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TECHNICAL TRADING SCORECARD

ISRG

Intuitive Surgical
$440.75
Tue, Nov 3, 2026 close (weekly items: Fri, Oct 30)
USFL alternative · entry card
BUYConfirmed breakout, but extended: the old $397.23–405.34 retest zone is below the trend stop. Wait for a pullback to S1 $425.00–434.80; stop = Friday close below $405.34.

Action levels

Extended – wait for S1$425.00–434.80-1.3% to -3.6%entry = top of S1 $434.80; the old 397.23–405.34 breakout-retest zone is dropped because it sits below the trend stop (405.34)
Profit-Taking Zone$458.00–470.06+3.9% to +6.7%wk low 03-13, wk high ’25-10-10, wk low ’25-08-22
Trading stop · daily closebelow $425.00-3.6%trading downgrade
Trend stop · Friday closebelow $405.34-8.0%trend downgrade one state
Breakout Buy Levelclose above $449.77+2.0%top of R1 (wk high 07-10, wk low 04-10)

Trend at a glance

Trend Score (8–16 wk)
● Up
Score 70/100. Leads S&P and sector; above falling 40-wk.
Trading (10–20 day)
● Neutral
Above 50-day; daily RS vs S&P Est. Up.
Sluymer's view: No recent call: not named in the 15 reports reviewed (Aug 18 – Oct 13, 2026).
Watch this week: Fri Nov 6: extended, wait for a pullback to S1 $425.00–434.80 (-1.3%); a Friday close below $405.34 (-8.0%) invalidates.
Rule-based demo inspired by Robert Sluymer's published framework; not RBC research or advice. Data: Yahoo Finance; levels computed from price data. Prepared Nov 3, 2026, 2:52 PM PT. Appendix on page 2.
APPENDIX · ISRG · TECHNICAL TRADING SCORECARD

Scores · Trend 69.5

RS vs S&P (20) + sector (10)20.0 + 5.7 = 25.7 / 30
Structure (6 checks)16 / 30
Score = (RS + structure) × 100/6069.5 / 100
Raw state (Up ≥ 60 · Down < 45)Up
Confirmation (2 consecutive Fridays)confirmed Up
Trend (confirmed)Up
✔ Fri close above 40-wk SMA 6/6 · ✖ 40-wk SMA rising (4 wks) 0/4 · ✖ No lower high vs cycle high 0/5 · ✔ Fri close above 20-wk SMA 5/5 · ✔ Fri close above 200-wk (4-yr) SMA 5/5 · ✖ 4-mo SMA > 13-mo SMA (completed months, to Sep) 0/5
Weekly raw states: 09-25 Neutral → 10-02 Down → 10-09 Neutral → 10-16 Up → 10-23 Up → 10-30 Up. Coppock, band position, breadth and modifiers no longer enter the Trend score (Coppock chart below is reference only).

Scores · Trading 59.0

RS (S&P 20 + sector 10)20.0 + 0.0 / 30
Structure17 / 25
Coppock (daily) — positive but decelerating12.5 / 25
Band position9.5 / 20
Raw59.0 (Neutral)
Modifiers (10-yr > 5% rising −3, seasonal −2)+0
Final59.0 Neutral
✔ Close above 50-day SMA 5/5 · ✔ 50-day SMA rising (10 d) 3/3 · ✔ Close above 100-day SMA 4/4 · ✔ Close above 200-day SMA 5/5 · ✖ 200-day SMA rising (20 d) 0/3 · ✖ No daily lower high (last two swing highs) 0/5

Relative state (weekly RS vs 16-wk SMA + 2-wk slope; daily RS vs 15-d SMA + 3-d slope; Neutral ±0.25%; phase price = next Fri / next close, benchmark flat)

Horizon · benchmarkStateRS vs SMARS chgPhase-transition price (ISRG close needed)
Trend · S&P1 Established Up (+) →+12.20%+2.30%Est. Up ≥ 388.33 (-11.9%) · Est. Down < 326.11
Trend · XLV2 Early Up (−) →+2.21%-3.22%Est. Up ≥ 431.96 (-2.0%) · Early Up ≥ 425.54 · Est. Down < 423.27
Trading · S&P1 Established Up (+) →+2.02%+0.18%Est. Up ≥ 434.60 (-1.4%) · Est. Down < 356.72
Trading · XLV5 Established Down (−) ↓-1.64%-1.77%Est. Up ≥ 483.63 (+9.7%) · Early Up ≥ 449.57 · Est. Down < 447.17

Full bands (cluster rule: 2 or more tools within 3%; Δ vs 440.75)

