
</DOCUMENT>
<DOCUMENT>
<TYPE>EX-101.LAB
<SEQUENCE>4
<FILENAME>isrg-20230515_lab.xml
<DESCRIPTION>XBRL TAXONOMY EXTENSION LABEL LINKBASE DOCUMENT
<TEXT>
<XBRL>
<?xml version="1.0" encoding="UTF-8"?>

<!--XBRL Document Created with Wdesk from Workiva-->
<!--Copyright 2023 Workiva-->
<!--r:918cdfa8-f4ea-455f-9a76-7e5ba3f6a5f6,g:c8426acb-e595-4d87-8849-8480e9e87f23-->
<link:linkbase xmlns:link="http://www.xbrl.org/2003/linkbase" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.xbrl.org/2003/linkbase http://www.xbrl.org/2003/xbrl-linkbase-2003-12-31.xsd">
  <link:roleRef roleURI="http://www.xbrl.org/2009/role/negatedPeriodStartLabel" xlink:type="simple" xlink:href="http://www.xbrl.org/lrr/role/negated-2009-12-16.xsd#negatedPeriodStartLabel"/>
  <link:roleRef roleURI="http://www.xbrl.org/2009/role/netLabel" xlink:type="simple" xlink:href="http://www.xbrl.org/lrr/role/net-2009-12-16.xsd#netLabel"/>
  <link:roleRef roleURI="http://www.xbrl.org/2009/role/negatedNetLabel" xlink:type="simple" xlink:href="http://www.xbrl.org/lrr/role/negated-2009-12-16.xsd#negatedNetLabel"/>
  <link:roleRef roleURI="http://www.xbrl.org/2009/role/negatedTerseLabel" xlink:type="simple" xlink:href="http://www.xbrl.org/lrr/role/negated-2009-12-16.xsd#negatedTerseLabel"/>
  <link:roleRef roleURI="http://www.xbrl.org/2009/role/negatedPeriodEndLabel" xlink:type="simple" xlink:href="http://www.xbrl.org/lrr/role/negated-2009-12-16.xsd#negatedPeriodEndLabel"/>
  <link:roleRef roleURI="http://www.xbrl.org/2009/role/negatedLabel" xlink:type="simple" xlink:href="http://www.xbrl.org/lrr/role/negated-2009-12-16.xsd#negatedLabel"/>
  <link:roleRef roleURI="http://www.xbrl.org/2009/role/negatedTotalLabel" xlink:type="simple" xlink:href="http://www.xbrl.org/lrr/role/negated-2009-12-16.xsd#negatedTotalLabel"/>
  <link:labelLink xlink:role="http://www.xbrl.org/2003/role/link" xlink:type="extended">
    <link:label id="lab_dei_SecurityExchangeName_a8180629-78b1-4d26-bade-1eb99e425c51_terseLabel_en-US" xlink:label="lab_dei_SecurityExchangeName" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xmlns:xml="http://www.w3.org/XML/1998/namespace" xml:lang="en-US">Security Exchange Name</link:label>
    <link:label id="lab_dei_SecurityExchangeName_label_en-US" xlink:label="lab_dei_SecurityExchangeName" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xmlns:xml="http://www.w3.org/XML/1998/namespace" xml:lang="en-US">Security Exchange Name</link:label>
    <link:loc xlink:type="locator" xlink:label="loc_dei_SecurityExchangeName" xlink:href="https://xbrl.sec.gov/dei/2023/dei-2023.xsd#dei_SecurityExchangeName"/>
    <link:labelArc xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_dei_SecurityExchangeName" xlink:to="lab_dei_SecurityExchangeName" xlink:type="arc" order="1"/>
    <link:label id="lab_dei_Security12bTitle_7a765bb0-e14d-4e18-b77c-a2175c6332b9_terseLabel_en-US" xlink:label="lab_dei_Security12bTitle" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xmlns:xml="http://www.w3.org/XML/1998/namespace" xml:lang="en-US">Title of 12(b) Security</link:label>
    <link:label id="lab_dei_Security12bTitle_label_en-US" xlink:label="lab_dei_Security12bTitle" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xmlns:xml="http://www.w3.org/XML/1998/namespace" xml:lang="en-US">Title of 12(b) Security</link:label>
    <link:loc xlink:type="locator" xlink:label="loc_dei_Security12bTitle" xlink:href="https://xbrl.sec.gov/dei/2023/dei-2023.xsd#dei_Security12bTitle"/>
    <link:labelArc xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_dei_Security12bTitle" xlink:to="lab_dei_Security12bTitle" xlink:type="arc" order="1"/>
    <link:label id="lab_dei_WrittenCommunications_b66e0351-b6a9-4127-a7e5-8ad810ad2677_terseLabel_en-US" xlink:label="lab_dei_WrittenCommunications" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xmlns:xml="http://www.w3.org/XML/1998/namespace" xml:lang="en-US">Written Communications</link:label>
    <link:label id="lab_dei_WrittenCommunications_label_en-US" xlink:label="lab_dei_WrittenCommunications" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xmlns:xml="http://www.w3.org/XML/1998/namespace" xml:lang="en-US">Written Communications</link:label>
    <link:loc xlink:type="locator" xlink:label="loc_dei_WrittenCommunications" xlink:href="https://xbrl.sec.gov/dei/2023/dei-2023.xsd#dei_WrittenCommunications"/>
    <link:labelArc xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_dei_WrittenCommunications" xlink:to="lab_dei_WrittenCommunications" xlink:type="arc" order="1"/>
    <link:label id="lab_dei_LocalPhoneNumber_0fd7d56c-f173-4282-898a-a60ba412c132_terseLabel_en-US" xlink:label="lab_dei_LocalPhoneNumber" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xmlns:xml="http://www.w3.org/XML/1998/namespace" xml:lang="en-US">Local Phone Number</link:label>
    <link:label id="lab_dei_LocalPhoneNumber_label_en-US" xlink:label="lab_dei_LocalPhoneNumber" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xmlns:xml="http://www.w3.org/XML/1998/namespace" xml:lang="en-US">Local Phone Number</link:label>
    <link:loc xlink:type="locator" xlink:label="loc_dei_LocalPhoneNumber" xlink:href="https://xbrl.sec.gov/dei/2023/dei-2023.xsd#dei_LocalPhoneNumber"/>
    <link:labelArc xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_dei_LocalPhoneNumber" xlink:to="lab_dei_LocalPhoneNumber" xlink:type="arc" order="1"/>
    <link:label id="lab_dei_TradingSymbol_66dba8eb-1254-48e6-bc99-0a00d1f6768c_terseLabel_en-US" xlink:label="lab_dei_TradingSymbol" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xmlns:xml="http://www.w3.org/XML/1998/namespace" xml:lang="en-US">Trading Symbol</link:label>
    <link:label id="lab_dei_TradingSymbol_label_en-US" xlink:label="lab_dei_TradingSymbol" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xmlns:xml="http://www.w3.org/XML/1998/namespace" xml:lang="en-US">Trading Symbol</link:label>
    <link:loc xlink:type="locator" xlink:label="loc_dei_TradingSymbol" xlink:href="https://xbrl.sec.gov/dei/2023/dei-2023.xsd#dei_TradingSymbol"/>
    <link:labelArc xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_dei_TradingSymbol" xlink:to="lab_dei_TradingSymbol" xlink:type="arc" order="1"/>
    <link:label id="lab_dei_EntityIncorporationStateCountryCode_eb34d7ab-59e6-41ff-80b9-d731a40e6b31_terseLabel_en-US" xlink:label="lab_dei_EntityIncorporationStateCountryCode" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xmlns:xml="http://www.w3.org/XML/1998/namespace" xml:lang="en-US">Entity Incorporation, State or Country Code</link:label>
    <link:label id="lab_dei_EntityIncorporationStateCountryCode_label_en-US" xlink:label="lab_dei_EntityIncorporationStateCountryCode" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xmlns:xml="http://www.w3.org/XML/1998/namespace" xml:lang="en-US">Entity Incorporation, State or Country Code</link:label>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityIncorporationStateCountryCode" xlink:href="https://xbrl.sec.gov/dei/2023/dei-2023.xsd#dei_EntityIncorporationStateCountryCode"/>
    <link:labelArc xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_dei_EntityIncorporationStateCountryCode" xlink:to="lab_dei_EntityIncorporationStateCountryCode" xlink:type="arc" order="1"/>
    <link:label id="lab_dei_EntityAddressStateOrProvince_ef3a4fcf-a7d2-460d-990a-ce819c0c2406_terseLabel_en-US" xlink:label="lab_dei_EntityAddressStateOrProvince" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xmlns:xml="http://www.w3.org/XML/1998/namespace" xml:lang="en-US">Entity Address, State or Province</link:label>
    <link:label id="lab_dei_EntityAddressStateOrProvince_label_en-US" xlink:label="lab_dei_EntityAddressStateOrProvince" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xmlns:xml="http://www.w3.org/XML/1998/namespace" xml:lang="en-US">Entity Address, State or Province</link:label>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityAddressStateOrProvince" xlink:href="https://xbrl.sec.gov/dei/2023/dei-2023.xsd#dei_EntityAddressStateOrProvince"/>
    <link:labelArc xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_dei_EntityAddressStateOrProvince" xlink:to="lab_dei_EntityAddressStateOrProvince" xlink:type="arc" order="1"/>
    <link:label id="lab_dei_PreCommencementIssuerTenderOffer_af9c47bf-299d-4426-90e8-6b564b9da21c_terseLabel_en-US" xlink:label="lab_dei_PreCommencementIssuerTenderOffer" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xmlns:xml="http://www.w3.org/XML/1998/namespace" xml:lang="en-US">Pre-commencement Issuer Tender Offer</link:label>
    <link:label id="lab_dei_PreCommencementIssuerTenderOffer_label_en-US" xlink:label="lab_dei_PreCommencementIssuerTenderOffer" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xmlns:xml="http://www.w3.org/XML/1998/namespace" xml:lang="en-US">Pre-commencement Issuer Tender Offer</link:label>
    <link:loc xlink:type="locator" xlink:label="loc_dei_PreCommencementIssuerTenderOffer" xlink:href="https://xbrl.sec.gov/dei/2023/dei-2023.xsd#dei_PreCommencementIssuerTenderOffer"/>
    <link:labelArc xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_dei_PreCommencementIssuerTenderOffer" xlink:to="lab_dei_PreCommencementIssuerTenderOffer" xlink:type="arc" order="1"/>
    <link:label id="lab_dei_DocumentPeriodEndDate_bd1e693e-6644-46eb-b508-cca623a4a192_terseLabel_en-US" xlink:label="lab_dei_DocumentPeriodEndDate" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xmlns:xml="http://www.w3.org/XML/1998/namespace" xml:lang="en-US">Document Period End Date</link:label>
    <link:label id="lab_dei_DocumentPeriodEndDate_label_en-US" xlink:label="lab_dei_DocumentPeriodEndDate" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xmlns:xml="http://www.w3.org/XML/1998/namespace" xml:lang="en-US">Document Period End Date</link:label>
    <link:loc xlink:type="locator" xlink:label="loc_dei_DocumentPeriodEndDate" xlink:href="https://xbrl.sec.gov/dei/2023/dei-2023.xsd#dei_DocumentPeriodEndDate"/>
    <link:labelArc xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_dei_DocumentPeriodEndDate" xlink:to="lab_dei_DocumentPeriodEndDate" xlink:type="arc" order="1"/>
    <link:label id="lab_dei_CoverAbstract_c0bb0c0d-1bca-450d-af8d-1c2422b28055_terseLabel_en-US" xlink:label="lab_dei_CoverAbstract" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xmlns:xml="http://www.w3.org/XML/1998/namespace" xml:lang="en-US">Cover page.</link:label>
    <link:label id="lab_dei_CoverAbstract_label_en-US" xlink:label="lab_dei_CoverAbstract" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xmlns:xml="http://www.w3.org/XML/1998/namespace" xml:lang="en-US">Cover [Abstract]</link:label>
    <link:loc xlink:type="locator" xlink:label="loc_dei_CoverAbstract" xlink:href="https://xbrl.sec.gov/dei/2023/dei-2023.xsd#dei_CoverAbstract"/>
    <link:labelArc xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_dei_CoverAbstract" xlink:to="lab_dei_CoverAbstract" xlink:type="arc" order="1"/>
    <link:label id="lab_dei_EntityEmergingGrowthCompany_579c967f-58b6-4fe0-b9d4-12cf503eaa68_terseLabel_en-US" xlink:label="lab_dei_EntityEmergingGrowthCompany" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xmlns:xml="http://www.w3.org/XML/1998/namespace" xml:lang="en-US">Entity Emerging Growth Company</link:label>
    <link:label id="lab_dei_EntityEmergingGrowthCompany_label_en-US" xlink:label="lab_dei_EntityEmergingGrowthCompany" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xmlns:xml="http://www.w3.org/XML/1998/namespace" xml:lang="en-US">Entity Emerging Growth Company</link:label>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityEmergingGrowthCompany" xlink:href="https://xbrl.sec.gov/dei/2023/dei-2023.xsd#dei_EntityEmergingGrowthCompany"/>
    <link:labelArc xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_dei_EntityEmergingGrowthCompany" xlink:to="lab_dei_EntityEmergingGrowthCompany" xlink:type="arc" order="1"/>
    <link:label id="lab_dei_PreCommencementTenderOffer_48cd94f5-dfd5-46ad-ba26-eb7e677c426a_terseLabel_en-US" xlink:label="lab_dei_PreCommencementTenderOffer" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xmlns:xml="http://www.w3.org/XML/1998/namespace" xml:lang="en-US">Pre-commencement Tender Offer</link:label>
    <link:label id="lab_dei_PreCommencementTenderOffer_label_en-US" xlink:label="lab_dei_PreCommencementTenderOffer" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xmlns:xml="http://www.w3.org/XML/1998/namespace" xml:lang="en-US">Pre-commencement Tender Offer</link:label>
    <link:loc xlink:type="locator" xlink:label="loc_dei_PreCommencementTenderOffer" xlink:href="https://xbrl.sec.gov/dei/2023/dei-2023.xsd#dei_PreCommencementTenderOffer"/>
    <link:labelArc xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_dei_PreCommencementTenderOffer" xlink:to="lab_dei_PreCommencementTenderOffer" xlink:type="arc" order="1"/>
    <link:label id="lab_dei_SolicitingMaterial_b99fd574-9358-4adf-aa97-13f7a66170b0_terseLabel_en-US" xlink:label="lab_dei_SolicitingMaterial" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xmlns:xml="http://www.w3.org/XML/1998/namespace" xml:lang="en-US">Soliciting Material</link:label>
    <link:label id="lab_dei_SolicitingMaterial_label_en-US" xlink:label="lab_dei_SolicitingMaterial" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xmlns:xml="http://www.w3.org/XML/1998/namespace" xml:lang="en-US">Soliciting Material</link:label>
    <link:loc xlink:type="locator" xlink:label="loc_dei_SolicitingMaterial" xlink:href="https://xbrl.sec.gov/dei/2023/dei-2023.xsd#dei_SolicitingMaterial"/>
    <link:labelArc xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_dei_SolicitingMaterial" xlink:to="lab_dei_SolicitingMaterial" xlink:type="arc" order="1"/>
    <link:label id="lab_dei_CityAreaCode_ad9a48fa-8ded-4eac-bbb7-6138e6e2832a_terseLabel_en-US" xlink:label="lab_dei_CityAreaCode" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xmlns:xml="http://www.w3.org/XML/1998/namespace" xml:lang="en-US">City Area Code</link:label>
    <link:label id="lab_dei_CityAreaCode_label_en-US" xlink:label="lab_dei_CityAreaCode" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xmlns:xml="http://www.w3.org/XML/1998/namespace" xml:lang="en-US">City Area Code</link:label>
    <link:loc xlink:type="locator" xlink:label="loc_dei_CityAreaCode" xlink:href="https://xbrl.sec.gov/dei/2023/dei-2023.xsd#dei_CityAreaCode"/>
    <link:labelArc xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_dei_CityAreaCode" xlink:to="lab_dei_CityAreaCode" xlink:type="arc" order="1"/>
    <link:label id="lab_dei_EntityAddressPostalZipCode_1bfc44d5-0186-4833-8f43-353423327145_terseLabel_en-US" xlink:label="lab_dei_EntityAddressPostalZipCode" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xmlns:xml="http://www.w3.org/XML/1998/namespace" xml:lang="en-US">Entity Address, Postal Zip Code</link:label>
    <link:label id="lab_dei_EntityAddressPostalZipCode_label_en-US" xlink:label="lab_dei_EntityAddressPostalZipCode" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xmlns:xml="http://www.w3.org/XML/1998/namespace" xml:lang="en-US">Entity Address, Postal Zip Code</link:label>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityAddressPostalZipCode" xlink:href="https://xbrl.sec.gov/dei/2023/dei-2023.xsd#dei_EntityAddressPostalZipCode"/>
    <link:labelArc xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_dei_EntityAddressPostalZipCode" xlink:to="lab_dei_EntityAddressPostalZipCode" xlink:type="arc" order="1"/>
    <link:label id="lab_dei_DocumentType_1732ca19-0428-4042-a32f-2512fb2e9a6e_terseLabel_en-US" xlink:label="lab_dei_DocumentType" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xmlns:xml="http://www.w3.org/XML/1998/namespace" xml:lang="en-US">Document Type</link:label>
    <link:label id="lab_dei_DocumentType_label_en-US" xlink:label="lab_dei_DocumentType" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xmlns:xml="http://www.w3.org/XML/1998/namespace" xml:lang="en-US">Document Type</link:label>
    <link:loc xlink:type="locator" xlink:label="loc_dei_DocumentType" xlink:href="https://xbrl.sec.gov/dei/2023/dei-2023.xsd#dei_DocumentType"/>
    <link:labelArc xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_dei_DocumentType" xlink:to="lab_dei_DocumentType" xlink:type="arc" order="1"/>
    <link:label id="lab_dei_AmendmentFlag_c75b64f0-1650-4a82-a792-c25ee86c2d68_terseLabel_en-US" xlink:label="lab_dei_AmendmentFlag" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xmlns:xml="http://www.w3.org/XML/1998/namespace" xml:lang="en-US">Amendment Flag</link:label>
    <link:label id="lab_dei_AmendmentFlag_label_en-US" xlink:label="lab_dei_AmendmentFlag" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xmlns:xml="http://www.w3.org/XML/1998/namespace" xml:lang="en-US">Amendment Flag</link:label>
    <link:loc xlink:type="locator" xlink:label="loc_dei_AmendmentFlag" xlink:href="https://xbrl.sec.gov/dei/2023/dei-2023.xsd#dei_AmendmentFlag"/>
    <link:labelArc xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_dei_AmendmentFlag" xlink:to="lab_dei_AmendmentFlag" xlink:type="arc" order="1"/>
    <link:label id="lab_dei_EntityCentralIndexKey_dfc40a9d-bd3a-4bb5-882f-404b000de8ec_terseLabel_en-US" xlink:label="lab_dei_EntityCentralIndexKey" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xmlns:xml="http://www.w3.org/XML/1998/namespace" xml:lang="en-US">Entity Central Index Key</link:label>
    <link:label id="lab_dei_EntityCentralIndexKey_label_en-US" xlink:label="lab_dei_EntityCentralIndexKey" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xmlns:xml="http://www.w3.org/XML/1998/namespace" xml:lang="en-US">Entity Central Index Key</link:label>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityCentralIndexKey" xlink:href="https://xbrl.sec.gov/dei/2023/dei-2023.xsd#dei_EntityCentralIndexKey"/>
    <link:labelArc xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_dei_EntityCentralIndexKey" xlink:to="lab_dei_EntityCentralIndexKey" xlink:type="arc" order="1"/>
    <link:label id="lab_dei_EntityFileNumber_f632126d-a1c7-4cec-a37c-e511fc2c474a_terseLabel_en-US" xlink:label="lab_dei_EntityFileNumber" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xmlns:xml="http://www.w3.org/XML/1998/namespace" xml:lang="en-US">Entity File Number</link:label>
    <link:label id="lab_dei_EntityFileNumber_label_en-US" xlink:label="lab_dei_EntityFileNumber" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xmlns:xml="http://www.w3.org/XML/1998/namespace" xml:lang="en-US">Entity File Number</link:label>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityFileNumber" xlink:href="https://xbrl.sec.gov/dei/2023/dei-2023.xsd#dei_EntityFileNumber"/>
    <link:labelArc xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_dei_EntityFileNumber" xlink:to="lab_dei_EntityFileNumber" xlink:type="arc" order="1"/>
    <link:label id="lab_dei_EntityAddressCityOrTown_11e8da84-a8f0-40dc-81c2-4c756600d522_terseLabel_en-US" xlink:label="lab_dei_EntityAddressCityOrTown" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xmlns:xml="http://www.w3.org/XML/1998/namespace" xml:lang="en-US">Entity Address, City or Town</link:label>
    <link:label id="lab_dei_EntityAddressCityOrTown_label_en-US" xlink:label="lab_dei_EntityAddressCityOrTown" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xmlns:xml="http://www.w3.org/XML/1998/namespace" xml:lang="en-US">Entity Address, City or Town</link:label>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityAddressCityOrTown" xlink:href="https://xbrl.sec.gov/dei/2023/dei-2023.xsd#dei_EntityAddressCityOrTown"/>
    <link:labelArc xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_dei_EntityAddressCityOrTown" xlink:to="lab_dei_EntityAddressCityOrTown" xlink:type="arc" order="1"/>
    <link:label id="lab_dei_EntityTaxIdentificationNumber_3aa16c2f-f2c5-4b2f-b034-dcc4400aa804_terseLabel_en-US" xlink:label="lab_dei_EntityTaxIdentificationNumber" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xmlns:xml="http://www.w3.org/XML/1998/namespace" xml:lang="en-US">Entity Tax Identification Number</link:label>
    <link:label id="lab_dei_EntityTaxIdentificationNumber_label_en-US" xlink:label="lab_dei_EntityTaxIdentificationNumber" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xmlns:xml="http://www.w3.org/XML/1998/namespace" xml:lang="en-US">Entity Tax Identification Number</link:label>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityTaxIdentificationNumber" xlink:href="https://xbrl.sec.gov/dei/2023/dei-2023.xsd#dei_EntityTaxIdentificationNumber"/>
    <link:labelArc xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_dei_EntityTaxIdentificationNumber" xlink:to="lab_dei_EntityTaxIdentificationNumber" xlink:type="arc" order="1"/>
    <link:label id="lab_dei_CurrentFiscalYearEndDate_7d9d87e8-1288-4706-9059-f6d8fe3443e3_terseLabel_en-US" xlink:label="lab_dei_CurrentFiscalYearEndDate" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xmlns:xml="http://www.w3.org/XML/1998/namespace" xml:lang="en-US">Current Fiscal Year End Date</link:label>
    <link:label id="lab_dei_CurrentFiscalYearEndDate_label_en-US" xlink:label="lab_dei_CurrentFiscalYearEndDate" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xmlns:xml="http://www.w3.org/XML/1998/namespace" xml:lang="en-US">Current Fiscal Year End Date</link:label>
    <link:loc xlink:type="locator" xlink:label="loc_dei_CurrentFiscalYearEndDate" xlink:href="https://xbrl.sec.gov/dei/2023/dei-2023.xsd#dei_CurrentFiscalYearEndDate"/>
    <link:labelArc xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_dei_CurrentFiscalYearEndDate" xlink:to="lab_dei_CurrentFiscalYearEndDate" xlink:type="arc" order="1"/>
    <link:label id="lab_dei_EntityAddressAddressLine1_c4eacfbc-5cc5-48c7-a504-7045eaa9ada9_terseLabel_en-US" xlink:label="lab_dei_EntityAddressAddressLine1" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xmlns:xml="http://www.w3.org/XML/1998/namespace" xml:lang="en-US">Entity Address, Address Line One</link:label>
    <link:label id="lab_dei_EntityAddressAddressLine1_label_en-US" xlink:label="lab_dei_EntityAddressAddressLine1" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xmlns:xml="http://www.w3.org/XML/1998/namespace" xml:lang="en-US">Entity Address, Address Line One</link:label>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityAddressAddressLine1" xlink:href="https://xbrl.sec.gov/dei/2023/dei-2023.xsd#dei_EntityAddressAddressLine1"/>
    <link:labelArc xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_dei_EntityAddressAddressLine1" xlink:to="lab_dei_EntityAddressAddressLine1" xlink:type="arc" order="1"/>
    <link:label id="lab_dei_EntityRegistrantName_06982d13-c459-4d6f-9a60-1239803413a0_terseLabel_en-US" xlink:label="lab_dei_EntityRegistrantName" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xmlns:xml="http://www.w3.org/XML/1998/namespace" xml:lang="en-US">Entity Registrant Name</link:label>
    <link:label id="lab_dei_EntityRegistrantName_label_en-US" xlink:label="lab_dei_EntityRegistrantName" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xmlns:xml="http://www.w3.org/XML/1998/namespace" xml:lang="en-US">Entity Registrant Name</link:label>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityRegistrantName" xlink:href="https://xbrl.sec.gov/dei/2023/dei-2023.xsd#dei_EntityRegistrantName"/>
    <link:labelArc xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_dei_EntityRegistrantName" xlink:to="lab_dei_EntityRegistrantName" xlink:type="arc" order="1"/>
  </link:labelLink>
</link:linkbase>
</XBRL>
</TEXT>
</DOCUMENT>
<DOCUMENT>
<TYPE>EX-101.PRE
<SEQUENCE>5
<FILENAME>isrg-20230515_pre.xml
<DESCRIPTION>XBRL TAXONOMY EXTENSION PRESENTATION LINKBASE DOCUMENT
<TEXT>
<XBRL>
<?xml version="1.0" encoding="UTF-8"?>

