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Intuitive Surgical Faces New Rivals
30 Nov
Summary
- Medtronic's Hugo system is nearing approval for urologic procedures.
- Johnson & Johnson is developing its Ottava RAS system.
- Intuitive Surgical benefits from a first-mover advantage and extensive feedback.

For 25 years, Intuitive Surgical has dominated the robotic-assisted surgery market with its da Vinci system. However, major competitors are now emerging, threatening its long-held leadership. Medtronic has completed trials for its Hugo system in urologic procedures and hernia repairs, directly targeting indications where da Vinci is approved. This move sets the stage for direct competition in key surgical areas.
Adding to the competitive pressure, Johnson & Johnson is developing its own robotic-assisted surgery system, Ottava. While still in clinical trials for gastric bypass procedures, Ottava's eventual market entry will further challenge Intuitive Surgical's established position. These developments signal a significant shift in the RAS landscape, moving from a near-monopoly to a more contested market.
Despite these upcoming challenges, Intuitive Surgical possesses considerable advantages. Its da Vinci system has a substantial first-mover advantage, having been refined over years of clinical use. This extensive real-world application has allowed Intuitive Surgical to gather invaluable feedback from healthcare professionals, enabling continuous improvement and the development of its fifth-generation system.




