인튜이티브 서지컬, Inc.
MX ˙ BMV ˙ US46120E6023
SecurityMX:ISRG / Intuitive Surgical, Inc.
InstitutionTwo Sigma Securities, Llc
Latest Disclosed Ownership567 shares
Latest Disclosed Value $ 261,381
Two Sigma Securities, Llc ownership in ISRG / Intuitive Surgical, Inc.

On May 15, 2026 - Two Sigma Securities, Llc filed a 13F-HR form disclosing ownership of 567 shares of Intuitive Surgical, Inc. (MX:ISRG) valued at $261,381 USD as of March 31, 2026. The entity filed a previous 13F-HR on November 14, 2025 disclosing 0 shares of Intuitive Surgical, Inc..

Two Sigma Securities, Llc has a history of taking positions in derivatives of the underlying security (ISRG) in the form of stock options. The firm currently holds call options representing 0 of underlying shares valued at $0 USD and put options representing 0 of underlying shares valued at $0 USD .

Note: prior versions of this page mistakenly stated that the share values represented the number of options, not the number of underlying shares. For more information on the data backing these reports, please see the SEC document Frequently Asked Questions About Form 13F.

Institutional Ownership: 13F and NPORT Filings

The Security and Class in the table below are shown exactly as filed by the investor. We do our best to track continuity of investments through acquisitions, and this will be reflected in the table as changes in names. In addition to descriptive data, performance of the investment is shown over time. To calculate quarterly performance, we first calculate cost basis of the shares purchased during the quarter, then use that to calculate gross profit. Quarterly return is Gross Profit / Starting Portfolio value.

Note that cost basis is calculated and stored in thousands, so small quarterly changes in shares frequently result in a cost basis of zero.

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Institutional Put/Call Ratios
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In addition to reporting standard equity and debt issues, institutions with more than 100MM assets under management must also disclose their put and call option holdings. Since put options generally indicate negative sentiment, and call options indicate positive sentiment, we can get a sense of the overall institutional sentiment by plotting the ratio of puts to calls. The chart to the right plots the historical put/call ratio for this instrument.

Using Put/Call Ratio as an indicator of investor sentiment overcomes one of the key deficiencies of using total institutional ownership, which is that a significant amount of assets under management are invested passively to track indices. Passively-managed funds do not typically buy options, so the put/call ratio indicator more closely tracks the sentiment of actively-managed funds.