<!--XBRL Document Created with Wdesk from Workiva-->
<!--Copyright 2023 Workiva-->
<!--r:918cdfa8-f4ea-455f-9a76-7e5ba3f6a5f6,g:c8426acb-e595-4d87-8849-8480e9e87f23-->
<link:linkbase xmlns:link="http://www.xbrl.org/2003/linkbase" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.xbrl.org/2003/linkbase http://www.xbrl.org/2003/xbrl-linkbase-2003-12-31.xsd">
  <link:roleRef roleURI="http://www.intuitivesurgical.com/role/DocumentandEntityInformationDocument" xlink:type="simple" xlink:href="isrg-20230515.xsd#DocumentandEntityInformationDocument"/>
  <link:presentationLink xlink:role="http://www.intuitivesurgical.com/role/DocumentandEntityInformationDocument" xlink:type="extended">
    <link:loc xlink:type="locator" xlink:label="loc_dei_CoverAbstract_036a450e-d81b-434c-a038-708fb6ab360a" xlink:href="https://xbrl.sec.gov/dei/2023/dei-2023.xsd#dei_CoverAbstract"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_DocumentType_c5a7067a-a038-443f-9858-62985fe6d6b5" xlink:href="https://xbrl.sec.gov/dei/2023/dei-2023.xsd#dei_DocumentType"/>
    <link:presentationArc order="1" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_036a450e-d81b-434c-a038-708fb6ab360a" xlink:to="loc_dei_DocumentType_c5a7067a-a038-443f-9858-62985fe6d6b5" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_DocumentPeriodEndDate_5b8c8d70-8bc5-45b9-9704-d64bb89462c1" xlink:href="https://xbrl.sec.gov/dei/2023/dei-2023.xsd#dei_DocumentPeriodEndDate"/>
    <link:presentationArc order="2" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_036a450e-d81b-434c-a038-708fb6ab360a" xlink:to="loc_dei_DocumentPeriodEndDate_5b8c8d70-8bc5-45b9-9704-d64bb89462c1" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityRegistrantName_38174070-5305-4f97-877d-a40fbc076926" xlink:href="https://xbrl.sec.gov/dei/2023/dei-2023.xsd#dei_EntityRegistrantName"/>
    <link:presentationArc order="3" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_036a450e-d81b-434c-a038-708fb6ab360a" xlink:to="loc_dei_EntityRegistrantName_38174070-5305-4f97-877d-a40fbc076926" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityIncorporationStateCountryCode_de0874e2-ee6d-40b7-951a-4dfa9cbf2ab0" xlink:href="https://xbrl.sec.gov/dei/2023/dei-2023.xsd#dei_EntityIncorporationStateCountryCode"/>
    <link:presentationArc order="4" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_036a450e-d81b-434c-a038-708fb6ab360a" xlink:to="loc_dei_EntityIncorporationStateCountryCode_de0874e2-ee6d-40b7-951a-4dfa9cbf2ab0" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityFileNumber_4a76d453-5d52-4cec-b23a-28870653c627" xlink:href="https://xbrl.sec.gov/dei/2023/dei-2023.xsd#dei_EntityFileNumber"/>
    <link:presentationArc order="5" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_036a450e-d81b-434c-a038-708fb6ab360a" xlink:to="loc_dei_EntityFileNumber_4a76d453-5d52-4cec-b23a-28870653c627" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityTaxIdentificationNumber_7f4a4c18-60a1-40f2-aad7-62e25fb921bd" xlink:href="https://xbrl.sec.gov/dei/2023/dei-2023.xsd#dei_EntityTaxIdentificationNumber"/>
    <link:presentationArc order="6" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_036a450e-d81b-434c-a038-708fb6ab360a" xlink:to="loc_dei_EntityTaxIdentificationNumber_7f4a4c18-60a1-40f2-aad7-62e25fb921bd" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityAddressAddressLine1_f4a218e2-ba5d-4967-9b4e-da611c8169b6" xlink:href="https://xbrl.sec.gov/dei/2023/dei-2023.xsd#dei_EntityAddressAddressLine1"/>
    <link:presentationArc order="7" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_036a450e-d81b-434c-a038-708fb6ab360a" xlink:to="loc_dei_EntityAddressAddressLine1_f4a218e2-ba5d-4967-9b4e-da611c8169b6" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityAddressCityOrTown_92f30a9f-9465-449e-869e-9d069eb16c1b" xlink:href="https://xbrl.sec.gov/dei/2023/dei-2023.xsd#dei_EntityAddressCityOrTown"/>
    <link:presentationArc order="8" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_036a450e-d81b-434c-a038-708fb6ab360a" xlink:to="loc_dei_EntityAddressCityOrTown_92f30a9f-9465-449e-869e-9d069eb16c1b" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityAddressStateOrProvince_edf91cc6-9354-4ac9-91af-c64f475061a2" xlink:href="https://xbrl.sec.gov/dei/2023/dei-2023.xsd#dei_EntityAddressStateOrProvince"/>
    <link:presentationArc order="9" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_036a450e-d81b-434c-a038-708fb6ab360a" xlink:to="loc_dei_EntityAddressStateOrProvince_edf91cc6-9354-4ac9-91af-c64f475061a2" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityAddressPostalZipCode_c062885d-65c4-4548-bddc-8e7d0494d3de" xlink:href="https://xbrl.sec.gov/dei/2023/dei-2023.xsd#dei_EntityAddressPostalZipCode"/>
    <link:presentationArc order="10" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_036a450e-d81b-434c-a038-708fb6ab360a" xlink:to="loc_dei_EntityAddressPostalZipCode_c062885d-65c4-4548-bddc-8e7d0494d3de" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_CityAreaCode_0de6aeda-f15b-4fe6-af50-1eba59a803e2" xlink:href="https://xbrl.sec.gov/dei/2023/dei-2023.xsd#dei_CityAreaCode"/>
    <link:presentationArc order="11" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_036a450e-d81b-434c-a038-708fb6ab360a" xlink:to="loc_dei_CityAreaCode_0de6aeda-f15b-4fe6-af50-1eba59a803e2" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_LocalPhoneNumber_fc642a8b-44e7-4709-9905-7e661129cbda" xlink:href="https://xbrl.sec.gov/dei/2023/dei-2023.xsd#dei_LocalPhoneNumber"/>
    <link:presentationArc order="12" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_036a450e-d81b-434c-a038-708fb6ab360a" xlink:to="loc_dei_LocalPhoneNumber_fc642a8b-44e7-4709-9905-7e661129cbda" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_WrittenCommunications_bc82d1bc-08bb-4ec3-b927-f038ecbf0097" xlink:href="https://xbrl.sec.gov/dei/2023/dei-2023.xsd#dei_WrittenCommunications"/>
    <link:presentationArc order="13" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_036a450e-d81b-434c-a038-708fb6ab360a" xlink:to="loc_dei_WrittenCommunications_bc82d1bc-08bb-4ec3-b927-f038ecbf0097" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_SolicitingMaterial_b2c4ecf9-58ca-4e8c-bd85-c942e714d410" xlink:href="https://xbrl.sec.gov/dei/2023/dei-2023.xsd#dei_SolicitingMaterial"/>
    <link:presentationArc order="14" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_036a450e-d81b-434c-a038-708fb6ab360a" xlink:to="loc_dei_SolicitingMaterial_b2c4ecf9-58ca-4e8c-bd85-c942e714d410" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_PreCommencementTenderOffer_04c3d6bd-705f-4039-87c2-f2e8a13c4708" xlink:href="https://xbrl.sec.gov/dei/2023/dei-2023.xsd#dei_PreCommencementTenderOffer"/>
    <link:presentationArc order="15" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_036a450e-d81b-434c-a038-708fb6ab360a" xlink:to="loc_dei_PreCommencementTenderOffer_04c3d6bd-705f-4039-87c2-f2e8a13c4708" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_PreCommencementIssuerTenderOffer_1972a15f-da5c-4407-9a82-b29050e71770" xlink:href="https://xbrl.sec.gov/dei/2023/dei-2023.xsd#dei_PreCommencementIssuerTenderOffer"/>
    <link:presentationArc order="16" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_036a450e-d81b-434c-a038-708fb6ab360a" xlink:to="loc_dei_PreCommencementIssuerTenderOffer_1972a15f-da5c-4407-9a82-b29050e71770" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_Security12bTitle_dbe7989c-119b-468e-948f-8e7390001fcd" xlink:href="https://xbrl.sec.gov/dei/2023/dei-2023.xsd#dei_Security12bTitle"/>
    <link:presentationArc order="17" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_036a450e-d81b-434c-a038-708fb6ab360a" xlink:to="loc_dei_Security12bTitle_dbe7989c-119b-468e-948f-8e7390001fcd" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_TradingSymbol_027242b5-20a2-4349-bc33-4701c2648ddb" xlink:href="https://xbrl.sec.gov/dei/2023/dei-2023.xsd#dei_TradingSymbol"/>
    <link:presentationArc order="18" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_036a450e-d81b-434c-a038-708fb6ab360a" xlink:to="loc_dei_TradingSymbol_027242b5-20a2-4349-bc33-4701c2648ddb" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_SecurityExchangeName_2916e110-16b8-42ca-8002-51513391333e" xlink:href="https://xbrl.sec.gov/dei/2023/dei-2023.xsd#dei_SecurityExchangeName"/>
    <link:presentationArc order="19" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_036a450e-d81b-434c-a038-708fb6ab360a" xlink:to="loc_dei_SecurityExchangeName_2916e110-16b8-42ca-8002-51513391333e" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityEmergingGrowthCompany_42fa4127-6944-40b7-8708-e4baaaf0c189" xlink:href="https://xbrl.sec.gov/dei/2023/dei-2023.xsd#dei_EntityEmergingGrowthCompany"/>
    <link:presentationArc order="20" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_036a450e-d81b-434c-a038-708fb6ab360a" xlink:to="loc_dei_EntityEmergingGrowthCompany_42fa4127-6944-40b7-8708-e4baaaf0c189" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityCentralIndexKey_c789ba61-57c2-458b-a5da-01f5bd72179a" xlink:href="https://xbrl.sec.gov/dei/2023/dei-2023.xsd#dei_EntityCentralIndexKey"/>
    <link:presentationArc order="21" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_036a450e-d81b-434c-a038-708fb6ab360a" xlink:to="loc_dei_EntityCentralIndexKey_c789ba61-57c2-458b-a5da-01f5bd72179a" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_AmendmentFlag_c6a19323-69b6-4f4c-b98b-9cb5897a5570" xlink:href="https://xbrl.sec.gov/dei/2023/dei-2023.xsd#dei_AmendmentFlag"/>
    <link:presentationArc order="22" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_036a450e-d81b-434c-a038-708fb6ab360a" xlink:to="loc_dei_AmendmentFlag_c6a19323-69b6-4f4c-b98b-9cb5897a5570" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_CurrentFiscalYearEndDate_d39056ec-02a2-47b5-a0b1-c316dd3b98ea" xlink:href="https://xbrl.sec.gov/dei/2023/dei-2023.xsd#dei_CurrentFiscalYearEndDate"/>
    <link:presentationArc order="23" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_036a450e-d81b-434c-a038-708fb6ab360a" xlink:to="loc_dei_CurrentFiscalYearEndDate_d39056ec-02a2-47b5-a0b1-c316dd3b98ea" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
  </link:presentationLink>
</link:linkbase>
</XBRL>
</TEXT>
</DOCUMENT>
<DOCUMENT>
<TYPE>XML
<SEQUENCE>6
<FILENAME>R1.htm
<DESCRIPTION>IDEA: XBRL DOCUMENT
<TEXT>
<html>
<head>
<title></title>
<link rel="stylesheet" type="text/css" href="include/report.css">
<script type="text/javascript" src="Show.js">/* Do Not Remove This Comment */</script><script type="text/javascript">
							function toggleNextSibling (e) {
							if (e.nextSibling.style.display=='none') {
							e.nextSibling.style.display='block';
							} else { e.nextSibling.style.display='none'; }
							}</script>
</head>
<body>
<span style="display: none;">v3.23.1</span><table class="report" border="0" cellspacing="2" id="idm140217215007056">
<tr>
<th class="tl" colspan="1" rowspan="1"><div style="width: 200px;"><strong>Document and Entity Information Document<br></strong></div></th>
<th class="th"><div>May 02, 2023</div></th>
</tr>
<tr class="re">
<td class="pl" style="border-bottom: 0px;" valign="top"><a class="a" href="javascript:void(0);" onclick="Show.showAR( this, 'defref_dei_CoverAbstract', window );"><strong>Cover [Abstract]</strong></a></td>
<td class="text">&#160;<span></span>
</td>
</tr>
<tr class="ro">
<td class="pl" style="border-bottom: 0px;" valign="top"><a class="a" href="javascript:void(0);" onclick="Show.showAR( this, 'defref_dei_DocumentType', window );">Document Type</a></td>
<td class="text">8-K<span></span>
</td>
</tr>
<tr class="re">
<td class="pl" style="border-bottom: 0px;" valign="top"><a class="a" href="javascript:void(0);" onclick="Show.showAR( this, 'defref_dei_DocumentPeriodEndDate', window );">Document Period End Date</a></td>
<td class="text">May 15,  2023<span></span>
</td>
</tr>
<tr class="ro">
<td class="pl" style="border-bottom: 0px;" valign="top"><a class="a" href="javascript:void(0);" onclick="Show.showAR( this, 'defref_dei_EntityRegistrantName', window );">Entity Registrant Name</a></td>
<td class="text">INTUITIVE SURGICAL, INC.<span></span>
</td>
</tr>
<tr class="re">
<td class="pl" style="border-bottom: 0px;" valign="top"><a class="a" href="javascript:void(0);" onclick="Show.showAR( this, 'defref_dei_EntityIncorporationStateCountryCode', window );">Entity Incorporation, State or Country Code</a></td>
<td class="text">DE<span></span>
</td>
</tr>
<tr class="ro">
<td class="pl" style="border-bottom: 0px;" valign="top"><a class="a" href="javascript:void(0);" onclick="Show.showAR( this, 'defref_dei_EntityFileNumber', window );">Entity File Number</a></td>
<td class="text">000-30713<span></span>
</td>
</tr>
<tr class="re">
<td class="pl" style="border-bottom: 0px;" valign="top"><a class="a" href="javascript:void(0);" onclick="Show.showAR( this, 'defref_dei_EntityTaxIdentificationNumber', window );">Entity Tax Identification Number</a></td>
<td class="text">77-0416458<span></span>
</td>
</tr>
<tr class="ro">
<td class="pl" style="border-bottom: 0px;" valign="top"><a class="a" href="javascript:void(0);" onclick="Show.showAR( this, 'defref_dei_EntityAddressAddressLine1', window );">Entity Address, Address Line One</a></td>
<td class="text">1020 Kifer Road<span></span>
</td>
</tr>
<tr class="re">
<td class="pl" style="border-bottom: 0px;" valign="top"><a class="a" href="javascript:void(0);" onclick="Show.showAR( this, 'defref_dei_EntityAddressCityOrTown', window );">Entity Address, City or Town</a></td>
<td class="text">Sunnyvale<span></span>
</td>
</tr>
<tr class="ro">
<td class="pl" style="border-bottom: 0px;" valign="top"><a class="a" href="javascript:void(0);" onclick="Show.showAR( this, 'defref_dei_EntityAddressStateOrProvince', window );">Entity Address, State or Province</a></td>
<td class="text">CA<span></span>
</td>
</tr>
<tr class="re">
<td class="pl" style="border-bottom: 0px;" valign="top"><a class="a" href="javascript:void(0);" onclick="Show.showAR( this, 'defref_dei_EntityAddressPostalZipCode', window );">Entity Address, Postal Zip Code</a></td>
<td class="text">94086<span></span>
</td>
</tr>
<tr class="ro">
<td class="pl" style="border-bottom: 0px;" valign="top"><a class="a" href="javascript:void(0);" onclick="Show.showAR( this, 'defref_dei_CityAreaCode', window );">City Area Code</a></td>
<td class="text">408<span></span>
</td>
</tr>
<tr class="re">
<td class="pl" style="border-bottom: 0px;" valign="top"><a class="a" href="javascript:void(0);" onclick="Show.showAR( this, 'defref_dei_LocalPhoneNumber', window );">Local Phone Number</a></td>
<td class="text">523-2100<span></span>
</td>
</tr>
<tr class="ro">
<td class="pl" style="border-bottom: 0px;" valign="top"><a class="a" href="javascript:void(0);" onclick="Show.showAR( this, 'defref_dei_WrittenCommunications', window );">Written Communications</a></td>
<td class="text">false<span></span>
</td>
</tr>
<tr class="re">
<td class="pl" style="border-bottom: 0px;" valign="top"><a class="a" href="javascript:void(0);" onclick="Show.showAR( this, 'defref_dei_SolicitingMaterial', window );">Soliciting Material</a></td>