BandRangeDistanceTools in the cluster
R3472.69–474.37+7.2% to +7.6%wk high ’25-09-12 472.69 · wk low ’25-03-14 474.37
R2458.00–470.06+3.9% to +6.7%wk low 03-13 458.00 · wk high ’25-10-10 460.30 · wk low ’25-08-22 461.25 · wk low ’25-04-25 463.05 · wk low ’25-08-08 463.90 · wk low 02-06 465.69 · wk low 2024-10-11 470.06
R1443.84–449.77+0.7% to +2.0%wk high 07-10 443.84 · wk low 04-10 447.78 · wk high 05-22 449.77
S1425.00–434.80-1.3% to -3.6%wk low ’25-09-05 434.80 · 200-day SMA 432.07 · wk high 06-12 430.85 · wk low ’25-09-19 429.72 · 40-wk SMA 428.10 · wk low ’25-10-17 427.84 · wk low ’25-04-11 425.00
S2405.34–417.74-5.2% to -8.0%wk low 05-15 417.74 · wk high 08-21 405.34
S3389.11–398.99-9.5% to -11.7%wk low 10-23 398.99 · wk low 07-03 397.52 · wk low 06-05 396.68 · wk low 10-09 389.11
ATH616.00+39.8%all-time high; Profit-Taking fallback when no 2-tool band sits above the Breakout (extensions no longer used)

Coppock, breadth and RS (reference only; not in the Trend score)

Stops & phase transitions

  • Tier 1 (trading stop): daily close < 425.00 (-3.6%): trading downgrades one state, re-anchor to S2 405.34–417.74.
  • Tier 2 (trend stop = Trend Breakdown / invalidation): Friday close < 405.34 (-8.0%): trend downgrades one state, re-anchor to S3 389.11–398.99.
  • Trend vs S&P: Est. Up ≥ 388.33 (-11.9%) · above its 16-wk avg ≥ 388.33 · Est. Down < 326.11 (-26.0%) (next Friday, benchmark flat).
  • Trading vs S&P: Est. Up ≥ 434.60 · Est. Down < 356.72.

Sluymer context

  • 2026-09-15 chartbook: “ISRG remains weak but oversold with early signs of a secondary low developing. First key resistance is at 405.”
  • 2026-09-22 chartbook: “ISRG remains weak but oversold with early signs of a bottom developing near 340.”
  • 2026-10-13 chartbook: “ISRG 2025-2026 trend reversal continues but is becoming overbought short-term as it approaches resistance near its declining red 200-day ma. Given the trend reversal, we expect pullbacks to be short lived with support between 389-416.”

Notes & caveats

PAG U.S. Focus List alternative, entry card (treated like the US Watchlist). Holdings: issuer file as of 2026-10-14 (RBC PAG "Guided Portfolio Large Cap Equity Grid", last updated October 14, 2026 (u.s._focus_list_current.pdf; Focus List names, weights and Alternatives), Gmail (sc.assistant80@gmail.com), "USFL and CFL equity grids" from stephen.k.chang@rbc.com, Oct 21, 2026 3:20 PM PT; matches the Oct 14, 2026 U.S. Focus List Change Report); Grid Alternative (Health Care; no Focus List weight). Benchmarks: S&P 500 (20 pts) and XLV (10 pts). Trading items and bands use the Tue, Nov 3, 2026 close; trend uses the Fri, Oct 30 week. Entry levels: Buy Zone = breakout retest zone (BUY names only: from the broken level down to the floor of the resistance band it came from, or level −2%, whichever is tighter; a weekly close below = failed breakout); Breakout Buy Level = top of R1; Trend Breakdown (invalidation) = S2 floor on a Friday close; Profit-Taking = next resistance band above the breakout. Verdict: AVOID = Trend Down (confirmed on two Fridays) or Friday close below a falling 40-wk SMA; BUY = a weekly close above a Breakout Buy Level fixed from the prior week's data with ≥2 tools within 3% (most recent such breakout in the last 4 weeks), every Friday close since and the latest close still at or above it, and Trend not Down; WAIT = otherwise. Buy Zone is reference only. Coppock = 10-bar WMA of ROC(14)+ROC(11), standard settings used as a placeholder because his are unpublished; DAS is omitted. Zone = sign + 3-yr percentile; direction = 2 bars. SMAs are simple; swings are 5-bar extremes; the channel is a 2-yr log regression ±2σ. The breadth proxy is the % of 500 current S&P 500 members with a rising weekly Coppock; it has survivorship bias, is a regime input only, and no other stock was scored. Weights are our choices (playbook §10); the state rule matched 86% / 83% of his sector states in-sample. Data: Yahoo Finance (unadjusted); weight from the Portfolio Dashboard (PIM 11/2 EOD, read-only).