<DOCUMENT>
<TYPE>EX-32.1
<SEQUENCE>4
<FILENAME>issi30932-1.txt
<DESCRIPTION>CERTIFICATION
<TEXT>

Exhibit 32.1

                            CERTIFICATION PURSUANT TO
                             18 U.S.C. SECTION 1350,
                             AS ADOPTED PURSUANT TO
                  SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002


I, Christopher A. Marlett, Chief Executive Officer of Integrated Surgical
Systems, Inc. (the "Company"), hereby certify, pursuant to 18 U.S.C. Section
1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002,
that:

     1.   The Quarterly Report on Form 10-Q of the Company for the quarter ended
          March 31, 2009, which this certification accompanies (the "Periodic
          Report"), fully complies with the requirements of Section 13(a) or
          15(d) of the Securities Exchange Act of 1934; and

     2.   The information contained in the Periodic Report fairly presents, in
          all material respects, the financial condition and results of
          operations of the Company.

Dated: May 14, 2009                         /s/ Christopher A. Marlett
                                            ----------------------------
                                            Christopher A. Marlett
                                            Chief Executive Officer







                                       21
</TEXT>
</DOCUMENT>