<td class="text">false<span></span>
</td>
</tr>
<tr class="ro">
<td class="pl" style="border-bottom: 0px;" valign="top"><a class="a" href="javascript:void(0);" onclick="Show.showAR( this, 'defref_dei_PreCommencementTenderOffer', window );">Pre-commencement Tender Offer</a></td>
<td class="text">false<span></span>
</td>
</tr>
<tr class="re">
<td class="pl" style="border-bottom: 0px;" valign="top"><a class="a" href="javascript:void(0);" onclick="Show.showAR( this, 'defref_dei_PreCommencementIssuerTenderOffer', window );">Pre-commencement Issuer Tender Offer</a></td>
<td class="text">false<span></span>
</td>
</tr>
<tr class="ro">
<td class="pl" style="border-bottom: 0px;" valign="top"><a class="a" href="javascript:void(0);" onclick="Show.showAR( this, 'defref_dei_Security12bTitle', window );">Title of 12(b) Security</a></td>
<td class="text">Common Stock, par value $0.001 per share<span></span>
</td>
</tr>
<tr class="re">
<td class="pl" style="border-bottom: 0px;" valign="top"><a class="a" href="javascript:void(0);" onclick="Show.showAR( this, 'defref_dei_TradingSymbol', window );">Trading Symbol</a></td>
<td class="text">ISRG<span></span>
</td>
</tr>
<tr class="ro">
<td class="pl" style="border-bottom: 0px;" valign="top"><a class="a" href="javascript:void(0);" onclick="Show.showAR( this, 'defref_dei_SecurityExchangeName', window );">Security Exchange Name</a></td>
<td class="text">NASDAQ<span></span>
</td>
</tr>
<tr class="re">
<td class="pl" style="border-bottom: 0px;" valign="top"><a class="a" href="javascript:void(0);" onclick="Show.showAR( this, 'defref_dei_EntityEmergingGrowthCompany', window );">Entity Emerging Growth Company</a></td>
<td class="text">false<span></span>
</td>
</tr>
<tr class="ro">
<td class="pl" style="border-bottom: 0px;" valign="top"><a class="a" href="javascript:void(0);" onclick="Show.showAR( this, 'defref_dei_EntityCentralIndexKey', window );">Entity Central Index Key</a></td>
<td class="text">0001035267<span></span>
</td>
</tr>
<tr class="re">
<td class="pl" style="border-bottom: 0px;" valign="top"><a class="a" href="javascript:void(0);" onclick="Show.showAR( this, 'defref_dei_AmendmentFlag', window );">Amendment Flag</a></td>
<td class="text">false<span></span>
</td>
</tr>
</table>
<div style="display: none;">
<table border="0" cellpadding="0" cellspacing="0" class="authRefData" style="display: none;" id="defref_dei_AmendmentFlag">
<tr><td class="hide"><a style="color: white;" href="javascript:void(0);" onclick="Show.hideAR();">X</a></td></tr>
<tr><td><div class="body" style="padding: 2px;">
<a href="javascript:void(0);" onclick="Show.toggleNext( this );">- Definition</a><div><p>Boolean flag that is true when the XBRL content amends previously-filed or accepted submission.</p></div>
<a href="javascript:void(0);" onclick="Show.toggleNext( this );">+ References</a><div style="display: none;"><p>No definition available.</p></div>
<a href="javascript:void(0);" onclick="Show.toggleNext( this );">+ Details</a><div style="display: none;"><table border="0" cellpadding="0" cellspacing="0">
<tr>
<td><strong> Name:</strong></td>
<td style="white-space:nowrap;">dei_AmendmentFlag</td>
</tr>
<tr>
<td style="padding-right: 4px;white-space:nowrap;"><strong> Namespace Prefix:</strong></td>
<td>dei_</td>
</tr>
<tr>
<td><strong> Data Type:</strong></td>
<td>xbrli:booleanItemType</td>
</tr>
<tr>
<td><strong> Balance Type:</strong></td>
<td>na</td>
</tr>
<tr>
<td><strong> Period Type:</strong></td>
<td>duration</td>
</tr>
</table></div>
</div></td></tr>
</table>
<table border="0" cellpadding="0" cellspacing="0" class="authRefData" style="display: none;" id="defref_dei_CityAreaCode">
<tr><td class="hide"><a style="color: white;" href="javascript:void(0);" onclick="Show.hideAR();">X</a></td></tr>
<tr><td><div class="body" style="padding: 2px;">
<a href="javascript:void(0);" onclick="Show.toggleNext( this );">- Definition</a><div><p>Area code of city</p></div>
<a href="javascript:void(0);" onclick="Show.toggleNext( this );">+ References</a><div style="display: none;"><p>No definition available.</p></div>
<a href="javascript:void(0);" onclick="Show.toggleNext( this );">+ Details</a><div style="display: none;"><table border="0" cellpadding="0" cellspacing="0">
<tr>
<td><strong> Name:</strong></td>
<td style="white-space:nowrap;">dei_CityAreaCode</td>
</tr>
<tr>
<td style="padding-right: 4px;white-space:nowrap;"><strong> Namespace Prefix:</strong></td>
<td>dei_</td>
</tr>
<tr>
<td><strong> Data Type:</strong></td>
<td>xbrli:normalizedStringItemType</td>
</tr>
<tr>
<td><strong> Balance Type:</strong></td>
<td>na</td>
</tr>
<tr>
<td><strong> Period Type:</strong></td>
<td>duration</td>
</tr>
</table></div>
</div></td></tr>
</table>
<table border="0" cellpadding="0" cellspacing="0" class="authRefData" style="display: none;" id="defref_dei_CoverAbstract">
<tr><td class="hide"><a style="color: white;" href="javascript:void(0);" onclick="Show.hideAR();">X</a></td></tr>
<tr><td><div class="body" style="padding: 2px;">
<a href="javascript:void(0);" onclick="Show.toggleNext( this );">- Definition</a><div><p>Cover page.</p></div>
<a href="javascript:void(0);" onclick="Show.toggleNext( this );">+ References</a><div style="display: none;"><p>No definition available.</p></div>
<a href="javascript:void(0);" onclick="Show.toggleNext( this );">+ Details</a><div style="display: none;"><table border="0" cellpadding="0" cellspacing="0">
<tr>
<td><strong> Name:</strong></td>
<td style="white-space:nowrap;">dei_CoverAbstract</td>
</tr>
<tr>
<td style="padding-right: 4px;white-space:nowrap;"><strong> Namespace Prefix:</strong></td>
<td>dei_</td>
</tr>
<tr>
<td><strong> Data Type:</strong></td>
<td>xbrli:stringItemType</td>
</tr>
<tr>
<td><strong> Balance Type:</strong></td>
<td>na</td>
</tr>
<tr>
<td><strong> Period Type:</strong></td>
<td>duration</td>
</tr>
</table></div>
</div></td></tr>
</table>
<table border="0" cellpadding="0" cellspacing="0" class="authRefData" style="display: none;" id="defref_dei_DocumentPeriodEndDate">
<tr><td class="hide"><a style="color: white;" href="javascript:void(0);" onclick="Show.hideAR();">X</a></td></tr>
<tr><td><div class="body" style="padding: 2px;">
<a href="javascript:void(0);" onclick="Show.toggleNext( this );">- Definition</a><div><p>For the EDGAR submission types of Form 8-K: the date of the report, the date of the earliest event reported; for the EDGAR submission types of Form N-1A: the filing date; for all other submission types: the end of the reporting or transition period.  The format of the date is YYYY-MM-DD.</p></div>
<a href="javascript:void(0);" onclick="Show.toggleNext( this );">+ References</a><div style="display: none;"><p>No definition available.</p></div>
<a href="javascript:void(0);" onclick="Show.toggleNext( this );">+ Details</a><div style="display: none;"><table border="0" cellpadding="0" cellspacing="0">
<tr>
<td><strong> Name:</strong></td>
<td style="white-space:nowrap;">dei_DocumentPeriodEndDate</td>
</tr>
<tr>
<td style="padding-right: 4px;white-space:nowrap;"><strong> Namespace Prefix:</strong></td>
<td>dei_</td>
</tr>
<tr>
<td><strong> Data Type:</strong></td>
<td>xbrli:dateItemType</td>
</tr>
<tr>
<td><strong> Balance Type:</strong></td>
<td>na</td>
</tr>
<tr>
<td><strong> Period Type:</strong></td>
<td>duration</td>
</tr>
</table></div>
</div></td></tr>
</table>
<table border="0" cellpadding="0" cellspacing="0" class="authRefData" style="display: none;" id="defref_dei_DocumentType">
<tr><td class="hide"><a style="color: white;" href="javascript:void(0);" onclick="Show.hideAR();">X</a></td></tr>
<tr><td><div class="body" style="padding: 2px;">
<a href="javascript:void(0);" onclick="Show.toggleNext( this );">- Definition</a><div><p>The type of document being provided (such as 10-K, 10-Q, 485BPOS, etc). The document type is limited to the same value as the supporting SEC submission type, or the word 'Other'.</p></div>
<a href="javascript:void(0);" onclick="Show.toggleNext( this );">+ References</a><div style="display: none;"><p>No definition available.</p></div>
<a href="javascript:void(0);" onclick="Show.toggleNext( this );">+ Details</a><div style="display: none;"><table border="0" cellpadding="0" cellspacing="0">
<tr>
<td><strong> Name:</strong></td>
<td style="white-space:nowrap;">dei_DocumentType</td>
</tr>
<tr>
<td style="padding-right: 4px;white-space:nowrap;"><strong> Namespace Prefix:</strong></td>
<td>dei_</td>
</tr>
<tr>
<td><strong> Data Type:</strong></td>
<td>dei:submissionTypeItemType</td>
</tr>
<tr>
<td><strong> Balance Type:</strong></td>
<td>na</td>
</tr>
<tr>
<td><strong> Period Type:</strong></td>
<td>duration</td>
</tr>
</table></div>
</div></td></tr>
</table>
<table border="0" cellpadding="0" cellspacing="0" class="authRefData" style="display: none;" id="defref_dei_EntityAddressAddressLine1">
<tr><td class="hide"><a style="color: white;" href="javascript:void(0);" onclick="Show.hideAR();">X</a></td></tr>
<tr><td><div class="body" style="padding: 2px;">
<a href="javascript:void(0);" onclick="Show.toggleNext( this );">- Definition</a><div><p>Address Line 1 such as Attn, Building Name, Street Name</p></div>
<a href="javascript:void(0);" onclick="Show.toggleNext( this );">+ References</a><div style="display: none;"><p>No definition available.</p></div>
<a href="javascript:void(0);" onclick="Show.toggleNext( this );">+ Details</a><div style="display: none;"><table border="0" cellpadding="0" cellspacing="0">
<tr>
<td><strong> Name:</strong></td>
<td style="white-space:nowrap;">dei_EntityAddressAddressLine1</td>
</tr>
<tr>
<td style="padding-right: 4px;white-space:nowrap;"><strong> Namespace Prefix:</strong></td>
<td>dei_</td>
</tr>
<tr>
<td><strong> Data Type:</strong></td>
<td>xbrli:normalizedStringItemType</td>
</tr>
<tr>
<td><strong> Balance Type:</strong></td>
<td>na</td>
</tr>
<tr>
<td><strong> Period Type:</strong></td>
<td>duration</td>
</tr>
</table></div>
</div></td></tr>
</table>
<table border="0" cellpadding="0" cellspacing="0" class="authRefData" style="display: none;" id="defref_dei_EntityAddressCityOrTown">
<tr><td class="hide"><a style="color: white;" href="javascript:void(0);" onclick="Show.hideAR();">X</a></td></tr>
<tr><td><div class="body" style="padding: 2px;">
<a href="javascript:void(0);" onclick="Show.toggleNext( this );">- Definition</a><div><p>Name of the City or Town</p></div>
<a href="javascript:void(0);" onclick="Show.toggleNext( this );">+ References</a><div style="display: none;"><p>No definition available.</p></div>
<a href="javascript:void(0);" onclick="Show.toggleNext( this );">+ Details</a><div style="display: none;"><table border="0" cellpadding="0" cellspacing="0">
<tr>
<td><strong> Name:</strong></td>
<td style="white-space:nowrap;">dei_EntityAddressCityOrTown</td>
</tr>
<tr>
<td style="padding-right: 4px;white-space:nowrap;"><strong> Namespace Prefix:</strong></td>
<td>dei_</td>
</tr>
<tr>
<td><strong> Data Type:</strong></td>
<td>xbrli:normalizedStringItemType</td>
</tr>
<tr>
<td><strong> Balance Type:</strong></td>
<td>na</td>
</tr>
<tr>
<td><strong> Period Type:</strong></td>
<td>duration</td>
</tr>
</table></div>
</div></td></tr>
</table>
<table border="0" cellpadding="0" cellspacing="0" class="authRefData" style="display: none;" id="defref_dei_EntityAddressPostalZipCode">
<tr><td class="hide"><a style="color: white;" href="javascript:void(0);" onclick="Show.hideAR();">X</a></td></tr>
<tr><td><div class="body" style="padding: 2px;">
<a href="javascript:void(0);" onclick="Show.toggleNext( this );">- Definition</a><div><p>Code for the postal or zip code</p></div>
<a href="javascript:void(0);" onclick="Show.toggleNext( this );">+ References</a><div style="display: none;"><p>No definition available.</p></div>
<a href="javascript:void(0);" onclick="Show.toggleNext( this );">+ Details</a><div style="display: none;"><table border="0" cellpadding="0" cellspacing="0">
<tr>
<td><strong> Name:</strong></td>
<td style="white-space:nowrap;">dei_EntityAddressPostalZipCode</td>
</tr>
<tr>
<td style="padding-right: 4px;white-space:nowrap;"><strong> Namespace Prefix:</strong></td>
<td>dei_</td>
</tr>
<tr>
<td><strong> Data Type:</strong></td>
<td>xbrli:normalizedStringItemType</td>
</tr>
<tr>
<td><strong> Balance Type:</strong></td>
<td>na</td>
</tr>
<tr>
<td><strong> Period Type:</strong></td>
<td>duration</td>
</tr>
</table></div>
</div></td></tr>
</table>
<table border="0" cellpadding="0" cellspacing="0" class="authRefData" style="display: none;" id="defref_dei_EntityAddressStateOrProvince">
<tr><td class="hide"><a style="color: white;" href="javascript:void(0);" onclick="Show.hideAR();">X</a></td></tr>
<tr><td><div class="body" style="padding: 2px;">
<a href="javascript:void(0);" onclick="Show.toggleNext( this );">- Definition</a><div><p>Name of the state or province.</p></div>
<a href="javascript:void(0);" onclick="Show.toggleNext( this );">+ References</a><div style="display: none;"><p>No definition available.</p></div>
<a href="javascript:void(0);" onclick="Show.toggleNext( this );">+ Details</a><div style="display: none;"><table border="0" cellpadding="0" cellspacing="0">
<tr>
<td><strong> Name:</strong></td>
<td style="white-space:nowrap;">dei_EntityAddressStateOrProvince</td>
</tr>
<tr>
<td style="padding-right: 4px;white-space:nowrap;"><strong> Namespace Prefix:</strong></td>
<td>dei_</td>
</tr>
<tr>
<td><strong> Data Type:</strong></td>
<td>dei:stateOrProvinceItemType</td>
</tr>
<tr>
<td><strong> Balance Type:</strong></td>
<td>na</td>
</tr>
<tr>
<td><strong> Period Type:</strong></td>
<td>duration</td>
</tr>
</table></div>
</div></td></tr>
</table>
<table border="0" cellpadding="0" cellspacing="0" class="authRefData" style="display: none;" id="defref_dei_EntityCentralIndexKey">
<tr><td class="hide"><a style="color: white;" href="javascript:void(0);" onclick="Show.hideAR();">X</a></td></tr>
<tr><td><div class="body" style="padding: 2px;">
<a href="javascript:void(0);" onclick="Show.toggleNext( this );">- Definition</a><div><p>A unique 10-digit SEC-issued value to identify entities that have filed disclosures with the SEC. It is commonly abbreviated as CIK.</p></div>
<a href="javascript:void(0);" onclick="Show.toggleNext( this );">+ References</a><div style="display: none;"><p>Reference 1: http://www.xbrl.org/2003/role/presentationRef<br> -Publisher SEC<br> -Name Exchange Act<br> -Number 240<br> -Section 12<br> -Subsection b-2<br></p></div>
<a href="javascript:void(0);" onclick="Show.toggleNext( this );">+ Details</a><div style="display: none;"><table border="0" cellpadding="0" cellspacing="0">
<tr>
<td><strong> Name:</strong></td>
<td style="white-space:nowrap;">dei_EntityCentralIndexKey</td>
</tr>
<tr>
<td style="padding-right: 4px;white-space:nowrap;"><strong> Namespace Prefix:</strong></td>
<td>dei_</td>
</tr>
<tr>
<td><strong> Data Type:</strong></td>
<td>dei:centralIndexKeyItemType</td>
</tr>
<tr>
<td><strong> Balance Type:</strong></td>
<td>na</td>
</tr>
<tr>
