BOULDER, CO / ACCESS Newswire / February 4, 2026 / Encision Inc. (OTC PINK:ECIA), a medical device company owning patented Active Electrode Monitoring (AEM®) Technology that prevents dangerous radiant energy burns in minimally invasive surgery, today reported its financial results for its 2026 fiscal third quarter. Encision's CEO Robert Fries commented, "The Company's revenue has continued to decline principally because of procedures that were performed by surgical robots that have replaced our surgical pro ...

Financial Data and Key Metrics Changes - Revenue grew 21% year-over-year to $10.1 billion, with operating margins at 37% reflecting investments in R&D and manufacturing scale [10][19] - Pro forma EPS increased 22%, marking the third consecutive year of growth above 20% [19] - Free cash flow rose to $2.5 billion, up from $1.3 billion in 2024 [19] Business Line Data and Key Metrics Changes - Total procedures grew 19%, with da Vinci procedures increasing approximately 18% and Ion procedures growing 51% [7][18] - In Q4, da Vinci procedures grew 17%, with the installed base increasing by 12% to over 11,100 systems [20] - Ion platform procedures increased 44%, with the installed base up by 24% to just under 1,000 systems [20] Market Data and Key Metrics Changes - In the U.S., da Vinci procedures increased 15% to over 2 million, while international procedures grew by 23% to over 1.1 million [7] - Growth rates were 21% in Europe, 24% in Asia, and 27% in the rest of the world [7] - Total procedures outside the U.S. accounted for roughly 35% of global procedures [7] Company Strategy and Development Direction - The company focuses on four strategic priorities: launching da Vinci 5, increasing adoption of focused procedures, building industrial scale and product quality, and enhancing digital tools [5][16] - The company aims to expand its platforms and digital features while increasing adoption of focused procedures through training and market access efforts [16] Management's Comments on Operating Environment and Future Outlook - Management believes the company is in the early stages of advancing minimally invasive care, with significant long-term opportunities ahead [4] - For 2026, the company anticipates da Vinci procedure growth in the range of 13%-15%, driven by general surgery in the U.S. and international procedures [41][42] - The company expects pro forma gross profit margin to be between 67% and 68% of net revenue in 2026 [42] Other Important Information - The company placed 1,721 da Vinci systems in 2025, including 870 da Vinci 5 systems [8] - The installed base of da Vinci systems increased by 12% to just over 11,100 systems, with average system utilization increasing by 4% [20] - The company received FDA clearance for several cardiac procedures on da Vinci 5, indicating a focus on expanding into new disease states [11][52] Q&A Session Summary Question: FDA approvals for cardiac non-force feedback instruments - Management discussed the foundational aspects of supporting cardiac surgery and the importance of training pathways for minimally invasive approaches [48][50] Question: Incorporating advanced imaging features into the robotic ecosystem - Management explained that advanced imaging capabilities are being developed to improve surgical outcomes and will have associated revenue streams [54][55] Question: Expanding footprint in ASCs - Management highlighted the importance of high-quality clinical outcomes and the economic structure needed for ASCs, with a focus on lower acuity procedures [61][62] Question: Utilization and system ASPs in 2026 - Management indicated that while overall da Vinci utilization grew 4%, they are not ready to predict future utilization rates [66] Question: Gross margin and OpEx assumptions - Management outlined various dynamics affecting gross margin, including higher trade-ins and a mix of da Vinci 5 systems [72] Question: Competition in China - Management acknowledged increased competition in China but expressed confidence in their ability to compete effectively [75][76]

Core Thesis - Intuitive Surgical, Inc. (ISRG) is recognized as a global leader in robotic-assisted surgery, with a strong market position and a robust business model that supports high-margin, predictable revenue streams [2][3]. Company Overview - The da Vinci system by Intuitive Surgical has been utilized in over 17 million operations across 74 countries, establishing a significant presence in the surgical ecosystem [2]. - The company holds an estimated 60–70% market share in soft-tissue robotics, supported by a comprehensive approach that includes hospital workflows, surgeon training, and recurring revenue from instruments and services [2][3]. Financial Performance - Intuitive Surgical has achieved a 15% compound annual growth rate (CAGR) in revenues over the last decade, with nearly $10 billion in annual revenue, of which 85% is recurring [3][4]. - The company maintains gross margins near 70%, generates over $1 billion in free cash flow annually, and operates with virtually no debt [4]. - Recent performance indicates strong system placements and a 21% growth in recurring revenue, alongside stable margins despite some cost pressures [4]. Growth Drivers - Growth is driven by the expansion of the installed base, increasing procedure volumes, global reach, and ongoing product innovation, including the da Vinci 5 system and new platforms like Ion [3][4]. - Long-term trends favoring minimally invasive surgery and the expansion of procedures into new specialties are expected to support low double-digit to mid-teens growth in the future [4]. Valuation Insights - The current valuation of Intuitive Surgical is considered rich, with shares trading around 50 times earnings, suggesting limited upside from current levels [5]. - The stock is viewed as attractive primarily at lower entry points, with an accumulation target set near $380 per share to optimize risk and reward [5]. Competitive Landscape - Despite increasing competition from companies like Medtronic, CMR Surgical, and Johnson & Johnson, Intuitive Surgical's established ecosystem and regulatory approvals create a durable competitive advantage [3].