Medtronic announces first surgery with Hugoâ"¢ robotic-assisted surgery system in the U.S. performed at Cleveland Clinic [Accessibility Statement] Skip NavigationNewly FDA-cleared system helps expand patient access to minimally invasive surgeryCleveland Clinic joins nationally recognized academic medical centers including Atrium Health Wake Forest Baptist High Point Medical Center as first hospitals in the U.S. to install Hugo RAS systemGALWAY, Ireland, Feb. 17, 2026 /PRNewswire/ -- Medtronic today announce ...

Core Viewpoint - The healthcare sector is expected to rebound and deliver above-average returns, with Intuitive Surgical and Vertex Pharmaceuticals identified as attractive investment opportunities for the long term [1]. Group 1: Intuitive Surgical - Intuitive Surgical has faced challenges such as high tariffs and increased competition in the robotic-assisted surgery (RAS) market, but its long-term outlook remains strong due to its leadership in the underpenetrated RAS market [3]. - The company develops leading robotic surgery devices, including the da Vinci system, which supports minimally invasive procedures [3]. - Intuitive Surgical has a market cap of $173 billion, with a current price of $488.46 and a gross margin of 65.99% [4][5]. - The installed base of Intuitive Surgical's devices increased by 12% year-over-year, reaching 11,106 units, which is expected to drive procedure volume and growth [5]. - Despite a 13% decline over the past year, Intuitive Surgical's stock is considered a top pick for buy-and-hold investors due to its long-term prospects [6]. Group 2: Vertex Pharmaceuticals - Vertex Pharmaceuticals is expanding its portfolio beyond its successful cystic fibrosis treatments, with plans to submit regulatory applications for zimislecel, a therapy for type 1 diabetes [7]. - The company has several upcoming catalysts, including late-stage data readouts for inaxaplin, targeting APOL-1 mediated kidney disease, and top-line data for povetacicept, aimed at IgA nephropathy [9]. - Vertex's market cap is $121 billion, with a current price of $477.91 and a gross margin of 86.29% [8]. - The anticipated success of new therapies, alongside the continued growth of its core cystic fibrosis franchise, positions Vertex's shares as attractive investments [10].

Polen Capital Management Llc released its "Polen Focus Growth Strategy" Q4 2025 investor letter. A copy of the letter can be downloaded here. In Q4 2025, the Polen Focus Growth strategy delivered a -1.37% gross return, underperforming the Russell 1000 Growth Index (+1.12%) and the S&P 500 (+2.66%), as concentrated mega‑cap leadership and AI valuation concerns drove market volatility. The fund faced headwinds from market rotation and valuation pressures but remained disciplined in its investment approach, fo ...

FDA 510(k) clearance expands da Vinci 5 indications to include certain cardiac proceduresSUNNYVALE, Calif., Jan. 26, 2026 (GLOBE NEWSWIRE) -- Intuitive (NASDAQ: ISRG), a global technology leader in minimally invasive care and the pioneer of robotic-assisted surgery, today announced that the U.S. Food and Drug Administration (FDA) has cleared the da Vinci 5 system for certain cardiac procedures, including mitral valve repair and IMA (internal mammary artery) mobilization for cardiac revascularization. Cardi ...

Financial Performance - Intuitive Surgical reported revenue of $2.87 billion for the fourth quarter, exceeding analyst estimates of $2.75 billion [1] - The company reported fourth-quarter adjusted earnings of $2.53 per share, surpassing analyst expectations of $2.26 per share [1] Future Expectations - Intuitive Surgical anticipates a 13% to 15% increase in worldwide da Vinci procedures for full-year 2026, a decrease from the 18% growth expected in 2025 [2] - The company expects gross profit margin to be between 67% and 68% of revenue in 2026, slightly up from 67.6% in 2025 [2] Stock Performance and Analyst Ratings - Following the earnings announcement, Intuitive Surgical shares gained 0.2%, trading at $526.86 [2] - Bernstein analyst Lee Hambright maintained an Outperform rating and raised the price target from $740 to $750 [3] - Evercore ISI Group analyst Vijay Kumar maintained an In-Line rating and lowered the price target from $580 to $550 [3]