<td><strong> Period Type:</strong></td>
<td>duration</td>
</tr>
</table></div>
</div></td></tr>
</table>
<table border="0" cellpadding="0" cellspacing="0" class="authRefData" style="display: none;" id="defref_dei_EntityEmergingGrowthCompany">
<tr><td class="hide"><a style="color: white;" href="javascript:void(0);" onclick="Show.hideAR();">X</a></td></tr>
<tr><td><div class="body" style="padding: 2px;">
<a href="javascript:void(0);" onclick="Show.toggleNext( this );">- Definition</a><div><p>Indicate if registrant meets the emerging growth company criteria.</p></div>
<a href="javascript:void(0);" onclick="Show.toggleNext( this );">+ References</a><div style="display: none;"><p>Reference 1: http://www.xbrl.org/2003/role/presentationRef<br> -Publisher SEC<br> -Name Exchange Act<br> -Number 240<br> -Section 12<br> -Subsection b-2<br></p></div>
<a href="javascript:void(0);" onclick="Show.toggleNext( this );">+ Details</a><div style="display: none;"><table border="0" cellpadding="0" cellspacing="0">
<tr>
<td><strong> Name:</strong></td>
<td style="white-space:nowrap;">dei_EntityEmergingGrowthCompany</td>
</tr>
<tr>
<td style="padding-right: 4px;white-space:nowrap;"><strong> Namespace Prefix:</strong></td>
<td>dei_</td>
</tr>
<tr>
<td><strong> Data Type:</strong></td>
<td>xbrli:booleanItemType</td>
</tr>
<tr>
<td><strong> Balance Type:</strong></td>
<td>na</td>
</tr>
<tr>
<td><strong> Period Type:</strong></td>
<td>duration</td>
</tr>
</table></div>
</div></td></tr>
</table>
<table border="0" cellpadding="0" cellspacing="0" class="authRefData" style="display: none;" id="defref_dei_EntityFileNumber">
<tr><td class="hide"><a style="color: white;" href="javascript:void(0);" onclick="Show.hideAR();">X</a></td></tr>
<tr><td><div class="body" style="padding: 2px;">
<a href="javascript:void(0);" onclick="Show.toggleNext( this );">- Definition</a><div><p>Commission file number. The field allows up to 17 characters. The prefix may contain 1-3 digits, the sequence number may contain 1-8 digits, the optional suffix may contain 1-4 characters, and the fields are separated with a hyphen.</p></div>
<a href="javascript:void(0);" onclick="Show.toggleNext( this );">+ References</a><div style="display: none;"><p>No definition available.</p></div>
<a href="javascript:void(0);" onclick="Show.toggleNext( this );">+ Details</a><div style="display: none;"><table border="0" cellpadding="0" cellspacing="0">
<tr>
<td><strong> Name:</strong></td>
<td style="white-space:nowrap;">dei_EntityFileNumber</td>
</tr>
<tr>
<td style="padding-right: 4px;white-space:nowrap;"><strong> Namespace Prefix:</strong></td>
<td>dei_</td>
</tr>
<tr>
<td><strong> Data Type:</strong></td>
<td>dei:fileNumberItemType</td>
</tr>
<tr>
<td><strong> Balance Type:</strong></td>
<td>na</td>
</tr>
<tr>
<td><strong> Period Type:</strong></td>
<td>duration</td>
</tr>
</table></div>
</div></td></tr>
</table>
<table border="0" cellpadding="0" cellspacing="0" class="authRefData" style="display: none;" id="defref_dei_EntityIncorporationStateCountryCode">
<tr><td class="hide"><a style="color: white;" href="javascript:void(0);" onclick="Show.hideAR();">X</a></td></tr>
<tr><td><div class="body" style="padding: 2px;">
<a href="javascript:void(0);" onclick="Show.toggleNext( this );">- Definition</a><div><p>Two-character EDGAR code representing the state or country of incorporation.</p></div>
<a href="javascript:void(0);" onclick="Show.toggleNext( this );">+ References</a><div style="display: none;"><p>No definition available.</p></div>
<a href="javascript:void(0);" onclick="Show.toggleNext( this );">+ Details</a><div style="display: none;"><table border="0" cellpadding="0" cellspacing="0">
<tr>
<td><strong> Name:</strong></td>
<td style="white-space:nowrap;">dei_EntityIncorporationStateCountryCode</td>
</tr>
<tr>
<td style="padding-right: 4px;white-space:nowrap;"><strong> Namespace Prefix:</strong></td>
<td>dei_</td>
</tr>
<tr>
<td><strong> Data Type:</strong></td>
<td>dei:edgarStateCountryItemType</td>
</tr>
<tr>
<td><strong> Balance Type:</strong></td>
<td>na</td>
</tr>
<tr>
<td><strong> Period Type:</strong></td>
<td>duration</td>
</tr>
</table></div>
</div></td></tr>
</table>
<table border="0" cellpadding="0" cellspacing="0" class="authRefData" style="display: none;" id="defref_dei_EntityRegistrantName">
<tr><td class="hide"><a style="color: white;" href="javascript:void(0);" onclick="Show.hideAR();">X</a></td></tr>
<tr><td><div class="body" style="padding: 2px;">
<a href="javascript:void(0);" onclick="Show.toggleNext( this );">- Definition</a><div><p>The exact name of the entity filing the report as specified in its charter, which is required by forms filed with the SEC.</p></div>
<a href="javascript:void(0);" onclick="Show.toggleNext( this );">+ References</a><div style="display: none;"><p>Reference 1: http://www.xbrl.org/2003/role/presentationRef<br> -Publisher SEC<br> -Name Exchange Act<br> -Number 240<br> -Section 12<br> -Subsection b-2<br></p></div>
<a href="javascript:void(0);" onclick="Show.toggleNext( this );">+ Details</a><div style="display: none;"><table border="0" cellpadding="0" cellspacing="0">
<tr>
<td><strong> Name:</strong></td>
<td style="white-space:nowrap;">dei_EntityRegistrantName</td>
</tr>
<tr>
<td style="padding-right: 4px;white-space:nowrap;"><strong> Namespace Prefix:</strong></td>
<td>dei_</td>
</tr>
<tr>
<td><strong> Data Type:</strong></td>
<td>xbrli:normalizedStringItemType</td>
</tr>
<tr>
<td><strong> Balance Type:</strong></td>
<td>na</td>
</tr>
<tr>
<td><strong> Period Type:</strong></td>
<td>duration</td>
</tr>
</table></div>
</div></td></tr>
</table>
<table border="0" cellpadding="0" cellspacing="0" class="authRefData" style="display: none;" id="defref_dei_EntityTaxIdentificationNumber">
<tr><td class="hide"><a style="color: white;" href="javascript:void(0);" onclick="Show.hideAR();">X</a></td></tr>
<tr><td><div class="body" style="padding: 2px;">
<a href="javascript:void(0);" onclick="Show.toggleNext( this );">- Definition</a><div><p>The Tax Identification Number (TIN), also known as an Employer Identification Number (EIN), is a unique 9-digit value assigned by the IRS.</p></div>
<a href="javascript:void(0);" onclick="Show.toggleNext( this );">+ References</a><div style="display: none;"><p>Reference 1: http://www.xbrl.org/2003/role/presentationRef<br> -Publisher SEC<br> -Name Exchange Act<br> -Number 240<br> -Section 12<br> -Subsection b-2<br></p></div>
<a href="javascript:void(0);" onclick="Show.toggleNext( this );">+ Details</a><div style="display: none;"><table border="0" cellpadding="0" cellspacing="0">
<tr>
<td><strong> Name:</strong></td>
<td style="white-space:nowrap;">dei_EntityTaxIdentificationNumber</td>
</tr>
<tr>
<td style="padding-right: 4px;white-space:nowrap;"><strong> Namespace Prefix:</strong></td>
<td>dei_</td>
</tr>
<tr>
<td><strong> Data Type:</strong></td>
<td>dei:employerIdItemType</td>
</tr>
<tr>
<td><strong> Balance Type:</strong></td>
<td>na</td>
</tr>
<tr>
<td><strong> Period Type:</strong></td>
<td>duration</td>
</tr>
</table></div>
</div></td></tr>
</table>
<table border="0" cellpadding="0" cellspacing="0" class="authRefData" style="display: none;" id="defref_dei_LocalPhoneNumber">
<tr><td class="hide"><a style="color: white;" href="javascript:void(0);" onclick="Show.hideAR();">X</a></td></tr>
<tr><td><div class="body" style="padding: 2px;">
<a href="javascript:void(0);" onclick="Show.toggleNext( this );">- Definition</a><div><p>Local phone number for entity.</p></div>
<a href="javascript:void(0);" onclick="Show.toggleNext( this );">+ References</a><div style="display: none;"><p>No definition available.</p></div>
<a href="javascript:void(0);" onclick="Show.toggleNext( this );">+ Details</a><div style="display: none;"><table border="0" cellpadding="0" cellspacing="0">
<tr>
<td><strong> Name:</strong></td>
<td style="white-space:nowrap;">dei_LocalPhoneNumber</td>
</tr>
<tr>
<td style="padding-right: 4px;white-space:nowrap;"><strong> Namespace Prefix:</strong></td>
<td>dei_</td>
</tr>
<tr>
<td><strong> Data Type:</strong></td>
<td>xbrli:normalizedStringItemType</td>
</tr>
<tr>
<td><strong> Balance Type:</strong></td>
<td>na</td>
</tr>
<tr>
<td><strong> Period Type:</strong></td>
<td>duration</td>
</tr>
</table></div>
</div></td></tr>
</table>
<table border="0" cellpadding="0" cellspacing="0" class="authRefData" style="display: none;" id="defref_dei_PreCommencementIssuerTenderOffer">
<tr><td class="hide"><a style="color: white;" href="javascript:void(0);" onclick="Show.hideAR();">X</a></td></tr>
<tr><td><div class="body" style="padding: 2px;">
<a href="javascript:void(0);" onclick="Show.toggleNext( this );">- Definition</a><div><p>Boolean flag that is true when the Form 8-K filing is intended to satisfy the filing obligation of the registrant as pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act.</p></div>
<a href="javascript:void(0);" onclick="Show.toggleNext( this );">+ References</a><div style="display: none;"><p>Reference 1: http://www.xbrl.org/2003/role/presentationRef<br> -Publisher SEC<br> -Name Exchange Act<br> -Number 240<br> -Section 13e<br> -Subsection 4c<br></p></div>
<a href="javascript:void(0);" onclick="Show.toggleNext( this );">+ Details</a><div style="display: none;"><table border="0" cellpadding="0" cellspacing="0">
<tr>
<td><strong> Name:</strong></td>
<td style="white-space:nowrap;">dei_PreCommencementIssuerTenderOffer</td>
</tr>
<tr>
<td style="padding-right: 4px;white-space:nowrap;"><strong> Namespace Prefix:</strong></td>
<td>dei_</td>
</tr>
<tr>
<td><strong> Data Type:</strong></td>
<td>xbrli:booleanItemType</td>
</tr>
<tr>
<td><strong> Balance Type:</strong></td>
<td>na</td>
</tr>
<tr>
<td><strong> Period Type:</strong></td>
<td>duration</td>
</tr>
</table></div>
</div></td></tr>
</table>
<table border="0" cellpadding="0" cellspacing="0" class="authRefData" style="display: none;" id="defref_dei_PreCommencementTenderOffer">
<tr><td class="hide"><a style="color: white;" href="javascript:void(0);" onclick="Show.hideAR();">X</a></td></tr>
<tr><td><div class="body" style="padding: 2px;">
<a href="javascript:void(0);" onclick="Show.toggleNext( this );">- Definition</a><div><p>Boolean flag that is true when the Form 8-K filing is intended to satisfy the filing obligation of the registrant as pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act.</p></div>
<a href="javascript:void(0);" onclick="Show.toggleNext( this );">+ References</a><div style="display: none;"><p>Reference 1: http://www.xbrl.org/2003/role/presentationRef<br> -Publisher SEC<br> -Name Exchange Act<br> -Number 240<br> -Section 14d<br> -Subsection 2b<br></p></div>
<a href="javascript:void(0);" onclick="Show.toggleNext( this );">+ Details</a><div style="display: none;"><table border="0" cellpadding="0" cellspacing="0">
<tr>
<td><strong> Name:</strong></td>
<td style="white-space:nowrap;">dei_PreCommencementTenderOffer</td>
</tr>
<tr>
<td style="padding-right: 4px;white-space:nowrap;"><strong> Namespace Prefix:</strong></td>
<td>dei_</td>
</tr>
<tr>
<td><strong> Data Type:</strong></td>
<td>xbrli:booleanItemType</td>
</tr>
<tr>
<td><strong> Balance Type:</strong></td>
<td>na</td>
</tr>
<tr>
<td><strong> Period Type:</strong></td>
<td>duration</td>
</tr>
</table></div>
</div></td></tr>
</table>
<table border="0" cellpadding="0" cellspacing="0" class="authRefData" style="display: none;" id="defref_dei_Security12bTitle">
<tr><td class="hide"><a style="color: white;" href="javascript:void(0);" onclick="Show.hideAR();">X</a></td></tr>
<tr><td><div class="body" style="padding: 2px;">
<a href="javascript:void(0);" onclick="Show.toggleNext( this );">- Definition</a><div><p>Title of a 12(b) registered security.</p></div>
<a href="javascript:void(0);" onclick="Show.toggleNext( this );">+ References</a><div style="display: none;"><p>Reference 1: http://www.xbrl.org/2003/role/presentationRef<br> -Publisher SEC<br> -Name Exchange Act<br> -Number 240<br> -Section 12<br> -Subsection b<br></p></div>
<a href="javascript:void(0);" onclick="Show.toggleNext( this );">+ Details</a><div style="display: none;"><table border="0" cellpadding="0" cellspacing="0">
<tr>
<td><strong> Name:</strong></td>
<td style="white-space:nowrap;">dei_Security12bTitle</td>
</tr>
<tr>
<td style="padding-right: 4px;white-space:nowrap;"><strong> Namespace Prefix:</strong></td>
<td>dei_</td>
</tr>
<tr>
<td><strong> Data Type:</strong></td>
<td>dei:securityTitleItemType</td>
</tr>
<tr>
<td><strong> Balance Type:</strong></td>
<td>na</td>
</tr>
<tr>
<td><strong> Period Type:</strong></td>
<td>duration</td>
</tr>
</table></div>
</div></td></tr>
</table>
<table border="0" cellpadding="0" cellspacing="0" class="authRefData" style="display: none;" id="defref_dei_SecurityExchangeName">
<tr><td class="hide"><a style="color: white;" href="javascript:void(0);" onclick="Show.hideAR();">X</a></td></tr>
<tr><td><div class="body" style="padding: 2px;">
<a href="javascript:void(0);" onclick="Show.toggleNext( this );">- Definition</a><div><p>Name of the Exchange on which a security is registered.</p></div>
<a href="javascript:void(0);" onclick="Show.toggleNext( this );">+ References</a><div style="display: none;"><p>Reference 1: http://www.xbrl.org/2003/role/presentationRef<br> -Publisher SEC<br> -Name Exchange Act<br> -Number 240<br> -Section 12<br> -Subsection d1-1<br></p></div>
<a href="javascript:void(0);" onclick="Show.toggleNext( this );">+ Details</a><div style="display: none;"><table border="0" cellpadding="0" cellspacing="0">
<tr>
<td><strong> Name:</strong></td>
<td style="white-space:nowrap;">dei_SecurityExchangeName</td>
</tr>
<tr>
<td style="padding-right: 4px;white-space:nowrap;"><strong> Namespace Prefix:</strong></td>
<td>dei_</td>
</tr>
<tr>
<td><strong> Data Type:</strong></td>
<td>dei:edgarExchangeCodeItemType</td>
</tr>
<tr>
<td><strong> Balance Type:</strong></td>
<td>na</td>
</tr>
<tr>
<td><strong> Period Type:</strong></td>
<td>duration</td>
</tr>
</table></div>
</div></td></tr>
</table>
<table border="0" cellpadding="0" cellspacing="0" class="authRefData" style="display: none;" id="defref_dei_SolicitingMaterial">
<tr><td class="hide"><a style="color: white;" href="javascript:void(0);" onclick="Show.hideAR();">X</a></td></tr>
<tr><td><div class="body" style="padding: 2px;">
<a href="javascript:void(0);" onclick="Show.toggleNext( this );">- Definition</a><div><p>Boolean flag that is true when the Form 8-K filing is intended to satisfy the filing obligation of the registrant as soliciting material pursuant to Rule 14a-12 under the Exchange Act.</p></div>
<a href="javascript:void(0);" onclick="Show.toggleNext( this );">+ References</a><div style="display: none;"><p>Reference 1: http://www.xbrl.org/2003/role/presentationRef<br> -Publisher SEC<br> -Name Exchange Act<br> -Section 14a<br> -Number 240<br> -Subsection 12<br></p></div>
<a href="javascript:void(0);" onclick="Show.toggleNext( this );">+ Details</a><div style="display: none;"><table border="0" cellpadding="0" cellspacing="0">
<tr>
<td><strong> Name:</strong></td>
