Barbarians By The Gate.

The moat has been crossed.  The ramparts get got been breached.  Any hint that the invasion past times the robotic surgical physical care for companionship volition endure slowed is off the table.  At to the lowest degree equally seen past times the investment advisory folks at LEERINK, analyzing the shares of Intuititve Surgical (emphasis added.)  Is this actually the agency you lot desire to encounter wellness attention policy developed inwards the United States of America of America as well as other countries? Such momentum from this as well as other companies certain makes the proponents of the "Triple Aim" await similar naive waifs.

We are attention SAGES inwards Nashville, TN, where physician discussions overstep on to highlight a growing flat of physician interest/experience inwards newer full general surgical physical care for areas such equally colorectal, hernia, bariatrics--and the mightiness of robotics equally a marketing tool for docs & institutions inwards these areas. As usual, cost-benefit & clinical outcomes stay highly debated, only dv gen surgical physical care for momentum soundless seems to endure building, as well as nosotros believe uptake inwards these newer areas (i.e., hernia, colorectal) should overstep on to back upward our accelerating physical care for increase outlook thesis.

Hernia continues to endure an increasing surface area of involvement for robotics equally evidenced past times a jam-packed inguinal hernia session on 4/15 that included a few talks/debates on da Vinci. While at that spot continues to endure much give-and-take approximately cost-benefit and best indications of role (i.e., inguinal vs. ventral)--and no existent resolution leaving these panel sessions--there does seem to endure some consensus forming approximately the notions: (1) to a greater extent than procedures should endure done MIS amongst hernia penetration rates soundless hovering below 25%, (2) robotics may correspond an enabling technology for furthering MIS penetration inwards to a greater extent than complex cases. With this as well as other recent feedback nosotros caput into 1Q earnings as well as 2015 amongst a higher flat of conviction that potential near-term outperformance inwards the dV hernia category should to some grade assistance outset potential slowing trends inwards chole as well as ongoing sluggish increase momentum inwards GYN.

Investment thesis: ISRG continues to endure a unique, robotic surgical physical care for franchise developing numerous promising novel full general surgical physical care for procedures—cholecystectomy, colorectal, bariatric, thoracic, caput &  neck, as well as others; as well as accelerated increase as well as physical care for adoption internationally (e.g., dvP [da Vinci Prostatectomy] inwards Europe, Japan). Recent challenges get got called into interrogation the sustainability of long-term revenue increase rates—in both organisation placements as well as its bread as well as butter prostatectomy as well as hysterectomy procedures. But a novel production bicycle (Xi) should assistance to reinvigorate organisation sales growth.

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