MX:ISRG / Intuitive Surgical, Inc. Historical Put/Call Ratio
Disclosed Equity Positions (from 13F/NPORT Filings)
File
Date
Effective
Date
Form Security Class ID Avg Price
Paid (Est)
Reported
Shares
ΔShares ΔShares
(%)
Reported
Value
(x1000)
ΔValue
(%)
Alloc
(%)
ΔAlloc ΔAlloc (%) Cost Basis
(x1000)
Unrealized
Gain/Loss
(x1000)
2026-05-15 2026-03-31 13F INTUITIVE SURGICAL COM NEW 46120E602 567 567 261 0.0304
2025-11-14 2025-09-30 13F INTUITIVE SURGICAL COM NEW 46120E602 0 -2,036 -100.00 0 -100.00
2025-08-14 2025-06-30 13F INTUITIVE SURGICAL COM NEW 46120E602 2,036 2,036 1,106 0.1365
2025-05-15 2025-03-31 13F INTUITIVE SURGICAL COM NEW 46120E602 0 -983 -100.00 0 -100.00
2025-02-14 2024-12-31 13F INTUITIVE SURGICAL COM NEW 46120E602 983 -118 -10.72 513 -5.00 0.0680
2024-11-14 2024-09-30 13F INTUITIVE SURGICAL COM NEW 46120E602 1,101 -899 -44.95 541 -39.26 0.0091
2024-08-14 2024-06-30 13F INTUITIVE SURGICAL COM NEW 46120E602 2,000 -2,346 -53.98 890 -48.73 0.0107
2024-05-15 2024-03-31 13F INTUITIVE SURGICAL COM NEW 46120E602 4,346 2,459 130.31 1,734 172.64 0.0167
2024-02-14 2023-12-31 13F INTUITIVE SURGICAL COM NEW 46120E602 1,887 -17,388 -90.21 637 -88.71 0.0062
2023-11-14 2023-09-30 13F INTUITIVE SURGICAL COM NEW 46120E602 19,275 18,106 1,548.85 5,634 1,311.78 0.0597
2023-08-14 2023-06-30 13F INTUITIVE SURGICAL COM NEW 46120E602 1,169 -3,063 -72.38 400 -63.09 0.0059
2023-05-15 2023-03-31 13F INTUITIVE SURGICAL COM NEW 46120E602 4,232 1,877 79.70 1,081 73.24 0.0217
2023-02-14 2022-12-31 13F INTUITIVE SURGICAL COM NEW 46120E602 2,355 -172 -6.81 625 31.65 0.0188
2022-11-14 2022-09-30 13F INTUITIVE SURGICAL COM NEW 46120E602 2,527 -12,013 -82.62 474 -83.76 0.0143
2022-08-15 2022-06-30 13F INTUITIVE SURGICAL COM NEW 46120E602 14,540 13,389 1,163.25 2,918 740.92 0.1034
2022-05-16 2022-03-31 13F INTUITIVE SURGICAL COM NEW 46120E602 1,151 231 25.11 347 4.83 0.0122
2022-02-14 2021-12-31 13F INTUITIVE SURGICAL COM NEW 46120E602 920 920 331 0.0144
2021-05-17 2021-03-31 13F INTUITIVE SURGICAL COM NEW 46120E602 0 -382 -100.00 0 -100.00
2021-02-16 2020-12-31 13F INTUITIVE SURGICAL COM NEW 46120E602 382 382 313 0.0074
2020-11-16 2020-09-30 13F INTUITIVE SURGICAL COM NEW 46120E602 0 -763 -100.00 0 -100.00
2020-09-10 2020-06-30 13F/A-1 INTUITIVE SURGICAL COM NEW 46120E602 763 -3,063 -80.06 435 -77.04 0.0098
2020-08-14 2020-06-30 13F INTUITIVE SURGICAL COM NEW 46120E602 7,463 3,637 4,253 67,868.8913
2020-05-15 2020-03-31 13F INTUITIVE SURGICAL COM NEW 46120E602 3,826 3,826 401.44 1,895 335.63 0.0427
2020-02-14 2019-12-31 13F INTUITIVE SURGICAL COM NEW 46120E602 0 -909 -100.00 0 -100.00
2019-11-14 2019-09-30 13F INTUITIVE SURGICAL COM NEW 46120E602 909 17 1.91 491 4.91 0.0045
2019-08-14 2019-06-30 13F INTUITIVE SURGICAL COM NEW 46120E602 892 892 -1.87 468 -4.68 0.0049
2019-05-15 2019-03-31 13F INTUITIVE SURGICAL COM NEW 46120E602 0 -660 -100.00 0 -100.00
2019-02-14 2018-12-31 13F INTUITIVE SURGICAL COM NEW 46120E602 660 -3,455 -83.96 316 -86.62 0.0039
2018-11-14 2018-09-30 13F INTUITIVE SURGICAL COM NEW 46120E602 4,115 -195 -4.52 2,362 14.55 0.0153
2018-08-14 2018-06-30 13F INTUITIVE SURGICAL COM NEW 46120E602 4,310 -2,900 -40.22 2,062 -30.74 0.0103
2018-05-15 2018-03-31 13F INTUITIVE SURGICAL COM NEW 46120E602 7,210 6,097 547.80 2,977 633.25 0.0167
2018-02-14 2017-12-31 13F INTUITIVE SURGICAL COM NEW 46120E602 1,113 1,113 -84.56 406 -86.36 0.0109
2017-11-14 2017-09-30 13F INTUITIVE SURGICAL COM NEW 46120E602 0 -367 -100.00 0 -100.00
2017-08-14 2017-06-30 13F INTUITIVE SURGICAL COM NEW 46120E602 367 -109 -22.90 343 -6.03 0.0653