<td style="white-space:nowrap;">dei_SolicitingMaterial</td>
</tr>
<tr>
<td style="padding-right: 4px;white-space:nowrap;"><strong> Namespace Prefix:</strong></td>
<td>dei_</td>
</tr>
<tr>
<td><strong> Data Type:</strong></td>
<td>xbrli:booleanItemType</td>
</tr>
<tr>
<td><strong> Balance Type:</strong></td>
<td>na</td>
</tr>
<tr>
<td><strong> Period Type:</strong></td>
<td>duration</td>
</tr>
</table></div>
</div></td></tr>
</table>
<table border="0" cellpadding="0" cellspacing="0" class="authRefData" style="display: none;" id="defref_dei_TradingSymbol">
<tr><td class="hide"><a style="color: white;" href="javascript:void(0);" onclick="Show.hideAR();">X</a></td></tr>
<tr><td><div class="body" style="padding: 2px;">
<a href="javascript:void(0);" onclick="Show.toggleNext( this );">- Definition</a><div><p>Trading symbol of an instrument as listed on an exchange.</p></div>
<a href="javascript:void(0);" onclick="Show.toggleNext( this );">+ References</a><div style="display: none;"><p>No definition available.</p></div>
<a href="javascript:void(0);" onclick="Show.toggleNext( this );">+ Details</a><div style="display: none;"><table border="0" cellpadding="0" cellspacing="0">
<tr>
<td><strong> Name:</strong></td>
<td style="white-space:nowrap;">dei_TradingSymbol</td>
</tr>
<tr>
<td style="padding-right: 4px;white-space:nowrap;"><strong> Namespace Prefix:</strong></td>
<td>dei_</td>
</tr>
<tr>
<td><strong> Data Type:</strong></td>
<td>dei:tradingSymbolItemType</td>
</tr>
<tr>
<td><strong> Balance Type:</strong></td>
<td>na</td>
</tr>
<tr>
<td><strong> Period Type:</strong></td>
<td>duration</td>
</tr>
</table></div>
</div></td></tr>
</table>
<table border="0" cellpadding="0" cellspacing="0" class="authRefData" style="display: none;" id="defref_dei_WrittenCommunications">
<tr><td class="hide"><a style="color: white;" href="javascript:void(0);" onclick="Show.hideAR();">X</a></td></tr>
<tr><td><div class="body" style="padding: 2px;">
<a href="javascript:void(0);" onclick="Show.toggleNext( this );">- Definition</a><div><p>Boolean flag that is true when the Form 8-K filing is intended to satisfy the filing obligation of the registrant as written communications pursuant to Rule 425 under the Securities Act.</p></div>
<a href="javascript:void(0);" onclick="Show.toggleNext( this );">+ References</a><div style="display: none;"><p>Reference 1: http://www.xbrl.org/2003/role/presentationRef<br> -Publisher SEC<br> -Name Securities Act<br> -Number 230<br> -Section 425<br></p></div>
<a href="javascript:void(0);" onclick="Show.toggleNext( this );">+ Details</a><div style="display: none;"><table border="0" cellpadding="0" cellspacing="0">
<tr>
<td><strong> Name:</strong></td>
<td style="white-space:nowrap;">dei_WrittenCommunications</td>
</tr>
<tr>
<td style="padding-right: 4px;white-space:nowrap;"><strong> Namespace Prefix:</strong></td>
<td>dei_</td>
</tr>
<tr>
<td><strong> Data Type:</strong></td>
<td>xbrli:booleanItemType</td>
</tr>
<tr>
<td><strong> Balance Type:</strong></td>
<td>na</td>
</tr>
<tr>
<td><strong> Period Type:</strong></td>
<td>duration</td>
</tr>
</table></div>
</div></td></tr>
</table>
</div>
</body>
</html>
</TEXT>
</DOCUMENT>
<DOCUMENT>
<TYPE>XML
<SEQUENCE>7
<FILENAME>isrg-20230515_htm.xml
<DESCRIPTION>IDEA: XBRL DOCUMENT
<TEXT>
<XML>
<?xml version="1.0" encoding="utf-8"?>
<xbrl
  xml:lang="en-US"
  xmlns="http://www.xbrl.org/2003/instance"
  xmlns:dei="http://xbrl.sec.gov/dei/2023"
  xmlns:link="http://www.xbrl.org/2003/linkbase"
  xmlns:xlink="http://www.w3.org/1999/xlink">
    <link:schemaRef xlink:href="isrg-20230515.xsd" xlink:type="simple"/>
    <context id="i20cdcbacf3c34e79a8d3a64244ff294b_D20230502-20230502">
        <entity>
            <identifier scheme="http://www.sec.gov/CIK">0001035267</identifier>
        </entity>
        <period>
            <startDate>2023-05-02</startDate>
            <endDate>2023-05-02</endDate>
        </period>
    </context>
    <dei:EntityCentralIndexKey
      contextRef="i20cdcbacf3c34e79a8d3a64244ff294b_D20230502-20230502"
      id="id3VybDovL2RvY3MudjEvZG9jOjk3NDU5ZmYwZTRkNTQ5Mjc5MGVhMjk3YTNmM2Y1NDY4L3NlYzo5NzQ1OWZmMGU0ZDU0OTI3OTBlYTI5N2EzZjNmNTQ2OF80L2ZyYWc6YWM2Nzc0ODdmNTVhNDkyZGI3NmMwODBkZWEyNjQxN2YvdGFibGU6M2QxMzVkMGM1ZWMzNDljOGFlYTFhYjY0M2NmYjkyMzcvdGFibGVyYW5nZTozZDEzNWQwYzVlYzM0OWM4YWVhMWFiNjQzY2ZiOTIzN18zLTEtMS0xLTIzMjU0NA_a192649d-59fe-41a1-81aa-bf7518a230d5">0001035267</dei:EntityCentralIndexKey>
    <dei:AmendmentFlag
      contextRef="i20cdcbacf3c34e79a8d3a64244ff294b_D20230502-20230502"
      id="id3VybDovL2RvY3MudjEvZG9jOjk3NDU5ZmYwZTRkNTQ5Mjc5MGVhMjk3YTNmM2Y1NDY4L3NlYzo5NzQ1OWZmMGU0ZDU0OTI3OTBlYTI5N2EzZjNmNTQ2OF80L2ZyYWc6YWM2Nzc0ODdmNTVhNDkyZGI3NmMwODBkZWEyNjQxN2YvdGFibGU6M2QxMzVkMGM1ZWMzNDljOGFlYTFhYjY0M2NmYjkyMzcvdGFibGVyYW5nZTozZDEzNWQwYzVlYzM0OWM4YWVhMWFiNjQzY2ZiOTIzN182LTEtMS0xLTIzMjU0NA_a0561b05-121b-488f-9615-f372f48a4cbe">false</dei:AmendmentFlag>
    <dei:DocumentType
      contextRef="i20cdcbacf3c34e79a8d3a64244ff294b_D20230502-20230502"
      id="id3VybDovL2RvY3MudjEvZG9jOjk3NDU5ZmYwZTRkNTQ5Mjc5MGVhMjk3YTNmM2Y1NDY4L3NlYzo5NzQ1OWZmMGU0ZDU0OTI3OTBlYTI5N2EzZjNmNTQ2OF8xL2ZyYWc6MWNkZjJlOGM5M2EwNGQ5OTk3ZDI5ZGIyMWNkNDE3ODMvdGV4dHJlZ2lvbjoxY2RmMmU4YzkzYTA0ZDk5OTdkMjlkYjIxY2Q0MTc4M184NQ_1edc4f6b-63c8-4a5a-86dc-4e5e71cbf35e">8-K</dei:DocumentType>
    <dei:DocumentPeriodEndDate
      contextRef="i20cdcbacf3c34e79a8d3a64244ff294b_D20230502-20230502"
      id="id3VybDovL2RvY3MudjEvZG9jOjk3NDU5ZmYwZTRkNTQ5Mjc5MGVhMjk3YTNmM2Y1NDY4L3NlYzo5NzQ1OWZmMGU0ZDU0OTI3OTBlYTI5N2EzZjNmNTQ2OF8xL2ZyYWc6MWNkZjJlOGM5M2EwNGQ5OTk3ZDI5ZGIyMWNkNDE3ODMvdGV4dHJlZ2lvbjoxY2RmMmU4YzkzYTA0ZDk5OTdkMjlkYjIxY2Q0MTc4M18yMjY_4d6ca4f4-cd18-4851-8125-cce087568dcd">2023-05-15</dei:DocumentPeriodEndDate>
    <dei:EntityRegistrantName
      contextRef="i20cdcbacf3c34e79a8d3a64244ff294b_D20230502-20230502"
      id="id3VybDovL2RvY3MudjEvZG9jOjk3NDU5ZmYwZTRkNTQ5Mjc5MGVhMjk3YTNmM2Y1NDY4L3NlYzo5NzQ1OWZmMGU0ZDU0OTI3OTBlYTI5N2EzZjNmNTQ2OF8xL2ZyYWc6MWNkZjJlOGM5M2EwNGQ5OTk3ZDI5ZGIyMWNkNDE3ODMvdGV4dHJlZ2lvbjoxY2RmMmU4YzkzYTA0ZDk5OTdkMjlkYjIxY2Q0MTc4M18yOTk0_8b26dcc0-5c05-4e71-ba6d-4dbb8d562113">INTUITIVE SURGICAL, INC.</dei:EntityRegistrantName>
    <dei:EntityIncorporationStateCountryCode
      contextRef="i20cdcbacf3c34e79a8d3a64244ff294b_D20230502-20230502"
      id="id3VybDovL2RvY3MudjEvZG9jOjk3NDU5ZmYwZTRkNTQ5Mjc5MGVhMjk3YTNmM2Y1NDY4L3NlYzo5NzQ1OWZmMGU0ZDU0OTI3OTBlYTI5N2EzZjNmNTQ2OF8xL2ZyYWc6MWNkZjJlOGM5M2EwNGQ5OTk3ZDI5ZGIyMWNkNDE3ODMvdGFibGU6YTAwYTRlYjg3OGY2NDRkM2ExZWU2MmQ4NmQ3ZDY5MTcvdGFibGVyYW5nZTphMDBhNGViODc4ZjY0NGQzYTFlZTYyZDg2ZDdkNjkxN18wLTAtMS0xLTIzMjU0NA_c9246e2d-828b-4ace-a51e-48fbf9ef427d">DE</dei:EntityIncorporationStateCountryCode>
    <dei:EntityFileNumber
      contextRef="i20cdcbacf3c34e79a8d3a64244ff294b_D20230502-20230502"
      id="id3VybDovL2RvY3MudjEvZG9jOjk3NDU5ZmYwZTRkNTQ5Mjc5MGVhMjk3YTNmM2Y1NDY4L3NlYzo5NzQ1OWZmMGU0ZDU0OTI3OTBlYTI5N2EzZjNmNTQ2OF8xL2ZyYWc6MWNkZjJlOGM5M2EwNGQ5OTk3ZDI5ZGIyMWNkNDE3ODMvdGFibGU6YTAwYTRlYjg3OGY2NDRkM2ExZWU2MmQ4NmQ3ZDY5MTcvdGFibGVyYW5nZTphMDBhNGViODc4ZjY0NGQzYTFlZTYyZDg2ZDdkNjkxN18wLTItMS0xLTIzMjU0NA_9d027697-5377-4e3c-a33c-391cd27ca162">000-30713</dei:EntityFileNumber>
    <dei:EntityTaxIdentificationNumber
      contextRef="i20cdcbacf3c34e79a8d3a64244ff294b_D20230502-20230502"
      id="id3VybDovL2RvY3MudjEvZG9jOjk3NDU5ZmYwZTRkNTQ5Mjc5MGVhMjk3YTNmM2Y1NDY4L3NlYzo5NzQ1OWZmMGU0ZDU0OTI3OTBlYTI5N2EzZjNmNTQ2OF8xL2ZyYWc6MWNkZjJlOGM5M2EwNGQ5OTk3ZDI5ZGIyMWNkNDE3ODMvdGFibGU6YTAwYTRlYjg3OGY2NDRkM2ExZWU2MmQ4NmQ3ZDY5MTcvdGFibGVyYW5nZTphMDBhNGViODc4ZjY0NGQzYTFlZTYyZDg2ZDdkNjkxN18wLTQtMS0xLTIzMjU0NA_02b1487d-2eef-4966-875c-5b4b67c39485">77-0416458</dei:EntityTaxIdentificationNumber>
    <dei:EntityAddressAddressLine1
      contextRef="i20cdcbacf3c34e79a8d3a64244ff294b_D20230502-20230502"
      id="id3VybDovL2RvY3MudjEvZG9jOjk3NDU5ZmYwZTRkNTQ5Mjc5MGVhMjk3YTNmM2Y1NDY4L3NlYzo5NzQ1OWZmMGU0ZDU0OTI3OTBlYTI5N2EzZjNmNTQ2OF8xL2ZyYWc6MWNkZjJlOGM5M2EwNGQ5OTk3ZDI5ZGIyMWNkNDE3ODMvdGV4dHJlZ2lvbjoxY2RmMmU4YzkzYTA0ZDk5OTdkMjlkYjIxY2Q0MTc4M18zMTE_764c682b-448c-4823-b405-93d71ac9cbec">1020 Kifer Road</dei:EntityAddressAddressLine1>
    <dei:EntityAddressCityOrTown
      contextRef="i20cdcbacf3c34e79a8d3a64244ff294b_D20230502-20230502"
      id="id3VybDovL2RvY3MudjEvZG9jOjk3NDU5ZmYwZTRkNTQ5Mjc5MGVhMjk3YTNmM2Y1NDY4L3NlYzo5NzQ1OWZmMGU0ZDU0OTI3OTBlYTI5N2EzZjNmNTQ2OF8xL2ZyYWc6MWNkZjJlOGM5M2EwNGQ5OTk3ZDI5ZGIyMWNkNDE3ODMvdGV4dHJlZ2lvbjoxY2RmMmU4YzkzYTA0ZDk5OTdkMjlkYjIxY2Q0MTc4M18zMTU_45123840-8aab-44ac-9caa-d0ad2240b038">Sunnyvale</dei:EntityAddressCityOrTown>
    <dei:EntityAddressStateOrProvince
      contextRef="i20cdcbacf3c34e79a8d3a64244ff294b_D20230502-20230502"
      id="id3VybDovL2RvY3MudjEvZG9jOjk3NDU5ZmYwZTRkNTQ5Mjc5MGVhMjk3YTNmM2Y1NDY4L3NlYzo5NzQ1OWZmMGU0ZDU0OTI3OTBlYTI5N2EzZjNmNTQ2OF8xL2ZyYWc6MWNkZjJlOGM5M2EwNGQ5OTk3ZDI5ZGIyMWNkNDE3ODMvdGV4dHJlZ2lvbjoxY2RmMmU4YzkzYTA0ZDk5OTdkMjlkYjIxY2Q0MTc4M18zMTk_69a50864-b999-482a-8b11-40ad1585ab20">CA</dei:EntityAddressStateOrProvince>
    <dei:EntityAddressPostalZipCode
      contextRef="i20cdcbacf3c34e79a8d3a64244ff294b_D20230502-20230502"
      id="id3VybDovL2RvY3MudjEvZG9jOjk3NDU5ZmYwZTRkNTQ5Mjc5MGVhMjk3YTNmM2Y1NDY4L3NlYzo5NzQ1OWZmMGU0ZDU0OTI3OTBlYTI5N2EzZjNmNTQ2OF8xL2ZyYWc6MWNkZjJlOGM5M2EwNGQ5OTk3ZDI5ZGIyMWNkNDE3ODMvdGV4dHJlZ2lvbjoxY2RmMmU4YzkzYTA0ZDk5OTdkMjlkYjIxY2Q0MTc4M18zMjI_ea666554-4e8e-4ef5-a842-bda5d1905e12">94086</dei:EntityAddressPostalZipCode>
    <dei:CityAreaCode
      contextRef="i20cdcbacf3c34e79a8d3a64244ff294b_D20230502-20230502"
      id="id3VybDovL2RvY3MudjEvZG9jOjk3NDU5ZmYwZTRkNTQ5Mjc5MGVhMjk3YTNmM2Y1NDY4L3NlYzo5NzQ1OWZmMGU0ZDU0OTI3OTBlYTI5N2EzZjNmNTQ2OF8xL2ZyYWc6MWNkZjJlOGM5M2EwNGQ5OTk3ZDI5ZGIyMWNkNDE3ODMvdGV4dHJlZ2lvbjoxY2RmMmU4YzkzYTA0ZDk5OTdkMjlkYjIxY2Q0MTc4M180MzQ_e9ad5abf-a89d-42f3-b222-a46ad4a3bdae">408</dei:CityAreaCode>
    <dei:LocalPhoneNumber
      contextRef="i20cdcbacf3c34e79a8d3a64244ff294b_D20230502-20230502"
      id="id3VybDovL2RvY3MudjEvZG9jOjk3NDU5ZmYwZTRkNTQ5Mjc5MGVhMjk3YTNmM2Y1NDY4L3NlYzo5NzQ1OWZmMGU0ZDU0OTI3OTBlYTI5N2EzZjNmNTQ2OF8xL2ZyYWc6MWNkZjJlOGM5M2EwNGQ5OTk3ZDI5ZGIyMWNkNDE3ODMvdGV4dHJlZ2lvbjoxY2RmMmU4YzkzYTA0ZDk5OTdkMjlkYjIxY2Q0MTc4M180Mzg_ebed3066-17d8-49f9-8b17-f4e6dc270577">523-2100</dei:LocalPhoneNumber>
    <dei:WrittenCommunications
      contextRef="i20cdcbacf3c34e79a8d3a64244ff294b_D20230502-20230502"
      id="id3VybDovL2RvY3MudjEvZG9jOjk3NDU5ZmYwZTRkNTQ5Mjc5MGVhMjk3YTNmM2Y1NDY4L3NlYzo5NzQ1OWZmMGU0ZDU0OTI3OTBlYTI5N2EzZjNmNTQ2OF8xL2ZyYWc6MWNkZjJlOGM5M2EwNGQ5OTk3ZDI5ZGIyMWNkNDE3ODMvdGFibGU6NTE1NWE2ODAyZDJmNDJmY2I3OGYxNzdmZTc0NTg3MmYvdGFibGVyYW5nZTo1MTU1YTY4MDJkMmY0MmZjYjc4ZjE3N2ZlNzQ1ODcyZl8wLTAtMS0xLTIzMjU0NA_f3cd1fe1-7757-4431-b086-913775b4b0cf">false</dei:WrittenCommunications>
    <dei:SolicitingMaterial
      contextRef="i20cdcbacf3c34e79a8d3a64244ff294b_D20230502-20230502"
      id="id3VybDovL2RvY3MudjEvZG9jOjk3NDU5ZmYwZTRkNTQ5Mjc5MGVhMjk3YTNmM2Y1NDY4L3NlYzo5NzQ1OWZmMGU0ZDU0OTI3OTBlYTI5N2EzZjNmNTQ2OF8xL2ZyYWc6MWNkZjJlOGM5M2EwNGQ5OTk3ZDI5ZGIyMWNkNDE3ODMvdGFibGU6NTE1NWE2ODAyZDJmNDJmY2I3OGYxNzdmZTc0NTg3MmYvdGFibGVyYW5nZTo1MTU1YTY4MDJkMmY0MmZjYjc4ZjE3N2ZlNzQ1ODcyZl8xLTAtMS0xLTIzMjU0NA_94713434-4952-4282-99dd-0e48c0ba09cf">false</dei:SolicitingMaterial>
    <dei:PreCommencementTenderOffer
      contextRef="i20cdcbacf3c34e79a8d3a64244ff294b_D20230502-20230502"
      id="id3VybDovL2RvY3MudjEvZG9jOjk3NDU5ZmYwZTRkNTQ5Mjc5MGVhMjk3YTNmM2Y1NDY4L3NlYzo5NzQ1OWZmMGU0ZDU0OTI3OTBlYTI5N2EzZjNmNTQ2OF8xL2ZyYWc6MWNkZjJlOGM5M2EwNGQ5OTk3ZDI5ZGIyMWNkNDE3ODMvdGFibGU6NTE1NWE2ODAyZDJmNDJmY2I3OGYxNzdmZTc0NTg3MmYvdGFibGVyYW5nZTo1MTU1YTY4MDJkMmY0MmZjYjc4ZjE3N2ZlNzQ1ODcyZl8yLTAtMS0xLTIzMjU0NA_dd7d46c4-afb6-460e-9207-fab80cf5356d">false</dei:PreCommencementTenderOffer>
    <dei:PreCommencementIssuerTenderOffer
      contextRef="i20cdcbacf3c34e79a8d3a64244ff294b_D20230502-20230502"
      id="id3VybDovL2RvY3MudjEvZG9jOjk3NDU5ZmYwZTRkNTQ5Mjc5MGVhMjk3YTNmM2Y1NDY4L3NlYzo5NzQ1OWZmMGU0ZDU0OTI3OTBlYTI5N2EzZjNmNTQ2OF8xL2ZyYWc6MWNkZjJlOGM5M2EwNGQ5OTk3ZDI5ZGIyMWNkNDE3ODMvdGFibGU6NTE1NWE2ODAyZDJmNDJmY2I3OGYxNzdmZTc0NTg3MmYvdGFibGVyYW5nZTo1MTU1YTY4MDJkMmY0MmZjYjc4ZjE3N2ZlNzQ1ODcyZl8zLTAtMS0xLTIzMjU0NA_eb377797-90e9-4488-b672-06a0d8669311">false</dei:PreCommencementIssuerTenderOffer>
    <dei:Security12bTitle
      contextRef="i20cdcbacf3c34e79a8d3a64244ff294b_D20230502-20230502"
      id="id3VybDovL2RvY3MudjEvZG9jOjk3NDU5ZmYwZTRkNTQ5Mjc5MGVhMjk3YTNmM2Y1NDY4L3NlYzo5NzQ1OWZmMGU0ZDU0OTI3OTBlYTI5N2EzZjNmNTQ2OF8xL2ZyYWc6MWNkZjJlOGM5M2EwNGQ5OTk3ZDI5ZGIyMWNkNDE3ODMvdGFibGU6ODYxODc0NTc5NDViNDA4YWJjOTE3NTVkYjg5OTRhYzAvdGFibGVyYW5nZTo4NjE4NzQ1Nzk0NWI0MDhhYmM5MTc1NWRiODk5NGFjMF8xLTAtMS0xLTIzMjU0NA_03efb97b-e31b-4707-ac7e-807ca1e579af">Common Stock, par value $0.001 per share</dei:Security12bTitle>
    <dei:TradingSymbol
      contextRef="i20cdcbacf3c34e79a8d3a64244ff294b_D20230502-20230502"
      id="id3VybDovL2RvY3MudjEvZG9jOjk3NDU5ZmYwZTRkNTQ5Mjc5MGVhMjk3YTNmM2Y1NDY4L3NlYzo5NzQ1OWZmMGU0ZDU0OTI3OTBlYTI5N2EzZjNmNTQ2OF8xL2ZyYWc6MWNkZjJlOGM5M2EwNGQ5OTk3ZDI5ZGIyMWNkNDE3ODMvdGFibGU6ODYxODc0NTc5NDViNDA4YWJjOTE3NTVkYjg5OTRhYzAvdGFibGVyYW5nZTo4NjE4NzQ1Nzk0NWI0MDhhYmM5MTc1NWRiODk5NGFjMF8xLTItMS0xLTIzMjU0NA_dec77b41-c0cb-4f8b-8b00-5200325a3694">ISRG</dei:TradingSymbol>
    <dei:SecurityExchangeName
      contextRef="i20cdcbacf3c34e79a8d3a64244ff294b_D20230502-20230502"
      id="id3VybDovL2RvY3MudjEvZG9jOjk3NDU5ZmYwZTRkNTQ5Mjc5MGVhMjk3YTNmM2Y1NDY4L3NlYzo5NzQ1OWZmMGU0ZDU0OTI3OTBlYTI5N2EzZjNmNTQ2OF8xL2ZyYWc6MWNkZjJlOGM5M2EwNGQ5OTk3ZDI5ZGIyMWNkNDE3ODMvdGFibGU6ODYxODc0NTc5NDViNDA4YWJjOTE3NTVkYjg5OTRhYzAvdGFibGVyYW5nZTo4NjE4NzQ1Nzk0NWI0MDhhYmM5MTc1NWRiODk5NGFjMF8xLTQtMS0xLTIzMjU0NA_307afb57-fb2a-4868-bd12-817cd86d784a">NASDAQ</dei:SecurityExchangeName>
    <dei:EntityEmergingGrowthCompany
      contextRef="i20cdcbacf3c34e79a8d3a64244ff294b_D20230502-20230502"
      id="id3VybDovL2RvY3MudjEvZG9jOjk3NDU5ZmYwZTRkNTQ5Mjc5MGVhMjk3YTNmM2Y1NDY4L3NlYzo5NzQ1OWZmMGU0ZDU0OTI3OTBlYTI5N2EzZjNmNTQ2OF8xL2ZyYWc6MWNkZjJlOGM5M2EwNGQ5OTk3ZDI5ZGIyMWNkNDE3ODMvdGV4dHJlZ2lvbjoxY2RmMmU4YzkzYTA0ZDk5OTdkMjlkYjIxY2Q0MTc4M184Nzk_24459178-1a19-4a6e-af1b-9ffccc540b62">false</dei:EntityEmergingGrowthCompany>
</xbrl>
</XML>
</TEXT>
</DOCUMENT>
<DOCUMENT>
<TYPE>EXCEL
<SEQUENCE>8
<FILENAME>Financial_Report.xlsx
<DESCRIPTION>IDEA: XBRL DOCUMENT
<TEXT>
begin 644 Financial_Report.xlsx
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M;%!+ 0(4 Q0    ( ') L%:@*YSE[@   "L"   1              "  :\
M  !D;V-0<F]P<R]C;W)E+GAM;%!+ 0(4 Q0    ( ') L%:97)PC$ 8  )PG
M   3              "  <P!  !X;"]T:&5M92]T:&5M93$N>&UL4$L! A0#
M%     @ <D"P5I TX%17!   GA   !@              ("!#0@  'AL+W=O
M<FMS:&5E=',O<VAE970Q+GAM;%!+ 0(4 Q0    ( ') L%:?H!OPL0(  .(,
M   -              "  9H,  !X;"]S='EL97,N>&UL4$L! A0#%     @
M<D"P5I>*NQS     $P(   L              ( !=@\  %]R96QS+RYR96QS
M4$L! A0#%     @ <D"P5APX9>H_ 0  / (   \              ( !7Q
M 'AL+W=O<FMB;V]K+GAM;%!+ 0(4 Q0    ( ') L%8D'INBK0   /@!   :
M              "  <L1  !X;"]?<F5L<R]W;W)K8F]O:RYX;6PN<F5L<U!+
M 0(4 Q0    ( ') L%9ED'F2&0$  ,\#   3              "  ; 2  !;
H0V]N=&5N=%]4>7!E<UTN>&UL4$L%!@     )  D /@(  /H3      $!