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 Insights - Intuitive Surgical (ISRG) and Medtronic (MDT) represent contrasting strategies in the MedTech sector, with ISRG focusing on robotic-assisted surgery and MDT being a diversified medical technology conglomerate [1] Company Overview Intuitive Surgical (ISRG) - ISRG is a leader in robotic-assisted surgery, primarily centered around the da Vinci and Ion platforms, allowing for coordinated product development and commercialization [4] - The company has a competitive advantage through surgeon training, workflow integration, and data-driven feedback, leading to increased utilization of its platforms [5] - Approximately 85% of ISRG's revenues are derived from recurring sources, with a 19% growth in procedures translating directly into revenue expansion [6] - Recent pro forma operating margins are near 39%, supported by scale and high utilization, with strong free cash flow generation enabling sustained reinvestment in R&D and manufacturing [8] - The strategy emphasizes expanding minimally invasive surgery and leveraging data and digital insights, reinforcing a coherent long-term roadmap [9] Medtronic (MDT) - MDT faces macroeconomic headwinds affecting procedural volumes, particularly in elective surgeries, with recovery lagging in certain categories [11] - The company anticipates a $185 million cost-of-goods-sold headwind due to U.S.–China tariffs, impacting gross margins despite mitigation efforts [12] - A shift in U.S. distributor buying patterns has negatively affected the Surgical segment, although growth in LigaSure Advanced Energy products and emerging markets has partially offset this impact [13] Financial Performance - In the past six months, ISRG shares gained 3.2%, while MDT shares increased by 7.6% [2] - ISRG trades at a forward price-to-earnings multiple of 54.4, compared to MDT's 16.4, indicating a higher valuation for ISRG despite its strong growth prospects [16] Investment Outlook - ISRG is viewed as a superior long-term investment due to its focused strategy, high-margin recurring revenue model, and strong cash flow generation [17] - MDT, while a strong player in MedTech, faces challenges from diversification and uneven segment recovery, which dilute its strategic momentum in robotics [18] - Despite ISRG's higher valuation, its robust growth makes it a more compelling investment opportunity compared to MDT, which has a lower Zacks Rank [19]

Core Insights - Medtronic (NYSE: MDT) had a strong performance in 2025 and is expected to continue its growth trajectory in 2026, making it an attractive option for long-term, income-seeking investors [1] Group 1: Business Focus and Structure - Medtronic is simplifying its business by separating its diabetes division into a stand-alone, publicly traded entity, expected to be completed by the end of 2026 [3] - The diabetes care segment accounted for 8% of revenue but only 4% of operating profits in fiscal year 2025, indicating lower operating margins compared to other business units [5] - This strategic move will allow Medtronic to concentrate on its B2B operations, potentially unlocking more profitable growth opportunities [5] Group 2: Growth Opportunities - Medtronic received regulatory clearance for the Hugo system, a robotic-assisted surgery device for urologic procedures, which represents a long-term growth opportunity despite not significantly impacting top-line growth in the immediate future [6] - The robotic surgery market is underpenetrated, and Medtronic's entry into this space is seen as a significant development, with the potential for meaningful contributions to the company's results as device shipments increase [8]

Company Overview - Intuitive Surgical is a leader in robotic-assisted surgery (RAS), having introduced the da Vinci system over 25 years ago, which was the first of its kind to receive clearance in the U.S. [3] - The company has continuously updated its da Vinci system, launching its fifth iteration last year with new features [3]. Competitive Position - Intuitive Surgical has established a strong competitive advantage through its first-mover status and ongoing innovations, allowing it to dominate the RAS market across various surgical procedures [5]. - The company currently has an installed base of 10,763 systems, reflecting a 13% year-over-year increase, and has recently received regulatory approval for three new indications [7]. Market Dynamics - The RAS market is underpenetrated and is expected to grow as the global population ages, providing a long runway for growth [10]. - Intuitive Surgical generates a significant portion of its revenue from instruments and accessories, which are regularly replaced, ensuring a consistent revenue stream with high margins [10]. Financial Performance - As of the latest data, Intuitive Surgical has a market capitalization of $199 billion and a gross margin of 66.37% [8]. - The stock has underperformed in 2025, gaining only 8%, partly due to increased competition from Medtronic's new RAS system, Hugo [2][6]. Investment Potential - For long-term investors, Intuitive Surgical is positioned as a core holding in a diversified portfolio, with the potential for significant growth, as a $30,000 investment could grow to $1 million over 30 years at a compound annual growth rate of 12.4% [11].

Core Viewpoint - Medtronic has had a strong year despite tariff challenges, with positive financial results and a bright outlook for the next year [1][2] Financial Performance - Medtronic's market capitalization stands at $128 billion, with a gross margin of 59.95% and a dividend yield of 2.82% [7] - The company reported trailing-12-month revenue of $34.76 billion, with potential revenue from urologic procedures estimated at $835 million if it captures a 10% market share of Intuitive Surgical's $8.35 billion revenue from that segment [7] Product Development - Medtronic's Hugo system, a robotic-assisted surgery device, has received U.S. regulatory clearance for urologic procedures, marking a significant milestone for the company [6] - The RAS market is underpenetrated, with fewer than 5% of eligible surgeries currently performed robotically, indicating substantial growth potential for Medtronic's Hugo system [5][8] Competitive Landscape - The Hugo system will compete with Intuitive Surgical's da Vinci system, which is well-established in the urology market, representing a significant challenge for Medtronic [6] - Convincing healthcare facilities to adopt the Hugo system over the da Vinci system will require time and effort [6] Long-term Growth Potential - Medtronic plans to seek additional indications for the Hugo system beyond urology, which could drive future procedure volume growth [8] - The aging global population is expected to fuel growth in the healthcare sector, benefiting Medtronic in the long run [9] Dividend Policy - Medtronic has increased its dividend for 48 consecutive years, positioning itself to become a Dividend King in the near future [11] - The company's strong dividend program is attractive to long-term income-seeking investors [10][11]