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0%

13%

25%

38%

50%

2008 2009 2010 2011 2012 2013 2014 2015 2016 E

LAP

3

DA VINCI

4

Hernia

-11% 347%

Hysterectomy

-16%

3%

Colectomy

-10%

63%

Rectal Resection

-14%

48%

Lobectomy

-3%

20%

Predicted Growth Trends in MIS – Laparoscopy and

da Vinci

Predicting the need for convenient access by service line

1. Hernia, hysterectomy, colectomy and rectal resection adoption rates based on Goldman Sachs

Financial Model 02/06/16

2. Lobectomy adoption rate based on JP Morgan Financial Model 04/19/2016

3. Analysis of 2008-2015 Premier database

4. Intuitive Surgical internal analysis – 3 year CAGR based on Q1 2014 to Q1 2016 procedure volume

Growth Trends in Laparoscopy and

da

Vinci

3 Yr CAGR (Compound Annual Growth Rate)

National Adoption of

da Vinci

by

Procedure

1,2

16% Market Share Chasm