end
</TEXT>
</DOCUMENT>
<DOCUMENT>
<TYPE>XML
<SEQUENCE>9
<FILENAME>Show.js
<DESCRIPTION>IDEA: XBRL DOCUMENT
<TEXT>
// Edgar(tm) Renderer was created by staff of the U.S. Securities and Exchange Commission.  Data and content created by government employees within the scope of their employment are not subject to domestic copyright protection. 17 U.S.C. 105.
var Show={};Show.LastAR=null,Show.showAR=function(a,r,w){if(Show.LastAR)Show.hideAR();var e=a;while(e&&e.nodeName!='TABLE')e=e.nextSibling;if(!e||e.nodeName!='TABLE'){var ref=((window)?w.document:document).getElementById(r);if(ref){e=ref.cloneNode(!0);
e.removeAttribute('id');a.parentNode.appendChild(e)}}
if(e)e.style.display='block';Show.LastAR=e};Show.hideAR=function(){Show.LastAR.style.display='none'};Show.toggleNext=function(a){var e=a;while(e.nodeName!='DIV')e=e.nextSibling;if(!e.style){}else if(!e.style.display){}else{var d,p_;if(e.style.display=='none'){d='block';p='-'}else{d='none';p='+'}
e.style.display=d;if(a.textContent){a.textContent=p+a.textContent.substring(1)}else{a.innerText=p+a.innerText.substring(1)}}}
</TEXT>
</DOCUMENT>
<DOCUMENT>
<TYPE>XML
<SEQUENCE>10
<FILENAME>report.css
<DESCRIPTION>IDEA: XBRL DOCUMENT
<TEXT>
/* Updated 2009-11-04 */
/* v2.2.0.24 */

