$ISRG has announced its Q4 2024 earnings release. The company's performance showed a significant revenue boost of 25% to $2.41 billion, driven by strong system placements and increased utilization across its Da Vinci platforms. However, it missed EPS expectations by $1.79. Key stats highlight a pro forma gross margin of 69.5% and pro forma net income growth of 29% YoY, signaling strong profitability but raising concerns regarding future margin pressures due to increased depreciation and emerging competition. Looking ahead, there are promising opportunities tied to a full launch of Da Vinci 5, but risks from material competition and overseas market dynamics loom.