2017-05-15 2017-03-31 13F INTUITIVE SURGICAL COM NEW 46120E602 476 -481 -50.26 365 -39.87 0.0715
2017-02-14 2016-12-31 13F INTUITIVE SURGICAL COM NEW 46120E602 957 957 607 0.2029
Disclosed Call Options
File
Date
Effective
Date
Form Security Class ID Opt Avg Share
Price
Shares ΔShares
(%)
Value
(x1000)
ΔValue
(%)
Prior Allocation
(%)
Allocation
(%)
ΔAllocation
(%)
Cost Basis
(x1000)
Profit
(x1000)
Return
(%)
2025-02-14 2024-12-31 13F INTUITIVE SURGICAL COM NEW Call 0 -100.00 0 -100.00 n/a n/a n/a
2024-11-14 2024-09-30 13F INTUITIVE SURGICAL COM NEW Call 32,500 316.67 15,966 360.25 n/a n/a n/a
2024-08-14 2024-06-30 13F INTUITIVE SURGICAL COM NEW Call 7,800 -37.60 3,470 -30.45 n/a n/a n/a
2024-05-15 2024-03-31 13F INTUITIVE SURGICAL COM NEW Call 12,500 -29.78 4,989 -16.94 n/a n/a n/a
2024-02-14 2023-12-31 13F INTUITIVE SURGICAL COM NEW Call 17,800 439.39 6,005 522.93 n/a n/a n/a
2023-11-14 2023-09-30 13F INTUITIVE SURGICAL COM NEW Call 3,300 -47.62 965 -55.25 n/a n/a n/a
2023-08-14 2023-06-30 13F INTUITIVE SURGICAL COM NEW Call 6,300 -50.39 2,154 -33.60 n/a n/a n/a
2023-05-15 2023-03-31 13F INTUITIVE SURGICAL COM NEW Call 12,700 3,244 n/a n/a n/a
2023-02-14 2022-12-31 13F INTUITIVE SURGICAL COM NEW Call 0 -100.00 0 -100.00 n/a n/a n/a
2022-11-14 2022-09-30 13F INTUITIVE SURGICAL COM NEW Call 2,000 375 n/a n/a n/a
2022-08-15 2022-06-30 13F INTUITIVE SURGICAL COM NEW Call 0 -100.00 0 -100.00 n/a n/a n/a
2022-05-16 2022-03-31 13F INTUITIVE SURGICAL COM NEW Call 6,200 933.33 1,870 765.74 n/a n/a n/a
2022-02-14 2021-12-31 13F INTUITIVE SURGICAL COM NEW Call 600 -76.00 216 -91.31 n/a n/a n/a
2021-11-15 2021-09-30 13F INTUITIVE SURGICAL COM NEW Call 2,500 400.00 2,485 440.22 n/a n/a n/a
2021-08-16 2021-06-30 13F INTUITIVE SURGICAL COM NEW Call 500 460 n/a n/a n/a
2021-05-17 2021-03-31 13F INTUITIVE SURGICAL COM NEW Call 0 -100.00 0 -100.00 n/a n/a n/a
2021-02-16 2020-12-31 13F INTUITIVE SURGICAL COM NEW Call 6,700 -5.63 5,481 8.79 n/a n/a n/a
2020-11-16 2020-09-30 13F INTUITIVE SURGICAL COM NEW Call 7,100 65.12 5,038 105.63 n/a n/a n/a
2020-09-10 2020-06-30 13F/A INTUITIVE SURGICAL COM NEW Call 4,300 -50.57 2,450 -43.13 n/a n/a n/a
2020-05-15 2020-03-31 13F INTUITIVE SURGICAL COM NEW Call 8,700 -74.18 4,308 -78.38 n/a n/a n/a
2020-02-14 2019-12-31 13F INTUITIVE SURGICAL COM NEW Call 33,700 -6.13 19,922 2.78 n/a n/a n/a
2019-11-14 2019-09-30 13F INTUITIVE SURGICAL CALL Call 35,900 -1.64 19,383 1.24 n/a n/a n/a
2019-08-14 2019-06-30 13F INTUITIVE SURGICAL COM NEW Call 36,500 176.52 19,146 154.20 n/a n/a n/a
2019-05-15 2019-03-31 13F INTUITIVE SURGICAL COM NEW Call 13,200 -55.70 7,532 -47.23 n/a n/a n/a
2019-02-14 2018-12-31 13F INTUITIVE SURGICAL COM NEW Call 29,800 -28.88 14,272 -40.66 n/a n/a n/a
2018-11-14 2018-09-30 13F INTUITIVE SURGICAL COM NEW Call 41,900 -35.44 24,051 -22.55 n/a n/a n/a
2018-08-14 2018-06-30 13F INTUITIVE SURGICAL COM NEW Call 64,900 8.17 31,053 25.37 n/a n/a n/a
2018-05-15 2018-03-31 13F INTUITIVE SURGICAL COM NEW Call 60,000 1,900.00 24,770 2,162.10 n/a n/a n/a
2018-02-14 2017-12-31 13F INTUITIVE SURGICAL COM NEW Call 3,000 1,095 n/a n/a n/a
Disclosed Put Options
File
Date
Effective
Date
Form Security Class ID Opt Avg Share Price Shares ΔShares
(%)
Value
(x1000)
ΔValue
(%)
Prior Allocation
(%)
Allocation
(%)
ΔAllocation
(%)
Cost Basis
(x1000)
Profit
(x1000)
Return
(%)
2025-02-14 2024-12-31 13F INTUITIVE SURGICAL COM NEW Put 0 -100.00 0 -100.00 n/a n/a n/a
2024-11-14 2024-09-30 13F INTUITIVE SURGICAL COM NEW Put 27,700 147.32 13,608 173.14 n/a n/a n/a