/* DefRef Styles */
..report table.authRefData{
	background-color: #def;
	border: 2px solid #2F4497;
	font-size: 1em;
	position: absolute;
}

..report table.authRefData a {
	display: block;
	font-weight: bold;
}

..report table.authRefData p {
	margin-top: 0px;
}

..report table.authRefData .hide {
	background-color: #2F4497;
	padding: 1px 3px 0px 0px;
	text-align: right;
}

..report table.authRefData .hide a:hover {
	background-color: #2F4497;
}

..report table.authRefData .body {
	height: 150px;
	overflow: auto;
	width: 400px;
}

..report table.authRefData table{
	font-size: 1em;
}

/* Report Styles */
..pl a, .pl a:visited {
	color: black;
	text-decoration: none;
}

/* table */
..report {
	background-color: white;
	border: 2px solid #acf;
	clear: both;
	color: black;
	font: normal 8pt Helvetica, Arial, san-serif;
	margin-bottom: 2em;
}

..report hr {
	border: 1px solid #acf;
}

/* Top labels */
..report th {
	background-color: #acf;
	color: black;
	font-weight: bold;
	text-align: center;
}

..report th.void	{
	background-color: transparent;
	color: #000000;
	font: bold 10pt Helvetica, Arial, san-serif;
	text-align: left;
}

..report .pl {
	text-align: left;
	vertical-align: top;
	white-space: normal;
	width: 200px;
	white-space: normal; /* word-wrap: break-word; */
}

..report td.pl a.a {
	cursor: pointer;
	display: block;
	width: 200px;
	overflow: hidden;
}

..report td.pl div.a {
	width: 200px;
}

..report td.pl a:hover {
	background-color: #ffc;
}

/* Header rows... */
..report tr.rh {
	background-color: #acf;
	color: black;
	font-weight: bold;
}

/* Calendars... */
..report .rc {
	background-color: #f0f0f0;
}

/* Even rows... */
..report .re, .report .reu {
	background-color: #def;
}

..report .reu td {
	border-bottom: 1px solid black;
}

/* Odd rows... */
..report .ro, .report .rou {
	background-color: white;
}

..report .rou td {
	border-bottom: 1px solid black;
}

..report .rou table td, .report .reu table td {
	border-bottom: 0px solid black;
}

/* styles for footnote marker */
..report .fn {
	white-space: nowrap;
}

/* styles for numeric types */
..report .num, .report .nump {
	text-align: right;
	white-space: nowrap;
}

..report .nump {
	padding-left: 2em;
}

..report .nump {
	padding: 0px 0.4em 0px 2em;
}

/* styles for text types */
..report .text {
	text-align: left;
	white-space: normal;
}

