Strong Top-Line Growth
Total revenue of $2.77B, up 23% year-over-year (22% constant currency). Recurring revenue grew 23% to $2.4B and represented 86% of total revenue.
Procedure Volume Expansion
Total procedures grew 17% year-over-year. da Vinci procedures grew 16% to 847,000 and Ion procedures grew 39% to 43,000. U.S. procedures increased 15% and outside-U.S. procedures grew 20%.
Product Adoption and System Placements
Placed 431 da Vinci systems in Q1 (up 17% vs prior year), including 232 da Vinci 5 systems, 34 SP systems and 34 XiR systems; placed 52 Ion systems. Installed base and trade-ins supporting upgrades (119 trade-ins vs 67 prior year).
da Vinci 5 and Utilization Gains
da Vinci 5 adoption driving higher utilization: U.S. utilization growth of 4% with da Vinci 5 utilization ~11% higher than Xi. da Vinci 5 installed base nearly 1,500 systems.
Instrument & Service Revenue Strength
Instruments & accessories (I&A) revenue grew 23% to $1.7B. Service revenue rose 19% to $434M; I&A revenue per da Vinci procedure increased to ~$1,880 from $1,780 year-over-year.
Profitability and Margin Expansion
Non-GAAP operating margin at 39%. Non-GAAP gross margin improved to 67.8% from 66.4% a year ago. Non-GAAP net income was $901M (vs $662M prior year); non-GAAP EPS $2.50 vs $1.81.
SP and Ion Momentum
Single-Port (SP) procedures grew 68% year-over-year, with U.S. SP system utilization up 22%. Ion is growing rapidly with procedure growth of 39% and ongoing clinical evidence supporting earlier malignancy identification.
Positive Clinical Evidence
Mayo Clinic study of 2,115 lesions using Ion reported diagnostic yield 79% and malignancy sensitivity 85%, with early-stage primary lung cancer diagnosis increasing 23 percentage points (46% to 69%) from 2019 to 2024 and low complication rates (pneumothorax requiring intervention 1.4%).