Piper Jaffray analyst Matt O'Brien says he "begrudgingly" keeps a Neutral rating on Intuitive Surgical following the company's "exceptional" Q1 results. The standout in the quarter was procedure growth that came in at 18%, which was well ahead of consensus at 11%, O'Brien tells investors in a post-earnings research note. He notes the stock is trading at 36 times his 2017 earnings estimates. The analyst keeps a $700 price target for the shares.

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Piper Sandler raised the firm's price target on Intuitive Surgical to $435 from $425 and keeps an Overweight rating on the shares. The company reported Q1 results that topped consensus on both the top- and bottom-line, the analyst tells investors in a research note. The firm says there were several positive operational updates announced on the earnings call, such as, healthy initial demand for SP in Europe and Chinese regulatory approval for Ion. The Q1 report had "little-to-nothing to pick at," contends Piper. Intuitive remains its favorite large-cap medtech name.

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Sees FY24 gross profit margin 67%-68%. Sees FY24 operating expense up 11%-15%. Sees FY24 capital expenditures 1B-$1.2B. Sees FY24 tax rate 22%-24%. Says five additional procedures will have reimbursement in Japan by June. Says saw particular strength in the U.S. and the U.K. Comments and guidance taken from Q1 earnings conference call.

Pre-earnings options volume in Intuitive Surgical is 2.0x normal with calls leading puts 10:9. Implied volatility suggests the market is anticipating a move near 4.9%, or $18.11, after results are released. Median move over the past eight quarters is 5.6%.