..report .text .big {
	margin-bottom: 1em;
	width: 17em;
}

..report .text .more {
	display: none;
}

..report .text .note {
	font-style: italic;
	font-weight: bold;
}

..report .text .small {
	width: 10em;
}

..report sup {
	font-style: italic;
}

..report .outerFootnotes {
	font-size: 1em;
}
</TEXT>
</DOCUMENT>
<DOCUMENT>
<TYPE>XML
<SEQUENCE>11
<FILENAME>FilingSummary.xml
<DESCRIPTION>IDEA: XBRL DOCUMENT
<TEXT>
<XML>
<?xml version='1.0' encoding='utf-8'?>
<FilingSummary>
  <Version>3.23.1</Version>
  <ProcessingTime/>
  <ReportFormat>html</ReportFormat>
  <ContextCount>1</ContextCount>
  <ElementCount>22</ElementCount>
  <EntityCount>1</EntityCount>
  <FootnotesReported>false</FootnotesReported>
  <SegmentCount>0</SegmentCount>
  <ScenarioCount>0</ScenarioCount>
  <TuplesReported>false</TuplesReported>
  <UnitCount>0</UnitCount>
  <MyReports>
    <Report instance="isrg-20230515.htm">
      <IsDefault>false</IsDefault>
      <HasEmbeddedReports>false</HasEmbeddedReports>
      <HtmlFileName>R1.htm</HtmlFileName>
      <LongName>0000001 - Document - Document and Entity Information Document</LongName>
      <ReportType>Sheet</ReportType>
      <Role>http://www.intuitivesurgical.com/role/DocumentandEntityInformationDocument</Role>
      <ShortName>Document and Entity Information Document</ShortName>
      <MenuCategory>Cover</MenuCategory>
      <Position>1</Position>
    </Report>
    <Report>
      <IsDefault>false</IsDefault>
      <HasEmbeddedReports>false</HasEmbeddedReports>
      <LongName>All Reports</LongName>
      <ReportType>Book</ReportType>
      <ShortName>All Reports</ShortName>
    </Report>
  </MyReports>
  <InputFiles>
    <File doctype="8-K" original="isrg-20230515.htm">isrg-20230515.htm</File>
    <File>isrg-20230515.xsd</File>
    <File>isrg-20230515_lab.xml</File>
    <File>isrg-20230515_pre.xml</File>
    <File>q223ex-991executiveleaders.htm</File>
  </InputFiles>
  <SupplementalFiles/>
  <BaseTaxonomies>
    <BaseTaxonomy items="22">http://xbrl.sec.gov/dei/2023</BaseTaxonomy>
  </BaseTaxonomies>
  <HasPresentationLinkbase>true</HasPresentationLinkbase>
  <HasCalculationLinkbase>false</HasCalculationLinkbase>
</FilingSummary>
</XML>
</TEXT>
</DOCUMENT>
<DOCUMENT>
<TYPE>JSON
<SEQUENCE>13
<FILENAME>MetaLinks.json
<DESCRIPTION>IDEA: XBRL DOCUMENT
<TEXT>
{
 "instance": {
  "isrg-20230515.htm": {
   "axisCustom": 0,
   "axisStandard": 0,
   "baseTaxonomies": {
    "http://xbrl.sec.gov/dei/2023": 22
   },
   "contextCount": 1,
   "dts": {
    "inline": {
     "local": [
      "isrg-20230515.htm"
     ]
    },
    "labelLink": {
     "local": [
      "isrg-20230515_lab.xml"
     ]
    },
    "presentationLink": {
     "local": [
      "isrg-20230515_pre.xml"
     ]
    },
    "schema": {
     "local": [
      "isrg-20230515.xsd"
     ],
     "remote": [
      "http://www.xbrl.org/2003/xbrl-instance-2003-12-31.xsd",
      "http://www.xbrl.org/2003/xbrl-linkbase-2003-12-31.xsd",
      "http://www.xbrl.org/2003/xl-2003-12-31.xsd",
      "http://www.xbrl.org/2003/xlink-2003-12-31.xsd",
      "http://www.xbrl.org/2005/xbrldt-2005.xsd",
      "http://www.xbrl.org/lrr/role/negated-2009-12-16.xsd",
      "http://www.xbrl.org/lrr/role/net-2009-12-16.xsd",
      "https://www.xbrl.org/dtr/type/2022-03-31/types.xsd",
      "https://xbrl.sec.gov/dei/2023/dei-2023.xsd"
     ]
    }
   },
   "elementCount": 24,
   "entityCount": 1,
   "hidden": {
    "http://xbrl.sec.gov/dei/2023": 2,
    "total": 2
   },
   "keyCustom": 0,
   "keyStandard": 22,
   "memberCustom": 0,
   "memberStandard": 0,
   "nsprefix": "isrg",
   "nsuri": "http://www.intuitivesurgical.com/20230515",
   "report": {
    "R1": {
     "firstAnchor": {
      "ancestors": [
       "span",
       "div",
       "body",
       "html"
      ],
      "baseRef": "isrg-20230515.htm",
      "contextRef": "i20cdcbacf3c34e79a8d3a64244ff294b_D20230502-20230502",
      "decimals": null,
      "first": true,
      "lang": "en-US",
      "name": "dei:DocumentType",
      "reportCount": 1,
      "unique": true,
      "unitRef": null,
      "xsiNil": "false"
     },
     "groupType": "document",
     "isDefault": "true",
     "longName": "0000001 - Document - Document and Entity Information Document",
     "menuCat": "Cover",
     "order": "1",
     "role": "http://www.intuitivesurgical.com/role/DocumentandEntityInformationDocument",
     "shortName": "Document and Entity Information Document",
     "subGroupType": "",
     "uniqueAnchor": {
      "ancestors": [
       "span",
       "div",
       "body",
       "html"
      ],
      "baseRef": "isrg-20230515.htm",
      "contextRef": "i20cdcbacf3c34e79a8d3a64244ff294b_D20230502-20230502",
      "decimals": null,
      "first": true,
      "lang": "en-US",
      "name": "dei:DocumentType",
      "reportCount": 1,
      "unique": true,
      "unitRef": null,
      "xsiNil": "false"
     }
    }
   },
   "segmentCount": 0,
   "tag": {
    "dei_AmendmentFlag": {
     "auth_ref": [],
     "lang": {
      "en-us": {
       "role": {
        "documentation": "Boolean flag that is true when the XBRL content amends previously-filed or accepted submission.",
        "label": "Amendment Flag",
        "terseLabel": "Amendment Flag"
       }
      }
     },
     "localname": "AmendmentFlag",
     "nsuri": "http://xbrl.sec.gov/dei/2023",
     "presentation": [
      "http://www.intuitivesurgical.com/role/DocumentandEntityInformationDocument"
     ],
     "xbrltype": "booleanItemType"
    },
    "dei_CityAreaCode": {
     "auth_ref": [],
     "lang": {
      "en-us": {
       "role": {
        "documentation": "Area code of city",
        "label": "City Area Code",
        "terseLabel": "City Area Code"
       }
      }
     },
     "localname": "CityAreaCode",
     "nsuri": "http://xbrl.sec.gov/dei/2023",
     "presentation": [
      "http://www.intuitivesurgical.com/role/DocumentandEntityInformationDocument"
     ],
     "xbrltype": "normalizedStringItemType"
    },
    "dei_CoverAbstract": {
     "auth_ref": [],
     "lang": {
      "en-us": {
       "role": {
        "documentation": "Cover page.",
        "label": "Cover [Abstract]",
        "terseLabel": "Cover page."
       }
      }
     },
     "localname": "CoverAbstract",
     "nsuri": "http://xbrl.sec.gov/dei/2023",
     "xbrltype": "stringItemType"
    },
    "dei_CurrentFiscalYearEndDate": {
     "auth_ref": [],
     "lang": {
      "en-us": {
       "role": {
        "documentation": "End date of current fiscal year in the format --MM-DD.",
        "label": "Current Fiscal Year End Date",
        "terseLabel": "Current Fiscal Year End Date"
       }
      }
     },
     "localname": "CurrentFiscalYearEndDate",
     "nsuri": "http://xbrl.sec.gov/dei/2023",
     "presentation": [
      "http://www.intuitivesurgical.com/role/DocumentandEntityInformationDocument"
     ],
     "xbrltype": "gMonthDayItemType"
    },
    "dei_DocumentPeriodEndDate": {
     "auth_ref": [],
     "lang": {
      "en-us": {
       "role": {
        "documentation": "For the EDGAR submission types of Form 8-K: the date of the report, the date of the earliest event reported; for the EDGAR submission types of Form N-1A: the filing date; for all other submission types: the end of the reporting or transition period.  The format of the date is YYYY-MM-DD.",
        "label": "Document Period End Date",
        "terseLabel": "Document Period End Date"
       }
      }
     },
     "localname": "DocumentPeriodEndDate",
     "nsuri": "http://xbrl.sec.gov/dei/2023",
     "presentation": [
      "http://www.intuitivesurgical.com/role/DocumentandEntityInformationDocument"
     ],
     "xbrltype": "dateItemType"
    },
    "dei_DocumentType": {
     "auth_ref": [],
     "lang": {
      "en-us": {
       "role": {
        "documentation": "The type of document being provided (such as 10-K, 10-Q, 485BPOS, etc). The document type is limited to the same value as the supporting SEC submission type, or the word 'Other'.",
        "label": "Document Type",
        "terseLabel": "Document Type"
       }
      }
     },
     "localname": "DocumentType",
     "nsuri": "http://xbrl.sec.gov/dei/2023",
     "presentation": [
      "http://www.intuitivesurgical.com/role/DocumentandEntityInformationDocument"
     ],
     "xbrltype": "submissionTypeItemType"
    },
    "dei_EntityAddressAddressLine1": {
     "auth_ref": [],
     "lang": {
      "en-us": {
       "role": {
        "documentation": "Address Line 1 such as Attn, Building Name, Street Name",
        "label": "Entity Address, Address Line One",
        "terseLabel": "Entity Address, Address Line One"
       }
      }
     },
     "localname": "EntityAddressAddressLine1",
     "nsuri": "http://xbrl.sec.gov/dei/2023",
     "presentation": [
      "http://www.intuitivesurgical.com/role/DocumentandEntityInformationDocument"
     ],
     "xbrltype": "normalizedStringItemType"
    },
    "dei_EntityAddressCityOrTown": {
     "auth_ref": [],
     "lang": {
      "en-us": {
       "role": {
        "documentation": "Name of the City or Town",
        "label": "Entity Address, City or Town",
        "terseLabel": "Entity Address, City or Town"
       }
      }
     },
     "localname": "EntityAddressCityOrTown",
     "nsuri": "http://xbrl.sec.gov/dei/2023",
     "presentation": [
      "http://www.intuitivesurgical.com/role/DocumentandEntityInformationDocument"
     ],
     "xbrltype": "normalizedStringItemType"
    },
    "dei_EntityAddressPostalZipCode": {
     "auth_ref": [],
     "lang": {
      "en-us": {
       "role": {
        "documentation": "Code for the postal or zip code",
        "label": "Entity Address, Postal Zip Code",
        "terseLabel": "Entity Address, Postal Zip Code"
       }
      }
     },
     "localname": "EntityAddressPostalZipCode",
     "nsuri": "http://xbrl.sec.gov/dei/2023",
     "presentation": [
      "http://www.intuitivesurgical.com/role/DocumentandEntityInformationDocument"
     ],
     "xbrltype": "normalizedStringItemType"
    },
    "dei_EntityAddressStateOrProvince": {
     "auth_ref": [],
     "lang": {
      "en-us": {
       "role": {
        "documentation": "Name of the state or province.",
        "label": "Entity Address, State or Province",
        "terseLabel": "Entity Address, State or Province"
       }
      }
     },
     "localname": "EntityAddressStateOrProvince",
     "nsuri": "http://xbrl.sec.gov/dei/2023",
     "presentation": [
      "http://www.intuitivesurgical.com/role/DocumentandEntityInformationDocument"
     ],
     "xbrltype": "stateOrProvinceItemType"
    },
    "dei_EntityCentralIndexKey": {
     "auth_ref": [
      "r1"
     ],
     "lang": {
      "en-us": {
       "role": {
        "documentation": "A unique 10-digit SEC-issued value to identify entities that have filed disclosures with the SEC. It is commonly abbreviated as CIK.",
        "label": "Entity Central Index Key",
        "terseLabel": "Entity Central Index Key"
       }
      }
     },
     "localname": "EntityCentralIndexKey",
     "nsuri": "http://xbrl.sec.gov/dei/2023",
     "presentation": [
      "http://www.intuitivesurgical.com/role/DocumentandEntityInformationDocument"
     ],
     "xbrltype": "centralIndexKeyItemType"
    },
    "dei_EntityEmergingGrowthCompany": {
     "auth_ref": [
      "r1"
     ],
     "lang": {
      "en-us": {
       "role": {
        "documentation": "Indicate if registrant meets the emerging growth company criteria.",
        "label": "Entity Emerging Growth Company",
        "terseLabel": "Entity Emerging Growth Company"
       }
      }
     },
     "localname": "EntityEmergingGrowthCompany",
     "nsuri": "http://xbrl.sec.gov/dei/2023",
     "presentation": [
      "http://www.intuitivesurgical.com/role/DocumentandEntityInformationDocument"
     ],
     "xbrltype": "booleanItemType"
    },
    "dei_EntityFileNumber": {
     "auth_ref": [],
     "lang": {
      "en-us": {
       "role": {
        "documentation": "Commission file number. The field allows up to 17 characters. The prefix may contain 1-3 digits, the sequence number may contain 1-8 digits, the optional suffix may contain 1-4 characters, and the fields are separated with a hyphen.",
        "label": "Entity File Number",
        "terseLabel": "Entity File Number"
       }
      }
     },
     "localname": "EntityFileNumber",
     "nsuri": "http://xbrl.sec.gov/dei/2023",
     "presentation": [
      "http://www.intuitivesurgical.com/role/DocumentandEntityInformationDocument"
     ],
     "xbrltype": "fileNumberItemType"
    },
    "dei_EntityIncorporationStateCountryCode": {
     "auth_ref": [],
     "lang": {
      "en-us": {
       "role": {
        "documentation": "Two-character EDGAR code representing the state or country of incorporation.",
        "label": "Entity Incorporation, State or Country Code",
        "terseLabel": "Entity Incorporation, State or Country Code"
       }
      }
     },
     "localname": "EntityIncorporationStateCountryCode",
     "nsuri": "http://xbrl.sec.gov/dei/2023",
     "presentation": [
      "http://www.intuitivesurgical.com/role/DocumentandEntityInformationDocument"
     ],
     "xbrltype": "edgarStateCountryItemType"
    },
    "dei_EntityRegistrantName": {
     "auth_ref": [
      "r1"
     ],
     "lang": {
      "en-us": {
       "role": {
        "documentation": "The exact name of the entity filing the report as specified in its charter, which is required by forms filed with the SEC.",
        "label": "Entity Registrant Name",
        "terseLabel": "Entity Registrant Name"
       }
      }
     },
     "localname": "EntityRegistrantName",
     "nsuri": "http://xbrl.sec.gov/dei/2023",
     "presentation": [
      "http://www.intuitivesurgical.com/role/DocumentandEntityInformationDocument"
     ],
     "xbrltype": "normalizedStringItemType"
    },
    "dei_EntityTaxIdentificationNumber": {
     "auth_ref": [
      "r1"
     ],
     "lang": {
      "en-us": {
       "role": {
        "documentation": "The Tax Identification Number (TIN), also known as an Employer Identification Number (EIN), is a unique 9-digit value assigned by the IRS.",
        "label": "Entity Tax Identification Number",
        "terseLabel": "Entity Tax Identification Number"
       }
      }
     },
     "localname": "EntityTaxIdentificationNumber",
     "nsuri": "http://xbrl.sec.gov/dei/2023",
     "presentation": [
      "http://www.intuitivesurgical.com/role/DocumentandEntityInformationDocument"
     ],
     "xbrltype": "employerIdItemType"
    },
    "dei_LocalPhoneNumber": {
     "auth_ref": [],
     "lang": {
      "en-us": {
       "role": {
        "documentation": "Local phone number for entity.",
        "label": "Local Phone Number",
        "terseLabel": "Local Phone Number"
       }
      }
     },
     "localname": "LocalPhoneNumber",
     "nsuri": "http://xbrl.sec.gov/dei/2023",
     "presentation": [
      "http://www.intuitivesurgical.com/role/DocumentandEntityInformationDocument"
     ],
     "xbrltype": "normalizedStringItemType"
    },
    "dei_PreCommencementIssuerTenderOffer": {
     "auth_ref": [
      "r3"
     ],
     "lang": {
      "en-us": {
       "role": {
        "documentation": "Boolean flag that is true when the Form 8-K filing is intended to satisfy the filing obligation of the registrant as pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act.",
        "label": "Pre-commencement Issuer Tender Offer",
        "terseLabel": "Pre-commencement Issuer Tender Offer"
       }
      }
     },
     "localname": "PreCommencementIssuerTenderOffer",
     "nsuri": "http://xbrl.sec.gov/dei/2023",
     "presentation": [
      "http://www.intuitivesurgical.com/role/DocumentandEntityInformationDocument"
     ],
     "xbrltype": "booleanItemType"
    },
    "dei_PreCommencementTenderOffer": {
     "auth_ref": [
      "r4"
     ],
     "lang": {
      "en-us": {
       "role": {
        "documentation": "Boolean flag that is true when the Form 8-K filing is intended to satisfy the filing obligation of the registrant as pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act.",
        "label": "Pre-commencement Tender Offer",
        "terseLabel": "Pre-commencement Tender Offer"
       }
      }
     },
     "localname": "PreCommencementTenderOffer",
     "nsuri": "http://xbrl.sec.gov/dei/2023",
     "presentation": [
      "http://www.intuitivesurgical.com/role/DocumentandEntityInformationDocument"
     ],
     "xbrltype": "booleanItemType"
    },
    "dei_Security12bTitle": {
     "auth_ref": [
      "r0"
     ],
     "lang": {
      "en-us": {
       "role": {
        "documentation": "Title of a 12(b) registered security.",
        "label": "Title of 12(b) Security",
        "terseLabel": "Title of 12(b) Security"
       }
      }
     },
     "localname": "Security12bTitle",
     "nsuri": "http://xbrl.sec.gov/dei/2023",
     "presentation": [
      "http://www.intuitivesurgical.com/role/DocumentandEntityInformationDocument"
     ],
     "xbrltype": "securityTitleItemType"
    },
    "dei_SecurityExchangeName": {
     "auth_ref": [
      "r2"
     ],
     "lang": {
      "en-us": {
       "role": {
        "documentation": "Name of the Exchange on which a security is registered.",
        "label": "Security Exchange Name",
        "terseLabel": "Security Exchange Name"
       }
      }
     },
     "localname": "SecurityExchangeName",
     "nsuri": "http://xbrl.sec.gov/dei/2023",
     "presentation": [
      "http://www.intuitivesurgical.com/role/DocumentandEntityInformationDocument"
     ],
     "xbrltype": "edgarExchangeCodeItemType"
    },
    "dei_SolicitingMaterial": {
     "auth_ref": [
      "r5"
     ],
     "lang": {
      "en-us": {
       "role": {
        "documentation": "Boolean flag that is true when the Form 8-K filing is intended to satisfy the filing obligation of the registrant as soliciting material pursuant to Rule 14a-12 under the Exchange Act.",
        "label": "Soliciting Material",
        "terseLabel": "Soliciting Material"
       }
      }
     },
     "localname": "SolicitingMaterial",
     "nsuri": "http://xbrl.sec.gov/dei/2023",
     "presentation": [
      "http://www.intuitivesurgical.com/role/DocumentandEntityInformationDocument"
     ],
     "xbrltype": "booleanItemType"
    },
    "dei_TradingSymbol": {
     "auth_ref": [],
     "lang": {
      "en-us": {
       "role": {
        "documentation": "Trading symbol of an instrument as listed on an exchange.",
        "label": "Trading Symbol",
        "terseLabel": "Trading Symbol"
       }
      }
     },
     "localname": "TradingSymbol",
     "nsuri": "http://xbrl.sec.gov/dei/2023",
     "presentation": [
      "http://www.intuitivesurgical.com/role/DocumentandEntityInformationDocument"
     ],
     "xbrltype": "tradingSymbolItemType"
    },
    "dei_WrittenCommunications": {
     "auth_ref": [
      "r6"
     ],
     "lang": {
      "en-us": {
       "role": {
        "documentation": "Boolean flag that is true when the Form 8-K filing is intended to satisfy the filing obligation of the registrant as written communications pursuant to Rule 425 under the Securities Act.",
        "label": "Written Communications",
        "terseLabel": "Written Communications"
       }
      }
     },
     "localname": "WrittenCommunications",
     "nsuri": "http://xbrl.sec.gov/dei/2023",
     "presentation": [
      "http://www.intuitivesurgical.com/role/DocumentandEntityInformationDocument"
     ],
     "xbrltype": "booleanItemType"
    }
   },
   "unitCount": 0
  }
 },
 "std_ref": {
  "r0": {
   "Name": "Exchange Act",
   "Number": "240",
   "Publisher": "SEC",
   "Section": "12",
   "Subsection": "b",
   "role": "http://www.xbrl.org/2003/role/presentationRef"
  },
  "r1": {
   "Name": "Exchange Act",
   "Number": "240",
   "Publisher": "SEC",
   "Section": "12",
   "Subsection": "b-2",
   "role": "http://www.xbrl.org/2003/role/presentationRef"
  },
  "r2": {
   "Name": "Exchange Act",
   "Number": "240",
   "Publisher": "SEC",
   "Section": "12",
   "Subsection": "d1-1",
   "role": "http://www.xbrl.org/2003/role/presentationRef"
  },
  "r3": {
   "Name": "Exchange Act",
   "Number": "240",
   "Publisher": "SEC",
   "Section": "13e",
   "Subsection": "4c",
   "role": "http://www.xbrl.org/2003/role/presentationRef"
  },
  "r4": {
   "Name": "Exchange Act",
   "Number": "240",
   "Publisher": "SEC",
   "Section": "14d",
   "Subsection": "2b",
   "role": "http://www.xbrl.org/2003/role/presentationRef"
  },
  "r5": {
   "Name": "Exchange Act",
   "Number": "240",
   "Publisher": "SEC",
   "Section": "14a",
   "Subsection": "12",
   "role": "http://www.xbrl.org/2003/role/presentationRef"
  },
  "r6": {
   "Name": "Securities Act",
   "Number": "230",
   "Publisher": "SEC",
   "Section": "425",
   "role": "http://www.xbrl.org/2003/role/presentationRef"
  }
 },
 "version": "2.2"
}
</TEXT>
</DOCUMENT>
<DOCUMENT>
<TYPE>ZIP
<SEQUENCE>14
<FILENAME>0001035267-23-000142-xbrl.zip
<DESCRIPTION>IDEA: XBRL DOCUMENT
<TEXT>
begin 644 0001035267-23-000142-xbrl.zip
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M3AMJ[Q1H.CWT <Y53S[S >^KIF1>?>[6TD9'G'Z&[XWS$[&Y_XU*EJRKEBN
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M.F2_626UOP_^W&\>U<A!J]&H=SKU5K,@X6FQ$V]@IZ[$CKS@_,EKS=\I30;
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M19CMY''SHL!''"&8JN17L+]=7$FN6,(H<]*HDP400#8O?KTV, /J8A#,IW]
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M@Y#P6#*,C#/_?9.-+31HO%!L  9+Q& )&=28S:/#7JKW1XA#$GCD*-&+.ZM
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M]MCJ;^-^E/RL3@$2YJB-.IO\$PX\?CX>)!:7-N% Q%\49=C<W26K;<2JK;>
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MZCP7!D[,*=4_RW;UU !!"47'RCGLP>H%;7-[4QM+J(=4Y;D"AOA-IG+(!#:
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MD>D]Y_:T@T+2"@YTX?QCH/<F"B%M));^ICJ^^_RS)R?GP*8)R@/Q49G%WN/
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M]LC_ ^;S_P502P$"% ,4    " !R0+!6:!I@4Y4:  !TO@  $0
M    @ $     :7-R9RTR,#(S,#4Q-2YH=&U02P$"% ,4    " !R0+!6;"/!
M.88"  #J!P  $0              @ '$&@  :7-R9RTR,#(S,#4Q-2YX<V10
M2P$"% ,4    " !R0+!6:73)H]0*   M8@  %0              @ %Y'0
M:7-R9RTR,#(S,#4Q-5]L86(N>&UL4$L! A0#%     @ <D"P5@H$IBSW!@
M8C,  !4              ( !@"@  &ES<F<M,C R,S U,35?<')E+GAM;%!+
M 0(4 Q0    ( ') L%:J,>P;>!   -LY   >              "  :HO  !Q
M,C(S97@M.3DQ97AE8W5T:79E;&5A9&5R<RYH=&U02P4&      4 !0!0 0
&7D

end
</TEXT>
</DOCUMENT>
</SEC-DOCUMENT>