2024-08-14 2024-06-30 13F INTUITIVE SURGICAL COM NEW Put 11,200 -15.15 4,982 -5.41 n/a n/a n/a
2024-05-15 2024-03-31 13F INTUITIVE SURGICAL COM NEW Put 13,200 -14.29 5,268 1.39 n/a n/a n/a
2024-02-14 2023-12-31 13F INTUITIVE SURGICAL COM NEW Put 15,400 35.09 5,195 55.91 n/a n/a n/a
2023-11-14 2023-09-30 13F INTUITIVE SURGICAL COM NEW Put 11,400 267.74 3,332 214.34 n/a n/a n/a
2023-08-14 2023-06-30 13F INTUITIVE SURGICAL COM NEW Put 3,100 -55.07 1,060 -39.84 n/a n/a n/a
2023-05-15 2023-03-31 13F INTUITIVE SURGICAL COM NEW Put 6,900 1,763 n/a n/a n/a
2023-02-14 2022-12-31 13F INTUITIVE SURGICAL COM NEW Put 0 -100.00 0 -100.00 n/a n/a n/a
2022-11-14 2022-09-30 13F INTUITIVE SURGICAL COM NEW Put 4,800 900 n/a n/a n/a
2022-08-15 2022-06-30 13F INTUITIVE SURGICAL COM NEW Put 0 -100.00 0 -100.00 n/a n/a n/a
2022-05-16 2022-03-31 13F INTUITIVE SURGICAL COM NEW Put 4,600 1,388 n/a n/a n/a
2022-02-14 2021-12-31 13F INTUITIVE SURGICAL COM NEW Put 0 -100.00 0 -100.00 n/a n/a n/a
2021-11-15 2021-09-30 13F INTUITIVE SURGICAL COM NEW Put 1,700 13.33 1,690 22.55 n/a n/a n/a
2021-08-16 2021-06-30 13F INTUITIVE SURGICAL COM NEW Put 1,500 1,379 n/a n/a n/a
2021-05-17 2021-03-31 13F INTUITIVE SURGICAL COM NEW Put 0 -100.00 0 -100.00 n/a n/a n/a
2021-02-16 2020-12-31 13F INTUITIVE SURGICAL COM NEW Put 4,200 -14.29 3,436 -1.18 n/a n/a n/a
2020-11-16 2020-09-30 13F INTUITIVE SURGICAL COM NEW Put 4,900 104.17 3,477 154.17 n/a n/a n/a
2020-09-10 2020-06-30 13F/A INTUITIVE SURGICAL COM NEW Put 2,400 -67.57 1,368 -62.67 n/a n/a n/a
2020-05-15 2020-03-31 13F INTUITIVE SURGICAL COM NEW Put 7,400 -84.55 3,665 -87.06 n/a n/a n/a
2020-02-14 2019-12-31 13F INTUITIVE SURGICAL COM NEW Put 47,900 169.10 28,316 194.62 n/a n/a n/a
2019-11-14 2019-09-30 13F INTUITIVE SURGICAL PUT Put 17,800 5.33 9,611 8.42 n/a n/a n/a
2019-08-14 2019-06-30 13F INTUITIVE SURGICAL COM NEW Put 16,900 134.72 8,865 115.80 n/a n/a n/a
2019-05-15 2019-03-31 13F INTUITIVE SURGICAL COM NEW Put 7,200 -33.33 4,108 -20.57 n/a n/a n/a
2019-02-14 2018-12-31 13F INTUITIVE SURGICAL COM NEW Put 10,800 -46.27 5,172 -55.17 n/a n/a n/a
2018-11-14 2018-09-30 13F INTUITIVE SURGICAL COM NEW Put 20,100 -39.27 11,537 -27.16 n/a n/a n/a
2018-08-14 2018-06-30 13F INTUITIVE SURGICAL COM NEW Put 33,100 -33.40 15,838 -22.81 n/a n/a n/a
2018-05-15 2018-03-31 13F INTUITIVE SURGICAL COM NEW Put 49,700 20,518 n/a n/a n/a
Legend
Shares
The total number of shares held by the institution at the end of the reporting period (the effective date). This is provided in the filing.
Value
The total value of the shares as of the effective date. This is provided in the filing.
Avg. Share Price
The weighted average share price of the shares held by the institution. We use FIFO accounting to determine this price
Class
This is the security class as indicated by the filer. There are a variety of values for this field. Common values include "EC" = equity common, "EP" - equity preferred
Allocation (%)
The percent of the institution's portfolio that this position represents. This is provided in NPORT filings. For 13F filings, we calculate it.
Change in Allocation
The change in allocation from the prior reporting period. This is calculated as current allocation - prior allocation.
Change in Allocation (%)
The percent change in allocation from the prior reporting period. This is calculated as (current allocation - prior allocation) / prior allocation.
Cost Basis
The total cost of the shares held. This is calculated as reported shares * avg. share price
Unrealized Gain/Loss
This is the market value of the position as of the effective date minus the cost basis.