Myriam Curet McAdams - 26 Feb 2026 Form 4 Insider Report for INTUITIVE SURGICAL INC (ISRG)

Role: EVP & Chief Medical Officer
Signature: By: Stephanie Lim-Ignacio For: McAdams, Myriam Curet
Issuer symbol: ISRG
Transactions as of: 26 Feb 2026
Net transactions value: -$1,168,747
Form type: 4
Filing time: 27 Feb 2026, 14:00:43 UTC
Previous filing: 11 Feb 2026
Next filing: 02 Mar 2026
SEC: View on sec.gov

Reporting Owners (1)

Name	Relationship	Address	Signature	Signature date	CIK
Curet Myriam	EVP & Chief Medical Officer	1020 KIFER ROAD, SUNNYVALE	By: Stephanie Lim-Ignacio For: McAdams, Myriam Curet	27 Feb 2026	0001632901

Transactions Table

Type	Sym	Class	Transaction	Value $	Shares	Change %	* Price $	Shares After	Date	Ownership	Footnotes
transaction	ISRG	Common Stock	Options Exercise	$0	+3,052	+746%	$0.000000	3,461	26 Feb 2026	by Trust	F1
transaction	ISRG	Common Stock	Tax liability	$766,341	-1,514	-44%	$506.17	1,947	26 Feb 2026	by Trust	F1
transaction	ISRG	Common Stock	Options Exercise	$0	+1,602	+82%	$0.000000	3,549	26 Feb 2026	by Trust	F2
transaction	ISRG	Common Stock	Tax liability	$402,405	-795	-22%	$506.17	2,754	26 Feb 2026	by Trust	F2

Derivative Securities (e.g., puts, calls, warrants, options, convertible securities)

Type	Sym	Class	Transaction	Value $	Shares	Change %	* Price $	Shares After	Date	Underlying Class	Amount	Exercise Price	Ownership	Footnotes
transaction	ISRG	Performance Stock Units - 2-28-2023	Award	$0	+2,793	+50%	$0.000000	8,378	26 Feb 2026	Common Stock	2,793	$0.000000	Direct	F3
transaction	ISRG	Restricted Stock Units - 2-26-2024	Options Exercise	$0	-3,052	-50%	$0.000000	3,053	26 Feb 2026	Common Stock	3,052	$0.000000	Direct	F4
transaction	ISRG	Restricted Stock Units - 2-26-2025	Options Exercise	$0	-1,602	-100%	$0.000000	0	26 Feb 2026	Common Stock	1,602	$0.000000	Direct	F5

* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id	Content
F1	RSUs vest 33% per year over a three year period. RSUs convert into common stock on the vest date on a one-for-one basis. 33% of the shares have been released and a portion of the shares were held back to cover the statutory tax withholding requirements. The net shares were deposited into the holders account.
F2	RSUs vest 100% on the first anniversary of the date of grant. RSUs convert into common stock on the vest date on a one-for-one basis. 100% of the shares have been released and a portion of the shares were held back to cover the statutory tax withholding requirements. The net shares were deposited into the holders account.
F3	Represents performance stock units ("PSUs") initially granted to the Reporting Person on February 28, 2023 subject to achievement of certain performance metrics. The performance criteria for the PSUs reported herein have been achieved, as determined by the Compensation Committee of the Issuer. The PSUs reported herein vest on February 28, 2026, the third anniversary of the grant date, subject to Reporting Person's continuous service to the Issuer through each such vesting date.
F4	Each Restricted Stock Unit, granted pursuant to the 2010 Employee Stock Option Plan, represents a contingent right to receive one share of Intuitive Surgical common stock. The grant vests 33% on the first anniversary of the date of grant and annually thereafter, over a three year period of time.
F5	Each RSU granted represents a contingent right to receive one share of Intuitive Surgical common stock. The grant vests 100% on the first anniversary of the date of grant.